MSN 622 Final Exam 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update
A 67-year-old man with a history of hypertension and tobacco use presents
with a two-day history of hypogastric pain. An examination reveals a 5 cm,
non-tender, pulsatile abdominal mass above the umbilicus. Which of the
following type of sounds might be heard upon auscultation at the midline,
two inches cephalad to the umbilicus? - 🧠 ANSWER ✔✔blowing
What is the recommended management for a patient with a 3.5 cm
abdominal aortic aneurysm? - 🧠 ANSWER ✔✔ultrasound every 3 years
A 75-year-old man presents to the emergency department with complaints
of severe abdominal pain and sweating. The pain started about an hour
ago and is becoming worse with time. He has been diagnosed with
hypertension and diabetes and is on amlodipine and metformin,
,respectively. On presentation, the vital signs show blood pressure 70/40
mmHg, pulse 140/min, respiratory rate 32/min, temperature 38.5 C (101.3
F), and oxygen saturation 87% at room air. On physical examination of the
abdomen, generalized tenderness and guarding are seen. There is a
midline pulsatile mass. What is the next best step in the management of
this patient? - 🧠 ANSWER ✔✔immediate surgery
A 67-year-old male with a history of hypertension and nicotine dependence
presents to the emergency department with sudden onset of abdominal
pain radiating to the back. There is no history of alcohol use. On
examination, he is thin, pale, and diaphoretic. His vital signs show a blood
pressure of 110/70 mmHg and a heart rate of 95 bpm. Which of the
following is most likely to confirm the diagnosis? - 🧠 ANSWER
✔✔abdominal CT
A 78-year-old is found to have an asymptomatic pulsatile abdominal mass.
The ultrasound shows an abdominal aortic aneurysm measuring 5.5 cm.
Which of the following statements concerning this patient's condition is
correct? - 🧠 ANSWER ✔✔Surgery will improve 5-year survival
A 65-year-old man presents to the office with complaints of occasional
chest pain. The patient has a past medical history significant for
,hypertension, diabetes mellitus, and hyperlipidemia. The patient states he
experiences chest pain on exertion, which is only relieved on rest. An
electrocardiogram is normal. Which of the following is the next step in
management? - 🧠 ANSWER ✔✔stress electrocardiogram
A 65-year-old man presents with complaints of chest pain that started 30
mins ago but stopped on his way to the hospital. The patient has a past
medical history significant for hypertension and diabetes mellitus. An
electrocardiogram (ECG) is normal. A stress ECG shows mild ST
elevations after 12 minutes of exercise. A diagnosis of stable angina is
made. Which of the following should be the first step in counseling the
patient about his condition? - 🧠 ANSWER ✔✔Determining the precipitating
factors for his condition
A 47-year-old male presents to the office for routine health maintenance.
His blood pressure is 182/138, with all other vital signs within normal limits.
The patient is currently complaining of a headache and blurred vision but
denies chest pain, shortness of breath, and abdominal pain. Under which of
the following forms of hypertension would this patient be classified - 🧠
ANSWER ✔✔hypertensive emergency
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A 65-year-old male with a history of type 2 diabetes comes into the
provider's office complaining of blurry vision, nosebleeds, and exertional
chest pain for the past six months. The blood pressure is measured to be
160/94 mmHg. A CT angiogram is performed, which reveals partially
occlusive coronary artery plaques. Which of the following medication
regimens would be most appropriate for this patient? - 🧠 ANSWER
✔✔Losartan/hydrochlorothiazide and atorvastatin
A 68-year-old male with a past medical history of type 2 diabetes mellitus
and diabetic nephropathy presented to the clinic for a follow-up
appointment. His blood pressure on the last visit was 150/90 mmHg. He
was called in for a follow-up appointment in 4 weeks to monitor his blood
pressure. The blood pressure on this visit is 168/105 mmHg, and HbA1c is
8.9%. His antihypertensive regimen was adjusted, and an ACE inhibitor
was added. He is on metformin and sitagliptin for diabetes mellitus. One
week later, his blood pressure was 130/80 mmHg, the patient's potassium
was 5.1 mEq/L, sodium was 133 mEq/L, and the rest of the renal panel
was within normal limits. He reports no symptoms. What is the next best
step in his care? - 🧠 ANSWER ✔✔Reassure him that this is expected from
his ACE inhibitor and continue therapy with periodic monitoring.
