NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
Your 50 year-old male African American (AA) patient was found to have a blood pressure of 160/96 upon
arrival to your clinic. He does not have any other medical conditions. For the following 24 hours of self-
reported vital signs, it remained between 160-170 systolic and 90-100 diastolic without treatment. After
finding all basic metabolic panel (BMP) lab values to be within normal limits, your first choice of
antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - (ANSWER)amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also has a diagnosis of
polycythemia vera and has regular phlebotomies for management. Which of the following statements
about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - (ANSWER)He should avoid dietary iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified from a hospitalist that
your long-term patient with a history of HFrEF (heart failure with reduced ejection fraction) with an
ejection fraction of 40% two years ago who is also not on optimal medical therapy has been diagnosed
with a myocardial infarction this admission and received emergent placement of a drug-eluting stent to
the left anterior descending artery. As the patient's medical home who will manage this patient after
discharge, which of the following would you expect to be a priority in the patient's care for their heart
failure after an acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
,NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than 45% -
(ANSWER)Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness and
slurred speech. What is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - (ANSWER)Stroke
A 55 year-old female patient with no previous cardiac history and no family history of hyperlipidemia
with an acute myocardial infarction is treated successfully with a drug-eluting stent during a recent
hospitalization. As their long-term care provider, you anticipate they were most likely to be also started
on which of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - (ANSWER)High intensity statin therapy
Which of the following medications is not considered part of optimal medical therapy for a 54 year-old
male patient with a diagnosis of heart failure with reduced ejection fraction (HFrEF) with an EF of 30%,
known coronary artery disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - (ANSWER)Diltiazem (Cardizem)
,NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
An older adult with diabetes mellitus presents with leg cramps. She states that the cramps were worst
when walking to the supermarket. If she stops to rest, the pain subsides. The nurse practitioner knows
that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - (ANSWER)Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary artery disease and heart
failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - (ANSWER)Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5 minutes and occurring
3-5 times daily. The patient describes a substernal flip-flop sensation with a sudden rapid heart rate,
ending with a forceful beat. Holter monitoring would most likely document:
Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - (ANSWER)Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
, NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
African Americans - (ANSWER)Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She states that she doesn't
feel like herself. A diagnosis of hypothyroidism is suspected. Which of the following physical findings
would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - (ANSWER)Dry skin, bradycardia, and hypoactive deep tendon
reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request to discuss
medication management. Current medications include metformin (Glucophage), 1000 mg twice daily,
sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4%
[normal = less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL].
Which of the following regimens should the nurse practitioner recommend?
Basal insulin only, continuing oral medications
Switching to glargine (Lantus)
Basal and rapid-acting insulin
Rapid-acting insulin only, continuing oral medications - (ANSWER)Basal and rapid-acting insulin
Patients on levothyroxine should be monitored for signs of which one of the following:
Angina pectoris and dysrhythmias
Increased constipation and cramping
Focal deficits and hyperreflexia
Pedal edema and discomfort - (ANSWER)Angina pectoris and dysrhythmias
solutions |Questions with Correct Answers 2025 latest update!!
Your 50 year-old male African American (AA) patient was found to have a blood pressure of 160/96 upon
arrival to your clinic. He does not have any other medical conditions. For the following 24 hours of self-
reported vital signs, it remained between 160-170 systolic and 90-100 diastolic without treatment. After
finding all basic metabolic panel (BMP) lab values to be within normal limits, your first choice of
antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - (ANSWER)amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also has a diagnosis of
polycythemia vera and has regular phlebotomies for management. Which of the following statements
about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - (ANSWER)He should avoid dietary iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified from a hospitalist that
your long-term patient with a history of HFrEF (heart failure with reduced ejection fraction) with an
ejection fraction of 40% two years ago who is also not on optimal medical therapy has been diagnosed
with a myocardial infarction this admission and received emergent placement of a drug-eluting stent to
the left anterior descending artery. As the patient's medical home who will manage this patient after
discharge, which of the following would you expect to be a priority in the patient's care for their heart
failure after an acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
,NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than 45% -
(ANSWER)Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness and
slurred speech. What is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - (ANSWER)Stroke
A 55 year-old female patient with no previous cardiac history and no family history of hyperlipidemia
with an acute myocardial infarction is treated successfully with a drug-eluting stent during a recent
hospitalization. As their long-term care provider, you anticipate they were most likely to be also started
on which of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - (ANSWER)High intensity statin therapy
Which of the following medications is not considered part of optimal medical therapy for a 54 year-old
male patient with a diagnosis of heart failure with reduced ejection fraction (HFrEF) with an EF of 30%,
known coronary artery disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - (ANSWER)Diltiazem (Cardizem)
,NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
An older adult with diabetes mellitus presents with leg cramps. She states that the cramps were worst
when walking to the supermarket. If she stops to rest, the pain subsides. The nurse practitioner knows
that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - (ANSWER)Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary artery disease and heart
failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - (ANSWER)Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5 minutes and occurring
3-5 times daily. The patient describes a substernal flip-flop sensation with a sudden rapid heart rate,
ending with a forceful beat. Holter monitoring would most likely document:
Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - (ANSWER)Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
, NR 667 Practice Exam Week 2 Exam Questions & Answers | 100% Verified
solutions |Questions with Correct Answers 2025 latest update!!
African Americans - (ANSWER)Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She states that she doesn't
feel like herself. A diagnosis of hypothyroidism is suspected. Which of the following physical findings
would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - (ANSWER)Dry skin, bradycardia, and hypoactive deep tendon
reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request to discuss
medication management. Current medications include metformin (Glucophage), 1000 mg twice daily,
sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4%
[normal = less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL].
Which of the following regimens should the nurse practitioner recommend?
Basal insulin only, continuing oral medications
Switching to glargine (Lantus)
Basal and rapid-acting insulin
Rapid-acting insulin only, continuing oral medications - (ANSWER)Basal and rapid-acting insulin
Patients on levothyroxine should be monitored for signs of which one of the following:
Angina pectoris and dysrhythmias
Increased constipation and cramping
Focal deficits and hyperreflexia
Pedal edema and discomfort - (ANSWER)Angina pectoris and dysrhythmias
