NR-566 Advanced Pharmacology Care of the Family Test Bank 2026/2027 | 250+ Approved Questions, Verified Answers & Detailed Rationales for Guaranteed A+ Pass

NR-566: ADVANCED PHARMACOLOGY CARE OF
THE FAMILY
COMPREHENSIVE EXAM, STUDY GUIDE,
REVIEW & EXAM BUNDLE (250+ APPROVED
QUESTIONS, VERIFIED ANSWERS &
RATIONALE) 2026/ 2027 UPDATED ALREADY
GRADE A+ BRAND NEW ALERT!!!



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TABLE OF CONTENTS
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1. Study Guide – Drug Classifications by Body System
2. Review Sheets – High-Yield Tables and Mnemonics
3. Practice Exam with Rationales (250+ Questions)
- Part A: Multiple Choice (150 questions)
- Part B: Multiple Answer / SATA (100 questions)


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SECTION 1: STUDY GUIDE
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1.1 CARDIOVASCULAR PHARMACOLOGY

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ANTIHYPERTENSIVES – FIRST-LINE BY CONDITION


ACE Inhibitors (ACEi): Lisinopril, enalapril, captopril, ramipril
- Indications: HTN, HF, CKD, diabetes, post-MI
- Mechanism: Blocks conversion of angiotensin I to II (vasodilation, ↓
aldosterone)
- Side effects: Dry cough (5-20%), angioedema (rare but serious),
hyperkalemia, ↑Cr (20-30% acceptable), teratogenic
- Nursing: Monitor BP, K+, Cr; avoid in pregnancy; hold if K+ >5.5 or
Cr rise >30%


ARBs (Angiotensin II Receptor Blockers): Losartan, valsartan,
candesartan, irbesartan, olmesartan
- Indications: HTN, HF, CKD (alternative to ACEi if cough)
- Mechanism: Blocks angiotensin II receptors (vasodilation, ↓
aldosterone)
- Side effects: No cough, still teratogenic, hyperkalemia, ↑Cr
- Nursing: Same as ACEi but lower angioedema risk


DHP CCBs (Dihydropyridine Calcium Channel Blockers): Amlodipine,
nifedipine ER, felodipine
- Indications: HTN, angina, African Americans, isolated systolic HTN in
elderly
- Mechanism: Vasodilation (arterial)

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- Side effects: Peripheral edema, gingival hyperplasia, flushing,
headache
- Nursing: Monitor for edema (may need diuretic), not negative inotrope


Non-DHP CCBs: Diltiazem, verapamil
- Indications: Atrial fibrillation (rate control), angina, HTN
- Mechanism: ↓ HR, ↓ contractility, vasodilation
- Side effects: Constipation (verapamil), heart block, negative inotrope
(avoid in HFrEF)
- Nursing: Monitor HR, BP; avoid in HFrEF


Thiazide Diuretics: HCTZ, chlorthalidone, indapamide
- Indications: HTN, edema
- Mechanism: Blocks Na-Cl reabsorption in distal tubule
- Side effects: Hypokalemia, hyperglycemia, hyperuricemia,
hyponatremia, hyperlipidemia
- Nursing: Monitor electrolytes, glucose, uric acid; chlorthalidone
preferred for CV outcome data


Loop Diuretics: Furosemide, torsemide, bumetanide
- Indications: HF (volume overload), edema, HTN with CKD
- Mechanism: Blocks Na-K-2Cl in loop of Henle
- Side effects: Hypokalemia, hypomagnesemia, ototoxicity (rapid IV),
metabolic alkalosis

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- Nursing: Monitor I&O, daily weight, electrolytes; torsemide has better
bioavailability


Beta-Blockers (Cardioselective): Metoprolol succinate, bisoprolol,
atenolol
- Indications: HTN, HF, angina, post-MI, AF (rate control)
- Mechanism: Blocks beta-1 receptors (↓ HR, ↓ contractility)
- Side effects: Bradycardia, fatigue, masks hypoglycemia, dyslipidemia,
sexual dysfunction
- Nursing: Safe in COPD/asthma (cardioselective); monitor HR <60,
hold for HR <50


Beta-Blockers (Non-selective): Carvedilol, labetalol, propranolol,
nadolol
- Indications: HTN, HF (carvedilol), migraine, tremor, performance
anxiety
- Mechanism: Blocks beta-1 and beta-2 receptors
- Side effects: May cause bronchospasm – avoid in asthma; carvedilol
has alpha-blocking effect
- Nursing: Carvedilol is preferred in HFrEF; monitor for bronchospasm


Alpha-1 Blockers: Doxazosin, terazosin, tamsulosin, alfuzosin
- Indications: BPH (tamsulosin), HTN (not first-line)
- Mechanism: Relaxes smooth muscle in prostate and blood vessels
- Side effects: First-dose orthostatic hypotension (give at bedtime),
retrograde ejaculation, nasal congestion