UNIT 6 & 7 | NUR 210 PHARMACOLOGY COMPLETE SOLVED EXAM (LATEST
2024/2025) GRADED A+
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor,
captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is which
characteristic?
a. Captopril rarely causes first-dose hypotensive effects.
b. Captopril has little effect on electrolyte levels.
c. Captopril is a prodrug and is metabolized by the liver before becoming active.
d. Captopril is not a prodrug and does not need to be metabolized by the liver before
becoming active.
2. The nurse is preparing for a community education program on hypertension. Which of these
parameters determine the regulation of arterial blood pressure?
a. Cardiac output and systemic vascular resistance
b. Heart rate and peripheral resistance
c. Blood volume and renal blood flow
d. Myocardial contractility and arteriolar constriction
3. When counseling a male patient about the possible adverse effects of antihypertensive drugs, the
nurse will discuss which potential problem?
a. Impotence
b. Bradycardia
c. Increased libido
d. Weight gain
4. The nurse is reviewing drug therapy for hypertension. According to the JNC 7 guidelines,
antihypertensive drug therapy for a newly diagnosed stage 1 hypertensive African-American patient
would most likely include which drug or drug classes?
a. Vasodilators alone
b. ACE inhibitors alone
c. Calcium channel blockers with thiazide diuretics
d. Beta blockers with thiazide diuretics
5. The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a
potential nursing diagnosis for the patient taking antihypertensive medications?
a. Diarrhea
b. Sexual dysfunction
c. Urge urinary incontinence
d. Impaired memory
6. A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks
how long drug therapy will be needed. Which answer by the nurse is the correct response?
a. “This therapy will take about 3 months.”
, b. “This therapy will take about a year.”
c. “This therapy will go on until your symptoms disappear.”
d. “Therapy for high blood pressure is usually lifelong.”
7. A patient who has been taking antihypertensive drugs for a few months complains of having a
persistent dry cough. The nurse knows that this cough is an adverse effect of which class of
antihypertensive drugs?
a. Beta blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
c. Angiotensin II receptor blockers (ARBs)
d. Calcium channel blockers
8. A patient with type 2 diabetes mellitus has been found to have trace proteinuria. The prescriber
writes an order for an angiotensin-converting enzyme (ACE) inhibitor. What is the main reason for
prescribing this class of drug for this patient?
a. Cardioprotective effects
b. Renal protective effects
c. Reduces blood pressure
d. Promotes fluid output
9. The nurse is reviewing the orders for a patient and notes a new order for an angiotensin-converting
enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug
class may have a serious interaction with what other drug class?
a. Calcium channel blockers
b. Diuretics
c. Nonsteroidal antiinflammatory drugs
d. Nitrates
10. An elderly patient will be taking a vasodilator for hypertension. Which adverse effect is of most
concern for the older adult patient taking this class of drug?
a. Dry mouth
b. Restlessness
c. Constipation
d. Hypotension
11. When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by
which mechanism of action?
a. Causing depression of the central nervous system
b. Anesthetizing the stretch receptors
c. Having direct action on the cough center
d. Decreasing the viscosity of the bronchial secretions
12. During a routine checkup, a patient states that she is unable to take the prescribed antihistamine
because of one of its most common adverse effects. The nurse suspects that which adverse effect has
been bothering this patient?
a. Constipation
b. Abdominal cramps
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