1.While providing Epinephrine is used to treat cardiac arrest and status asthmaticus because of which of the following actions? A) Increased speed of conduction and gluconeogenesis B) Bronchodilation and increased hear rate,contractility and conduction C) Increased vasodilation and enhanced myocardial contractility D) Bronchoconstriction and increased heart rate ANSWER: B 2.Following norepinephrine administration,it is essential for the nurse to assess: A) electrolyte status B) color and temperatire of toes and fingers C) capillary refill D) ventricular arrhythmias ANSWER: B 3.Norepinphrine is contraindicated in which of the following condition? A) Hypovolemic shock B) Neurogenic shock C) Blood pressures above 80 to100 mmHg [systolic] D) Decreased renal perfusion ANSWER: A 4.When administering dopamine,it is more important for the nurse to know that A) the drug's action varies according to the dose B) the drug maybe used instead of fluid replacement C) the drug cannot be directly mixed in solutions containing bicarbonate or aminophylline D) the lowest dose to produce the desired amount should be used ANSWER: C 5.Dubutamine improves cardiac output and is indicated for one of the following conditions except A) septic shock B) congestive heart failure C) arrhythmias D) pulmonary congestion ANSWER: C 6.Conduction defects will most likely be an adverse reaction associated with the use of A) Verapamil B) Nifedipine C) Diltiazem D) Felodipine ANSWER: A 7.Which of the following calcium channel blockers has the most potent peripheral smooth muscle dilator effect? A) Diltiazem B) Nifedipine C) Nimodipine D) Verapamil ANSWER: B 8. Which of the following adverse reactions is found more often in volume depleted elderly clients?A A) Bradycardia B) Conduction defects C) Ankle edema D) Hypotension ANSWER: D 9.Which of the following calcium channel blockers is used to counteract or prevent cerebral vasospasm? A) verapamil B) nimodipine C) nifedipine D) felodipine ANSWER: B 10.Which of the following effects of calcium channel blockers cuaes a reduction in blood pressure? A) Increased cardiac output B) decreased peripheral vascular resistance C) Decreased renal blood flow D) Calcium influx into cardiac muscle ANSWER: B 11.Compettitive antagonism occurs at B-receptor sites? A) Catecholamines B) Adrenergic sites C) Acetylcholine D) Norepinephrine ANSWER: A 12.Which of the following agents has a combined A and [B-] receptor effect? A) Nadolol B) Esmolol C) Labetalol D) Pindolol ANSWER: C 13.Assessment of the patient taking B-blockers should include all of the following except A) Pumonary function tests B) Baseline ECG C) Glucose level D) Blood pressure ANSWER: A 14.B-blockers should be avoided in which of the following conditions A) Bronchoconstriction B) Hypertension C) Angina D) Myocardial Infarctions ANSWER: A 15.Which of the following B-blockers is a short acting agent used in the control of rapid ventricular rates in atrial fibrillation/flutter? A) Esmolol B) Atenolol C) Labetolol D) Propranolol ANSWER: A 16.ACE's participate in the rennin-angiotensin-aldosterone system to have which of the following physiologic effects? A) Inhibit conversion of angiotensin II to angiotensin I B) Vosoconstriction and sodium and depletion C) Promote sodium and water retention D) Stimulate vasodilation and inhibit sodium depletion ANSWER: C 17.Before ambulating a patient for the first time after administering an ACE inhibitor, the nurse monitors the patient for A) Hypokalemia B) Irregular heartbeat C) Edema D) Hypotension ANSWER: D 18.When enaperil [Vasotec] is administered to a patient with congestive heart failure, the following should be monitored for A) Neutropenia B) Increased risk for digoxin toxity C) Use of antacids D) Decreased BUN ANSWER: B 19. Which of the following statements made by a patient managing hypertension with an ACE inhibitor indicates a need for further instructions? A) "I should not take my pills with food" B) "I need to increased my intake of orange juice, bananas, and green vegetables" C) "I will avoid coffee, tea, and colas D) "I will use salt substitutes that are not high in potassium." ANSWER: B 20. A hypertensive client who has been placed on captopril [Captopen] states, "The physician keeps changing my pills and none are working. I feel like a guinea pig." Which of the following responses would be most appropriate? A) "It often takes a while before the right medication is founD) " B) " The doctor is just trying to help you control your blood pressure." C) " The action of this drug is to work on both the arteries and to remove excess fluiD) " D) "This drug is used when other drugs have