NURS 615 EXAM 3 QUESTIONS
WITH 100% CORRECT
ANSWERS; VERIFIED; LATEST
UPDATE 2026
**Procainamide Considerations - correct answer-
•s/e: dysrhythmias, brady, hypotension, shock, drug
induced fever, systemic lupus (polyarthralgia, myalgia,
pleurisy)
•for supraventricular and ventricular arrhythmias, to
convert new onset a-fib
•around the clock dosing, short half life
•monitor for heart failure if given after MI (peripheral
edema, JVD, difficulty breathing)
•CBC and ANA
,ACE inhbitors - correct answer- End in "pril"
Lisinopril, captopril, rampril
ACE inhibitor MOA - correct answer- The
mechanism of action is that they prevent the conversion
of angiotensin I to angiotensin I which disrupts the renin-
angiotensin-aldosterone system.
ACE inhibitors adverse effects - correct answer-
hypokalemia
increase creatinine.
Angioedema and cough
Cough doesn't happen all the time but is probably the #1
side effect.
An ACE cough is caused by bradykinin and it is something
that if a patient develops it's not going to go away, so that
is the reason you would have to pull them off of the drug.
,Decrease in serum sodium may result in syncope and
dizziness if you use it with diuretics, so that is just
something to watch for
ACE inhibitors considerations - correct answer-
•All diabetics with HTN should have ACEI and aspirin
•Best for diabetics because prevents diabetic neuropathy
and decreases effects of diabetes on the kidneys
-also improves insulin sensitivity
•Not effective in AA
•ACEIs improve oxygenation to heart muscle & decrease
inappropriate remodeling of heart muscle after MI & with
HF
•vasodilator
, •Decreases Aldosterone to decrease sodium and water
retention
•ACE facilitates breakdown of bradykinin (reason for the
cough)
Adenosine side effects - correct answer- new
arrhythmia, headache, facial flushing, chest discomfort.
Adensoine - correct answer- Used for
converting from SVT, activates potassium channels which
hyper polarizes the membrane potential which stops rapid
firing of SA node
Allopirinol considerations - correct answer-
Monitor renal and liver tests prior to administration,
drowsiness/dizzyness can occur
Allopirinol MOA - correct answer- Prevents
formation of uric acid by inhibiting xanthine oxidase
WITH 100% CORRECT
ANSWERS; VERIFIED; LATEST
UPDATE 2026
**Procainamide Considerations - correct answer-
•s/e: dysrhythmias, brady, hypotension, shock, drug
induced fever, systemic lupus (polyarthralgia, myalgia,
pleurisy)
•for supraventricular and ventricular arrhythmias, to
convert new onset a-fib
•around the clock dosing, short half life
•monitor for heart failure if given after MI (peripheral
edema, JVD, difficulty breathing)
•CBC and ANA
,ACE inhbitors - correct answer- End in "pril"
Lisinopril, captopril, rampril
ACE inhibitor MOA - correct answer- The
mechanism of action is that they prevent the conversion
of angiotensin I to angiotensin I which disrupts the renin-
angiotensin-aldosterone system.
ACE inhibitors adverse effects - correct answer-
hypokalemia
increase creatinine.
Angioedema and cough
Cough doesn't happen all the time but is probably the #1
side effect.
An ACE cough is caused by bradykinin and it is something
that if a patient develops it's not going to go away, so that
is the reason you would have to pull them off of the drug.
,Decrease in serum sodium may result in syncope and
dizziness if you use it with diuretics, so that is just
something to watch for
ACE inhibitors considerations - correct answer-
•All diabetics with HTN should have ACEI and aspirin
•Best for diabetics because prevents diabetic neuropathy
and decreases effects of diabetes on the kidneys
-also improves insulin sensitivity
•Not effective in AA
•ACEIs improve oxygenation to heart muscle & decrease
inappropriate remodeling of heart muscle after MI & with
HF
•vasodilator
, •Decreases Aldosterone to decrease sodium and water
retention
•ACE facilitates breakdown of bradykinin (reason for the
cough)
Adenosine side effects - correct answer- new
arrhythmia, headache, facial flushing, chest discomfort.
Adensoine - correct answer- Used for
converting from SVT, activates potassium channels which
hyper polarizes the membrane potential which stops rapid
firing of SA node
Allopirinol considerations - correct answer-
Monitor renal and liver tests prior to administration,
drowsiness/dizzyness can occur
Allopirinol MOA - correct answer- Prevents
formation of uric acid by inhibiting xanthine oxidase
