NURS 315 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Propranolol uses - CORRECT ANSWER -Decrease HR & contractility, angina,
tachydysrythmias
Propranolol indications - CORRECT ANSWER -Sinus tachycardia, severe recent svt
Metoprolol - CORRECT ANSWER -Better choice beta-blocker for asthma due to being
selective
What can beta blockers do - CORRECT ANSWER -Mask symptoms of hypoglycemia
Beta blockers - CORRECT ANSWER -Propranolol, metoprolol
Ace-1 - CORRECT ANSWER -Captopril, lisinopril
Captopril uses - CORRECT ANSWER -HTN, HF, MI, diabetic neuropathy
Captopril pt edu - CORRECT ANSWER -Take 1 hour before meals, can cause
neutropenia
Lisinopril uses - CORRECT ANSWER -HTN, HF, acute MI
Lisinopril adverse - CORRECT ANSWER -Don't take when pregnant, cough,
angioedema, first dose hypotension, hyperkalemia
Angiotensin 2 receptor blockers - CORRECT ANSWER -Losartan, volsartan
,Losartan uses - CORRECT ANSWER -HTN, diabetic neuropathy, stroke prevention
Losartan adverse - CORRECT ANSWER -Angioedema, fetal harm, renal failure
Valsartan uses - CORRECT ANSWER -HTN, HF, MI
Valsartan contraindications - CORRECT ANSWER -No pregnancy, no renal stenosis
Valsartan pt edu - CORRECT ANSWER -Check BP before admin
Advantage of using Angiotensin 2 receptor blockers - CORRECT ANSWER -Lower
incidence of cough & hyperkalemia compared to ACE-1
Calcium channel blockers use - CORRECT ANSWER -Vasodilation
Calcium channel blockers - CORRECT ANSWER -Verapamil & diltiazem, nifedipine
Verapamil diltiazem uses - CORRECT ANSWER -Slowing of SA nodal automaticity,
delta of AV nodal conduction, reduction of myocardial contractility
Verapamil & diltiazem indications - CORRECT ANSWER -A fib, a flutter, terminal SVT
Verapamil & diltiazem adverse - CORRECT ANSWER -Bradycardia, AV block, HF,
peripheraledema
Nifedipine indications - CORRECT ANSWER -HTN, angina
nifedipine adverse - CORRECT ANSWER -Reflex tachycardia
, Vasodilators - CORRECT ANSWER -Hydralazine, sodium nitruprusside
Hydralazine uses - CORRECT ANSWER -Arteriodilation, HTN, HTN crisis, helps w HF
Hydralazine adverse - CORRECT ANSWER -Reflex tachycardia, increased blood
volume, lupus like syndrome, headache, dizziness, weakness and fatigue
Sodiu nitruprusside uses - CORRECT ANSWER -Venous and arterial simulation,
hypertensive emergencies
Sodium nitruprusside adverse - CORRECT ANSWER -Excessive hypotension, prolonged
infusion can cause cyanide poisoning & thiocyanate toxicity
K+ sparing diuretics - CORRECT ANSWER -Spironolactone
Spironolactone uses - CORRECT ANSWER -HTN, edema, HF
Spironolactone adverse - CORRECT ANSWER -Hyperkalemia, endocrine effects
gynemastia, mentrual irruglarities, impotence, hirtuism)
Spironolactone nursing considerations - CORRECT ANSWER -Serum potassium levels,
weight, vitals (BP), take w or after meals, menstrual irregularities
Spironolactone safe handling - CORRECT ANSWER -Can cause fetal harm to pt to
pregnant nurse administering
Cardinal glycosides - CORRECT ANSWER -Digoxin/digitalis
Questions and CORRECT Answers
Propranolol uses - CORRECT ANSWER -Decrease HR & contractility, angina,
tachydysrythmias
Propranolol indications - CORRECT ANSWER -Sinus tachycardia, severe recent svt
Metoprolol - CORRECT ANSWER -Better choice beta-blocker for asthma due to being
selective
What can beta blockers do - CORRECT ANSWER -Mask symptoms of hypoglycemia
Beta blockers - CORRECT ANSWER -Propranolol, metoprolol
Ace-1 - CORRECT ANSWER -Captopril, lisinopril
Captopril uses - CORRECT ANSWER -HTN, HF, MI, diabetic neuropathy
Captopril pt edu - CORRECT ANSWER -Take 1 hour before meals, can cause
neutropenia
Lisinopril uses - CORRECT ANSWER -HTN, HF, acute MI
Lisinopril adverse - CORRECT ANSWER -Don't take when pregnant, cough,
angioedema, first dose hypotension, hyperkalemia
Angiotensin 2 receptor blockers - CORRECT ANSWER -Losartan, volsartan
,Losartan uses - CORRECT ANSWER -HTN, diabetic neuropathy, stroke prevention
Losartan adverse - CORRECT ANSWER -Angioedema, fetal harm, renal failure
Valsartan uses - CORRECT ANSWER -HTN, HF, MI
Valsartan contraindications - CORRECT ANSWER -No pregnancy, no renal stenosis
Valsartan pt edu - CORRECT ANSWER -Check BP before admin
Advantage of using Angiotensin 2 receptor blockers - CORRECT ANSWER -Lower
incidence of cough & hyperkalemia compared to ACE-1
Calcium channel blockers use - CORRECT ANSWER -Vasodilation
Calcium channel blockers - CORRECT ANSWER -Verapamil & diltiazem, nifedipine
Verapamil diltiazem uses - CORRECT ANSWER -Slowing of SA nodal automaticity,
delta of AV nodal conduction, reduction of myocardial contractility
Verapamil & diltiazem indications - CORRECT ANSWER -A fib, a flutter, terminal SVT
Verapamil & diltiazem adverse - CORRECT ANSWER -Bradycardia, AV block, HF,
peripheraledema
Nifedipine indications - CORRECT ANSWER -HTN, angina
nifedipine adverse - CORRECT ANSWER -Reflex tachycardia
, Vasodilators - CORRECT ANSWER -Hydralazine, sodium nitruprusside
Hydralazine uses - CORRECT ANSWER -Arteriodilation, HTN, HTN crisis, helps w HF
Hydralazine adverse - CORRECT ANSWER -Reflex tachycardia, increased blood
volume, lupus like syndrome, headache, dizziness, weakness and fatigue
Sodiu nitruprusside uses - CORRECT ANSWER -Venous and arterial simulation,
hypertensive emergencies
Sodium nitruprusside adverse - CORRECT ANSWER -Excessive hypotension, prolonged
infusion can cause cyanide poisoning & thiocyanate toxicity
K+ sparing diuretics - CORRECT ANSWER -Spironolactone
Spironolactone uses - CORRECT ANSWER -HTN, edema, HF
Spironolactone adverse - CORRECT ANSWER -Hyperkalemia, endocrine effects
gynemastia, mentrual irruglarities, impotence, hirtuism)
Spironolactone nursing considerations - CORRECT ANSWER -Serum potassium levels,
weight, vitals (BP), take w or after meals, menstrual irregularities
Spironolactone safe handling - CORRECT ANSWER -Can cause fetal harm to pt to
pregnant nurse administering
Cardinal glycosides - CORRECT ANSWER -Digoxin/digitalis
