NRSG 220 W6 EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026
What to watch for or avoid when on anti-HTN meds? - Answers - No bathroom dashes (Don't get up
too fast)
- Dizziness
- Blurry vision
- Pale
- Increased HR
- Increased RR
- Decreased BP
- Cold sweats
*Withhold med and report findings
First-dose Phenomenon (Careful in alpha-blockers)* - Answers When sympathetic nervous system
block, parasymp. dominates control
Causes:
- Hypotension, orthostatic hypotension
- Decreased blood flow to the brain
- Syncope (pass out)
Prevention:
- Start low, go slow
Contraindications of Beta Blockers - Answers - Bradycardia
- Hypotension
- Heart block (arrythmia)
- Diabetes (Masks S&S of hypoglycemia) and Asthma
- Renal failure
- Do NOT stop suddenly -> Causes rebound hypertension and tachycardia
Contraindications of Calcium Channel Blockers - Answers - Hypotension
- Bradycardia
- Heart block
- HF and renal faliure
- Grapefruit juice (1L)
3 Needs for Heart Function - Answers 1. Electrical
2. Mechanical
3. Oxygenation
How do we monitor electrical function - Answers - ECG
- K levels
How do we monitor mechanical function - Answers - Stress test
- Heart rate
- Auscultation
- Echocardiogram
- BP
How do we monitor oxygenation - Answers - Cap refill
- Troponin
- Angiogram
- ECG
- Angina or chest pain
Left ventricle has the most workload as it pumps blood to the body - Answers
2 Types of Calcium Channel Blockers - Answers Dihydropyridine - Nifedipine
Non-dihydropyridine - Verapamil BOGO (treat BP & electrical issues)
Selective Alpha Antagonists (Only beta-1) - Answers Better treats HTN
1. Doxazosin
2. Prazosin
3. Terazosin
Non-selective Alpha antagonists - Answers Alpha-1 and alpha-2
What to watch for or avoid when on anti-HTN meds? - Answers - No bathroom dashes (Don't get up
too fast)
- Dizziness
- Blurry vision
- Pale
- Increased HR
- Increased RR
- Decreased BP
- Cold sweats
*Withhold med and report findings
First-dose Phenomenon (Careful in alpha-blockers)* - Answers When sympathetic nervous system
block, parasymp. dominates control
Causes:
- Hypotension, orthostatic hypotension
- Decreased blood flow to the brain
- Syncope (pass out)
Prevention:
- Start low, go slow
Contraindications of Beta Blockers - Answers - Bradycardia
- Hypotension
- Heart block (arrythmia)
- Diabetes (Masks S&S of hypoglycemia) and Asthma
- Renal failure
- Do NOT stop suddenly -> Causes rebound hypertension and tachycardia
Contraindications of Calcium Channel Blockers - Answers - Hypotension
- Bradycardia
- Heart block
- HF and renal faliure
- Grapefruit juice (1L)
3 Needs for Heart Function - Answers 1. Electrical
2. Mechanical
3. Oxygenation
How do we monitor electrical function - Answers - ECG
- K levels
How do we monitor mechanical function - Answers - Stress test
- Heart rate
- Auscultation
- Echocardiogram
- BP
How do we monitor oxygenation - Answers - Cap refill
- Troponin
- Angiogram
- ECG
- Angina or chest pain
Left ventricle has the most workload as it pumps blood to the body - Answers
2 Types of Calcium Channel Blockers - Answers Dihydropyridine - Nifedipine
Non-dihydropyridine - Verapamil BOGO (treat BP & electrical issues)
Selective Alpha Antagonists (Only beta-1) - Answers Better treats HTN
1. Doxazosin
2. Prazosin
3. Terazosin
Non-selective Alpha antagonists - Answers Alpha-1 and alpha-2
