ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
1. Ray has been diagnosed with hypertension
Decreased renal function
and it is determined that an angiotensin-
converting enzyme inhibitor is needed. Prior
to prescribing this drug, the nurse
practitioner (NP) should assess for:
All of the above:
2. Angiotensin-converting enzyme (ACE)
inhibitors are
the drug of choice in treating hypertension in diabet- Improve insulin
sensitivity
ic patients because Improve renal
they: hemodynam- ics
Reduce the production of
angiotensin II
3. A potentially life-threatening adverse response to an Swelling of the
tongue and
ACE inhibitor is angioedema. Which of the hoarseness are the most commo
following statements is true about this symptoms.
adverse response?
Both 1 and 2 are true:
4. ACE inhibitors are useful in a variety of
disorders.
Which of the following statements is true about both 1. They are
useful to pre-
their usefulness in a particular disorder and the rea- vent stable angin
because
son for their use?
5. Despite
good blood
pressure
control, an
,ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
NP might change a patient's drug from an they decrease the
ACE inhibitor to an angiotensin II receptor thickening of vascular
blocker (ARB) because the ARB: walls due to de- creased
modified release.
2. They are useful to
pre- vent heart failure
because they reduce
remodeling of injured
myocardial tissues.
Does not produce a
dry, hacking cough
6.
,ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
While taking an ARB, patients need to avoid certain
Both 1 and 2:
over-the-counter drugs without irst 1. Cimetidine is
consulting the provider because: metabolized by the
CYP3A4 isoenzymes
2. Nonsteroidal
anti-in- flammatory
drugs reduce
prostaglandin levels
7. Laboratory monitoring for patients on ACE inhibitors Serum creatinine
levels with
or ARBs should include: the drug dosage reduced for
values greater than 2.5
mg/dL
8. Jacob has hypertension, for which a calcium channel Decreases the
amount of blocker has been prescribed. This drug helps control
calcium inside the cell blood pressure because it:
9. Which of the following adverse effects Edema of the hands and fe
may oc- cur due to a dihydropyridine-type
calcium channel blocker?
10. Patient teaching related to amlodipine includes: Avoid grapefruit juice as
af-
fects the metabolism of
this drug.
11. Vera, age 70, has isolated systolic hypertension. Cal- Started at about ha
the
cium channel blocker dosages for her should treated with
be: digoxin
because it
12. Larry has heart failure, which is being
, ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
exhibits: usual dosage Negative
13. Furosemide is added to a treatment inotropism
regimen for heart failure that includes
digoxin. Monitoring for this combination
includes: Serum potassium
1. Ray has been diagnosed with hypertension
Decreased renal function
and it is determined that an angiotensin-
converting enzyme inhibitor is needed. Prior
to prescribing this drug, the nurse
practitioner (NP) should assess for:
All of the above:
2. Angiotensin-converting enzyme (ACE)
inhibitors are
the drug of choice in treating hypertension in diabet- Improve insulin
sensitivity
ic patients because Improve renal
they: hemodynam- ics
Reduce the production of
angiotensin II
3. A potentially life-threatening adverse response to an Swelling of the
tongue and
ACE inhibitor is angioedema. Which of the hoarseness are the most commo
following statements is true about this symptoms.
adverse response?
Both 1 and 2 are true:
4. ACE inhibitors are useful in a variety of
disorders.
Which of the following statements is true about both 1. They are
useful to pre-
their usefulness in a particular disorder and the rea- vent stable angin
because
son for their use?
5. Despite
good blood
pressure
control, an
,ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
NP might change a patient's drug from an they decrease the
ACE inhibitor to an angiotensin II receptor thickening of vascular
blocker (ARB) because the ARB: walls due to de- creased
modified release.
2. They are useful to
pre- vent heart failure
because they reduce
remodeling of injured
myocardial tissues.
Does not produce a
dry, hacking cough
6.
,ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
While taking an ARB, patients need to avoid certain
Both 1 and 2:
over-the-counter drugs without irst 1. Cimetidine is
consulting the provider because: metabolized by the
CYP3A4 isoenzymes
2. Nonsteroidal
anti-in- flammatory
drugs reduce
prostaglandin levels
7. Laboratory monitoring for patients on ACE inhibitors Serum creatinine
levels with
or ARBs should include: the drug dosage reduced for
values greater than 2.5
mg/dL
8. Jacob has hypertension, for which a calcium channel Decreases the
amount of blocker has been prescribed. This drug helps control
calcium inside the cell blood pressure because it:
9. Which of the following adverse effects Edema of the hands and fe
may oc- cur due to a dihydropyridine-type
calcium channel blocker?
10. Patient teaching related to amlodipine includes: Avoid grapefruit juice as
af-
fects the metabolism of
this drug.
11. Vera, age 70, has isolated systolic hypertension. Cal- Started at about ha
the
cium channel blocker dosages for her should treated with
be: digoxin
because it
12. Larry has heart failure, which is being
, ADVANCED PHARMACOLOGY FOR NP EXAM 2 WITH COMPLETE ANSWERS
exhibits: usual dosage Negative
13. Furosemide is added to a treatment inotropism
regimen for heart failure that includes
digoxin. Monitoring for this combination
includes: Serum potassium
