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NR 667 Practice Exam Week 2 Questions & Answers.

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NR 667 Practice Exam Week 2 Questions & Answers. 1. Your 50 year-old male African American (AA) patient was found to have a blood pressure of 160/96 upon ar- rival to your clinic. He does not have any other medical conditions. For the following 24 hours of self-reported vital signs, it remained between 160-170 systolic and 90-100 diastolic without treatment. After finding all basic metabolic panel (BMP) lab values to be within normal limits, your first choice of antihypertensive is most likely which of the following agents? carvedilol metoprolol amlodipine lisinopril amlodipine 2. A patient is being followed for type 2 diabetes mellitus He should avoid dietary and hypertension. He also has a diagnosis of poly- cythemia vera and has regular phlebotomies for man- agement. Which of the following statements about this patient is correct? The phlebotomies will improve his glycosylated hemo- globin levels The phlebotomies will increase his blood pressure He should increase dietary iron supplements He should avoid dietary iron supplements 3. As the nurse practitioner working in a primary care clinic, you have been notified from a hospitalist that your long-term patient with a history of HFrEF (heart failure with reduced ejection fraction) with an ejec- tion fraction of 40% two years ago who is also not on optimal medical therapy has been diagnosed with iron supplements Ordering a new transtho- racic echocardiogram and Lifevest if EF is less than 35% a myocardial infarction this admission and received emergent placement of a drug-eluting stent to the left anterior descending artery. As the patient's medical home who will manage this patient after discharge, which of the following would you expect to be a prior- ity in the patient's care for their heart failure after an acute MI? Ordering a Holter monitor for 7 days post-discharge Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35% Ordering aspirin and clopidogrel for 3 months at dis- charge Ordering a new transthoracic echocardiogram and or- der a Lifevest if EF is less than 45% 4. A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness and slurred speech. What is the most likely diagnosis? Stroke Transient ischemic attack (TIA) Myocardial infarction (MI) Seizure 5. A 55 year-old female patient with no previous cardiac history and no family history of hyperlipidemia with an acute myocardial infarction is treated successfully with a drug-eluting stent during a recent hospitaliza- tion. As their long-term care provider, you anticipate they were most likely to be also started on which of the following lipid-lowering agents at discharge? Ezetimibe prior to initiating statin therapy Stroke High intensity statin thera- py PCSK9 inhibitor therapy High intensity statin therapy Moderate intensity statin therapy Which of the following medications is not considered part of optimal medical therapy for a 54 year-old male

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NR 667 Practice Exam Week 2 Questions & Answers.

1. Your 50 year-old male African American (AA)
amlodipine
patient was found to have a blood pressure of
160/96 upon ar- rival to your clinic. He does
not have any other medical conditions. For the
following 24 hours of self-reported vital signs,
it remained between 160-170 systolic and 90-
100 diastolic without treatment. After finding
all basic metabolic panel (BMP) lab values to
be within normal limits, your first choice of
antihypertensive is most likely which of the
following agents?

carvedilol
metoprolol
amlodipine
lisinopril

2. A patient is being followed for type 2 diabetes mellitus He should
avoid dietary
and hypertension. He also has a diagnosis of poly- with a
cythemia vera and has regular phlebotomies history of
for man- agement. Which of the following HFrEF
statements about this patient is correct? (heart
The phlebotomies will improve his glycosylated failure
hemo- globin levels with
The phlebotomies will increase his blood pressure reduced
He should increase dietary iron ejection
supplements fraction)
He should avoid dietary iron supplements with an
ejec- tion
3. As the nurse practitioner working in a fraction of
primary care clinic, you have been notified 40% two
from a hospitalist that your long-term patient


, NR 667 Practice Exam Week 2 Questions & Answers.

years ago who is also not supplements
on optimal medical therapy has been diagnosed
with




Ordering a new transtho-
racic echocardiogram
and Lifevest if EF is
less than 35%






, NR 667 Practice Exam Week 2 Questions & Answers.

a myocardial infarction this admission and started on
received emergent placement of a drug- which of
eluting stent to the left anterior descending the
artery. As the patient's medical home who will following
manage this patient after discharge, which of lipid-
the following would you expect to be a prior- lowering
ity in the patient's care for their heart failure agents at
after an acute MI? discharge?
Ordering a Holter monitor for 7 days post-
discharge Ordering a new transthoracic Ezetimibe
echocardiogram and Lifevest if EF is less than prior to
initiating
35% statin
Ordering aspirin and clopidogrel for 3 therapy
months at dis- charge
Ordering a new transthoracic echocardiogram
and or- der a Lifevest if EF is less than 45%

4. A 70-year-old man with a history of atrial
fibrillation presents with sudden-onset left-
sided weakness and slurred speech. What is
the most likely diagnosis? Stroke
Transient ischemic attack
(TIA) Myocardial infarction
(MI) Seizure

5. A 55 year-old female patient with no previous
cardiac history and no family history of
hyperlipidemia with an acute myocardial
infarction is treated successfully with a drug-
eluting stent during a recent hospitaliza-
tion. As their long-term care provider, you
anticipate they were most likely to be also


, NR 667 Practice Exam Week 2 Questions & Answers.




Stroke




High intensity statin thera- py

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