Question 1

Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:

Accepted Answer

A)  Heart failure 
B)  Angina 
C)  Myocardial infarction 
D)  Dyslipidemia 
A)  Heart failure 
B)  Angina 
C)  Myocardial infarction 
D)  Dyslipidemia C

Question 2

An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?

Accepted Answer

A)  Beta blockers 
B)  Diuretics 
C)  Nondihydropyridine calcium channel blockers 
D)  Angiotensin II receptor blockers 
A)  Beta blockers 
B)  Diuretics 
C)  Nondihydropyridine calcium channel blockers 
D)  Angiotensin II receptor blockers C

Question 3

Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they:

Accepted Answer

A)  Reduce sodium and water retention 
B)  Decrease vasoconstriction 
C)  Increase vasodilation 
D)  All of the above 
A)  Reduce sodium and water retention 
B)  Decrease vasoconstriction 
C)  Increase vasodilation 
D)  All of the above D

Question 4

Lifestyle modifications for patients with prehypertension or hypertension include:

Accepted Answer

A)  Diet and increase exercise to achieve a BMI greater than 25. 
B)  Drink 4 ounces of red wine at least once per week. 
C)  Adopt the dietary approaches to stop hypertension (DASH) diet. 
D)  Increase potassium intake. 
A)  Diet and increase exercise to achieve a BMI greater than 25. 
B)  Drink 4 ounces of red wine at least once per week. 
C)  Adopt the dietary approaches to stop hypertension (DASH) diet. 
D)  Increase potassium intake.

Question 5

Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they:

Accepted Answer

A)  Increase renin secretion 
B)  Decrease the production of aldosterone 
C)  Deplete body sodium and reduce fluid volume 
D)  Decrease blood viscosity 
A)  Increase renin secretion 
B)  Decrease the production of aldosterone 
C)  Deplete body sodium and reduce fluid volume 
D)  Decrease blood viscosity

Question 6

Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials includes:

Accepted Answer

A)  Pregnancy 
B)  Renal parenchymal disease 
C)  Stable angina 
D)  Dyslipidemia 
A)  Pregnancy 
B)  Renal parenchymal disease 
C)  Stable angina 
D)  Dyslipidemia

Question 7

Caffeine, exercise, and smoking should be avoided for at least how many minutes before blood pressure measurement?

Accepted Answer

A)  15 
B)  30 
C)  60 
D)  90 
A)  15 
B)  30 
C)  60 
D)  90

Question 8

Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:

Accepted Answer

A)  Potassium 
B)  Calcium 
C)  Magnesium 
D)  Phosphates 
A)  Potassium 
B)  Calcium 
C)  Magnesium 
D)  Phosphates

Question 9

Treatment costs are important for patients with hypertension. Which of the following statements about cost is NOT true?

Accepted Answer

A)  Hypertension is a chronic disease where patients may be taking drugs for a long time. 
B)  Most patients will require more than one drug to treat the hypertension. 
C)  The cost includes the price of any routine or special laboratory tests that a specific drug may require. 
D)  Few antihypertensive drugs come in generic formulations. 
A)  Hypertension is a chronic disease where patients may be taking drugs for a long time. 
B)  Most patients will require more than one drug to treat the hypertension. 
C)  The cost includes the price of any routine or special laboratory tests that a specific drug may require. 
D)  Few antihypertensive drugs come in generic formulations.

Question 10

Lack of adherence to blood pressure management is very common. Reasons for this lack of adherence include:

Accepted Answer

A)  Lifestyle changes are difficult to achieve and maintain. 
B)  Adverse drug reactions are common and often fall into the categories more associated with nonadherence. 
C)  Costs of drugs and monitoring with laboratory tests can be expensive. 
D)  All of the above 
A)  Lifestyle changes are difficult to achieve and maintain. 
B)  Adverse drug reactions are common and often fall into the categories more associated with nonadherence. 
C)  Costs of drugs and monitoring with laboratory tests can be expensive. 
D)  All of the above

Question 11

Aldactone family medications are frequently used when the hypertensive patient also has:

Accepted Answer

A)  Hyperkalemia 
B)  Advancing liver dysfunction 
C)  The need for birth control 
D)  Rheumatoid arthritis 
A)  Hyperkalemia 
B)  Advancing liver dysfunction 
C)  The need for birth control 
D)  Rheumatoid arthritis

Question 12

What is a common side effect concern with hypertensive medications and all individuals, but especially the elderly?

Accepted Answer

A)  Risk of falls 
B)  Triggering of a hypertensive crisis 
C)  Erectile priapism 
D)  Risk for bladder cancer development 
A)  Risk of falls 
B)  Triggering of a hypertensive crisis 
C)  Erectile priapism 
D)  Risk for bladder cancer development

Question 13

Blood pressure checks in children:

Accepted Answer

A)  Should occur with their annual physical examinations after 6 years of age 
B)  Require a blood pressure cuff that is one-third the diameter of the child's arm 
C)  Should be done during every health-care visit after 3 years of age 
D)  Require additional laboratory tests such as serum creatinine 
A)  Should occur with their annual physical examinations after 6 years of age 
B)  Require a blood pressure cuff that is one-third the diameter of the child's arm 
C)  Should be done during every health-care visit after 3 years of age 
D)  Require additional laboratory tests such as serum creatinine

Question 14

All patients with hypertension benefit from diuretic therapy, but those who benefit the most are:

Accepted Answer

A)  Those with orthostatic hypertension 
B)  African Americans 
C)  Those with stable angina 
D)  Diabetics 
A)  Those with orthostatic hypertension 
B)  African Americans 
C)  Those with stable angina 
D)  Diabetics

Question 15

Which of the following disease processes could be made worse by taking a nonselective beta blocker?

Accepted Answer

A)  Asthma 
B)  Diabetes 
C)  Both might worsen 
D)  Beta blockade does not affect these disorders 
A)  Asthma 
B)  Diabetes 
C)  Both might worsen 
D)  Beta blockade does not affect these disorders

Question 16

If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?

Accepted Answer

A)  ACE inhibitors 
B)  Beta blockers 
C)  Calcium channel blockers 
D)  Diuretics 
A)  ACE inhibitors 
B)  Beta blockers 
C)  Calcium channel blockers 
D)  Diuretics

Question 17

Hypertensive African Americans are typically listed as not being as responsive to which drug groups?

Accepted Answer

A)  ACE inhibitors 
B)  Calcium channel blockers 
C)  Diuretics 
D)  Bidil (hydralazine family of medications) 
A)  ACE inhibitors 
B)  Calcium channel blockers 
C)  Diuretics 
D)  Bidil (hydralazine family of medications)

Question 18

Which diuretic agents typically do not need potassium supplementation?

Accepted Answer

A)  The loop diuretics 
B)  The thiazide diuretics 
C)  The aldosterone inhibitors 
D)  They all need supplementation 
A)  The loop diuretics 
B)  The thiazide diuretics 
C)  The aldosterone inhibitors 
D)  They all need supplementation

Question 19

What educational points concerning fluid intake must be covered with diuretic prescriptions?

Accepted Answer

A)  Fluid should be restricted when on them. 
B)  Fluids should contain at least one salty item daily. 
C)  Fluid intake should remain near normal for optimal performance. 
D)  Avoidance of potassium-rich fluids is encouraged. 
A)  Fluid should be restricted when on them. 
B)  Fluids should contain at least one salty item daily. 
C)  Fluid intake should remain near normal for optimal performance. 
D)  Avoidance of potassium-rich fluids is encouraged.

Question 20

Beta blockers treat hypertension because they:

Accepted Answer

A)  Reduce peripheral resistance 
B)  Vasoconstrict coronary arteries 
C)  Reduce norepinephrine 
D)  Reduce angiotensin II production 
A)  Reduce peripheral resistance 
B)  Vasoconstrict coronary arteries 
C)  Reduce norepinephrine 
D)  Reduce angiotensin II production

Exam 40: Hypertension

Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:

An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?

Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they:

Lifestyle modifications for patients with prehypertension or hypertension include:

Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they:

Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials includes:

Caffeine, exercise, and smoking should be avoided for at least how many minutes before blood pressure measurement?

Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:

Treatment costs are important for patients with hypertension. Which of the following statements about cost is NOT true?

Lack of adherence to blood pressure management is very common. Reasons for this lack of adherence include:

Aldactone family medications are frequently used when the hypertensive patient also has:

What is a common side effect concern with hypertensive medications and all individuals, but especially the elderly?

Blood pressure checks in children:

All patients with hypertension benefit from diuretic therapy, but those who benefit the most are:

Which of the following disease processes could be made worse by taking a nonselective beta blocker?

If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?

Hypertensive African Americans are typically listed as not being as responsive to which drug groups?

Which diuretic agents typically do not need potassium supplementation?

What educational points concerning fluid intake must be covered with diuretic prescriptions?

Beta blockers treat hypertension because they:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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