CHAPTER 09: DRUGS AFFECTING THE RENAL/URINARY
AND CARDIOVASCULAR SYSTEMS VISOVSKY:
INTRODUCTION TO CLINICAL PHARMACOLOGY, 10TH
EDITION LATEST UPDATE EXAM 2024\2025 QUESTIONS AND
CORRECT ANSWERS| GRADED A+
1. Which body system works with the renal/urinary system to maintain fluid
balance and remove waste products from the body?
a. Biliary system
b. Cardiovascular system
c. CNS
d. Gastrointestinal system - Answer: B. Cardibascular system
2. A patient with newly diagnosed hypertension is prescribed a thiazide diuretic.
The patient asks how thiazide diuretic drugs reduce high blood pressure. What is
your best response?
a. "Thiazide diuretics reduce blood volume and relax vascular smooth muscle in
the arterioles, reducing blood pressure."
b. "Thiazide diuretics increase potassium excretion and slow heart contractions,
reducing blood pressure."
c. "Thiazide diuretics release sodium from cellular storage sites to reduce blood
pressure."
d. "Thiazide diuretics increase the reabsorption of sodium, potassium and
chlorides, reducing blood pressure." - Answer: a. "Thiazide diuretics reduce blood
volume and relax vascular smooth muscle in the arterioles, reducing blood
pressure."
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3. You are teaching a patient about the side effects of diuretics. Which health
problem is a potential side effect or adverse reaction of any class of diuretic drug?
a. Dehydration
b. Heart failure
c. Blurred vision
d. Urinary tract infection - Answer: a. Dehydration
4. A patient has been prescribed furosemide (Lasix) for the treatment of heart
failure. Which statement made by the patient indicates the need for more teaching?
a. "Since I work at night, I take my drug when I first wake up rather than in the
morning." b. "If my hearing decreases, I will notify my healthcare provider."
c. "I make sure to space my fluid intake evenly throughout the day."
d. "When I travel long distances, I will plan to skip my diuretic that day." -
Answer: d. "When I travel long distances, I will plan to skip my diuretic that day."
5. The LPN is caring for a patient who has recently been prescribed nitrate drug.
The patient reports a throbbing headache. Which response is the most appropriate?
a. "Throbbing headache is a symptom of an allergic response to the drug."
b. "Throbbing headache is a symptom of developing tolerance to the drug."
c. "Throbbing headache is a temporary symptom that should disappear within a
few weeks."
d. "Throbbing headache is a symptom of interaction with your other drugs." -
Answer: c. "Throbbing headache is a temporary symptom that should disappear
within a few weeks."
6. Which of the following side effects is seen in patients taking angiotensin-
converting enzyme inhibitors but rarely seen in patients taking angiotensin II
receptor blockers?
a. Orthostatic hypotension