WGU Family Nurse Practitioner Assessment
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
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Cardiovascular
1. A 58-year-old male presents with crushing substernal chest pain radiating to
the left arm, diaphoresis, and nausea. Which is the priority action?
,- A) Obtain a 12-lead ECG within 10 minutes
- B) Administer aspirin 325 mg chewed
- C) Start supplemental oxygen
- D) Draw cardiac troponin levels
Answer: A
Rationale: For suspected acute coronary syndrome, the 12-lead ECG is the
priority and should be obtained within 10 minutes of presentation to identify ST-
elevation MI and guide reperfusion decisions. Aspirin, oxygen (if hypoxic), and
troponin are also important but follow the ECG.
2. Which ECG finding is most consistent with hyperkalemia?
- A) Prolonged QT interval
- B) Tall, peaked T waves
- C) U waves
,- D) ST elevation
Answer: B
Rationale: Hyperkalemia classically produces tall, peaked T waves, followed by
widened QRS and eventually a sine wave pattern. U waves and flattened T
waves are associated with hypokalemia.
3. A patient on lisinopril develops a dry, persistent cough. What is the best
management?
- A) Add benzonatate
- B) Discontinue lisinopril and switch to an ARB
- C) Reduce lisinopril dose
- D) Add an inhaled corticosteroid
Answer: B
, Rationale: ACE inhibitor–induced cough is caused by bradykinin accumulation.
Switching to an angiotensin receptor blocker (ARB) avoids this effect while
maintaining renin-angiotensin blockade.
4. Which blood pressure reading meets criteria for stage 2 hypertension
(ACC/AHA)?
- A) 128/78
- B) 135/85
- C) 145/92
- D) 160/105
Answer: D
Rationale: ACC/AHA defines stage 2 hypertension as systolic ≥140 or diastolic
≥90. However, 160/105 clearly falls in stage 2. (Normal <120/80; elevated 120–
129/<80; stage 1 130–139/80–89.)
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
DOWNLOAD PDF
Cardiovascular
1. A 58-year-old male presents with crushing substernal chest pain radiating to
the left arm, diaphoresis, and nausea. Which is the priority action?
,- A) Obtain a 12-lead ECG within 10 minutes
- B) Administer aspirin 325 mg chewed
- C) Start supplemental oxygen
- D) Draw cardiac troponin levels
Answer: A
Rationale: For suspected acute coronary syndrome, the 12-lead ECG is the
priority and should be obtained within 10 minutes of presentation to identify ST-
elevation MI and guide reperfusion decisions. Aspirin, oxygen (if hypoxic), and
troponin are also important but follow the ECG.
2. Which ECG finding is most consistent with hyperkalemia?
- A) Prolonged QT interval
- B) Tall, peaked T waves
- C) U waves
,- D) ST elevation
Answer: B
Rationale: Hyperkalemia classically produces tall, peaked T waves, followed by
widened QRS and eventually a sine wave pattern. U waves and flattened T
waves are associated with hypokalemia.
3. A patient on lisinopril develops a dry, persistent cough. What is the best
management?
- A) Add benzonatate
- B) Discontinue lisinopril and switch to an ARB
- C) Reduce lisinopril dose
- D) Add an inhaled corticosteroid
Answer: B
, Rationale: ACE inhibitor–induced cough is caused by bradykinin accumulation.
Switching to an angiotensin receptor blocker (ARB) avoids this effect while
maintaining renin-angiotensin blockade.
4. Which blood pressure reading meets criteria for stage 2 hypertension
(ACC/AHA)?
- A) 128/78
- B) 135/85
- C) 145/92
- D) 160/105
Answer: D
Rationale: ACC/AHA defines stage 2 hypertension as systolic ≥140 or diastolic
≥90. However, 160/105 clearly falls in stage 2. (Normal <120/80; elevated 120–
129/<80; stage 1 130–139/80–89.)
