1
NURS 5434 HTN QUIZ – Family III FNP 3 Review
2026 \ 25 Verified Questions & Answers |
Grade A Pass Guarantee
1. A 52-year-old man has repeated office blood pressure readings of
146/92 mmHg. Ambulatory blood pressure monitoring average is
138/88 mmHg. According to the 2017 ACC/AHA guidelines, what is his
blood pressure classification?
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C
Rationale: Stage 1 hypertension is defined as systolic 130–139 or
diastolic 80–89 mmHg. His ambulatory average of 138/88 falls into
Stage 1. Stage 2 is ≥140/90. Elevated is systolic 120–129 and diastolic
<80. Normal is <120/80.
2. A 65-year-old African American woman is diagnosed with Stage 1
hypertension without comorbidities. Which medication class is
recommended as first-line initial monotherapy by the ACC/AHA
guidelines for this population?
A. ACE inhibitor
B. Beta-blocker
C. Thiazide diuretic or calcium channel blocker
pg. 1
, 2
D. Alpha-1 blocker
Answer: C
Rationale: In African American adults, thiazide diuretics and calcium
channel blockers are more effective as initial monotherapy because
they lower blood pressure more consistently than ACE inhibitors or
ARBs alone. Beta-blockers are not first-line for uncomplicated
hypertension. Alpha-blockers (D) are not recommended as initial
therapy due to lack of cardiovascular outcome benefit.
3. A 70-year-old man with hypertension, diabetes, and albuminuria has
an eGFR of 45 mL/min/1.73 m². His blood pressure is 148/84 mmHg on
amlodipine 5 mg. Which addition is most likely to provide
renoprotection?
A. Hydrochlorothiazide
B. Lisinopril
C. Metoprolol
D. Clonidine
Answer: B
Rationale: ACE inhibitors or ARBs are first-line in patients with diabetes
and albuminuria (urine albumin-to-creatinine ratio >30 mg/g) because
they reduce proteinuria and slow progression of diabetic kidney
disease. A thiazide (A) has no specific renoprotective effect. Beta-
blockers (C) are not first-line unless there is a cardiac indication.
Clonidine (D) is a later-line agent.
4. A 58-year-old woman with hypertension on lisinopril 20 mg and
amlodipine 5 mg has a BP of 150/90 mmHg. She is adherent to
medications and lifestyle changes. The next appropriate step is:
A. Increase amlodipine to 10 mg.
pg. 2
NURS 5434 HTN QUIZ – Family III FNP 3 Review
2026 \ 25 Verified Questions & Answers |
Grade A Pass Guarantee
1. A 52-year-old man has repeated office blood pressure readings of
146/92 mmHg. Ambulatory blood pressure monitoring average is
138/88 mmHg. According to the 2017 ACC/AHA guidelines, what is his
blood pressure classification?
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C
Rationale: Stage 1 hypertension is defined as systolic 130–139 or
diastolic 80–89 mmHg. His ambulatory average of 138/88 falls into
Stage 1. Stage 2 is ≥140/90. Elevated is systolic 120–129 and diastolic
<80. Normal is <120/80.
2. A 65-year-old African American woman is diagnosed with Stage 1
hypertension without comorbidities. Which medication class is
recommended as first-line initial monotherapy by the ACC/AHA
guidelines for this population?
A. ACE inhibitor
B. Beta-blocker
C. Thiazide diuretic or calcium channel blocker
pg. 1
, 2
D. Alpha-1 blocker
Answer: C
Rationale: In African American adults, thiazide diuretics and calcium
channel blockers are more effective as initial monotherapy because
they lower blood pressure more consistently than ACE inhibitors or
ARBs alone. Beta-blockers are not first-line for uncomplicated
hypertension. Alpha-blockers (D) are not recommended as initial
therapy due to lack of cardiovascular outcome benefit.
3. A 70-year-old man with hypertension, diabetes, and albuminuria has
an eGFR of 45 mL/min/1.73 m². His blood pressure is 148/84 mmHg on
amlodipine 5 mg. Which addition is most likely to provide
renoprotection?
A. Hydrochlorothiazide
B. Lisinopril
C. Metoprolol
D. Clonidine
Answer: B
Rationale: ACE inhibitors or ARBs are first-line in patients with diabetes
and albuminuria (urine albumin-to-creatinine ratio >30 mg/g) because
they reduce proteinuria and slow progression of diabetic kidney
disease. A thiazide (A) has no specific renoprotective effect. Beta-
blockers (C) are not first-line unless there is a cardiac indication.
Clonidine (D) is a later-line agent.
4. A 58-year-old woman with hypertension on lisinopril 20 mg and
amlodipine 5 mg has a BP of 150/90 mmHg. She is adherent to
medications and lifestyle changes. The next appropriate step is:
A. Increase amlodipine to 10 mg.
pg. 2
