REGIS NU641 Week 3 Quiz Latest 2020 October (100% Graded)

Week 3 Quiz

Question 1Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious consequences of rapid withdrawal are those with:

a.angina.

 b.coronary artery disease.

 c.both A and B.

 d.neither A or B.

Question 2Angina is produced by an imbalance between myocardial oxygen supply (MOS) and myocardial (MOD) in the myocardium. Which of the following drugs help to  this imbalance by increasing MOS?

 a.Calcium channel blockers

 b.Beta blockers

 c.Angiotensin-converting-enzyme (ACE) inhibitors

 d.Aspirin (ASA)

Question 3Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating hypertension in diabetic patients because they:

 a.improve insulin sensitivity.

 b.improve renal hemodynamics.

 c.reduce the production of angiotensin II.

 d.All of the above

Question 4Angiotensin-converting-enzyme (ACE) inhibitors are a central part of the treatment of heart failure (HF) because they have more than one action to address the pathological changes in this disorder. Which of the following pathological changes that take place in HF are NOT addressed by ACE inhibitors?

 a.Changes in the structure of the left ventricle so that it dilates, hypertrophies, and uses energy less efficiently

 b.Reduced formation of cross-bridges so that contractile force decreases

 c.Activation of the sympathetic nervous system that increases heart rate and preload

 d.Decreased renal blood flow that decreases oxygen supply to the kidneys

Question 5As patients with hyperlipidemia and angina age, they may find their nitro glycerin tablets “do not work as well.” This is a function of:

 a.faulty memory.

 b.forgetting how to use the drugs.

 c.blunted coronary artery dilation due to calcified plaques.

 d.myocardial atrophy of aging.

Question 6Clinical judgment in prescribing includes:

 a.factoring in the cost to the patient of the medication prescribed.

 b.always prescribing the newest medication available for the disease process.

 c.handing out drug samples to poor patients.

 d.prescribing all generic medications to cut costs.

Question 7DC has been diagnosed with hypertension; an angiotensin-converting enzyme inhibitor is determined to be needed. Before prescribing this drug, what should the NP assess for?

 a.Hypokalemia

 b.Impotence

 c.Decreased renal function

 d.Liver Function Panel

Question 8First-line pharmacologic therapy for hyperlipidemia is ________.

 a.niacins

 b.statins

 c.lifestyle changes

 d.bile acid-binding resins

Question 9Heart failure is a chronic condition that can be adequately managed in primary care. However, when is consultation with or referral to a cardiologist appropriate?

 a.When symptoms markedly worsen or the patient becomes hypotensive and has syncope

 b.When there is evidence of progressive renal insufficiency or failure

 c.When the patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic

 d.Any of the above

Question 10If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?

 a.ACE inhibitors

 b.Beta blockers

 c.Calcium channel blockers

 d.Diuretics

Question 11JR is a 65-year-old patient who has been on a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her LDL is 135 mg/dL. What would an appropriate treatment for her be?

 a.Determine JR’s risk factors

 b.A fibric-Acid derivative

 c.Start JR on a Niacin

 d.Start JR on a Statin

Question 12Mrs. Smith, an African American patient, has had a long history of hypertension for which a calcium channel blocker has been prescribed. This drug helps control blood pressure because it ________.

 a.decreases the amount of calcium inside the cell

 b.reduces stroke volume

 c.increases the activity of the NA+/K+/ATPase pump indirectly

 d.decreases heart rate

Question 13Patient education regarding prescribed medication includes:

 a.instructions written at the high school reading level.

 b.discussion of expected adverse drug reactions.

 c.how to store leftover medication such as antibiotics.

 d.verbal instructions that are always in English.

Question 14Patient education when prescribing clopidogrel includes which of the following statements?

 a.Do not take any herbal products without first discussing this with the provider.

 b.Monitor urine output closely and contact the provider if it decreases.

 c.Clopidogrel can be constipating; use a stool softener if needed.

 d.The patient will need regular anticoagulant studies while on clopidogrel.

Question 15When starting a patient on a statin, what would education include?

 a.If they stop the medication, their lipid levels will return to pretreatment levels.

 b.Medication is a supplement to diet therapy and exercise.

 c.If they have any muscle aches or pain, they should contact their provider.

 d.All of the above

Question 16When treating a patient for hypertension with a non-selective beta blocker, what other organ may be unintentionally affected?

 a.Heart

 b.Kidney

 c.Liver

 d.Lung

Question 17When writing a prescription for warfarin it is common to write ________ on the prescription.

 a.“OK to substitute for generic”

 b.The brand name of warfarin and “do not substitute”

 c.“PRN refills”

 d.“Refills for 1 year”

Question 18Which formulation of nitrate may be most cost effective for the patient who rarely has the need for dosing?

 a.Oral

 b.Sublingual tablets

 c.Sublingual spray

 d.Transdermal patches

Question 19Which of the following disease processes could be made worse by taking a nonselective beta blocker?

 a.Asthma

 b.Chronic Kidney Disease (CKD)

 c.Both might worsen

 d.Beta blockade does not affect these disorders.

Question 20Which of these drugs is considered as a treatment for hypertension in women during pregnancy?

 a.Oral Atenolol

 b.Oral Methyldopa

 c.Oral Amiodarone

 d.None of the above