ATI PN PHARMACOLOGY RETAKE PROCTORED EXAM NE
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WEST 2025 ACTUAL EXAM COMPLETE 150 QUESTIONS AN
m m m m m m m
D CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
m m m m m
|ALREADY GRADED A+ m m
Receptors - ANSWER Norepinephrine- m m m
Adrenergic (adrenergic comesfrom the word adrenalin)
m m m m m m
Alpha 1-all sympathetic target organs except the heart-
m m m m m m m
constrict theblood vessels and dilation of pupils
m m m m m m m
Alpha 2-Presynaptic adrenergic nerve terminal-
m m m m
inhibits the release ofnorepinephrine
m m m m
Beta 1-Heart and Kidneys (BETA 1-ONE HEART)-
m m m m m m
increased heart rateand force of contraction, release of renin
m m m m m m m m m
Beta 2-All sympathetic target organs-inhibits smooth muscle (BETA 2-
m m m m m m m m
TWO LUNGS)
m m
Beta blockers/olol's - ANSWER Beta-
m m m m
Adrenergic BlockersMetoprolol/Lopressor ENDING OLO
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L
Beta Blockers are use with heart failure, hypertension, angina and withm
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yocardial infarctions. m
Action = Blocks Beta-Receptors in the heart causing...
m m m m m m m
Decreases = HR, force of contraction, Rate of atrioventricular (AV)
m m m m m m m m m m
conduction
SE = Bradycardia, lethargy, GI disturbance, congestive heart failure,
m m m m m m m m m
decrease BP, depression m m
, The beta blockers stop sympathetic nervous system stimulation of the he
m m m m m m m m m m
art. Does not allow the heart rate and blood pressure to rise with stressth
m m m m m m m m m m m m m m
us lowering the oxygen demand of the heart. It is very heart protective!
m m m m m m m m m m m m m
Will slow the heart rate and lower the blood pressure
m m m m m m m m m
Can have beta 2 blockage with larger doses-
m m m m m m m
will constrict thebronchioles-
m m m
watch for clients with known COPD, Asthma
m m m m m m
Nursing Interventions m
Check pulse-needs to be 60 or above
m m m m m m
Check blood pressure- m m
if hypotensive do not give (Systolic below 100 isa good rule of thumb I
m m m m m m m m m m m m m m m
go by) m
Monitor for sexual dysfunction-impotence for men-
m m m m m
a good reason fornon-compliance
m m m m
Drowsiness/Fatigue-
operating heavy machinery, driving could put clientat risk
m m m m m m m m
Insomnia-
Contraindicated with Heart Blocks, Bradycardia, Worsening Heart m m m m m m m
Failure
Increases Hypoglycemic effect of Insulin-
m m m m
monitor blood sugars and forhypoglycemia, may need to lower insulin
m m m m m m m m m m m
dosage
Beta Blockers have to be weaned slowly to prevent rebound hyperten
m m m m m m m m m m
sion and tachycardia-if a client wants to stop his beta-
m m m m m m m m m
blockerthey need to contract their physician
m m m m m m
CCB,/calcium channel blockers - m m m
mANSWER Nifedipine/Adalat/Procardia/Norvasc- m
controls blood vessels m m
Diltiazem/Cardizem
Verapamil/Calan/Isoptin/Verelan-
controls heart rate and blood vesselsAngina/Raynaud's/Vasospastic A
m m m m m m m
ngina/Atrial Arrhythmia's m
,Blocks calcium channels in the myocardial and vascular smooth musc
m m m m m m m m m
les, decreases the contraction of smooth muscle-relaxes the arteries-
m m m m m m m m
vasodilation. Blocking of calcium channels in the SA and AV
m m m m m m m m m
, node-
Slows conduction through the SA and AV node. Decreases theforce of c
m m m m m m m m m m m m
ontraction slows heart rate m m m
Grapefruit juice may increase absorption of nifedipine
m m m m m m
Side Effects: Relaxes smooth muscle and cardiac muscle-
m m m m m m m
Headache
m
Dizziness-
Take lying, sitting and standing B/P, educate client to sit andstand slowl
m m m m m m m m m m m m
y
Peripheral edema- m
assess for edema, monitor for worsening (diuretic)Flushing
m m m m m m m
Reflex tachycardia-
m
monitor for elevated heart rate (may need a BB) Constipation-
m m m m m m m m m
increase fibers and fluids (if not restricted) stool softenerFatigue-
m m m m m m m m m
Due to low heart rate-monitor EKG, pulse rate and rhythm Weakness-
m m m m m m m m m m
Monitor B/P and Heart Rate
m m m m
Impotence and sexual dysfunction-Discuss possibility with client-
m m m m m m
haveclient to call and not just to stop medications
m m m m m m m m m
Hepatotoxicity-ALT, AST, ALK PHOS, Bilirubin m m m m
MI-
Monitor for chest pain, dyspnea, increases fatigue, weaknessCH
m m m m m m m m
F-
Monitor for chest pain, dyspnea, edema, increasing weight,decre
m m m m m m m m
asing output, increasing HR and B/P
m m m m m
Angioedema-
edema in face, throat, trouble swallowing, troublebreathing, thi
m m m m m m m m
ckened tongue m
Grapefruit juice may increase absorption of nifedipine
m m m m m m
Acute Toxicity
m
With an overdose or overmedicated
m m m m m
Gastric lavage m
Monitor EKG-bradycardia-
m
widening QRS, hypotension Norepinephrine to treat hypotension and d
m m m m m m m m
ecreased cardiac contractilityAtropine or Isoproterenol-
m m m m m
Bradycardia and Cardiac Blocks m m m
m m m m m m
WEST 2025 ACTUAL EXAM COMPLETE 150 QUESTIONS AN
m m m m m m m
D CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
m m m m m
|ALREADY GRADED A+ m m
Receptors - ANSWER Norepinephrine- m m m
Adrenergic (adrenergic comesfrom the word adrenalin)
m m m m m m
Alpha 1-all sympathetic target organs except the heart-
m m m m m m m
constrict theblood vessels and dilation of pupils
m m m m m m m
Alpha 2-Presynaptic adrenergic nerve terminal-
m m m m
inhibits the release ofnorepinephrine
m m m m
Beta 1-Heart and Kidneys (BETA 1-ONE HEART)-
m m m m m m
increased heart rateand force of contraction, release of renin
m m m m m m m m m
Beta 2-All sympathetic target organs-inhibits smooth muscle (BETA 2-
m m m m m m m m
TWO LUNGS)
m m
Beta blockers/olol's - ANSWER Beta-
m m m m
Adrenergic BlockersMetoprolol/Lopressor ENDING OLO
m m m m
L
Beta Blockers are use with heart failure, hypertension, angina and withm
m m m m m m m m m m m
yocardial infarctions. m
Action = Blocks Beta-Receptors in the heart causing...
