A patient arrives at the clinic for his yearly physical. His vital signs include a blood pressure of 170/110. The patient is prescribed an ACE (angiotensin-converting enzyme) inhibitor. This medication decreases blood pressure by inhibiting the

vasoconstrictive properties of the RAAS (renin-angiotensin-aldosterone system)

vasodilation properties of the RAAS

inotropic properties of the sympathetic nervous system (SNS)

diuretic properties of the natriuretic peptide system

Answer and Explanation

The Correct Answer is A

A. ACE inhibitors block the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor in the RAAS, which leads to decreased blood pressure by promoting vasodilation.

B. The RAAS is primarily a vasoconstrictive system, and ACE inhibitors reduce this vasoconstriction, not vasodilation.

C. ACE inhibitors do not directly affect the inotropic (force of contraction) effects of the SNS; they work on the RAAS.

D. While natriuretic peptides help regulate fluid balance, ACE inhibitors do not directly impact this system.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Hypokalemia causes hyperpolarization, not hypopolarization, making it more difficult for cells to reach an action potential.

B. Hypokalemia does not stimulate the vagus nerve but can lead to arrhythmias.

C. While hypokalemia can cause arrhythmias, it usually leads to tachycardia or other irregular rhythms rather than a bradycardic rate of 40 beats per minute.

D. Low potassium levels can lead to tachycardia (e.g., a heart rate of 150 beats per minute) and other dangerous arrhythmias due to increased irritability of cardiac cells.

A. Bounding pedal pulses. B. Pedal edema relieved with leg elevation. C. Loss of leg hair and shiny skin. D. Incompetent valves of the blood vessels in the leg.

Correct Answer is C

Explanation

A. In PAD, the pulses in the legs are often weak or absent, not bounding.

B. Pedal edema is more commonly associated with venous insufficiency rather than PAD, and elevating the legs may not alleviate the edema.

C. Loss of leg hair and shiny skin are classic signs of PAD due to reduced blood flow to the extremities, which leads to skin changes and hair loss.

D. Incompetent valves and venous insufficiency are more related to conditions such as chronic venous insufficiency, not PAD.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient arrives at the clinic for his yearly physical. His vital signs include a blood pressure of 170/110. The patient is prescribed an ACE (angiotensin-converting enzyme) inhibitor. This medication decreases blood pressure by inhibiting the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Blood is drawn on a patient who has been chronically ill. The lab results include a potassium level of 2.4. Related to influences on the heart's electrical conduction, an expected sequela of this electrolyte disturbance might be

Correct Answer is C

Explanation

A patient is admitted to the hospital with a diagnosis of peripheral arterial disease (PAD). Clinical findings associated with this disease are

Correct Answer is C

Explanation

A young girl with a history of asthma is brought to her family nurse practitioner (FNP). The child is wheezing and has prolonged expirations. The basic etiology of her signs and symptoms (S&S) includes:

A nurse is examining a patient who reports burning on urination and a low-grade fever. On physical examination, the nurse notes constant right-sided costovertebral tenderness. Based on this presentation, what is most likely the cause of these signs and symptoms (S&S)?

A patient is newly diagnosed with hypertension. The nurse suggests a dietary sodium reduction to help lower blood pressure. What rationale should the nurse share for reducing sodium intake?

The signs and symptoms (S&S) of respiratory failure may be identified in the patient who has a(n):

A woman presents to a clinic with JVD (jugular venous distension), liver congestion, ascites, and ankle edema. Upon auscultation of her heart, the RN notes a murmur. The etiologies that would best account for all aspects of this patient picture are

A patient with a history of renal failure presents with confusion. This altered mental status is characteristic of

A patient with a blood pressure of 170/110 is prescribed an ACE (angiotensin-converting enzyme) inhibitor. The nurse stresses the need to take his ACE inhibitor as prescribed to prevent which complication associated with the long-term effects of hypertension?

A nurse is examining an overweight elderly man and notices cyanosis and clubbing of the fingers. The nurse suspects _____ and requests a _____.