PHARMACOLOGIC REVIEWER

NLEX Q and A
PHARMACOLOGY

Mr. Patterson is on Hydrocholorthiazide for his

hypertension. You know Mr. Patterson
understands the medication when he s
1. Mr. Patterson is on Hydrocholorthiazide for his
hypertension. You know Mr. Patterson
understands the medication when he says:
Discuss
A. His K may increase and needs to watch for
signs.
B. He needs to contact the Doctor if he gets any
flank pain.
C. He may have taste disturbance
D. He may develop a dry cough.
2. This hypertension drug is the first choice for
diabetic and renal failure pts.
A. K sparing diuretics
B. ACE inhibitors
C. Loop diuretics
D. Calcium channel blockers
3. Lasix is usually the first choice of hypertensive
medication. What do lasix pt's need to be
concerned about?
A. Hypokalemeia
B. Hyperkalemia
C. Hyponatremeia
D. Hypernatremia
4. Glenn comes into the ED with olguria. Upon his
assessment he says that he is on an
antihypertensive. Glenn was outside in the hot
sun working in his garden when he became dizzy.
His wife found him soaked in sweat. What could
have caused Glenn's problem?
Discuss
A. ACE inhibitor
B. Calcium Channel Blocker
C. K sparing diruretic
D. Loop Diuretic
5. Aldactone can cause which of the following
side effects?
A. Hypokalemia
B. Hypercalcemia
C. Hyperkalemia
D. Hyperphosphemia
6. K sparing diuretic has been prescribed to Lisa.
She has been feeling week, tired, and has
numbness. Lisa has been eating extra bananas to
increase he K because she knows that K sparing
diuretics shed K in urine. The nurse responds by
saying:
Discuss
A. Lisa will need to go on a K supplement.
B. Lisa has become hyperkalemic and needs
reeducation on her medication.
C. Lisa is only showing 3 of the 5 indicators for
hyperkalemia, so she needs to continue her
medication.
D. Lisa needs to be put on a different
hypertensive because she is complaining too
much.
7. Perry is going on lisinopril. When he asks how
it works, the nurse would answer:
Discuss
A. It releases Ca and HCO3 while holding onto K.
B. It blocks the angiotensin I from turning into C. Lisinopril
angiotensin II, leaving the vessels dilated for
D. Prazosin
better blood flow.

C. It blocks the reabsorbtion of Na.

11.
D. Blocks stimulation of beta .
ARB's are a good alternative to ACE inhibitors but
carries this extra caution:
8. Cindy is taking a hypertensive. She has been
A. Decrease in K
complaining of feeling light headed and dizzy
when she stands up. She has not been tasting B. Increase bradykin
food correctly and her UA came back with
proteinuria. Further testing showed she has C. Has the same side effects as ACE inhibitors
angioedema. What could be causing Cindy's D. Renal Failure
problem?

A. Lasix
12.
B. Aldactone
Cozaar has been prescribed to Mary. When marry
C. Prinivil asks about complications from Cozaar, the nurse
D. Lostran would respond:

A.

9. Steven is taking a anti hypertensive. He takes There are no common side effects.
ibuprofen for knee pain as well. Which ant B. It is possible to have angioedema
hypertensive medication should Steven have
further education on? C. It is possible for renal failure.

A. Losartan D. It's less likely to increase K

B. Zestril E. All the above

C. Atenolol

D. Norvasc 13.

Luke is an otherwise healthy man who is

hypertensive. When the doctor suggests that
10. Luke take Atenolol, he because concerned. The
This anti hypertensive medication inactivates nurse listens to the concerns and finds Luke
bradykin. needs extra education on the medication when
he states:
Discuss
Discuss
A. Lasix
A.
B. Aldactone
It may cause impotence.
B. I could have CHF. 17. Peggy is switching from lisinopril to norvasc.
She understands her new medication when she
C. I hate headaches.
states:
D. I don't want dry mouth.
A. I may have headaches

B. It causes vadodilation and decreases SVR and

14. lowers B/P

The nurse sees that their patient is on a beta C. It may cause edema peripherally
blocker. What does the nurse do to show an
D. All the above
understanding of beta blockers and assessment?

A. Checks pupil dilation

18. When taking Atenolol, the nurse knows to
B. Checks apical pulse
hold the medication if:
C. Check labs for K wasting
A. HR <50
D. Check for peripheral edema
B. Dry Coughing

C. Pt becomes hypotensive
15.
D. If K levels increase
Nick unerstands his Atenolol and how it works
when he states:
19. Prazosin carries which of the side effects?
A. It keeps norephinephrine from stimulating the
muscle walls of the small arteries and veins. A. Dry mouth

B. It blocks beta 1 and causes vasodilation and B. Increased K

decreases HR.
C. Orthostatic BP w/first dose
C. It helps maintain renal function.
D. Palpitations
D. Increases excretion of H2O and Na.

20. Alpha blockers work by keeping the hormone

16. Norvasc is a: _______ from simulating the muscle walls of the
small arteries/veins.
A. Loop diuretic
A. Ephinephrine
B. Beta Blocker
B. Angiotensin 1
C. ACE inhibitor
C. Norepinephrine
D. Calcium Channel Blocker
D. PTH
21. Nicole has been taking a central alpha2- C. Drug induced lupus syndrome
agonist. She was doing very well on it and has
D. All the above
now ended up in the ED. She reports that she was
doing so well that she stopped taking her E. None of the above
medication because she felt fine and couldn't
afford her medication since being laid off. What
could be the reason for Nicole's reaction? 25. Of all the hypertensive medications on the
Discuss market, which is the newest?

A. Over abundance of K in her system A. Apresoline

B. Orthostatic BP problems B. Clonidine

C. Drug Induced lupus syndrome C. Tekturna

D. Withdrawl phenomenon D. Praosin

aliog paki send rakan sa imo iban classmates kai

di mi friends. and tell them sa ako account ra mag
22. Carapres works by: send og answers dili sa gc. Thanks
A. Increasing parasympathetic response

B. Keeps the hormone norepinephrine from

stimulating the muscle walls of the small
arteries/veins.

C. Decreases sympathetic response

D. Directly inhibits renin.

23. Hydralazine works on hypertension by:

A. Decreases sympathetic response

B. Peripheral vasodilation

C. Directly inhibits renin

D. Blocks Ca from stimulating muscle walls

24. Direct vasodilators work by peripheral

vasodilation. However, the nurse needs to
educate their pt by including which of these side
effects in their pt education?

A. Increases HR

B. Na retention