Advanced Pharmacology: Hypertension
Exam Quizzes| Verified Solution| Passed
1. A patient with newly diagnosed hypertension is prescribed lisinopril. What is the primary
mechanism of action of this ACE inhibitor?
It inhibits the conversion of angiotensin I to angiotensin II, resulting in vasodilation and
decreased blood pressure.
2. A nurse is educating a patient about the potential side effects of amlodipine. What is a
common adverse effect associated with this calcium channel blocker?
Peripheral edema due to vasodilation.
3. A patient with hypertension is prescribed hydrochlorothiazide. What is an important
electrolyte imbalance the nurse should monitor for with this diuretic?
Hypokalemia, as thiazide diuretics can lead to increased potassium excretion.
4. A patient with a history of heart failure is started on carvedilol. What is the expected
therapeutic effect of this medication in managing hypertension?
It reduces heart rate and decreases myocardial contractility, leading to lower blood
pressure.
1
, 5. A nurse is caring for a patient on a beta-blocker for hypertension. What assessment is most
critical before administering the medication?
Check the patient's heart rate; hold the medication if the heart rate is below 60 beats per
minute.
6. A patient with resistant hypertension is prescribed spironolactone. What is a significant side
effect the nurse should monitor for?
Hyperkalemia, due to its potassium-sparing properties.
7. A nurse is educating a patient about the use of valsartan. What is the primary benefit of
angiotensin II receptor blockers (ARBs) in treating hypertension?
They provide similar blood pressure control as ACE inhibitors with a lower incidence of
cough.
8. A patient is started on nitroglycerin for hypertensive urgency. What should the nurse monitor
closely during this treatment?
Blood pressure and heart rate, as nitroglycerin can cause significant hypotension.
9. A nurse is administering a loop diuretic to a patient with hypertension. What is the most
important laboratory value to assess prior to administration?
Serum potassium levels, as loop diuretics can cause hypokalemia.
2
Exam Quizzes| Verified Solution| Passed
1. A patient with newly diagnosed hypertension is prescribed lisinopril. What is the primary
mechanism of action of this ACE inhibitor?
It inhibits the conversion of angiotensin I to angiotensin II, resulting in vasodilation and
decreased blood pressure.
2. A nurse is educating a patient about the potential side effects of amlodipine. What is a
common adverse effect associated with this calcium channel blocker?
Peripheral edema due to vasodilation.
3. A patient with hypertension is prescribed hydrochlorothiazide. What is an important
electrolyte imbalance the nurse should monitor for with this diuretic?
Hypokalemia, as thiazide diuretics can lead to increased potassium excretion.
4. A patient with a history of heart failure is started on carvedilol. What is the expected
therapeutic effect of this medication in managing hypertension?
It reduces heart rate and decreases myocardial contractility, leading to lower blood
pressure.
1
, 5. A nurse is caring for a patient on a beta-blocker for hypertension. What assessment is most
critical before administering the medication?
Check the patient's heart rate; hold the medication if the heart rate is below 60 beats per
minute.
6. A patient with resistant hypertension is prescribed spironolactone. What is a significant side
effect the nurse should monitor for?
Hyperkalemia, due to its potassium-sparing properties.
7. A nurse is educating a patient about the use of valsartan. What is the primary benefit of
angiotensin II receptor blockers (ARBs) in treating hypertension?
They provide similar blood pressure control as ACE inhibitors with a lower incidence of
cough.
8. A patient is started on nitroglycerin for hypertensive urgency. What should the nurse monitor
closely during this treatment?
Blood pressure and heart rate, as nitroglycerin can cause significant hypotension.
9. A nurse is administering a loop diuretic to a patient with hypertension. What is the most
important laboratory value to assess prior to administration?
Serum potassium levels, as loop diuretics can cause hypokalemia.
2
