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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. dobutamine peak affect is...
Atenolol (tenormin) and metoprolol (lopressor)
ACE inhibitors
10 mins
Levels of digoxin

2. blocks calcium blockers in muscle cells
Calcium channel blocker
Bradycardia
ARB
Loop diuretic

3. Enalapril (Vasotec)
Renal perfusion
The effects of dubutamine
ACE inhibitor
Aldosterone Antagonists

4. 1st sign of dry cough What to do?
ACE inhibitor
Notify provider
Gastric irritation and diarrhea
Weight

5. dose of dobutamine is based On what?
Statin
Aldosterone antagonist
Weight
Adrenergic antagonists

6. Herbal ginseng increases...
Adrenergic neuron blocker
Risk for digoxin toxicity
Phosphodiesterase inhibitors
Beta 1 adrenergic receptor blockers

7. gemfibrozil (lopid) - fenofibrate ( antara - lofibra - tricor - triglide) - fenofibric acid ( trilipix)
Hypoglycemic
Hyzaar
Fibrate
LDL and VLDLs

8. blocking renal beta 1 receptors cause
Decrease release of renin
ACE inhibitor - ARBs - Aldosterone antagonist - Direct renin inhibitors
Infection
High bp and increase heart rate

9. substained release form of calcium channel blocker should be swallowed whole and not
Sympatholytics
ARB
Adrenergic neuron blocker
Chewed or crushed

10. dobutamine increases...
Aldosterone Antagonist
Renal perfusion
Orthostatic hypotension
Dry - nonproductive cough

11. Direct Renin Inhibitor
Aliskiren (tekturna)
IV epinephrine
Calcium channel blocker
Increase

12. upon first dose and increase in dose what may the client experience with blood pressure meds
Using diuretic or is hyperkalemia
Before meals or bed time can be crushed or swallowed
Orthostatic hypotension
Lithium toxicity

13. Taking calcium channel blockers with melatonin causes
Food or milk
Phosphodiesterase inhibitor
High bp and increase heart rate
Weight

14. Blockage of angiotensin II
Calcium channel blocker
Causes vasodialation - urinary excretion of sodium - and potassium retention
Weight
Systolic 20 mmg Hg or diastolic 10 mmg Hg

15. spironolactone (aldactone)
Aldosterone Antagonist
Increase in rate and force of contraction
Vasodilation
No

16. taking adrenerfgic receptor blocker with digoxin can cause
Losartan (Cozaar) and Irbesartan (Avapro)
Bradycardia
Hypertension crisis
Gradually increase

17. monitor for hearing loss - tinnitus while on...
Calcium channel blocker
Loop diuretics
Cause increased uric acid
Food or milk

18. ethacrynic acid (edecrin)
Centrally acting alpha 2 agonist
Loop diuretic
Cause hair growth
Bradycardia

19. side effect: gingival hyperplasia
Calcium channel blocker
ARB
Inhibition of kinase II
Resirpine

20. Treat hypertension - heart failure - diabetic nephropathy - left ventricular function following myocardial infarction
Cardiac output
ACE inhibitor
ACE inhibitors
Levels of digoxin

21. hyporkalemia - angina chest pain - hypotension - cardiac dysrhythmias are side effects of...
Food
Phosphodiesterase inhibitor
Adrenergic antagonists
Bedtime

22. Give calcium channel blocker with beta blockers to prevent
ototoxcity
Tachycardia
Atenolol - metoprolol
90 systolic

23. RAAS suppressants
LDL and VLDLs
Treatment of hypertension
Alpha/beta blockers
Tachycardia

24. adrenergic neuron blockers can cause...
Gastric irritation and diarrhea
Hypoglycemic
Aliskiren (tekturna)
Facial flushing - joint pain - fever - nephritis - pericarditis

25. SLE like symptoms can be seen with overuse of...
Alpha/beta blocker
Dirct acting vasodilator
Alpha 1 adrenergic blockers
Adrenergic antagonists

