NRNP 6531 primary care adults gerontology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NRNP EXAM ms




Exam Solution ms




N7230 Cartes 2026 A+ GRADE ASSURED COMPLETE SO ms ms ms ms ms ms ms




LUTIONS AND VERIFIED ANSWERS (8C93E) ms ms ms ms




QUESTION 1 ms




A patient with a history of Type 2 diabetes and coronary artery disease has the follow
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ing lipid panel: LDL 128, HDL 30, Triglycerides 208. What would first line treatment b
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



e? Lifestyle modification with diet and exercise Atorvastatin 20mg daily Atorvastatin 8
ms ms ms ms ms ms ms ms ms ms ms



0 mg daily Fenofibrate
ms ms ms




ANSWER

Atorvastatin 80 mg daily ms ms ms




QUESTION 2 ms




An S3 finding on cardiac auscultation of a 59 year old patient may indicate what? Nor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



mal heart function Mitral valve prolapse Left ventricular hypertrophy Heart failure
ms ms ms ms ms ms ms ms ms ms




ANSWER

Heart failure ms




QUESTION 3 ms




A 65 year old male is diagnosed with Hypertension and has a history of Diabetes. Wh
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



at would be the best first line treatment for this patient? Calcium channel blocker Diu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



retic Ace Inhibitor Beta blocker
ms ms ms ms




ANSWER

Ace Inhibitor
ms




QUESTION 4 ms




What is the main goal for the treatment of HTN? maintain cerebral perfusion prevent
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



target organ damage lower lipids prevent obesity
ms ms ms ms ms ms

,ANSWER

prevent target organ damage ms ms ms




QUESTION 5 ms




Therapeutic lifestyle changes are recommended for a patient with elevated cholesterol
ms ms ms ms ms ms ms ms ms ms



levels. Patient education should include: high fiber diet low protien diet low sodium
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



diet weight training 3 times a week
ms ms ms ms ms ms




ANSWER

high fiber diet ms ms




QUESTION 6 ms




Which of the following Hypertension drugs is most effective in African Americans as w
ms ms ms ms ms ms ms ms ms ms ms ms ms



ell as decreasing stroke risk? beta blockers calicum channel blockers ACE ARB
ms ms ms ms ms ms ms ms ms ms ms




ANSWER

calicum channel blockers ms ms




QUESTION 7 ms




In the presence of diabetes and dyslipidemia, the National Cholesterol Education Prog
ms ms ms ms ms ms ms ms ms ms ms



ram guidelines, set the goal for lipid levels at: LDL < 100, and triglycerides levels < 20
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0 LDL , 160, and triglyceride levels < 240 LDL < 100 and triglyceride levels <180 LDL
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



< 150 and triglyceride levels < 220
ms ms ms ms ms ms




ANSWER

LDL < 100 and triglyceride levels <180
ms ms ms ms ms ms




QUESTION 8 ms




Lipid screening is not recommended for: Children ages 2-8 Children ages 2-
ms ms ms ms ms ms ms ms ms ms ms



8 who have no risk factors Children 12-17 Children who are overweight or obese
ms ms ms ms ms ms ms ms ms ms ms ms ms




ANSWER

Children ages 2-8 who have no risk factors
ms ms ms ms ms ms ms




QUESTION 9 ms




An older adult with COPD develops HTN. Which of the following drugs should the NP
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avoid with this patient? Ace Inhibitor ARB Calcium channel blocker Beta blocker
ms ms ms ms ms ms ms ms ms ms ms

, ANSWER

Beta blocker ms




QUESTION 10 ms




A patient has been prescribed lisinopril 5mg PO qd for hypertension. He has develope
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d in intractable cough that is unrelated to worsening of his health or heart failure. W
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



hich of the following medications can be substituted for this medication? Calcium chan
ms ms ms ms ms ms ms ms ms ms ms ms



nel blocker Ace inhibitor Angiotensin II Receptor Blocker (ARB) Digoxin
ms ms ms ms ms ms ms ms ms




ANSWER

Angiotensin II Receptor Blocker (ARB) ms ms ms ms




QUESTION 11 ms




A patient with coronary artery disease has a cholesterol of 278, LDL 160, and triglyce
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ride level of 300. He is prescribed therapy with lovastatin (Mevacor) 20 mg daily. He
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should be instructed to take it every am in the evening at noon after meals 30 minute
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



s before breakfast
ms ms




ANSWER

in the evening
ms ms




QUESTION 12 ms




When inspecting the precordium, the FNP is checking for: scars and anatomic landmar
ms ms ms ms ms ms ms ms ms ms ms ms



ks pulsations and heaves heaves and cardiac dullness pericardial friction rubs and lift
ms ms ms ms ms ms ms ms ms ms ms ms



s
ANSWER

pulsations and heaves ms ms




QUESTION 13 ms




According to JNC 8 guidelines, which of the following is an appropriate blood pressure
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goal for a 65 year old male without commodities? <150/90 <140/90 <130/80 <140/8
ms ms ms ms ms ms ms ms ms ms ms ms ms



0
ANSWER

<150/90



QUESTION 14 ms