NR 661-Cardiovascular Exam Prep
NR 661-CARDIOVASCULAR EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Mr. Holbrook, a 75 year-old male, is a former smoker. He has come in today for an
annual exam. He walks daily for 25 minutes, has had intentional weight loss, and
has a near normal BMI. On examination, the patient is noted to have an absence
of hair growth on his lower legs. Which statement is true regarding this patient?
a. this is a normal concequence of aging
b. this might indicate disease in the lower extremities
c. it might be from exercise initiation
d. this is secondary to long term smoking - Correct Answer-b. this might indicate
disease in the lower extremities
A 75 year old has isolated systolic hypertension. She started on amlodipine 4
weeks ago. She states that since then, she has developed urinary incontinence.
What is the NP's assessment?
a. this is unrelated to her new medication
b. this is coincidental
c. she may have underlying urinary tract pathology
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, NR 661-Cardiovascular Exam Prep
d. it is probably related to amlodipine - Correct Answer-d. it is probably related to
amlodipine
Pharmacologic treatment for older adults with hypertension should be initiated:
a. only if there is a life expectancy of 10 years or more
b. for any type of hypertension
c. without regard to lifestyle modification
d. only for those who are symptomatic - Correct Answer-b. for any type of
hypertension
Which test below is most cost-effective to screen for abdominal aortic aneurysm?
a. CT of abdomen
b. MRI of the abdomen
c. abdominal ultrasound
d. two handed palpation test - Correct Answer-c. abdominal ultrasound
A patient who has mitral valve prolapse (MVP) reports chest pain and frequent
arrhythmia's. In the absence of other underlying cardiac anomalies, the drug of
choice to treat her symptoms is:
a. lisinopril
b. metoprolol
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, NR 661-Cardiovascular Exam Prep
c. amlodipine
d. chlorthalidone - Correct Answer-b. metoprolol
Mr. Smith is a 72 year-old patient who takes warfarin for chronic atrial fibrillation.
Today his INR is 4.0. His CBC is normal :
a. stop the warfarin for the next 4 days and repeat the iNR on day 5
b. admit to the hospital immediately
c. administer vitamin K and repeat INR in 2 hours
d. stop the warfarin today and repeat the INR tomorrow - Correct Answer-d. stop
the warfarin today and repeat the INR tomorrow
An ACE inhibitor is specifically indicated in patients who have:
a. hypertension, diabetes with proteinuria, heart failure.
b. diabetes, hypertension, hyperlipidemia.
c. asthma, hypertension, diabetes
d. renal nephropathy, heart failure, hyperlipidemia. - Correct Answer-a.
hypertension, diabetes with proteinuria, heart failure.
The major difference between varicose veins and arteriosclerosis is the:
a. limbs affected
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, NR 661-Cardiovascular Exam Prep
b. gender affected
c. vessels affected
d. degree of pain - Correct Answer-c. vessels affected
The most common arrhythmia resulting from valvular heart disease is:
a. atrial fibrillation
b. paroxysmal supra-ventricular tachycardia
c. ventricular fibrillation
d. heart block - Correct Answer-a. atrial fibrillation
Older adults have a unique blood pressure pattern. Which blood pressure reading
below reflects this pattern?
a. 100/50
b. 140/100
c. 160/60
d. 160/100 - Correct Answer-c. 160/60
A patient has had poorly controlled hypertension for more than 10 years. Indicate
the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
4|Page
NR 661-CARDIOVASCULAR EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Mr. Holbrook, a 75 year-old male, is a former smoker. He has come in today for an
annual exam. He walks daily for 25 minutes, has had intentional weight loss, and
has a near normal BMI. On examination, the patient is noted to have an absence
of hair growth on his lower legs. Which statement is true regarding this patient?
a. this is a normal concequence of aging
b. this might indicate disease in the lower extremities
c. it might be from exercise initiation
d. this is secondary to long term smoking - Correct Answer-b. this might indicate
disease in the lower extremities
A 75 year old has isolated systolic hypertension. She started on amlodipine 4
weeks ago. She states that since then, she has developed urinary incontinence.
What is the NP's assessment?
a. this is unrelated to her new medication
b. this is coincidental
c. she may have underlying urinary tract pathology
1|Page
, NR 661-Cardiovascular Exam Prep
d. it is probably related to amlodipine - Correct Answer-d. it is probably related to
amlodipine
Pharmacologic treatment for older adults with hypertension should be initiated:
a. only if there is a life expectancy of 10 years or more
b. for any type of hypertension
c. without regard to lifestyle modification
d. only for those who are symptomatic - Correct Answer-b. for any type of
hypertension
Which test below is most cost-effective to screen for abdominal aortic aneurysm?
a. CT of abdomen
b. MRI of the abdomen
c. abdominal ultrasound
d. two handed palpation test - Correct Answer-c. abdominal ultrasound
A patient who has mitral valve prolapse (MVP) reports chest pain and frequent
arrhythmia's. In the absence of other underlying cardiac anomalies, the drug of
choice to treat her symptoms is:
a. lisinopril
b. metoprolol
2|Page
, NR 661-Cardiovascular Exam Prep
c. amlodipine
d. chlorthalidone - Correct Answer-b. metoprolol
Mr. Smith is a 72 year-old patient who takes warfarin for chronic atrial fibrillation.
Today his INR is 4.0. His CBC is normal :
a. stop the warfarin for the next 4 days and repeat the iNR on day 5
b. admit to the hospital immediately
c. administer vitamin K and repeat INR in 2 hours
d. stop the warfarin today and repeat the INR tomorrow - Correct Answer-d. stop
the warfarin today and repeat the INR tomorrow
An ACE inhibitor is specifically indicated in patients who have:
a. hypertension, diabetes with proteinuria, heart failure.
b. diabetes, hypertension, hyperlipidemia.
c. asthma, hypertension, diabetes
d. renal nephropathy, heart failure, hyperlipidemia. - Correct Answer-a.
hypertension, diabetes with proteinuria, heart failure.
The major difference between varicose veins and arteriosclerosis is the:
a. limbs affected
3|Page
, NR 661-Cardiovascular Exam Prep
b. gender affected
c. vessels affected
d. degree of pain - Correct Answer-c. vessels affected
The most common arrhythmia resulting from valvular heart disease is:
a. atrial fibrillation
b. paroxysmal supra-ventricular tachycardia
c. ventricular fibrillation
d. heart block - Correct Answer-a. atrial fibrillation
Older adults have a unique blood pressure pattern. Which blood pressure reading
below reflects this pattern?
a. 100/50
b. 140/100
c. 160/60
d. 160/100 - Correct Answer-c. 160/60
A patient has had poorly controlled hypertension for more than 10 years. Indicate
the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
4|Page
