ANGELES UNIVERSITY FOUNDATION C.
combination of antihypertensive drugs
College of Nursing
NCM 0106 Pharmacology
Quiz: Cardiovascular Drugs
MULTIPLE CHOICE. Choose the BEST answer.
1. The sympathetic nervous system will NOT be
expected to:
A. stimulate the heart to beat faster.
B. speed conduction through the AV node.
C. cause the myocardium to contract harder.
D. slow conduction through the AV node.
2. Dyrhythmias, in the clinical setting, can cause:
A. alteration in cardiac output.
B. changes in capillary filling pressures.
C. alterations in osmotic pressure.
D. valvular dysfunction.
3. Blood flow to the myocardium differs from blood
flow to the rest of the body in that:
A. blood perfuses the myocardium during systole.
B. blood flow is determined by local factors such as acid
build-up.
C. blood perfuses the myocardium during diastole.
D. O2 perfuses to the myocardium via veins.
4. Limitations of ECG include:
A. It only reflects changes in cardiac output.
B. It is not a very accurate test.
C. It only measures electrical current through the heart
and does not indicate mechanical activity or blood flow
to the heart.
D. It is not related to the heart problem.
5. During diastole, the ff. would NOT occur:
A. the AV valves would open.
B. the myocardial muscles would relax.
C. blood would flow from the atria to the ventricles.
D. the ventricles would contract.
6. Pressure within the vascular system is determined by
the ff. EXCEPT:
A. peripheral/systemic resistance
B. stroke volume
C. sodium load
D. heart rate
7. The renin-angiotensin system is NOT associated with:
A. intense vasoconstriction
B. blood flow to the kidneys
C. production of surfactant in the lungs
D. release of aldosterone
8. Which causes essential hypertension?
A. caused by a tumor in the adrenal gland
B. association with a no known cause
C. related to renal disease
D. caused by a liver dysfunction
9. Hypertension treatment would NOT include:
A. lifestyle modification
B. use of a diuretic
D. use of digitalis or cardiotonic drugs.
10. Use of ACE inhibitors often would result in:
A. spontaneous pneumothorax
B. pneumonia
C. unrelenting cough
D. respiratory depression
11. Patients with CHF have which clinical manifestation:
A. cardiac arrest
B. congestion of blood vessels
C. myocardial infarction
D. pulmonary embolism
12. Which of the ff. is NOT a cause of CHF?
A. coronary artery disease
B. uncontrolled hypertension
C. heart defects
D. edema
13. A client developed left sided CHF after a heart
attack. He would present the ff. manifestations EXCEPT
A. orthopnea
B. polyuria
C. tachypnea
D. dyspnea
14. ACE inhibitors and vasodilators are used in the early
treatment of CHF. They act to:
A. cause increase of blood volume
B. increase arterial pressure and perfusion
C. cause pooling of blood and decreased venous return
D. decrease cardiac workload
15. Cardiac glycosides are drugs that:
A. block sympathetic nervous system
B. block the renin-angiotensin system
C. block the parasympathetic nervous system
D. affect the intracellular Ca levels, leading to increased
contractility.
16. A nurse is about to administer Lanoxin to a client
with an apical pulse rate of 48 bpm. She should:
A. Give the drug and notify the doctor.
B. Retake the pulse in 15 min. and give the drug if pulse
remains the same.
C. Retake the pulse in 1 hour and withhold the drug if
the pulse is less than 60bpm.
D. Withhold the drug and notify the doctor.
17. A client taking Lanoxin should be advised to:
A. Make up any missed doses the next day.
B. Report changes in vision or in heart rate.
C. Avoid exposure to the sun.
D. Switch to another type of drug that are cheaper.
18. A patient in the ICU is receiving antiarrhythmic drug
would need:
A. constant cardiac monitoring until stabilized
B. frequent blood tests
C. an antidepressant to deal with depression
D. changes in diet
19. A pt. on long term Lanoxin is brought to the ER with For nos. 27-31. Below are statements that describe
a potentially life threatening ventricular arrhythmia. Congestive Heart Failure. Choose from the ff. options:
Immediate treatment includes:
A. a loading dose of digoxin A. Left sided Heart Failure
B. injection of propofol B. Right sided Heart Failure
C. bolus and titrated IV dose of lidocaine
D. nitroglycerin SL, 10mg. stat 27. Elevated jugular venous pressure
28. Liver enlargement
20. Antiarrhythmic drugs act to alter action potentials 29. Decreased peripheral pulses
of cardiac cells. As such, these drugs often cause: 30. Orthopnea
A. CHF 31. Frothy sputum
B. inadequate blood flow to the kidney
C. new conduction defects in the heart
D. electrolyte imbalances

21. Prinzmetal angina occurs as a result of:

A. electrolyte imbalance
B. spasm of coronary blood vessels
C. decreased venous return
D. ventricular arrhythmias

22. Angina______:
A. causes death of heart muscles.
B. is pain associated with lack of O2 to myocardium.
C. only occurs with vigorous exercise.
D. is untreatable.

23. Antianginal drugs work to do the ff. EXCEPT:

A. decrease the workload of the heart
B. increase the supply of O2 to the heart
C. change the metabolic pathway in the heart muscle
D. restore supply and demand balance of O2 in the
heart.

24. Nitrites are used as antianginal drugs that act to:

A. increase the preload of the heart
B. increase the afterload of the heart
C. dilate coronary blood vessels
D. decrease venous return

25. A patient taking nitroglycerin would need to be

taught:
A. to take 5-6 tablets and then seek medical help if no
relief occurs.
B. to buy the tablets in bulk to decrease costs.
C. to protect tablets from light and discard them if they
do not fizzle when placed under the tongue.
D. to store the tablets in clear container.

26. Ca channel blockers are effective in treating angina

because they:
A. prevent straining in the heart
B. block strong muscle contraction and cause
vasodilation
C. alter the electrolyte balance of the heart and prevent
arrhythmias
D. increase the heart rate, making it more efficient.