ADVANCED PHARMACOLOGY FOR NP EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Despite good blood pressure control, an NP might change a
patient's drug from an ACE inhibitor to an angiotensin II
receptor blocker (ARB) because the ARB:
Does not produce a dry, hacking cough
While taking an ARB, patients need to avoid certain over-the-
counter drugs without irst consulting the provider because:
Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin
levels
Laboratory monitoring for patients on ACE inhibitors or
ARBs should include:
Serum creatinine levels with the drug dosage reduced for values
greater than 2.5 mg/dL
,Jacob has hypertension, for which a calcium channel blocker
has been prescribed. This drug helps control blood pressure
because it:
Decreases the amount of calcium inside the cell
Which of the following adverse effects may occur due to a
dihydropyridine-type calcium channel blocker?
Edema of the hands and feet
Patient teaching related to amlodipine includes:
Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium
channel blocker dosages for her should be:
Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin
because it exhibits:
Negative inotropism
Furosemide is added to a treatment regimen for heart failure
that includes digoxin. Monitoring for this combination
includes:
,Serum potassium
Ray has been diagnosed with hypertension and it is
determined that an angiotensin-converting enzyme inhibitor
is needed. Prior to prescribing this drug, the nurse
practitioner (NP) should assess for:
Decreased renal function
Angiotensin-converting enzyme (ACE) inhibitors are the drug
of choice in treating hypertension in diabetic patients
because they:
All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE
inhibitor is angioedema. Which of the following statements is
true about this adverse response?
, Swelling of the tongue and hoarseness are the most common
symptoms.
ACE inhibitors are useful in a variety of disorders. Which of
the following statements is true about both their usefulness
in a particular disorder and the reason for their use?
Both 1 and 2 are true:
1. They are useful to prevent stable angina because they
decrease the thickening of vascular walls due to decreased
modified release.
2. They are useful to prevent heart failure because they reduce
remodeling of injured myocardial tissues.
Which of the following create a higher risk for digoxin
toxicity? Both the cause and the reason for it must be
correct.
Administration to older adults because of reduced renal function
Serum digoxin levels are monitored for potential toxicity.
Monitoring should occur:
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Despite good blood pressure control, an NP might change a
patient's drug from an ACE inhibitor to an angiotensin II
receptor blocker (ARB) because the ARB:
Does not produce a dry, hacking cough
While taking an ARB, patients need to avoid certain over-the-
counter drugs without irst consulting the provider because:
Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin
levels
Laboratory monitoring for patients on ACE inhibitors or
ARBs should include:
Serum creatinine levels with the drug dosage reduced for values
greater than 2.5 mg/dL
,Jacob has hypertension, for which a calcium channel blocker
has been prescribed. This drug helps control blood pressure
because it:
Decreases the amount of calcium inside the cell
Which of the following adverse effects may occur due to a
dihydropyridine-type calcium channel blocker?
Edema of the hands and feet
Patient teaching related to amlodipine includes:
Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium
channel blocker dosages for her should be:
Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin
because it exhibits:
Negative inotropism
Furosemide is added to a treatment regimen for heart failure
that includes digoxin. Monitoring for this combination
includes:
,Serum potassium
Ray has been diagnosed with hypertension and it is
determined that an angiotensin-converting enzyme inhibitor
is needed. Prior to prescribing this drug, the nurse
practitioner (NP) should assess for:
Decreased renal function
Angiotensin-converting enzyme (ACE) inhibitors are the drug
of choice in treating hypertension in diabetic patients
because they:
All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE
inhibitor is angioedema. Which of the following statements is
true about this adverse response?
, Swelling of the tongue and hoarseness are the most common
symptoms.
ACE inhibitors are useful in a variety of disorders. Which of
the following statements is true about both their usefulness
in a particular disorder and the reason for their use?
Both 1 and 2 are true:
1. They are useful to prevent stable angina because they
decrease the thickening of vascular walls due to decreased
modified release.
2. They are useful to prevent heart failure because they reduce
remodeling of injured myocardial tissues.
Which of the following create a higher risk for digoxin
toxicity? Both the cause and the reason for it must be
correct.
Administration to older adults because of reduced renal function
Serum digoxin levels are monitored for potential toxicity.
Monitoring should occur:
