University of Texas, Arlington
NURS 5334/NURS5334: Quiz 2 40
Questions and Answers
(explained) | 100% correct 2026.
Course
NURS 5334/NURS5334 (NURS5334)
1. A patient taking lisinopril reports a persistent dry cough. Which adverse effect is most
likely responsible?
A. Bronchospasm
B. Increased bradykinin levels
C. Increased histamine release
D. Reduced acetylcholine activity
Answer: B. Increased bradykinin levels
Rationale: ACE inhibitors decrease the breakdown of bradykinin. Accumulation of bradykinin
can produce a persistent, dry cough.
2. A patient taking an ACE inhibitor develops swelling of the lips and tongue. What is the
priority concern?
A. Hypoglycemia
B. Angioedema
C. Hypercalcemia
D. Ototoxicity
Answer: B. Angioedema
Rationale: ACE inhibitors can cause angioedema involving the lips, tongue, face, or airway.
Airway involvement can be life-threatening and requires urgent evaluation.
3. Which laboratory abnormality should be monitored in a patient receiving an ACE
inhibitor?
A. Decreased potassium
B. Increased potassium
C. Decreased calcium
D. Increased sodium
Answer: B. Increased potassium
, Rationale: ACE inhibitors reduce aldosterone activity, which can decrease potassium excretion
and result in hyperkalemia, particularly in patients with renal impairment.
4. A patient taking furosemide reports muscle weakness and an irregular heartbeat. Which
electrolyte abnormality should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases urinary potassium loss. Hypokalemia can
cause muscle weakness and cardiac dysrhythmias.
5. What is the primary therapeutic action of hydrochlorothiazide?
A. Increasing sodium and water excretion
B. Increasing insulin secretion
C. Blocking calcium absorption
D. Increasing potassium retention exclusively
Answer: A. Increasing sodium and water excretion
Rationale: Hydrochlorothiazide is a thiazide diuretic that inhibits sodium and chloride
reabsorption in the distal convoluted tubule, increasing urinary sodium and water excretion.
6. Why should propranolol be used cautiously in a patient with asthma?
A. It can cause severe hyperglycemia.
B. It can cause bronchoconstriction.
C. It causes excessive mucus production in all patients.
D. It directly stimulates beta-2 receptors.
Answer: B. It can cause bronchoconstriction.
Rationale: Propranolol is a nonselective beta blocker. Blocking beta-2 receptors can cause
bronchoconstriction and may worsen asthma.
7. Why should a patient generally not discontinue a beta blocker abruptly?
A. It can cause rebound cardiovascular effects.
B. It always causes severe hypoglycemia.
C. It causes permanent kidney damage.
D. It immediately causes anemia.
Answer: A. It can cause rebound cardiovascular effects.
NURS 5334/NURS5334: Quiz 2 40
Questions and Answers
(explained) | 100% correct 2026.
Course
NURS 5334/NURS5334 (NURS5334)
1. A patient taking lisinopril reports a persistent dry cough. Which adverse effect is most
likely responsible?
A. Bronchospasm
B. Increased bradykinin levels
C. Increased histamine release
D. Reduced acetylcholine activity
Answer: B. Increased bradykinin levels
Rationale: ACE inhibitors decrease the breakdown of bradykinin. Accumulation of bradykinin
can produce a persistent, dry cough.
2. A patient taking an ACE inhibitor develops swelling of the lips and tongue. What is the
priority concern?
A. Hypoglycemia
B. Angioedema
C. Hypercalcemia
D. Ototoxicity
Answer: B. Angioedema
Rationale: ACE inhibitors can cause angioedema involving the lips, tongue, face, or airway.
Airway involvement can be life-threatening and requires urgent evaluation.
3. Which laboratory abnormality should be monitored in a patient receiving an ACE
inhibitor?
A. Decreased potassium
B. Increased potassium
C. Decreased calcium
D. Increased sodium
Answer: B. Increased potassium
, Rationale: ACE inhibitors reduce aldosterone activity, which can decrease potassium excretion
and result in hyperkalemia, particularly in patients with renal impairment.
4. A patient taking furosemide reports muscle weakness and an irregular heartbeat. Which
electrolyte abnormality should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases urinary potassium loss. Hypokalemia can
cause muscle weakness and cardiac dysrhythmias.
5. What is the primary therapeutic action of hydrochlorothiazide?
A. Increasing sodium and water excretion
B. Increasing insulin secretion
C. Blocking calcium absorption
D. Increasing potassium retention exclusively
Answer: A. Increasing sodium and water excretion
Rationale: Hydrochlorothiazide is a thiazide diuretic that inhibits sodium and chloride
reabsorption in the distal convoluted tubule, increasing urinary sodium and water excretion.
6. Why should propranolol be used cautiously in a patient with asthma?
A. It can cause severe hyperglycemia.
B. It can cause bronchoconstriction.
C. It causes excessive mucus production in all patients.
D. It directly stimulates beta-2 receptors.
Answer: B. It can cause bronchoconstriction.
Rationale: Propranolol is a nonselective beta blocker. Blocking beta-2 receptors can cause
bronchoconstriction and may worsen asthma.
7. Why should a patient generally not discontinue a beta blocker abruptly?
A. It can cause rebound cardiovascular effects.
B. It always causes severe hypoglycemia.
C. It causes permanent kidney damage.
D. It immediately causes anemia.
Answer: A. It can cause rebound cardiovascular effects.
