MSN 571 TEST PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔A common side effect of angiotensin II receptor blockers (ARBs) such as
candesartan (Atacand) is: - ✔✔hyperkalemia
✔✔Spironolactone (Aldactone) is highly protein bound and has a duration of: - ✔✔48
hours
✔✔Acetaminophen ( Tylenol) use in infants and children is: - ✔✔calculated at 10-15
mg/kg/dose with a maximum of 4g/24 hours
✔✔An dverse reaction to angiotensen receptor blockers (ARBS) used in the treatment
of hypertension is: - ✔✔angioedema
✔✔A common side effect of cardioselective beta-blockers such as labetolol (Trandate)
is: - ✔✔shortness of breath
✔✔An example of a dihydropyridine calcium channel blocker is: - ✔✔amlodipine
(Norvasc)
✔✔Which medication is considered a cholesterol absorption inhibitor? - ✔✔Ezetimibe
✔✔The onset of anticoagulation action for warfarin (coumadin) is: - ✔✔24-72 hours
✔✔For the patient receiving dabigatran (Pradaxa) who needs anticoagulation reversal,
the nurse practitioner knows that: - ✔✔Idarucizumab (Praxbind) is the emergency
reversal agent
✔✔Isosorbide dinitrate (Isordil) is indicated for the treatment of: - ✔✔chronic angina
✔✔Clopidogrel (PLavix), an anticoagulant, may be coadministered with : - ✔✔ASA
✔✔Direct thrombin inhibitors such as dabigatran (Pradaxa) are NOT indicated for: -
✔✔patients with prosthetic heart valves
✔✔Of the angiotensin receptor blockers (ARBS) used in the treatment of hypertension,
the one with the longest biological half-life at 24 hours is - ✔✔telmisartan (Micardis)
✔✔Fibric acide derivatives such as fenofibrate (Tricor) should be discontinued if: -
✔✔high-density lipoprotein decreases from 50mg/dL to 10mg/dL
, ✔✔The diuretic that blocks the reabsorption of sodium and water in the loop of Henle to
produce diuresis is: - ✔✔furosemide (Lasix)
✔✔Which of the following drugs blocks the action of Aldosterone in order to produce
diuresis? - ✔✔Spironolactone (Aldactone)
✔✔When prescribing nitroglycerin for the treatment of angina, the first-pass effect
bioavailability should be considered with - ✔✔oral nitroglycerin 2.5mg ER
✔✔Thiazide diuretics are indicated for the treatment of: - ✔✔hypertension
✔✔A 3-year old patient has a history of congenital heart disease. To reduce the
afterload and decrease right and left atrial pressures, the drug of choice should be: -
✔✔captopril (Capoten)
✔✔The mechanism of action angiotensin-converting enzyme (ACE) inhibitors in
lowering blood pressure is to: - ✔✔Inhibit the enzyme that converts angiotensin I to
angiotensin II in the serum
✔✔To reduce the flushing effects caused by nifedipine ( Adalat CC), it should be taken
with: - ✔✔low-fat meals
✔✔Bile acid sequestrants to treat hypercholesterolemia should be dosed: - ✔✔1 hour
before or 4 hours after other medications
✔✔Nitrates cause vasodilation of veins and cornoary arteries by: - ✔✔relaxing vascular
smooth muscles to lower preload
✔✔Aliskiren (Tekturna) should not be administered concurrently with - ✔✔ACE
inhibitors
✔✔The maximum benefits of fibrates on triglyceride reduction occur at approximately: -
✔✔6 weeks
✔✔A common side effect of ACE inhibitors used in the treatment of hypertension is -
✔✔a dry cough
✔✔Loop diuretics such as bumetanide (Bumex) - ✔✔are more commonly used in
patients with a decreased glomerular filtration rate.
