Pharmocology Exam 2 Flashcards
1 - In which of the following conditions is the use
of beta blockers generally contraindicated?
A. Hypertension
B. Post myocardial infarction
C. Hypotension and bradycardia
D. Anxiety disorders
C. Hypotension and Bradycardia
An 82-year-old patient with hypertension has been taking an ACE
inhibitor for blood pressure control. During a routine checkup, the
patient is found to have neutropenia. What is the most likely cause of
the neutropenia in this patient?
A) False lab result
B) Autoimmune disorder
C) Adverse effect of the ACE inhibitor
D) Nutritional deficiency
C. Adverse Effect of the Ace Inhibitor
What is a major risk factor of Heparin usage?
A. Increased risk for clots.
B. No risk factors present.
C. Increased risk for bleeding.
D. Hypertension
C. Increased risk for bleeding
Which of the following is a common use for
calcium channel blockers?
A. Management of heart failure with reduced ejection fraction.
B. Treatment of chronic stable angina.
C. Acute management of severe hypotension.
D. Prevention of thromboembolic events
B. Treatment of chronic stage angina
The nurse is teaching the client diagnosed with angina about
sublingual Nitroglycerin. Which statement indicates the clients
needs more medication teaching?
A. “I will always carry my Nitroglycerin in a dark-colored bottle.”
B. “If I have chest pain, I will put a tablet underneath my tongue.”
C. “I can only take one tablet so If any pain is not relieved after, I will seek
medical help.”
D. “I should expect to get a headache after taking my Nitroglycerin.”
C. “I can only take one tablet so if any pain is not relieved after I will seek medical help”
A client with hypertension is prescribed losartan.
Which client statement indicates a need for further teaching?
A. “I will avoid using salt substitutes containing potassium.”
B. “I will check my blood pressure before taking my medication.”
C. “I can stop taking this medication suddenly.”
D. “I will not take this medication if my blood pressure is below 90/60.”
C. “i can stop taking this medication suddenly”
A patient is taking Spironolactone (a potassium-sparing diuretic). What
electrolyte imbalance should the nurse be MOST aware of when caring for a patient due to
its effects on heart rhythms?
A. Hyponatremia
B. Hypernatremia
C. Hypokalemia
D. Hyperkalemia
D. Hyperkalemia
What is a side effect of
prolonged use of oral
decongestants?
A. Rebound congestion
B. Creating a cycle of
dependency
C. Hypotension
D. Hypertension
D. Hypertension
What is a common side effect of beta 2 agonists, due to
increased neuromuscular activity?
A.Hyperkalemia
B.Tremors
C.Hyperglycemia
D.Tachycardia
B.Tremors
Which side effect is MOST CRITICAL and should be monitored closely in a patient taking corticosteroids
long-term?
A) Mood swings
B) Increased appetite
C) Skin thinning
D) Hair loss
A. Mood Swings
What side effects of antihistamines are especially concerning for geriatric
patients?
A. Drowsiness
B. Dry mouth
C. Urinary retention
D. Blurred vision
C. Urinary Retention
What is the primary mechanism of action of anticholinergic
bronchodilators?
A. Stimulation of beta-2 receptors
B. Blockade of muscarinic receptors
C. Inhibition of phosphodiesterase
D. Increase in histamine levels
B. Blockade of muscarinic receptors
Which adverse effect is most associated with xanthine
derivatives at toxic levels?
a. Hypertension
b. Seizures
c. Hypoglycemia
d. Bradycardia
B.Seizures
A patient on Montelukast reports new mood changes. What should
the nurse assess and teach regarding these symptoms?
A. Assess for depression/suicidal thoughts; review medication.
B. Advise the patient to stop the medication immediately.
C. Explain mood changes are common and resolve on their own.
D. Encourage physical activity for mood improvement.
A. Assess for depression/suicidal thoughts
Which outside influences’ effects are
enhanced while taking Keppra?
A. Caffeine
B. Alcohol
C. Sugar
D. Tobacco
B.Alcohol
