Nurs 5334 Advanced Pharmacology Test
2 Exam With 100% Correct Answers
2023
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination is unremarkable.
Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium
ion measurements and urin - Correct Answer-B
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
provider indicates that her BP has been in the range for
the past 12 month - Correct Answer-A
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. - Correct Answer-C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
,B. uric acid.
C. creatinine.
D. potassium. - Correct Answer-B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol. - Correct Answer-D
Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI - Correct Answer-6. C.
7. B.
8. E.
9. D.
10. A.
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
,D. calcium channel blocker - Correct Answer-D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI. - Correct Answer-C
In obtaining an office BP measurement, which of the
following is most reflective of the best practice?
A. The patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the
reading.
B. The BP cuff should not cover more than 50% of the
upper arm.
C. The patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommende - Correct Answer-A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo - Correct Answer-C
The most important long-term goal of treating
hypertension is to:
A. strive to reach recommended numeric
BP measurement.
B. avoid disease-related target organ damage.
C. develop a plan of care with minimal adverse effects.
D. treat concomitant health problems often noted in
the person with this condition. - Correct Answer-B
You start a patient with hypertension who is already
receiving an ACEI on spironolactone. You advise the
patient to return in 4 weeks to check which of the
following laboratory parameters?
A. sodium
B. calcium
C. potassium
, D. chloride - Correct Answer-C
A 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of maximal impulse at fifth
intercostal space, mid-clavicular line. Which of the
following represents the best intervention?
A. Initiate therapy with metoprolol.
B. Initiate therapy with hydrochloroth - Correct Answer-B
Which of the following can have a favorable effect
on a comorbid condition in a person with
hypertension?
A. chlorthalidone in gout
B. propranolol with airway disease
C. aldosterone antagonist in heart failure
D. methyldopa in an older adult - Correct Answer-C
According to JNC-8 guidelines, all of the following
medications are first-line agents for use in a
middle-aged white man without diabetes
mellitus except:
A. lisinopril.
B. hydrochlorothiazide.
C. metoprolol.
D. amlodipine. - Correct Answer-C
You see a 59-year-old man with poorly controlled
hypertension. On physical examination, you note
grade 1 hypertensive retinopathy. You anticipate all
of the following will be present except:
A. patient report of acute visual change.
B. narrowing of the terminal arterioles.
C. sharp optic disc borders.
D. absence of retinal hemorrhage. - Correct Answer-A
According to JNC-8, a 52-year-old well woman
with a healthy BMI whose blood pressure is
consistently 130-135/82-86 mm Hg is considered
to have:
A. normal blood pressure.
B. hypertension requiring therapy with a calcium
channel blocker (CCB).
2 Exam With 100% Correct Answers
2023
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination is unremarkable.
Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium
ion measurements and urin - Correct Answer-B
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
provider indicates that her BP has been in the range for
the past 12 month - Correct Answer-A
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. - Correct Answer-C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
,B. uric acid.
C. creatinine.
D. potassium. - Correct Answer-B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol. - Correct Answer-D
Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI - Correct Answer-6. C.
7. B.
8. E.
9. D.
10. A.
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
,D. calcium channel blocker - Correct Answer-D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI. - Correct Answer-C
In obtaining an office BP measurement, which of the
following is most reflective of the best practice?
A. The patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the
reading.
B. The BP cuff should not cover more than 50% of the
upper arm.
C. The patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommende - Correct Answer-A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo - Correct Answer-C
The most important long-term goal of treating
hypertension is to:
A. strive to reach recommended numeric
BP measurement.
B. avoid disease-related target organ damage.
C. develop a plan of care with minimal adverse effects.
D. treat concomitant health problems often noted in
the person with this condition. - Correct Answer-B
You start a patient with hypertension who is already
receiving an ACEI on spironolactone. You advise the
patient to return in 4 weeks to check which of the
following laboratory parameters?
A. sodium
B. calcium
C. potassium
, D. chloride - Correct Answer-C
A 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of maximal impulse at fifth
intercostal space, mid-clavicular line. Which of the
following represents the best intervention?
A. Initiate therapy with metoprolol.
B. Initiate therapy with hydrochloroth - Correct Answer-B
Which of the following can have a favorable effect
on a comorbid condition in a person with
hypertension?
A. chlorthalidone in gout
B. propranolol with airway disease
C. aldosterone antagonist in heart failure
D. methyldopa in an older adult - Correct Answer-C
According to JNC-8 guidelines, all of the following
medications are first-line agents for use in a
middle-aged white man without diabetes
mellitus except:
A. lisinopril.
B. hydrochlorothiazide.
C. metoprolol.
D. amlodipine. - Correct Answer-C
You see a 59-year-old man with poorly controlled
hypertension. On physical examination, you note
grade 1 hypertensive retinopathy. You anticipate all
of the following will be present except:
A. patient report of acute visual change.
B. narrowing of the terminal arterioles.
C. sharp optic disc borders.
D. absence of retinal hemorrhage. - Correct Answer-A
According to JNC-8, a 52-year-old well woman
with a healthy BMI whose blood pressure is
consistently 130-135/82-86 mm Hg is considered
to have:
A. normal blood pressure.
B. hypertension requiring therapy with a calcium
channel blocker (CCB).