faileD) " ANSWER: D 21. The action of an ACE inhibitor interrupts the the rennin-angiotensin- aldosterone mechanism, thereby producing which of the following? A) Reduced renal blood flow B) Reduced sodium and water excretion C) Increased peripheral vascular resistance D) Increased sodium excretion and potassium reabsorption ANSWER: D 22. A patient with arthritis is being discharge from the hospital with a prescription for enalapril ( Vasotec ). Before discharge, information should be obtained about the patient's A) Use of potassium supplements B) Use of NSAIDs C) Use of diuretics D) Intake of caffeine ANSWER: B 23.Which of rhe following describes an action of nitrates? A) Smooth muscle contraction B) Vasoconstriction C) Smooth muscle relaxation D) Increased preload ANSWER: C 24.The result of nitrate administration is A) Decreased myocardial oxygen demand B) Increased myocardial oxygen demand C) Increased left ventricular end-diastolic volume D) Increased atrial pressure ANSWER: A 25.To decrease the possibility of tolerance to nitrates A) Administer the drug every other day B) Start at very low dose C) Move from IV to PO as soon as possible D) Give the patient nitrate- free intervals ANSWER: D 26. An example of a long-acting nitrate is A) Nitroglycerine sublingual B) Nitroglycerie IV C) Isosorbide PO D) Nitroglycerine transmucosal ANSWER: C 27.The therapeutic goal of nitrate administration is to A) Improve hemodynamics B) Lower blood pressure C) Improve respiratory status D) Elevate blood pressure ANSWER: A 28.When nitrates are administered early in the acute MI patient, the effect is A) Hypotension B) Bradycardia C) Reduced mortality D) Reduced morbidity ANSWER: C 29.When teaching about nitrate administration, the patient should be instructed to A) Change position slowly B) Take pulse daily C) Reduce salt intake D) Chew the sustained –release tablets ANSWER: A 30.Vasodilators are agents that A) Relax smooth muscle B) Are used to treat hypertension C) Stimulate the adrenergic receptors of peripheral sympathetic nerves D) Cause respiratory depression ANSWER: A 31.Vasodilators are used mainly to treat A) Diabetes B) Hypertension C) Artrial fibrillation D) Hypotension ANSWER: B 32.The vasodilators most commonly used as an adjunct to coumadin in the prevention of postoperative thromboembolic complications of cardiac valve replacement are A) nitrates B) dipyrodamole C) angiotensin –converting enzyme [ACE] inhibitors D) hydralazine ANSWER: B 33.The drug/drugs used most commonly to treat peripheral or cerebral vascular obstructive disease is/are A) pentoxifylline B) cyclandelate C) isoxsuprine D) All of the above ANSWER: D 34.A xanthine derivative frequently used to treat intermittent claudications is A) nifedipine B) pentotoxifylline C) hydralazine D) captopril ANSWER: B 35.The most common vasodilator used in the treatment of transient ischemic attacks is A) dipyridamole B) propranolol C) diltianem D) verapamil ANSWER: A 36. Which of the following drugs is frequently used as a vasodilator for relieving cerebral and peripheral ischemia associated with arterial spasm and myocardial ischemia? A) norepinephrine B) dopamine [Intropin] C) papaverine [Pavabid] D) nitroprusside [Nitropress] ANSWER: D 37.For a patient taking drugs to treat peripherals vascular disease, it is important to provide health education about A) smoking cessation B) Developing a proper balance between rest and activity C) Proper foot care D) All of the above ANSWER: D 38.The desired action of lipid lowering agents is to A) Decrease LDL B) Increase TC C) increase LDL D) Increase LDL ANSWER: D 39.For lipid lowering agents to be successful,drug therapy must lower A) HDL B) LDL C) Total Fat D) All of the above ANSWER: B 40.The most significant contraindications for therapy with lipid lowering agents is A) Renal disease B) Diabetes C) Liver disease D) Cardiac disease ANSWER: C 41.Which of the following blood tests must be drawn periodically to evaluate the effect of lipid-lowering agents on the liver? A) CBC B) Serum chemistries C) Creatinine D) Transaminase ANSWER: D 42.Which of the following vitamins may not be absorbed properly when giving bile acid sequestrans? A) Vitamin B B) Vitamin C C) Vitamin B 12 D) Vitamin K ANSWER: D 43.Cholestyramine and colistipol must be administered with A) Food and fluids B) Other medications C) Antacids D) Orange juice ANSWER: A 44. Which of the following lipid-lowering agents has the common side-effect of constipation A) lovastatin B) colistipol C) gemfibrozil D) niacin ANSWER: A 45.Excessive vasodilation may occur when antihypertensive medications are given with which of the following lipid lowering