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1. What is the sodium limit for a hypertensive patient? - Correct Answer:
1,500 mg/day
2. Alcohol recommendations for men? - Correct Answer: 2 drinks or less
per day
3. Alcohol recommendations for women? - Correct Answer: 1 drink or less
per day
4. A male patient comes into to the office with no past medical history. He has
only taking Advil cold and sinus daily. He is having elevated blood pressure.
What do you recommend?
A. Stop the Advil cold and sinus for a week and log BP
B. Start BP medication
C. Send the patient home since it's White Coat HTN
D. Replace the sinus medication with another - Correct Answer: A.
Stop the Advil cold and sinus for a week and log BP
5. You exam a 79 year old woman with along standing poorly controlled
hypertension, when evaluating her for hypertensive target organ damage
you look for evidence of:
, A. High blood glucose
B. Increased energy
C. Asthma or COPD
D. Left Ventricular Hypertrophy - Correct Answer: D. Left Ventricular
Hypertrophy
Shortness of breath, chest pain, palpitations, dizziness or fainting, fatigue
6. Which of the following are considered Stage I HTN? (ACC/AHA)
A. SBP < 120 DBP < 80
B. SBP 120 - 129 DBP < 80
C. SBP 130 - 139 DBP 80 - 89
D. SBP greater than or equal to 140 DBP greater than or equal to 90 -
Correct Answer: C. SBP 130 - 139 DBP 80 - 89
7. Which of the following are considered Stage 2 HTN? (ACC/AHA)
A. SBP < 120 DBP < 80
B. SBP 120 - 129 DBP < 80
C. SBP 130 - 139 DBP 80 - 89
D. SBP greater than or equal to 140 DBP greater than or equal to 90 -
Correct Answer: D. SBP greater than or equal to 140 DBP greater
than or equal to 90
8. Caroline comes in. This is her third time coming in with an elevated blood
pressure greater than 130/80. Today's BP is 136/84. Under what
circumstances would you initiated anti HTN treatment? (ACC/AHA)
A. If the patient had an additional 4th elevated BP reading
B. If the patient has diabetes
C. If the patient has Atrial Fibrillation
D. Of the patient had ASCVD risk of < 10% - Correct Answer: C. If the
patient has Atrial Fibrillation
, Treatment should be initiated if the patient has clinical cardiovascular
disease
9. Bobby comes in. This is her third time coming in with an elevated blood
pressure greater than 140/90. Today's BP is 146/94. Under what
circumstances would you initiated anti HTN treatment? (ACC/AHA)
A. If the patient had an additional 4th elevated BP reading
B. If the patient has diabetes
C. If the patient has Atrial Fibrillation
D. Of the patient had ASCVD risk of > 10% - Correct Answer: D. Of
the patient had ASCVD risk of > 10%
10.A patient that's been off his meds for 2 to 4 months. The BP is currently
168/112. The patient has no signs of target organ damage. What should the
NP do next?
A. Have him come in for ambulatory monitoring
B. Refer to Emergency Department
C. Start patient on new BP meds
D. Create a plan for patient to start the DASH diet - Correct Answer:
C. Start patient on new BP meds
11.A 69 year old male comes in as is diagnosed with HTN. According to the JNC
8 guidelines, which one of the following is his target BP?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90 - Correct Answer: D. < 150/90
, 12.A 58 year old male comes in as is diagnosed with HTN. According to the JNC
8 guidelines, which one of the following is his target BP?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90 - Correct Answer: C. < 140/90
13.A patient 21 years old has type II DM and HTN. According to the JNC 8
guidelines, which one of the following is his target BP?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90 - Correct Answer: C. < 140/90
14.A family history of premature heart disease should always be elicited and
documented in the diagnosis list as its significant risk factor for heart
disease. It's is defined as:
Males < __ years old
Females < __ years old - Correct Answer: Males < 55 years old
Females < 65 years old
15.What is the role of ABPM (Ambulatory Blood Pressure Monitoring)? -
Correct Answer: ABPM plays a crucial role is diagnosing and managing HTN
by providing a comprehensive 24 hour view of blood pressure fluctuations
during a patients normal daily activities
16.How long should a patient do ABPM out of the office?