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NCLEX Cardiac Medications

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. When is the best time to give alpha 1 adrenergic blockers
Valsartan (Diovan) and Candesartan (Atacand)
Bedtime
ARB
Report immediately

2. Ace inhibitors can cause a...
Vaso - constriction
Calcium channel blocker
The effects of dubutamine
Presistant rash

3. Direct Renin Inhibitor
Renal perfusion
Cover with plastic wrap
Calcium channel blocker
Aliskiren (tekturna)

4. rebound excitation causing angina pain or MI results from sudden withdraw of what?
Sympathoylytics
Positive inotropic effect
Beta adrenergic receptor blockers
Increase in rate and force of contraction

5. When to give clonidine
With food
Vaso - dilation
Bedtime
Facial flushing - joint pain - fever - nephritis - pericarditis

6. Palpitation - muscle weakness - paresthesias are signs of...
Hyperkalemia
ACE inhibitor
Stop ace inhibitor
Sympathoylytics

7. take adrenergic neuron blocker while on MAOIs depressent
Notify provider
Hyperkalemia
Tachycardia
No

8. Losinopril (Prinivil)
Calcium channel blocker
Sympatholytics
The effects of dubutamine
ACE inhibitor

9. labetalol (trandate)
Ace inhibitors - arbs - aldosterone aldactone
Alpha/beta blocker
Calcium Channel Blocker
Aliskiren (tekturna)

10. facial flushing may occur with
Orthostatic hypotension
ACE inhibitor
Calcium channel blocker
Positive inotropic effect

11. Take ARBs with caution if..
Using diuretic or is hyperkalemia
Decrease heart rate and contractility
Statin
Increase in rate and force of contraction

12. Tachycardia is the body's natural response to...
Systolic 20 mmg Hg or diastolic 10 mmg Hg
A sudden decrease in bp
Potassium sparing diuretic
Prototype drug of ACE inhibitor

13. What to do when Episodes of headache and insomnia while on ARBs occur
Report to provider
Liver failure
Dry mouth - dizziness - drowsiness
Treatment of hypertension

14. give with diuretics with or without food
ACE inhibitors
Inhibition of kinase II
Tachycardia - orthrostatic hypotension - and nasal congestion
With food

15. Dont take ACE inhibitor or ARBs if....
Centrally acting alpha 2 agonist
Pregnant or breastfeeding
High bp and increase heart rate
Inhibition of kinase II

16. indirectly increases heart rate (low blood pressure stimulates baroreceptors refles
ARBs
Esmolol ( brevibloc)
Adrenergic neuron blocker
Calcium channel blocker

17. inamirinone (inocor)
Adrenergic antagonists
ARBs
Phosphodiesterase inhibitor
Effect of diuretics

18. correct fluid deficit and hypokalemia while on...
Potassium sparing diuretic
Tachycardia
Sympatholytics
Phosphodiesterase inhibitors

19. blocking the alpha1 adrenergic receptors will cause
Adrenergic neuron blocker
Vasodilation
Tachycardia - orthrostatic hypotension - and nasal congestion
Hyperkalemia

20. side effect:angiodema
Weight
ACE inhibitor
Increase
IV epinephrine

21. loop diuretics cause...
ACE inhibitor
ototoxcity
Hyperkalemia
ACE inhibitor

22. triamterene (dyrenium)
Aldosterone Antagonist
Beta adrenergic receptor blockers
Potassium sparing diuretic
Beta1 adrenergic receptor blockers

23. side effect: peripheral edema of feet and legs
Calcium channel blocker
Propanolol (inderal)
Phosphodiesterase inhibitor
Aldosterone antagonist

24. report tachycardia and BP drop wile sit and standing that drops by
Decrease
Cause hyperglycemia
Systolic 20 mmg Hg or diastolic 10 mmg Hg
Alpha 1 adrenergic blockers

25. What treats BPH and hypertension
Alpha 1 adrenergic blockers
Bedtime
Adrenergic neuron blocker
Increase in rate and force of contraction

