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NUR 2092 Chapter 43 Exam – 100 Questions on ACE Inhibitors, ARBs, Vasodilators & Hypertension Management

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This comprehensive exam prep for NUR 2092: Nursing Pharmacology at Chamberlain University includes 100 practice questions with complete, correct answers, based on Chapter 43 – Drugs Affecting Blood Pressure, updated for the 2025/2026 academic year. It is specifically designed to reinforce knowledge on antihypertensive pharmacology and clinical nursing applications. The document provides detailed coverage of critical medications and nursing considerations related to cardiovascular regulation, with emphasis on safety, mechanisms of action, lab monitoring, and therapeutic outcomes. Core topics include: ACE Inhibitors (e.g., captopril, ramipril, fosinopril): cough, hyperkalemia, teratogenicity, angioedema Angiotensin II Receptor Blockers (ARBs) (e.g., losartan, olmesartan): mechanism of action, hypotension, pregnancy safety Calcium Channel Blockers (e.g., diltiazem, amlodipine): vasodilation, bradycardia, drug teaching Direct vasodilators (e.g., hydralazine, nitroprusside): hypertensive crisis management, cyanide toxicity, IV administration risks Renin inhibitors (e.g., aliskiren): electrolyte monitoring, combination therapy with diuretics Alpha-blockers and beta-blockers: orthostatic hypotension, reflex tachycardia, nursing education Nursing interventions: lifestyle modifications (diet, sodium reduction, exercise), fall prevention in elderly patients, BP monitoring Special populations: pregnancy, renal impairment, children with hypertension, older adults in long-term care Emergency protocols: hypertensive emergencies, shock treatment (dobutamine, norepinephrine), IV administration safety Patient education: adherence, side effects, drug interactions, and warning signs requiring provider notification Each question supports exam readiness, clinical reasoning, and NCLEX-style test practice with select-all-that-apply, case studies, and multiple-choice formats. Recommended for: Nursing students enrolled in NUR 2092 at Chamberlain University Learners preparing for cardiovascular pharmacology unit exams, NCLEX-RN, or ATI testing Students in clinicals needing practical knowledge of antihypertensive medication safety and nursing assessment Allied health or pre-licensure students seeking strong foundational understanding of blood pressure regulation therapies This resource serves as an essential tool for mastering nursing responsibilities in managing hypertension and associated cardiovascular conditions. Keywords: NUR 2092, Chapter 43, blood pressure drugs, ACE inhibitors, ARBs, calcium channel blockers, vasodilators, hypertension, diltiazem, captopril, losartan, hydralazine, nitroprusside, aliskiren, antihypertensives, NCLEX prep, cardiac pharmacology, Chamberlain University

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NUR 2092 Pharm Ch 43- Drugs Affecting
Blood Pressure Exam with Complete
Solutions

A client has been prescribed ramipril 5 mg PO daily with the scheduled

dose due at 08:00. After reviewing the client's most recent blood work, the

nurse should consider withholding the dose because of what laboratory

finding? - 🧠 ANSWER ✔✔elevated potassium levels


A client who is taking an ACE inhibitor informs the nurse that she is

considering having a child. What information should the nurse provide to

the client related to this new information? - 🧠 ANSWER ✔✔ACE inhibitors

are contraindicated during pregnancy because they are teratogenic.

,A client has not responded normally to rescue inhaler therapy. When

subcutaneous epinephrine is prescribed, the nurse should anticipate what

reaction to occur? - 🧠 ANSWER ✔✔Instant bronchodilation


A client is receiving fosinopril. Which adverse effect would the nurse

caution the client about to help to promote compliance? - 🧠 ANSWER

✔✔Cough


A nurse is providing care to a client diagnosed with stage 2 hypertension.

The nurse understands that most clients with stage 2 hypertension will

require how many antihypertensives to lower blood pressure to goal

initially? - 🧠 ANSWER ✔✔2


The female client states that her father has had high blood pressure all of

his life and he is healthy. She does not understand why the care provider

has prescribed medication for her blood pressure. What is the nurse's best

response? - 🧠 ANSWER ✔✔"With high blood pressure, blood vessels may

be damaged and that can cause heart and kidney disease."

A client, newly diagnosed with hypertension is started on captopril, an ACE

inhibitor. The client should be informed of the possibility of what adverse

effect? - 🧠 ANSWER ✔✔Persistent cough

, When describing the adverse effects associated with ACE inhibitors, which

would the nurse include? (Select all that apply.) - 🧠 ANSWER

✔✔Constipation


Proteinuria

Photosensitivity

Cough

When preparing a plan of care for a client in hypovolemic shock, which

partial nursing diagnosis might be relevant to the patient's condition? - 🧠

ANSWER ✔✔Ineffective Tissue Perfusion


A client develops primary hypertension and asks the nurse, "How long will I

need to receive therapy?" The nurse responds based on the understanding

that therapy would be required for how long? - 🧠 ANSWER ✔✔Lifelong


A 48-year-old client with a blood pressure of 198/112 mm Hg reports

severe headache and drowsiness. The nurse notes that the client is

disoriented and has begun to vomit. What is the primary nursing goal for

this client experiencing a hypertensive emergency? - 🧠 ANSWER

✔✔Implement interventions to lower blood pressure.




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