FNP 2 EXAM 3 2026 PRACTICE TEST SHEET
FULL SOLUTIONS CORRECT ANSWERS
GUARANTEED PASS
◉ What is primary HTN?
Answer: high BP that has no identifiable etiology after a thorough
clinical examination excludes possible secondary causes
◉ What is significant about HTN and women taking OC?
Answer: 2-3x more common in women taking OCs
◉ Who does secondary HTN most commonly affect?
Answer: Younger adults due to identifiable underlying cause
◉ What is gestational HTN?
Answer: Elevated BP (SBP >140 or DBP >90) after 20 weeks
gestation in a previously normotensive woman (NO proteinuria)
◉ What medications can pregnant women receive for severe HTN
</= 37 weeks gestation?
Answer: Hydralazine
Labetalol
,◉ What medications can pregnant women receive for
mild/moderate HTN </= 37 weeks gestation?
Answer: Methyldopa
Labetalol
Nifedipine
◉ What is the treatment of women >37 weeks gestation with
mild/moderate HTN?
Answer: induction
◉ What is "white coat syndrome"
Answer: BP elevated in office > 140/90 but < 140/90 at home
◉ What is masked HTN?
Answer: < 140/90 in office but > 140/90 at home
◉ What is the difference between hypertensive urgency vs
hypertensive emergency?
Answer: Urgency=asymptomatic with pressures >180 SBP and/or
>110 DBP
,Emergency= symptomatic (acute end organ damage) with pressures
>180 SBP and/or >120 DBP
◉ What is nocturnal HTN?
Answer: > 140/90 while sleeping
◉ What is significant regarding ECG changes with long-standing
HTN?
Answer: LVH due to increase arterial stiffness, increase systolic BP,
wide pulse pressure → decrease coronary perfusion pressures,
increase myocardial oxygen consumption
◉ JNC 8 guidelines
Answer:
◉ ACC/AHA guidelines
Answer:
◉ What is the first line treatment for a BP of 120-129/<80?
Answer: Life style modification
◉ What is the treatment for Stage 1 HTN (130-139/80-89)?
Answer: Assess ASCVD risk
, ● < 10 % → lifestyle changes and reassess in 3-6 months
● > 10 % or patient has known CVD, DM, or CKD → lifestyle changes,
initiate 1 BP medication, reevaluate in 1 month and continue
monthly visit until BP under control
◉ What is the treatment for Stage 2 HTN (>140 or > 90)?
Answer: Lifestyle change, 2 BP lowering agents (different classes),
reassess 1 month and every month until BP under control then
every 3-6 months for maintenance
◉ What is the first line treatment for both ACC/AHA AND JNC-8
guidelines?
Answer: Thiazide, CCB, ACE, or ARB
◉ When does hypertension screening begin in pediatrics?
Answer: Start screening annually for children 3 years and older
◉ How should pediatric HTN be diagnosed?
Answer: HTN should be confirmed by ambulatory BP monitoring
If BP is at least in the 95th percentile on auscultation measurement
at 3 separate office visits
FULL SOLUTIONS CORRECT ANSWERS
GUARANTEED PASS
◉ What is primary HTN?
Answer: high BP that has no identifiable etiology after a thorough
clinical examination excludes possible secondary causes
◉ What is significant about HTN and women taking OC?
Answer: 2-3x more common in women taking OCs
◉ Who does secondary HTN most commonly affect?
Answer: Younger adults due to identifiable underlying cause
◉ What is gestational HTN?
Answer: Elevated BP (SBP >140 or DBP >90) after 20 weeks
gestation in a previously normotensive woman (NO proteinuria)
◉ What medications can pregnant women receive for severe HTN
</= 37 weeks gestation?
Answer: Hydralazine
Labetalol
,◉ What medications can pregnant women receive for
mild/moderate HTN </= 37 weeks gestation?
Answer: Methyldopa
Labetalol
Nifedipine
◉ What is the treatment of women >37 weeks gestation with
mild/moderate HTN?
Answer: induction
◉ What is "white coat syndrome"
Answer: BP elevated in office > 140/90 but < 140/90 at home
◉ What is masked HTN?
Answer: < 140/90 in office but > 140/90 at home
◉ What is the difference between hypertensive urgency vs
hypertensive emergency?
Answer: Urgency=asymptomatic with pressures >180 SBP and/or
>110 DBP
,Emergency= symptomatic (acute end organ damage) with pressures
>180 SBP and/or >120 DBP
◉ What is nocturnal HTN?
Answer: > 140/90 while sleeping
◉ What is significant regarding ECG changes with long-standing
HTN?
Answer: LVH due to increase arterial stiffness, increase systolic BP,
wide pulse pressure → decrease coronary perfusion pressures,
increase myocardial oxygen consumption
◉ JNC 8 guidelines
Answer:
◉ ACC/AHA guidelines
Answer:
◉ What is the first line treatment for a BP of 120-129/<80?
Answer: Life style modification
◉ What is the treatment for Stage 1 HTN (130-139/80-89)?
Answer: Assess ASCVD risk
, ● < 10 % → lifestyle changes and reassess in 3-6 months
● > 10 % or patient has known CVD, DM, or CKD → lifestyle changes,
initiate 1 BP medication, reevaluate in 1 month and continue
monthly visit until BP under control
◉ What is the treatment for Stage 2 HTN (>140 or > 90)?
Answer: Lifestyle change, 2 BP lowering agents (different classes),
reassess 1 month and every month until BP under control then
every 3-6 months for maintenance
◉ What is the first line treatment for both ACC/AHA AND JNC-8
guidelines?
Answer: Thiazide, CCB, ACE, or ARB
◉ When does hypertension screening begin in pediatrics?
Answer: Start screening annually for children 3 years and older
◉ How should pediatric HTN be diagnosed?
Answer: HTN should be confirmed by ambulatory BP monitoring
If BP is at least in the 95th percentile on auscultation measurement
at 3 separate office visits