26. ARB that maintain diabetic nephropathy
Decrease heart rate - decrease contractility of the heart
Losartan (Cozaar) and Irbesartan (Avapro)
Aldoseterone
Sympatholytics

27. NSAID Is a interaction of...
Phosphodiesterase inhibitor
Calcium channel blocker
Dry mouth - dizziness - drowsiness
ACE inhibitor

28. dont take aliskiren (tekturna) if
Loop diuretuc
Pregnant - hyperkalemia - hypercalcemia or dehydration
ACE inhibitor
Dry - nonproductive cough

29. side effect:Rash and report of metallic taste
Taking clonidine
Beta adrenergic blocker
ACE inhibitor
Tachycardia

30. blocking the adrenergic receptors that cause vaso constriction will treat what?
Hypertension
Calcium channel blocker
Nifedipine (adalat - procardia)
Valsartan (Diovan) and Candesartan (Atacand)

31. cimetidine increases...
Calcium channel blocker
ACE inhibitor
Swelling of mouth and throat
Levels of alpha/beta blockers

32. Where to apply transdermal patch
Losartan (Cozaar) and Irbesartan (Avapro)
Dry hairless skin every 7 days
Direct acting vasodilator
Statin

33. give last dose of diuretic at What time
Loop diuretic
Bedtime
A sudden decrease in bp
3 pm

34. beta adrenergic blockers that treat angina pectoris
Atenolol - metoprolol
Hyperkalemia
No
Sympatholytics

35. guanethidine (ismelin)
Renal perfusion
90 systolic
Adrenergic neuron blocker
10 mins

36. antadote for digoxin
Decrease release of renin
Dry cough - hyperkalemia
Loop diuretic
IV digoxin immune fab (Digibind)

37. amiloride (midamor)
Calcium channel blocker
Direct acting vasodilators
Sympatholytics
Potassium sparing diuretic

38. ACE inhibitors may cause
Lithium toxicity
ACE inhibitor
ARBs
Aliskiren (tekturna)

39. blocking kidney beta 1 receptor causes
Before meals or bed time can be crushed or swallowed
Decrease release of renin
Centrally acting alpha 2 agonist
ACE inhibitor

40. alpha/beta blockers are...
Sympathoylytics
ACE inhibitor
Aldosterone antagonist
Bedtime

41. losartan (Cozaar)
Resirpine
Dry mouth - dizziness - drowsiness
Before meals or bed time can be crushed or swallowed
Prototype drug of ARBs

42. erythromycin - verapamil - ketoconazole - lithium are interactions of what?
Risk for digoxin toxicity
Tachycardia
Aldosterone antagonist
Aldosterone Antagonists

43. Nifedipine (adalat - procardia)
Valsartan (Diovan) and Candesartan (Atacand)
Gastric irritation and diarrhea
Potassium sparing diuretic
Calcium channel blocker

44. refrain from using potassium supplement or potassium containing salt while on...
ACE inhibitor
Ace inhibitors - arbs - aldosterone aldactone
Atenolol - metoprolol
Aldosterone Antagonists

45. topical nitroglycerin ointment apply to dry skin and
Beta 1 adrenergic receptor blockers
Bedtime
Cover with plastic wrap
Potassium sparing diuretic

46. centrally act alpha 2 agonist are...
Valsartan (Diovan) and Candesartan (Atacand)
Decrease release of renin
Sympatholytics
Bedtime

47. bumetanide (bumex)
Vasodilation
Loop diuretuc
Beta adrenergic receptor blockers
Swelling of mouth and throat

48. administer adrenergic neuron blockers how
Notify provider
Hypoglycemic
Food or milk
Sympatholytics

49. side effect:Hyperkalemia
ACE inhibitor
Hypoglycemic
Centrally acting alpha 2 agonist
Aldosterone antagonist

50. side effect of aldosterone Antagonist
Hyperkalemia
Calcium channel blocker
Loop diuretics
Decrease heart rate - decrease contractility of the heart

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NCLEX Cardiac Medications

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