agents? A) niacin B) lovastatin C) colistipol D) cholystyramine ANSWER: A 46.Upon finding a client in cardiac arrest, the nurse should administer which of the following drugs first/ A) Atropine B) Epinephrine C) Lidocaine D) Atenolol ANSWER: B 47,After medication teaching on atenolol,which of the following statements by a client with diabetes mellitus demonstrate an understanding of the atenolol?" A) It may cause hyperglycemia B) mask an early indication of hypoglycemia C) Increase the action of insulin D) Diminish the action of insulin ANSWER: B 48.The nurse is caring for a client with hypertension.Which of the following drugs should the nurse administer? A) Mexiletine B) Triamterene and hydrochlorothiazide C) Digoxine D) Warfarin ANSWER: B 49.Based on the understanding of nitroglycerine, the nurse administers it for which of the following reasons to a client with angina? A) Increase afterload B) Increase preload C) Constrict arteies D) Dilate the veins ANSWER: D 50.A client has been taking viagra and is now experiencing angina. The physician has prescribed nitroglycerine p.r.n. for the angina. Which of the following should the nurse include in the discharge instruction? A) Viagra should not be used within 24 hours of taking nitroglycerin B) Nitroglycerin and viagra should not be taken at the same time C) Viagra is not effective when taken with nitroglycerine D) The effect of nitroglycerin is impaired by concurrent use of angina ANSWER: A 51.Based on an understanding of beta blockers used for unstable angina, the nurse administers a beta blocker because of which of the following actions? A) To increase myocardial contractility B) To decrease heart rate C) To promote cardiovascular fluid shift D) Coronoary artery vasodilation ANSWER: B 52.Which of the following should be included in the care of plan for a client taaking ACE inhibitor? A) Monitor the blood pressure closely for two hours after the first dose B) Begin with a high dose and gradually decrease the dose C) Administer potassium supplements to client D) Begin with daily dosing followed by dosing every other day ANSWER: A 53.A client's family member asks the nurse how to know if the client is improving while receiving furosemide for congestive heart failure.The nurse's response should be based on the understanding that improvement in the client's condition is characterized by A) diminishing oxygen needs B) increased thirst C) weight gain D) intake greater than output ANSWER: A 54.A client with congestive heart failure returns to the clinic with muscle aching.The physician orders a potassium level, which shows hypokalemiA) The drug regimen includes furosemide 80 mg biD) In addition to potassium supplements, the nurse administers which of the following prescribed drugs? A) Bumetanide B) Torsomide C) Spironolactone D) Clonidine ANSWER: C 55.While providing care to a client on cholestyramine the nurse should monitor the client for all of the following except A) urinary retention B) abdominal pain C) flatulence D) constipation ANSWER: A 56.Thr nurse is caring for a client taking atorvastatin.The client admits to consumig beers 6-12 beers daily. The nurse should monitor the client for wht potentially serious adverse reaction to atorvastatin A) Nephrotoxicity B) Hypertension C) Hepatoxicity D) Dyspepsia ANSWER: C 57.All of the following statements about nitroglycerin are correct except? A) only topical application is effective in Raynaud's disease B) it causes paroxysmal nocturnal dyspnea as a side effect C) it relieves the pain caused by diffuse esophageal spasms D) it might relieve pain in biliary colic ANSWER: B 58.Whichl of the following statements about norepinephrinewhen compared to epinephrine is correct? A) a development of hyperglycemia is less likely with norepinephrine B) a more pronounced elevation of blood pressure is observedwith norepinephrine C) a more pronounced increase in peripheral resistance is observed with norepinephrine D) the effect on the free fatty acid liberation is more pronounced with norepinephrine ANSWER: B 59.After medication teaching on atenolol, which of the following statements by a client with diabetes mellitus demonstrates the understanding of the atenolol?" It may A) Cause hyperglycemia B) Mask an early indication of hypoglycemia C) Increase the action of insulin D) Diminish the action of insulin ANSWER: B 60. Based on an understanding of beta blockers used for unstable angina, the nurse administers a beta blocker because of which of the following actions? A) To Increase myocardial contractility B) To decrease heart rate C) To promote cardiovascular fluid shift D) Coronary artery vasodilation ANSWER: B