Pharm tests practiceOnline version Pharm cardio medications by Kristy Comstock 1 What should be considered for a patient taking a statin medication? Choose one or more answers a Administer with food b Avoid grapefruit jucie c Drink lots of water d Take only at night, two days a week 2 What side effect should a patient on Lipitor report to the provider immediately? a Arthralgia b Vomiting c Nausea d Bleeding 3 What education does a patient need that is taking cholestyramine (Questran)? a Patient should increase fats and carbs in their diet. b Patient should take stool softeners on a daily basis c Pt should take medication 2 hours before or 4 hours after other drugs. d Pt should take on an empty stomach. 4 What is the role of the nurse if the patient is taking Gemfibrozil (Lopid)? Choose one or more answers a Assess for complaints of GI distress prior to starting the medication b Never give to patients with preexisting gallbladder disease, severe CKD, or pt with hepatic impairments c Encourage regular exercise, dietary modifications, smoking cessation and proper education d Monitor PTT 5 How do ACE inhibitors work in the body? Choose one or more answers a Prevents renin from producing angiotensin II b Vasodilation and decrease BP c Vasoconstriction and increase BP d Decrease aldosterone levels to increase BP and HR 6 What is the primary use of Lisinopril (Zestril)? a To decrease lipid levels b To increase BP, HR and peripheral resistance c To decrease BP, blood volume, and vasodilation d To increase hormone levels 7 If a patient presents with HTN and pneumonia, what kind of medication would the RN expect to be prescribed for the HTN? a Cardiac glycosides b Inotropic c ARBs d ACE inhibitor 8 What would the nurse educate a patient taking hydrochlorothiazide (Microzide) about to avoid a food interaction? a Ginkgo biloba may cause a paradoxical increase in BP b Increasing dairy products will help prevent GI upset c No education is needed d Daily dose should be taken at night with water. 9 If a patient is taking Nifedipine (Adalat CC, Procardia XL) what adverse effects should they be aware of? Choose one or more answers a Headache b Dizziness c Orthostatic hypotension d Paradoxical increase angina pain 10 What kind of medication can cause sedation, dizziness, CNS effects, hemolytic anemia, leukopenia, and thrombocytopenia? a Vasopressors b Inotropic c Alpha adrenergic agonists d Nitrates 11 With what type of patients should beta adrenergic blockers be cautiously used with? a Cardiac pt and diabetics b Asthma pts and Heart failure pts c AKI pts with a pneumothorax d HTN pt and CKD pts 12 What is the max dose of nitroglycerin that a patient should take when experiencing angina? a 4 tabs b 2 tabs c 3 tabs d 1 tab 13 What is a common side effect from nitroglycerin? a Headache b Hypertension c Tachypnea d Kussmal breathing 14 If a patient is prescribed a heparin drip, what should the RN know about this medication? Choose one or more answers a To monitor PT/INR b To monitor PTT c the antidote is Vitamin K d The antidote is protamine sulfate 15 What would require further education for a patient being discharged on Coumadin? a Pt will increase intake of green leafy vegetables b Pt will decrease the intake of green leafy vegetables. c The patient will take the medication as directed. d The patient will follow up with provider regularly. 16 What medication should be held if a patient has a platelet count less than 100,000? a Altepase b Coreg c Cozaar d Heparin 17 If a patient is experiencing cardiogenic shock, what would the RN expect to see if it is untreated? Choose one or more answers a Tissue starved of oxygen b Increased lactic acid c Organ failure d Death 18 If a pt is prescribed digoxin (Lanoxin), what should the nurse do prior to administration? a Check radial pulse and manual BP b Auscultate lungs bilaterally c Do a complete head to toe assessment d Check apical pulse 19 What is the use of a sodium channel blocker? a To correct SVT b To increase heart rate c To decrease the heart rate d To correct atrial and ventricular dysrhythmias 20 A patient taking propranolol and has a decrease renal output should be monitored for what? a Potential accumulation to toxic levels b Tachycardia c Spontaneous pneumothorax d Increased urine output
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