Pharmacology NURS 251 Module 3 exam Portage learning/Nursing ABC Questions and Answer

Question 1 Classify the following blood pressure value- 155-95mm/Hg. Answer: Stage 2 hypertension Question 2 True or False. Hypertension is often asymptomatic. True False Question 3 Fill in the missing information in the Classification of Hypertension chart below (1 point each): Classification Blood Pressure (mm/Hg) Normotensive A. B. 120-129/80 C. 130/90 Stage 1 D. Stage 2 E. Answer: A. 120/80 B. Elevated Blood Pressure C. Hypertension D. 130-139/80-89 E. 140/90 Question 4 True or False: Essential Hypertension is when the cause of a patient’s hypertension is unknown. True False Question 5 True/False: The Pulmonary artery is temporarily closed off while a clinician is taking a patient’s blood pressure. True False False. The brachial artery is closed off. Question 6 Heart Rate and Stroke Volume are the primary two factors that determine a patient’s . Answer: Cardiac Output Question 7 Describe the process by which the kidney contributes to further elevation of blood pressure as a result of the increased peripheral resistance caused by high blood pressure. (include the role of renin in your answer). Answer: The increased peripheral resistance decreases blood supply to the kidney. This causes the kidney to release an enzyme called renin which leads to further vasoconstriction, therefore increasing blood pressure further. Question 8 What blood pressure reading would warrant the consideration of drug therapy in a 75- year-old man with diabetes and a 10 year cardiac risk of 30%? Answer: anything 130/80mmHg Question 9 True or False: Beta Blockers are first line for the treatment of hypertension. True False False. First line treatment options include: ACE-inhibitors, Thiazide diuretics, and Calcium channel blockers. Question 10 Name the drug class that works to lower blood pressure by stimulating receptors in the brain. Answer: Alpha agonists Question 11 True or False: Beta Blockers' site of action is only in the heart. True brain Heart Blood vessel Kidney False False. Beta blockers exert their effect in both the heart and the kidney Question 12 What is the name of the pathway that takes Angiotensin and converts it to Angiotensin II? Include the names of the enzymes involved. Answer: Renin Angiotensin Aldosterone mechanism. Renin and angiotensin converting enzyme Question 13 Match the drug class to its primary site of action. Alpha agonists Beta blockers Calcium channel blockers Diuretics Question 14 Select the side effects that are specific to ACE-Inhibitors and are NOT seen in ARBs (Select all that apply). Dry Cough Headache Increased Potassium Angioedema Question 15 Select the condition that is best defined as chest pain that occurs when the heart’s supply of blood carrying oxygen is insufficient to meet the demands of the heart. Ischemia Edema Angina Orthostatic hypotension