NR 603 Week 3 Assignment Full Grand Rounds Case
Study +Acute Bronchitis 2025/2026 Graded A+
An 82 year old obese female patient presents to the clinic complaining of gradually
increasing shortness of breath, weight gain of 4 pounds in the last week and atrial
fibrillation on EKG. The most likely cause of her symptoms is:
a. pulmonary edema.
b. left sided heart failure.
c. right sided heart failure.
d. asthma exacerbation. - ANS-c. right sided heart failure.
Which group of medications would be detrimental if used to treat a patient who has
heart failure?
a. ACEIs
b. Calcium channel blockers
c. Diuretics
d. Beta blockers - ANS-b. Calcium channel blockers
A patient with hypertension has been diagnosed with gout. Which home medication may
have contributed to this episode of gout?
a. Verapamil
b. Metoprolol
c. Lisinopril
d. Furosemide - ANS-d. Furosemide
What group of BP medications should be discontinued immediately if pregnancy
occurs?
a. Calcium channel blockers
b. Loop diuretics
c. ACEIs
d. Beta blockers - ANS-c. ACEIs
What are the classic symptoms of DVT?
a. Heaviness in legs, burning and throbbing, muscle cramps
b. Swelling, pain, and discoloration in lower extremity
c. Leg numbness or weakness, coldness in feet, pain and cramping in leg and buttocks
d. Leg pain with walking, numbness and tingling in legs, pain in buttocks - ANS-b.
Swelling, pain, and discoloration in lower extremity
Why are the carotid arteries assessed for bruit?
a. It is indicative of generalized atherosclerosis.
b. To listen for a pulse
c. To assess heart rhythm
d. To determine risk of stroke - ANS-a. It is indicative of generalized atherosclerosis.
What is a common side effect of thiazide diuretics in males?
, a. Ringing in the ears
b. Frequent urination
c. Erectile dysfunction
d. Hypokalemia - ANS-c. Erectile dysfunction
An older adult who has hypertension also has osteoporosis. Which antihypertensive
agent would have the secondary effect of improving her osteoporosis?
a. ACEIs
b. Beta blockers
c. Calcium channel blockers
d. Thiazide diuretics - ANS-d. Thiazide diuretics
In older adults, the three most common ailments are:
a. Lung cancer, heart disease, COPD
b. Arthritis, asthma, osteoporosis
c. Hearing loss, hypertension, arthritis
d. Hypertension, heart disease, arthritis - ANS-c. Hearing loss, hypertension, arthritis
An older adult has renal insufficiency, hypertension, osteoarthritis, hypothyroidism, and
varicose veins. Which medication should be avoided?
a. Acetaminophen
b. Beta blockers
c. NSAIDs
d. Low dose aspirin - ANS-c. NSAIDs
Mr. Brown, a 45-year-old African American male, has elevated lipids. What should the
nurse practitioner do next?
a. Prescribe a statin daily.
b. Check a thyroid stimulating hormone (TSH) level.
c. Check a second measurement to confirm diagnosis.
d. Order a stress test. - ANS-b. Check a thyroid stimulating hormone (TSH) level.
Which of the following medications may have an unfavorable effect on a hypertensive
patient's blood pressure?
a. Lovastatin
b. Naproxen
c. Inhaled fluticasone
d. Amoxicillin - ANS-b. Naproxen
The correlation between blood pressure and age greater than 60 years is that as age
increases:
a. As age increases, blood pressure lowers.
b. As age increases, systolic blood pressure rises, diastolic blood pressure stays the
same.
c. As age increases, both systolic and diastolic blood pressures stay the same.
Study +Acute Bronchitis 2025/2026 Graded A+
An 82 year old obese female patient presents to the clinic complaining of gradually
increasing shortness of breath, weight gain of 4 pounds in the last week and atrial
fibrillation on EKG. The most likely cause of her symptoms is:
a. pulmonary edema.
b. left sided heart failure.
c. right sided heart failure.
d. asthma exacerbation. - ANS-c. right sided heart failure.
Which group of medications would be detrimental if used to treat a patient who has
heart failure?
a. ACEIs
b. Calcium channel blockers
c. Diuretics
d. Beta blockers - ANS-b. Calcium channel blockers
A patient with hypertension has been diagnosed with gout. Which home medication may
have contributed to this episode of gout?
a. Verapamil
b. Metoprolol
c. Lisinopril
d. Furosemide - ANS-d. Furosemide
What group of BP medications should be discontinued immediately if pregnancy
occurs?
a. Calcium channel blockers
b. Loop diuretics
c. ACEIs
d. Beta blockers - ANS-c. ACEIs
What are the classic symptoms of DVT?
a. Heaviness in legs, burning and throbbing, muscle cramps
b. Swelling, pain, and discoloration in lower extremity
c. Leg numbness or weakness, coldness in feet, pain and cramping in leg and buttocks
d. Leg pain with walking, numbness and tingling in legs, pain in buttocks - ANS-b.
Swelling, pain, and discoloration in lower extremity
Why are the carotid arteries assessed for bruit?
a. It is indicative of generalized atherosclerosis.
b. To listen for a pulse
c. To assess heart rhythm
d. To determine risk of stroke - ANS-a. It is indicative of generalized atherosclerosis.
What is a common side effect of thiazide diuretics in males?
, a. Ringing in the ears
b. Frequent urination
c. Erectile dysfunction
d. Hypokalemia - ANS-c. Erectile dysfunction
An older adult who has hypertension also has osteoporosis. Which antihypertensive
agent would have the secondary effect of improving her osteoporosis?
a. ACEIs
b. Beta blockers
c. Calcium channel blockers
d. Thiazide diuretics - ANS-d. Thiazide diuretics
In older adults, the three most common ailments are:
a. Lung cancer, heart disease, COPD
b. Arthritis, asthma, osteoporosis
c. Hearing loss, hypertension, arthritis
d. Hypertension, heart disease, arthritis - ANS-c. Hearing loss, hypertension, arthritis
An older adult has renal insufficiency, hypertension, osteoarthritis, hypothyroidism, and
varicose veins. Which medication should be avoided?
a. Acetaminophen
b. Beta blockers
c. NSAIDs
d. Low dose aspirin - ANS-c. NSAIDs
Mr. Brown, a 45-year-old African American male, has elevated lipids. What should the
nurse practitioner do next?
a. Prescribe a statin daily.
b. Check a thyroid stimulating hormone (TSH) level.
c. Check a second measurement to confirm diagnosis.
d. Order a stress test. - ANS-b. Check a thyroid stimulating hormone (TSH) level.
Which of the following medications may have an unfavorable effect on a hypertensive
patient's blood pressure?
a. Lovastatin
b. Naproxen
c. Inhaled fluticasone
d. Amoxicillin - ANS-b. Naproxen
The correlation between blood pressure and age greater than 60 years is that as age
increases:
a. As age increases, blood pressure lowers.
b. As age increases, systolic blood pressure rises, diastolic blood pressure stays the
same.
c. As age increases, both systolic and diastolic blood pressures stay the same.
