N7 Pharmacology Antidysrhythmic Agents

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Lilley: Pharmacology and the Nursing Process, 4th Edition

Multiple Choice Review Questions Chapter 22

Antidysrhythmic Agents

1.           

Indications for the antidysrhythmic drug lidocaine include:

A.            Bradycardia

B.            Ventricular arrhythmias

C.            Atrial arrhythmias

D.            Heart block

2.           

When giving adenosine, it is important to remember to:

A.            Give it as a fast intravenous push.

B.            Give it intravenous push slowly over 5 minutes

C.            Offer it with food or milk

D.            Prepare to set up for an intravenous drip infusion

3.           

A serum lidocaine drug level of 3.0 is considered:

A.            Subtherapeutic

B.            Therapeutic

C.            Elevated

D.            Toxic

4.           

Adenosine is used to treat:

A.            Atrial fibrillation

B.            Atrial flutter

C.            Paroxysmal supraventricular tachycardia (PSVT)

D.            Second-degree Wenckebach

5.           

Sodium channel blockers are considered which class of antiarrhythmic drugs?

A.            Class I

B.            Class II

C.            Class III

D.            Class IV

6.           

Ibutilide (Corvert) is a class III antiarrhythmic drug that is used for:

A.            Treatment of PSVT

B.            Conversion of recent-onset atrial fibrillation and flutter

C.            Conversion of life-threatening ventricular arrhythmias

D.            Treatment of arrhythmias in patients with acute renal failure

7.           

Before administering a dose of an antiarrhythmic drug to an assigned patient, the nurse should assess the patient's:

A.            Urine output and specific gravity

B.            Temperature and pulse rate

C.            Apical pulse and blood pressure

D.            Peripheral pulses and level of consciousness

8.           

Which of the following classifications of drugs is used to treat both hypertension and dysrhythmias?

A.            Sodium channel blockers

B.            Calcium channel blockers

C.            Angiotensin-converting enzyme (ACE) inhibitors

D.            Direct-acting vasodilators

9.           

Calcium channel blockers have which of the following pharmacodynamic effects?

A.            Positive inotropic effect

B.            Coronary vasodilation

C.            Positive chronotropic effect

D.            Positive dromotropic effect

10.           

Amiodarone toxicity is evidenced in which body system?

A.            Cardiovascular

B.            Pulmonary

C.            Renal

D.            Hematologic