True or false: A patient who has taken sildenafil should not receive nitroglycerin unless a clinician has evaluated the situation, because the combination can cause severe hypotension.
6 Vasodilators and Integrated Cardiovascular Medication Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Vasodilators and Integrated Cardiovascular Medication Practice, test your knowledge, and prepare for your next test or exam.
A patient taking spironolactone and lisinopril asks about using a potassium-containing salt substitute. Along with monitoring potassium, what organ function should be monitored?
True or false: A patient taking spironolactone and lisinopril should check with a clinician before starting a potassium-containing salt substitute because the combination can raise potassium.
- A
True
- B
False
Hydralazine can cause a lupus-like reaction that may sometimes involve the .
A patient taking warfarin is prescribed amiodarone. Which blood test should be monitored more closely to assess warfarin's anticoagulant effect?
A patient with angina is prescribed sublingual nitroglycerin and reports taking sildenafil earlier today. What is the safest response?
- A
Give the nitroglycerin after having the patient lie down.
- B
Do not give nitroglycerin; promptly contact the prescriber or emergency team for guidance.
- C
Give half the prescribed nitroglycerin dose.
- D
Replace nitroglycerin with an extra beta-blocker dose.
A patient taking hydralazine long term develops new joint pain, fever, and a persistent rash. What is the most appropriate action?
- A
Reassure the patient that the symptoms are expected and require no follow-up.
- B
Promptly report the symptoms to the prescriber for assessment of a possible drug reaction.
- C
Double the next dose to improve blood-pressure control.
- D
Recommend an over-the-counter potassium supplement.
A patient taking digoxin and furosemide reports nausea and unusual yellow-green visual changes; laboratory results show low potassium. What is the priority response?
- A
Reassure the patient because low potassium protects against digoxin toxicity.
- B
Promptly notify the clinician for assessment of possible digoxin toxicity and electrolyte disturbance.
- C
Give the next digoxin dose early.
- D
Tell the patient to stop all cardiovascular medicines permanently.
A patient with a rapid rhythm is being considered for IV adenosine. Which two features in the patient's history are contraindications to its use? Select all that apply.
- A
Second-degree AV block without a functioning pacemaker
- B
A history of seasonal allergies without bronchospastic lung disease
- C
Asthma
- D
A history of controlled high blood pressure
Because adenosine can cause transient or more serious conduction block, its use requires appropriate monitoring and capability.
A patient taking warfarin and digoxin is prescribed amiodarone. Which actions support medication safety? Select all that apply.
- A
Review the combination with the prescriber.
- B
Wait for symptoms before arranging any monitoring.
- C
Arrange closer digoxin and heart-rate monitoring.
- D
Arrange closer INR monitoring.
A patient with heart failure takes spironolactone and lisinopril and asks whether to use a potassium-containing salt substitute. What is the best response?
- A
Recommend the substitute because both medicines lower potassium.
- B
Advise against starting it without clinician approval and arrange appropriate potassium and kidney-function monitoring.
- C
Recommend it only on days when the patient takes furosemide.
- D
Suggest stopping spironolactone whenever the substitute is used.
A patient taking warfarin and digoxin learns that amiodarone has been prescribed. Which instruction best prevents unsafe self-directed medication changes?
- A
Stop warfarin and digoxin immediately without contacting the prescriber.
- B
Contact the prescriber to review the combination and follow their direction about any dose changes.
- C
Add a second antiarrhythmic to prevent bradycardia.
- D
Wait for bleeding or fainting before reporting the new prescription.
True or false: A history of asthma is an important safety concern when a patient is being considered for IV adenosine.
- A
True
- B
False
A patient taking furosemide reports dizziness when standing, muscle cramps, and marked thirst. Which response is most appropriate?
- A
Arrange prompt assessment of blood pressure, fluid status, kidney function, and electrolytes.
- B
Restrict all fluids and continue the same dose without review.
- C
Reassure the patient that the symptoms confirm the medication is working.
- D
Recommend doubling the next dose to remove more fluid.
A patient taking digoxin is prescribed amiodarone. Which cardiac measure should be monitored more closely because amiodarone can increase digoxin exposure?
A patient taking furosemide reports dizziness when standing, muscle cramps, and marked thirst. What is the most appropriate response?
- A
Arrange prompt assessment of blood pressure, fluid status, kidney function, and electrolytes.
- B
Restrict all fluids and continue the same dose without review.
- C
Reassure the patient that these symptoms confirm the medicine is working.
- D
Double the next dose to remove more fluid.
What possible drug reaction should be considered when a patient taking hydralazine long term develops new joint pain, fever, and a persistent rash?
A patient with a rapid rhythm is being considered for IV adenosine. Their history includes second-degree AV block and asthma. What is the safest action?
- A
Administer adenosine quickly because its effects are brief.
- B
Withhold adenosine and immediately alert the treating clinician.
- C
Give adenosine with a beta blocker to prevent recurrence.
- D
Ask the patient to take an oral dose instead.
A patient taking digoxin has worsening kidney function, while their potassium level remains within the reference range. Explain why the kidney-function change still matters to digoxin safety and how the patient should be assessed.