WOO: Drugs Affecting the Cardiovascular and Renal
Systems questions with correct answers
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
A. Hypokalemia
B. Impotence
C. Decreased renal function
D. Inability to concentrate Correct Answer-C. Decreased renal function
Angiotensin-converting enzyme inhibitors are the drug of choice in
treating hypertension in diabetic patients because they:
A. Improve insulin sensitivity
B. Improve renal hemodynamics
C. Reduce the production of angiotensin II
D. All of the above Correct Answer-D. All of the above
A potentially life-threatening adverse response to angiotensin-converting
enzyme inhibitors is angioedema. Which of the following statements is
true about this adverse response?
A. Swelling of the tongue or hoarseness are the most common
symptoms.
B. It appears to be related to the decrease in aldosterone production.
C. Presence of a dry, hacky cough indicates a high risk for this adverse
response.
, D. Because it takes time to build up a blood level, it occurs after being
on the drug for about 1 week. Correct Answer-A. Swelling of the tongue
or hoarseness are the most common symptoms.
Angiotensin-converting enzyme inhibitors are useful in a variety of
disorders. Which of the following statements are true about both its
usefulness in the disorder and the reason for its use?
A. Stable angina because it decreases the thickening of vascular walls
due to decreased modified release.
B. Heart failure because it reduces remodeling of injured myocardial
tissues.
C. Both 1 and 2 are true and the reasons are correct.
D. Both 1 and 2 are true but the reasons are wrong.
E. Neither 1 nor 2 are true. Correct Answer-C. Both 1 and 2 are true and
the reasons are correct.
Despite good blood pressure control, an NP might change a patient's
drug from an angiotensin-converting enzyme (ACE) inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
A. Is stronger than the ACE inhibitor
B. Does not produce a dry, hacky cough
C. Has no effect on the renal system
D. Reduces sodium and water retention Correct Answer-B. Does not
produce a dry, hacky cough
Systems questions with correct answers
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
A. Hypokalemia
B. Impotence
C. Decreased renal function
D. Inability to concentrate Correct Answer-C. Decreased renal function
Angiotensin-converting enzyme inhibitors are the drug of choice in
treating hypertension in diabetic patients because they:
A. Improve insulin sensitivity
B. Improve renal hemodynamics
C. Reduce the production of angiotensin II
D. All of the above Correct Answer-D. All of the above
A potentially life-threatening adverse response to angiotensin-converting
enzyme inhibitors is angioedema. Which of the following statements is
true about this adverse response?
A. Swelling of the tongue or hoarseness are the most common
symptoms.
B. It appears to be related to the decrease in aldosterone production.
C. Presence of a dry, hacky cough indicates a high risk for this adverse
response.
, D. Because it takes time to build up a blood level, it occurs after being
on the drug for about 1 week. Correct Answer-A. Swelling of the tongue
or hoarseness are the most common symptoms.
Angiotensin-converting enzyme inhibitors are useful in a variety of
disorders. Which of the following statements are true about both its
usefulness in the disorder and the reason for its use?
A. Stable angina because it decreases the thickening of vascular walls
due to decreased modified release.
B. Heart failure because it reduces remodeling of injured myocardial
tissues.
C. Both 1 and 2 are true and the reasons are correct.
D. Both 1 and 2 are true but the reasons are wrong.
E. Neither 1 nor 2 are true. Correct Answer-C. Both 1 and 2 are true and
the reasons are correct.
Despite good blood pressure control, an NP might change a patient's
drug from an angiotensin-converting enzyme (ACE) inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
A. Is stronger than the ACE inhibitor
B. Does not produce a dry, hacky cough
C. Has no effect on the renal system
D. Reduces sodium and water retention Correct Answer-B. Does not
produce a dry, hacky cough
