Question:

Answer: c. These drugs relax vascular smooth muscle and increased myocardial contractility

Question: Which of the following medications is reserved for severe acute decompensated heart failure with synea at rest?

1. nesiritide

2. b. nitrogylcerin

3. c. eplerenone

4. d. metoprolol succinate

5. Answer: a. nesiritide

6. Question: A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/minutes. What will the nurse do next?

7. a. Administer the dose

8. b. Administer the dose, and notify the prescriber

9. c. Check the radial pulse for 1 full minute

10. d. Withhold the dose, and notify the prescriber

11. Answer: d. Withhold the dose, and notify the prescriber

12. Question: Spironolactone is most commonly associated with

13. a. hyperkalemia

14. b. dysrhthymias

15. c. hypokalemia

16. d. thrombocytopenia

17. Answer: a. hyperkalemia

18. Question:

19. Answer: f. A, B, and C are all correct

20. Question: A patient has a digoxin level of 1.4 ng/mL. The nurse, Avni, interprets that this level is

21. a. Below the therapeutic level

22. b. Above the therapeutic level

23. c. at a toxic level

24. d. within the therapeutic range

25. Answer: d. within the therapeutic range

26. Question: All of the following classes of drugs are used to treat heart failure EXCEPT

27. a. diuretics

28. b. calcium channel blockers

29. c. ACE - inhibitors

30. d. beta blockers

31. Answer: b. calcium channel blockers

32. Question: Which of the following drugs is more likely to lead to digoxin toxicity?

33. a. furosemide (Lasix)

34. b. enalapril (Vasotec)

35. Answer: a. furosemide (Lasix)

36. Question: All of the following are adverse effects associated with digoxin EXCEPT

37. a. anorexia

38. b. dysrhythmias

39. c. vision disturbances, including “Halos”

40. d. orthostatic hypotension

41. Answer: d. orthostatic hypotension

42. Question: All of the following statements are TRUE concerning therapy of Heart failure EXCEPT

43. a. beta blockers are effective at preventing cardiac remodeling

44. b. nesiritide is a synthetic B-type Natruiretic Peptide (BNP)

45. c. digoxin prolongs patient life

46. d. ACE - inhibitors can increase Ejection Fraction

47. Answer: c. digoxin prolongs patient life