Questions with 100% Correct Answers |
Latest Update
A 67-year-old man with a history of hypertension and tobacco use presents
with a two-day history of hypogastric pain. An examination reveals a 5 cm,
non-tender, pulsatile abdominal mass above the umbilicus. Which of the
following type of sounds might be heard upon auscultation at the midline,
two inches cephalad to the umbilicus? - 🧠 ANSWER ✔✔blowing
What is the recommended management for a patient with a 3.5 cm
abdominal aortic aneurysm? - 🧠 ANSWER ✔✔ultrasound every 3 years
A 75-year-old man presents to the emergency department with complaints
of severe abdominal pain and sweating. The pain started about an hour
ago and is becoming worse with time. He has been diagnosed with
hypertension and diabetes and is on amlodipine and metformin,
,respectively. On presentation, the vital signs show blood pressure 70/40
mmHg, pulse 140/min, respiratory rate 32/min, temperature 38.5 C (101.3
F), and oxygen saturation 87% at room air. On physical examination of the
abdomen, generalized tenderness and guarding are seen. There is a
midline pulsatile mass. What is the next best step in the management of
this patient? - 🧠 ANSWER ✔✔immediate surgery
A 67-year-old male with a history of hypertension and nicotine dependence
presents to the emergency department with sudden onset of abdominal
pain radiating to the back. There is no history of alcohol use. On
examination, he is thin, pale, and diaphoretic. His vital signs show a blood
pressure of 110/70 mmHg and a heart rate of 95 bpm. Which of the
following is most likely to confirm the diagnosis? - 🧠 ANSWER
✔✔abdominal CT
A 78-year-old is found to have an asymptomatic pulsatile abdominal mass.
The ultrasound shows an abdominal aortic aneurysm measuring 5.5 cm.
Which of the following statements concerning this patient's condition is
correct? - 🧠 ANSWER ✔✔Surgery will improve 5-year survival
A 65-year-old man presents to the office with complaints of occasional
chest pain. The patient has a past medical history significant for
,hypertension, diabetes mellitus, and hyperlipidemia. The patient states he
experiences chest pain on exertion, which is only relieved on rest. An
electrocardiogram is normal. Which of the following is the next step in
management? - 🧠 ANSWER ✔✔stress electrocardiogram
A 65-year-old man presents with complaints of chest pain that started 30
mins ago but stopped on his way to the hospital. The patient has a past
medical history significant for hypertension and diabetes mellitus. An
electrocardiogram (ECG) is normal. A stress ECG shows mild ST
elevations after 12 minutes of exercise. A diagnosis of stable angina is
made. Which of the following should be the first step in counseling the
patient about his condition? - 🧠 ANSWER ✔✔Determining the precipitating
factors for his condition
A 47-year-old male presents to the office for routine health maintenance.
His blood pressure is 182/138, with all other vital signs within normal limits.
The patient is currently complaining of a headache and blurred vision but
denies chest pain, shortness of breath, and abdominal pain. Under which of
the following forms of hypertension would this patient be classified - 🧠
ANSWER ✔✔hypertensive emergency
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A 65-year-old male with a history of type 2 diabetes comes into the
provider's office complaining of blurry vision, nosebleeds, and exertional
chest pain for the past six months. The blood pressure is measured to be
160/94 mmHg. A CT angiogram is performed, which reveals partially
occlusive coronary artery plaques. Which of the following medication
regimens would be most appropriate for this patient? - 🧠 ANSWER
✔✔Losartan/hydrochlorothiazide and atorvastatin
A 68-year-old male with a past medical history of type 2 diabetes mellitus
and diabetic nephropathy presented to the clinic for a follow-up
appointment. His blood pressure on the last visit was 150/90 mmHg. He
was called in for a follow-up appointment in 4 weeks to monitor his blood
pressure. The blood pressure on this visit is 168/105 mmHg, and HbA1c is
8.9%. His antihypertensive regimen was adjusted, and an ACE inhibitor
was added. He is on metformin and sitagliptin for diabetes mellitus. One
week later, his blood pressure was 130/80 mmHg, the patient's potassium
was 5.1 mEq/L, sodium was 133 mEq/L, and the rest of the renal panel
was within normal limits. He reports no symptoms. What is the next best
step in his care? - 🧠 ANSWER ✔✔Reassure him that this is expected from
his ACE inhibitor and continue therapy with periodic monitoring.