m m m m m m m
Decreases = HR, force of contraction, Rate of atrioventricular (AV)
m m m m m m m m m m
conduction
SE = Bradycardia, lethargy, GI disturbance, congestive heart failure,
m m m m m m m m m
decrease BP, depression m m
, The beta blockers stop sympathetic nervous system stimulation of the he
m m m m m m m m m m
art. Does not allow the heart rate and blood pressure to rise with stressth
m m m m m m m m m m m m m m
us lowering the oxygen demand of the heart. It is very heart protective!
m m m m m m m m m m m m m
Will slow the heart rate and lower the blood pressure
m m m m m m m m m
Can have beta 2 blockage with larger doses-
m m m m m m m
will constrict thebronchioles-
m m m
watch for clients with known COPD, Asthma
m m m m m m
Nursing Interventions m
Check pulse-needs to be 60 or above
m m m m m m
Check blood pressure- m m
if hypotensive do not give (Systolic below 100 isa good rule of thumb I
m m m m m m m m m m m m m m m
go by) m
Monitor for sexual dysfunction-impotence for men-
m m m m m
a good reason fornon-compliance
m m m m
Drowsiness/Fatigue-
operating heavy machinery, driving could put clientat risk
m m m m m m m m
Insomnia-
Contraindicated with Heart Blocks, Bradycardia, Worsening Heart m m m m m m m
Failure
Increases Hypoglycemic effect of Insulin-
m m m m
monitor blood sugars and forhypoglycemia, may need to lower insulin
m m m m m m m m m m m
dosage
Beta Blockers have to be weaned slowly to prevent rebound hyperten
m m m m m m m m m m
sion and tachycardia-if a client wants to stop his beta-
m m m m m m m m m
blockerthey need to contract their physician
m m m m m m
CCB,/calcium channel blockers - m m m
mANSWER Nifedipine/Adalat/Procardia/Norvasc- m
controls blood vessels m m
Diltiazem/Cardizem
Verapamil/Calan/Isoptin/Verelan-
controls heart rate and blood vesselsAngina/Raynaud's/Vasospastic A
m m m m m m m
ngina/Atrial Arrhythmia's m
,Blocks calcium channels in the myocardial and vascular smooth musc
m m m m m m m m m
les, decreases the contraction of smooth muscle-relaxes the arteries-
m m m m m m m m
vasodilation. Blocking of calcium channels in the SA and AV
m m m m m m m m m
, node-
Slows conduction through the SA and AV node. Decreases theforce of c
m m m m m m m m m m m m
ontraction slows heart rate m m m
Grapefruit juice may increase absorption of nifedipine
m m m m m m
Side Effects: Relaxes smooth muscle and cardiac muscle-
m m m m m m m
Headache
m
Dizziness-
Take lying, sitting and standing B/P, educate client to sit andstand slowl
m m m m m m m m m m m m
y
Peripheral edema- m
assess for edema, monitor for worsening (diuretic)Flushing
m m m m m m m
Reflex tachycardia-
m
monitor for elevated heart rate (may need a BB) Constipation-
m m m m m m m m m
increase fibers and fluids (if not restricted) stool softenerFatigue-
m m m m m m m m m
Due to low heart rate-monitor EKG, pulse rate and rhythm Weakness-
m m m m m m m m m m
Monitor B/P and Heart Rate
m m m m
Impotence and sexual dysfunction-Discuss possibility with client-
m m m m m m
haveclient to call and not just to stop medications
m m m m m m m m m
Hepatotoxicity-ALT, AST, ALK PHOS, Bilirubin m m m m
MI-
Monitor for chest pain, dyspnea, increases fatigue, weaknessCH
m m m m m m m m
F-
Monitor for chest pain, dyspnea, edema, increasing weight,decre
m m m m m m m m
asing output, increasing HR and B/P
m m m m m
Angioedema-
edema in face, throat, trouble swallowing, troublebreathing, thi
m m m m m m m m
ckened tongue m
Grapefruit juice may increase absorption of nifedipine
m m m m m m
Acute Toxicity
m
With an overdose or overmedicated
m m m m m
Gastric lavage m
Monitor EKG-bradycardia-
m
widening QRS, hypotension Norepinephrine to treat hypotension and d
m m m m m m m m
ecreased cardiac contractilityAtropine or Isoproterenol-
m m m m m
Bradycardia and Cardiac Blocks m m m
