All APEA EXAM 201 PAGES – PACKAGE Questions & Answers Test bank

All APEA EXAM – PACKAGE Questions & Answers Test bank Stuvia Is Available For Download After Purchase. In Case You Encounter Any Difficulties With The Download, Please Feel Free To Reach Out To Me. I Will Promptly Send It To You Through Google Doc or Email. Thank You APEA EXAMs Test bank-with 100%. verified answers-2022. Cardiovascular Disorders Benazepril should be discontinued immediately if: pregnancy occurs. A patient is diagnosed with mild heart failure (HF). What drug listed below would be a good choice for reducing morbidity and mortality long term? Metoprolol A patient taking an ACE inhibitor should avoid: potassium supplements. An 87-year-old has history of symptomatic heart failure. He presents today with lower extremity edema and mild shortness of breath with exertion. In addition to a diuretic for volume overload, what other medication should he receive today? ACE inhibitor A 42-year-old hypertensive patient was given a thiazide diuretic 4 weeks ago for treatment of primary hypertension. On his return visit today, he reports feeling weak and tired. What should the NP consider to evaluate the weakness and fatigue? Potassium level Which class of medication is frequently used to improve long- term outcomes in patients with systolic dysfunction? ACE inhibitors Orthostatic hypotension can be diagnosed in an older adult if the systolic blood pressure decreases: more than 20 points within 3 minutes after rising. A 74-year-old patient has peripheral artery disease (PAD). Which item listed below is an important nonmodifiable risk factor for PAD? Diabetes The lipid particle with the greatest atherogenic effect is: LDL. Which medication could potentially exacerbate heart failure (HF)? Naproxen Where would the murmur associated with mitral regurgitation best be auscultated? Mitral listening point A 43-year-old Hispanic male has an audible diastolic murmur best heard in the mitral listening point. There is no audible click. His status has been monitored for the past 2 years. This murmur is probably: mitral stenosis. An independent 82-year-old male patient is very active but retired last year. His total cholesterol and LDLs are moderately elevated. How should the NP approach his lipid elevation? Treatment is based on expected length of life A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with rest. When specifically asked about the pain in his lower leg, he likely will report pain: in the calf muscle. A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. He has developed development of heart failure (HF). dyspnea on exertion and peripheral edema over the past several days. This probably indicates: An ACE inhibitor is specifically indicated in patients who have: hypertension, diabetes with proteinuria, heart failure. The correlation between blood pressure and age greater than 60 years is that as age increases: diastolic blood pressure decreases. A 77-year-old patient has had an increase in blood pressure since the last exam. The blood pressure readings are provided. If medication is to be started on this patient, what would be a good first choice? Calcium channel blocker Mrs. Brandy is having contrast dye next week for a heart catheterization. What drug does NOT need to be stopped prior to her catheterization? Losartan Older adults have a unique blood pressure pattern. Which blood pressure reading below reflects this pattern? 160/60 mmHg A 91-year-old female with longstanding history of chronic heart failure has renal and liver studies that have slowly worsened over the past year. This probably indicates: target organ damage secondary to heart failure. The usual clinical course of mitral valve prolapse: is benign. Which antibiotic should be used with caution if an older patient has cardiac conduction issues? Ciprofloxacin A patient with aortic stenosis has been asymptomatic for decades. On routine exam, he states that he has had some dizziness associated with activity but no chest pain or shortness of breath. The best course of action for the nurse practitioner is to: refer to cardiology. The nurse practitioner is caring for an independent 74-year-old female who had acute coronary syndrome (ACS) about 6 weeks ago. What medications should be part of her regimen unless there is a contraindication? ACE, ASA, beta blocker, and statin Which hypertensive patient is most likely to have adverse blood pressure effects from excessive sodium consumption? 70-year-old African American male A common side effect of thiazide diuretics is: erectile dysfunction. The carotid arteries are auscultated for bruits because: this is indicative of generalized atherosclerosis. Which choice below would be the best choice for an 80-year-old patient whose blood pressure is 172/72 mm Hg? Amlodipine Which item below represents the best choice of antihypertensive agents for the indicated patient? Lisinopril in a 35-year-old Caucasian male A patient with hypertension has been diagnosed with gout. Which home medication may have contributed to this episode of gout? Furosemide You are managing the warfarin dose for an older adult with a prosthetic heart valve. Which situation listed requires that warfarin be discontinued now? INR of 8, no significant bleeding Which of the following medications may have an unfavorable effect on a hypertensive patient's blood pressure? Naproxen Which study would be most helpful in evaluating the degree of hypertrophy of the atrium or ventricle? Echocardiography A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI): 5th ICS, left of MCL. Drugs that target the renin-angiotensin-aldosterone system are particularly beneficial in patients who have: diabetic nephropathy. A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness, and muscle aches in his lower back, arms, and legs for the past three days. It has not improved with rest. How should this be evaluated? Stop the atorvastatin immediately. How often should lipids be screened in patients who are 65 years and older if they have lipid disorders or cardiovascular risk factors? Annually A patient who takes HCTZ 25 mg daily has complaints of muscle cramps. He probably has: hypokalemia. An older adult has renal insufficiency, hypertension, osteoarthritis, hypothyroidism, and varicose veins. Which medication should be avoided? NSAIDs An immune response to Group A Streptococcal infections involving the heart is: rheumatic fever. Warfarin treatment is greatly influenced by a patient's food and medication intake. Which group listed can potentially decrease INR (International Normalized Ratio) in an outpatient who takes warfarin? Sucralfate and cholestyramine A patient with newly diagnosed heart failure has started fosinopril in the last few days. She has developed a cough. What clinical finding can help distinguish the etiology of the cough as heart failure and not related to fosinopril? It is wet and worse with recumbence. You have been asked to evaluate a heart murmur in a pregnant patient. Can a 3D echocardiogram be safely used to evaluate her? Yes, this is perfectly safe. A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as