NR 565 WEEK 3 STUDY QUESTIONS CHAPTER 14 | ADVANCED PHARMACOLOGY PRACTICE
QUESTIONS & ANSWERS | STUDY GUIDE 2026/2027
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic
hyperplasia. Doxazosin has been chosen to treat his hypertension because it: - correct answer
✔✔Relaxes smooth muscle in the bladder neck
To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist
should do all of the following EXCEPT:
1. Take the dose at bedtime
2. Sit up slowly and dangle their feet before standing
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
4. Weigh daily and report weight gain of greater than 2 pounds in one day - correct answer
✔✔3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
John has clonidine, a centrally acting adrenergic blocker, prescribed for his hypertension. He
should: - correct answer ✔✔Not miss a dose or stop taking the drug because of potential
rebound hypertension
Clonidine has several off-label uses, including:
1. Alcohol and nicotine withdrawal
2.Post-herpetic neuralgia
3. Both 1 and 2
4. Neither 1 nor 2 - correct answer ✔✔3. Both 1 and 2
, Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen
is atenolol. Beta blockers treat hypertension by: - correct answer ✔✔Reducing vascular smooth
muscle tone
Which of the following adverse effects are less likely in a beta1-selective blocker? - correct
answer ✔✔Impaired insulin release
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been prescribed
nadolol. You do his annual laboratory work and find a CrCl of 25 ml/min. What action should
you take related to his nadolol? - correct answer ✔✔Extend the dosage interval.
Beta blockers are the drugs of choice for exertional angina because they: - correct answer
✔✔Decrease myocardial oxygen demand by decreasing heart rate and vascular resistance
Adherence to beta blocker therapy may be affected by their: - correct answer ✔✔Effects on the
male genitalia, which may produce impotence
Beta blockers have favorable effects on survival and disease progression in heart failure.
Treatment should be initiated when the: - correct answer ✔✔Left ventricular dysfunction is
diagnosed
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious
consequences of rapid withdrawal are those with: - correct answer ✔✔Angina
Coronary artery disease
To prevent life-threatening events from rapid withdrawal of a beta blocker: - correct answer
✔✔The dosage should be decreased by one-half every 4 days.
Beta blockers are prescribed for diabetics with caution because of their ability to produce
hypoglycemia and block the common symptoms of it. Which of the following symptoms of
QUESTIONS & ANSWERS | STUDY GUIDE 2026/2027
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic
hyperplasia. Doxazosin has been chosen to treat his hypertension because it: - correct answer
✔✔Relaxes smooth muscle in the bladder neck
To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist
should do all of the following EXCEPT:
1. Take the dose at bedtime
2. Sit up slowly and dangle their feet before standing
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
4. Weigh daily and report weight gain of greater than 2 pounds in one day - correct answer
✔✔3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
John has clonidine, a centrally acting adrenergic blocker, prescribed for his hypertension. He
should: - correct answer ✔✔Not miss a dose or stop taking the drug because of potential
rebound hypertension
Clonidine has several off-label uses, including:
1. Alcohol and nicotine withdrawal
2.Post-herpetic neuralgia
3. Both 1 and 2
4. Neither 1 nor 2 - correct answer ✔✔3. Both 1 and 2
, Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen
is atenolol. Beta blockers treat hypertension by: - correct answer ✔✔Reducing vascular smooth
muscle tone
Which of the following adverse effects are less likely in a beta1-selective blocker? - correct
answer ✔✔Impaired insulin release
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been prescribed
nadolol. You do his annual laboratory work and find a CrCl of 25 ml/min. What action should
you take related to his nadolol? - correct answer ✔✔Extend the dosage interval.
Beta blockers are the drugs of choice for exertional angina because they: - correct answer
✔✔Decrease myocardial oxygen demand by decreasing heart rate and vascular resistance
Adherence to beta blocker therapy may be affected by their: - correct answer ✔✔Effects on the
male genitalia, which may produce impotence
Beta blockers have favorable effects on survival and disease progression in heart failure.
Treatment should be initiated when the: - correct answer ✔✔Left ventricular dysfunction is
diagnosed
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious
consequences of rapid withdrawal are those with: - correct answer ✔✔Angina
Coronary artery disease
To prevent life-threatening events from rapid withdrawal of a beta blocker: - correct answer
✔✔The dosage should be decreased by one-half every 4 days.
Beta blockers are prescribed for diabetics with caution because of their ability to produce
hypoglycemia and block the common symptoms of it. Which of the following symptoms of
