NR 293 PHARM EXAM 2 REVIEW | CARDIOVASCULAR
MEDICATIONS | CHAMBERLAIN NURSING STUDY GUIDE
2026/2027
1. What is one common side effect associated with Nifedipine?
Dizziness
Headache
Peripheral edema
Nausea
2. What is the recommended duration for a patient to discontinue a diuretic
before initiating an ACE inhibitor?
1 week
2 to 3 days
1 month
24 hours
3. Those taking angiotensin-converting enzyme (ACE) inhibitors who do not
respond effectively to a reduction in blood pressure include:
Asian Americans
Caucasians
African Americans
Hispanics
4. Adverse effects associated with the use of digoxin include:
Visual disturbances
None of the above
, All of the above
Gastrointestinal disturbances
Dysrhythmias
5. What are the MOST common adverse reactions of clonidine when used in
combination therapy with stimulants?
Decreased appetite
Somnolence
Dizziness
All the above
Fatigue
6. A patient has been on beta-1 blockers for an extended period and is now
advised to discontinue them. What steps should the healthcare provider take
to ensure the patient's safety during this process?
Switch the patient to a different class of medication without tapering.
Increase the dosage before discontinuation.
Implement a gradual tapering schedule over several weeks.
Advise the patient to stop taking the medication immediately.
7. Describe how beta adrenergic blockers help manage reflex tachycardia.
Beta adrenergic blockers enhance the effects of adrenaline on the
heart.
Beta adrenergic blockers increase heart rate by stimulating beta
receptors.
, Beta adrenergic blockers suppress reflex tachycardia by blocking
the effects of adrenaline on the heart.
Beta adrenergic blockers have no effect on heart rate.
8. A patient with a known hypersensitivity to a specific medication is prescribed
a Peripherally acting Adrenergic Blocker. What should the healthcare
provider do?
The healthcare provider should increase the dosage to monitor for
reactions.
The healthcare provider should administer the medication with
caution.
The healthcare provider should withhold the medication and consult
with the prescribing physician.
The healthcare provider should inform the patient about potential side
effects.
9. A patient with hypertension is prescribed Metoprolol. What nursing
consideration should be prioritized when administering this medication?
Increase the dosage if the patient reports no side effects.
Encourage the patient to increase physical activity immediately.
Advise the patient to stop taking the medication if they feel dizzy.
Monitor the patient's heart rate and blood pressure regularly.
10. Which ethnic group is generally advised against using ACE inhibitors due to
a higher risk of adverse effects?
Hispanics
African Americans
, Asians
Caucasians
11. What specific vision changes are associated with the use of Digoxin?
Increased sensitivity to light
Blurred vision and yellow-green halos
Complete loss of vision
Double vision and night blindness
12. What is one common adverse reaction associated with Clonidine?
Nausea
Sedation
Diarrhea
Hypertension
13. What is most important to teach a patient on nifedipine
take with food for better absorption
risk for bleeding precautions
take in the PM because can cause sedation
do not stop suddenly or reflex tachycardia and HTN can occur
14. Lisinopril is an ACE Inhibitor. It is a drug that stops the conversion of
Angiotensin I into Angiotensin II. What is the result of taking this drug?
None of the above
Na retention
MEDICATIONS | CHAMBERLAIN NURSING STUDY GUIDE
2026/2027
1. What is one common side effect associated with Nifedipine?
Dizziness
Headache
Peripheral edema
Nausea
2. What is the recommended duration for a patient to discontinue a diuretic
before initiating an ACE inhibitor?
1 week
2 to 3 days
1 month
24 hours
3. Those taking angiotensin-converting enzyme (ACE) inhibitors who do not
respond effectively to a reduction in blood pressure include:
Asian Americans
Caucasians
African Americans
Hispanics
4. Adverse effects associated with the use of digoxin include:
Visual disturbances
None of the above
, All of the above
Gastrointestinal disturbances
Dysrhythmias
5. What are the MOST common adverse reactions of clonidine when used in
combination therapy with stimulants?
Decreased appetite
Somnolence
Dizziness
All the above
Fatigue
6. A patient has been on beta-1 blockers for an extended period and is now
advised to discontinue them. What steps should the healthcare provider take
to ensure the patient's safety during this process?
Switch the patient to a different class of medication without tapering.
Increase the dosage before discontinuation.
Implement a gradual tapering schedule over several weeks.
Advise the patient to stop taking the medication immediately.
7. Describe how beta adrenergic blockers help manage reflex tachycardia.
Beta adrenergic blockers enhance the effects of adrenaline on the
heart.
Beta adrenergic blockers increase heart rate by stimulating beta
receptors.
, Beta adrenergic blockers suppress reflex tachycardia by blocking
the effects of adrenaline on the heart.
Beta adrenergic blockers have no effect on heart rate.
8. A patient with a known hypersensitivity to a specific medication is prescribed
a Peripherally acting Adrenergic Blocker. What should the healthcare
provider do?
The healthcare provider should increase the dosage to monitor for
reactions.
The healthcare provider should administer the medication with
caution.
The healthcare provider should withhold the medication and consult
with the prescribing physician.
The healthcare provider should inform the patient about potential side
effects.
9. A patient with hypertension is prescribed Metoprolol. What nursing
consideration should be prioritized when administering this medication?
Increase the dosage if the patient reports no side effects.
Encourage the patient to increase physical activity immediately.
Advise the patient to stop taking the medication if they feel dizzy.
Monitor the patient's heart rate and blood pressure regularly.
10. Which ethnic group is generally advised against using ACE inhibitors due to
a higher risk of adverse effects?
Hispanics
African Americans
, Asians
Caucasians
11. What specific vision changes are associated with the use of Digoxin?
Increased sensitivity to light
Blurred vision and yellow-green halos
Complete loss of vision
Double vision and night blindness
12. What is one common adverse reaction associated with Clonidine?
Nausea
Sedation
Diarrhea
Hypertension
13. What is most important to teach a patient on nifedipine
take with food for better absorption
risk for bleeding precautions
take in the PM because can cause sedation
do not stop suddenly or reflex tachycardia and HTN can occur
14. Lisinopril is an ACE Inhibitor. It is a drug that stops the conversion of
Angiotensin I into Angiotensin II. What is the result of taking this drug?
None of the above
Na retention