26. Parazosin (Minipress)
Sympathoylytics
Sympatholytics
Alpha 1 adrenergic blockers
Calcium channel blocker

27. increases blood levels of lipitor and nizoral
Aliskiren (tekturna)
Lie supine
Myopathy and liver failure
Calcium channel blocker

28. beta adrenergic blocker
IV epinephrine
Bedtime
Nifedipine (adalat - procardia)
Propanolol (inderal)

29. increases cardiac output during heart failure
Adrenergic neuron blockers
Calcium channel blocker
ACE inhibitor
Sympathomimetics

30. alpha adrenergic antagonist can cause...
Propanolol (inderal)
Tachycardia - orthrostatic hypotension - and nasal congestion
ARB
Hypertension

31. blocking peripheral alpha 1 receptor causes
ACE inhibitor - ARBs - Aldosterone antagonist - Direct renin inhibitors
Vasodilation
Sympatholytics
Diuretic

32. resirpine (serpalan - resirpine)
Adrenergic neuron blocker
Beta adrenergic receptor blockers
Ventricular fibillation or tachycardia
ACE inhibitor

33. diuretis can...
Beta adrenergic blocker
Cause increased uric acid
Facial flushing - joint pain - fever - nephritis - pericarditis
Potassium sparing diuretic

34. guanethidine (ismelin)
Phosphodiesterase inhibitors
Adrenergic neuron blocker
Treatment of hypertension
Aldosterone Antagonists

35. statins reduce
LDL and VLDLs
Calcium channel blocker
Phosphodiesterase inhibitor
Loop diuretics

36. Enalapril (Vasotec)
ACE inhibitor
Gynecomastia
Report to provider
Loop diuretuc

37. milrinone (primacor) prototype
Phosphodiesterase inhibitor
Calcium channel blocker
Increase
The effects of dubutamine

38. take adrenergic neuron blocker with peptic ulcer or collitis
Aldoseterone
No
Direct acting vasodilators
Vaso - constriction

39. transdermal nitroglycerin patch remover for
Worsen angina
Potassium sparing diuretic
10-12 hours daily
Adrenergic antagonists

40. adrenergic neuron blockers can cause
Beta 1 adrenergic receptor blockers
ACE inhibitor - ARBs - Aldosterone antagonist - Direct renin inhibitors
Severe orthrostatic hypotension
Heart failure

41. dont give with high fat meal (slows absorption)
Diuretic
Aliskiren (tekturna)
Sympatholytics
Dry cough - hyperkalemia

42. PVD or Raynaud's Disease patients shouldnt take
Beta 1 adrenergic receptor blockers
Sympathomimetics
Decrease heart rate - decrease contractility of the heart
Increase

43. Dont adruptly stop...
Calcium channel blocker
Taking clonidine
No
Aldosterone Antagonists

44. st. wort while taking with calcium channel blockers will increase or decrease blood levels
Before meals or bed time can be crushed or swallowed
Cause increased uric acid
Decrease
Calcium Channel Blocker

45. patient with sinus bradycardia dont take what?
Ventricular fibillation or tachycardia
Beta 1 adrenergic receptor blockers
Food or milk
Adrenergic neuron blocker

46. common SLE like symptoms
Losartan (Cozaar) and Irbesartan (Avapro)
Aldosterone Antagonists
Direct acting vasodilator
Facial flushing - joint pain - fever - nephritis - pericarditis

47. sore throat is sign of...
Infection
Prototype drug of ARBs
Phosphodiesterase inhibitors
10-12 hours daily

48. simvastatin (zocor) - atorvastatin (lipitor) - lovastatin (mevacor) - rosuvastatin (crestor)
Cause hair growth
Statin
Sympathomimetics
Phosphodiesterase inhibitors

49. blocks calcium blockers in muscle cells
Sympathoylytics
Calcium channel blocker
ACE inhibitor
Alpha 1 adrenergic blockers

50. Second choice after ACE inhibitors for treatment of hypertension is...
Alpha/beta blocker
ARBs
Sympatholytics
Cardiac output

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NCLEX Cardiac Medications

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