✔✔Initial and routine monitoring of patients receiving spironolactone (Aldactone)
includes: - ✔✔serum potassium, blood urea nitrogen and creatinine
SOLUTIONS RATED A+
✔✔A common side effect of angiotensin II receptor blockers (ARBs) such as
candesartan (Atacand) is: - ✔✔hyperkalemia
✔✔Spironolactone (Aldactone) is highly protein bound and has a duration of: - ✔✔48
hours
✔✔Acetaminophen ( Tylenol) use in infants and children is: - ✔✔calculated at 10-15
mg/kg/dose with a maximum of 4g/24 hours
✔✔An dverse reaction to angiotensen receptor blockers (ARBS) used in the treatment
of hypertension is: - ✔✔angioedema
✔✔A common side effect of cardioselective beta-blockers such as labetolol (Trandate)
is: - ✔✔shortness of breath
✔✔An example of a dihydropyridine calcium channel blocker is: - ✔✔amlodipine
(Norvasc)
✔✔Which medication is considered a cholesterol absorption inhibitor? - ✔✔Ezetimibe
✔✔The onset of anticoagulation action for warfarin (coumadin) is: - ✔✔24-72 hours
✔✔For the patient receiving dabigatran (Pradaxa) who needs anticoagulation reversal,
the nurse practitioner knows that: - ✔✔Idarucizumab (Praxbind) is the emergency
reversal agent
✔✔Isosorbide dinitrate (Isordil) is indicated for the treatment of: - ✔✔chronic angina
✔✔Clopidogrel (PLavix), an anticoagulant, may be coadministered with : - ✔✔ASA
✔✔Direct thrombin inhibitors such as dabigatran (Pradaxa) are NOT indicated for: -
✔✔patients with prosthetic heart valves
✔✔Of the angiotensin receptor blockers (ARBS) used in the treatment of hypertension,
the one with the longest biological half-life at 24 hours is - ✔✔telmisartan (Micardis)
✔✔Fibric acide derivatives such as fenofibrate (Tricor) should be discontinued if: -
✔✔high-density lipoprotein decreases from 50mg/dL to 10mg/dL
, ✔✔The diuretic that blocks the reabsorption of sodium and water in the loop of Henle to
produce diuresis is: - ✔✔furosemide (Lasix)
✔✔Which of the following drugs blocks the action of Aldosterone in order to produce
diuresis? - ✔✔Spironolactone (Aldactone)
✔✔When prescribing nitroglycerin for the treatment of angina, the first-pass effect
bioavailability should be considered with - ✔✔oral nitroglycerin 2.5mg ER
✔✔Thiazide diuretics are indicated for the treatment of: - ✔✔hypertension
✔✔A 3-year old patient has a history of congenital heart disease. To reduce the
afterload and decrease right and left atrial pressures, the drug of choice should be: -
✔✔captopril (Capoten)
✔✔The mechanism of action angiotensin-converting enzyme (ACE) inhibitors in
lowering blood pressure is to: - ✔✔Inhibit the enzyme that converts angiotensin I to
angiotensin II in the serum
✔✔To reduce the flushing effects caused by nifedipine ( Adalat CC), it should be taken
with: - ✔✔low-fat meals
✔✔Bile acid sequestrants to treat hypercholesterolemia should be dosed: - ✔✔1 hour
before or 4 hours after other medications
✔✔Nitrates cause vasodilation of veins and cornoary arteries by: - ✔✔relaxing vascular
smooth muscles to lower preload
✔✔Aliskiren (Tekturna) should not be administered concurrently with - ✔✔ACE
inhibitors
✔✔The maximum benefits of fibrates on triglyceride reduction occur at approximately: -
✔✔6 weeks
✔✔A common side effect of ACE inhibitors used in the treatment of hypertension is -
✔✔a dry cough
✔✔Loop diuretics such as bumetanide (Bumex) - ✔✔are more commonly used in
patients with a decreased glomerular filtration rate.
✔✔Initial and routine monitoring of patients receiving spironolactone (Aldactone)
includes: - ✔✔serum potassium, blood urea nitrogen and creatinine
