NSG 533 Advanced pharmacology for
NP Exam 2 Containing 347 Questions
with Certified Solutions 2024-2025.
Ray has been diagnosed with hypertension and it is determined that an
angiotensin-converting enzyme inhibitor is needed. Prior to prescribing this drug,
the nurse practitioner (NP) should assess for: - Answer: Decreased renal function
Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating
hypertension in diabetic patients because they: - Answer: All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
,Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE inhibitor is angioedema.
Which of the following statements is true about this adverse response? - Answer:
Swelling of the tongue and hoarseness are the most common symptoms.
ACE inhibitors are useful in a variety of disorders. Which of the following
statements is true about both their usefulness in a particular disorder and the
reason for their use? - Answer: Both 1 and 2 are true:
1. They are useful to prevent stable angina because they decrease the thickening
of vascular walls due to decreased modified release.
2. They are useful to prevent heart failure because they reduce remodeling of
injured myocardial tissues.
Despite good blood pressure control, an NP might change a patient's drug from an
ACE inhibitor to an angiotensin II receptor blocker (ARB) because the ARB: -
Answer: Does not produce a dry, hacking cough
While taking an ARB, patients need to avoid certain over-the-counter drugs
without irst consulting the provider because: - Answer: Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
,Laboratory monitoring for patients on ACE inhibitors or ARBs should include: -
Answer: Serum creatinine levels with the drug dosage reduced for values greater
than 2.5 mg/dL
Jacob has hypertension, for which a calcium channel blocker has been prescribed.
This drug helps control blood pressure because it: - Answer: Decreases the
amount of calcium inside the cell
Which of the following adverse effects may occur due to a dihydropyridine-type
calcium channel blocker? - Answer: Edema of the hands and feet
Patient teaching related to amlodipine includes: - Answer: Avoid grapefruit juice
as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages
for her should be: - Answer: Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin because it exhibits: -
Answer: Negative inotropism
Furosemide is added to a treatment regimen for heart failure that includes
digoxin. Monitoring for this combination includes: - Answer: Serum potassium
, Which of the following create a higher risk for digoxin toxicity? Both the cause and
the reason for it must be correct. - Answer: Administration to older adults
because of reduced renal function
Serum digoxin levels are monitored for potential toxicity. Monitoring should
occur: - Answer: Because a reference point is needed to adjust dosage
Which of the following is true about procainamide and its dosing schedule? -
Answer:
Rodrigo has been prescribed procainamide after a myocardial infarction. He is
monitored for dyspnea, jugular venous distention, and peripheral edema because
they may indicate: - Answer: Onset of congestive heart failure
Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia.
Patient teaching should include all of the following EXCEPT: - Answer: Take a hot
shower or bath if you feel dizzy.
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the
NP that he does not have thyroid disease and wants to know why the test has
been ordered. Which is a correct response? - Answer: Amiodarone inhibits an
enzyme that is important in making thyroid hormone and can cause
hypothyroidism.
NP Exam 2 Containing 347 Questions
with Certified Solutions 2024-2025.
Ray has been diagnosed with hypertension and it is determined that an
angiotensin-converting enzyme inhibitor is needed. Prior to prescribing this drug,
the nurse practitioner (NP) should assess for: - Answer: Decreased renal function
Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating
hypertension in diabetic patients because they: - Answer: All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
,Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE inhibitor is angioedema.
Which of the following statements is true about this adverse response? - Answer:
Swelling of the tongue and hoarseness are the most common symptoms.
ACE inhibitors are useful in a variety of disorders. Which of the following
statements is true about both their usefulness in a particular disorder and the
reason for their use? - Answer: Both 1 and 2 are true:
1. They are useful to prevent stable angina because they decrease the thickening
of vascular walls due to decreased modified release.
2. They are useful to prevent heart failure because they reduce remodeling of
injured myocardial tissues.
Despite good blood pressure control, an NP might change a patient's drug from an
ACE inhibitor to an angiotensin II receptor blocker (ARB) because the ARB: -
Answer: Does not produce a dry, hacking cough
While taking an ARB, patients need to avoid certain over-the-counter drugs
without irst consulting the provider because: - Answer: Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
,Laboratory monitoring for patients on ACE inhibitors or ARBs should include: -
Answer: Serum creatinine levels with the drug dosage reduced for values greater
than 2.5 mg/dL
Jacob has hypertension, for which a calcium channel blocker has been prescribed.
This drug helps control blood pressure because it: - Answer: Decreases the
amount of calcium inside the cell
Which of the following adverse effects may occur due to a dihydropyridine-type
calcium channel blocker? - Answer: Edema of the hands and feet
Patient teaching related to amlodipine includes: - Answer: Avoid grapefruit juice
as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages
for her should be: - Answer: Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin because it exhibits: -
Answer: Negative inotropism
Furosemide is added to a treatment regimen for heart failure that includes
digoxin. Monitoring for this combination includes: - Answer: Serum potassium
, Which of the following create a higher risk for digoxin toxicity? Both the cause and
the reason for it must be correct. - Answer: Administration to older adults
because of reduced renal function
Serum digoxin levels are monitored for potential toxicity. Monitoring should
occur: - Answer: Because a reference point is needed to adjust dosage
Which of the following is true about procainamide and its dosing schedule? -
Answer:
Rodrigo has been prescribed procainamide after a myocardial infarction. He is
monitored for dyspnea, jugular venous distention, and peripheral edema because
they may indicate: - Answer: Onset of congestive heart failure
Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia.
Patient teaching should include all of the following EXCEPT: - Answer: Take a hot
shower or bath if you feel dizzy.
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the
NP that he does not have thyroid disease and wants to know why the test has
been ordered. Which is a correct response? - Answer: Amiodarone inhibits an
enzyme that is important in making thyroid hormone and can cause
hypothyroidism.
