1 | Page
NSG 6440 Practice Test Questions and
Correct Answers
Which of the following antihypertensive medications would you
avoid prescribing for an elderly white female with the comorbid
diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics Ans: — Calcium channel blockers
Which of the following class of drugs is preferred treatment for a
diabetic with stage II hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics Ans: — Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP
of 144/90. He has never had a diagnosis of hypertension. He
doesn't check his blood pressure at home. He has a family history
of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and
return to your office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if
over 140's over 90's, low salt diet, return in 2 weeks.
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, 2 | Page
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. Ans: — Instruct to
purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine
headaches. Which class of medications could you choose to treat
both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers Ans: — Beta blockers
A 42-year-old male presents with the following lipid profile. He is
not on any medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil Ans: — Low dose statin
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, 3 | Page
You are caring for a 68-year-old male who has been taking
atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle
aches, and dark-colored urine. Which of the following is the most
appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. Ans: — Order lipid
level and serum creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his
atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available Ans: — Stop taking atorvastatin until the labs are
available.
A 58 year old male presents to your office with an episode of chest
tightness in his substernal area that radiated to his back while he
was jogging. It was relieved with rest. Which of the following does
this best describe?
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, 4 | Page
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis Ans: — Angina pectoris
What is the most common cause of left ventricular hypertrophy in
the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension Ans: — Chronic hypertension
Which of the following heart sounds is associated with heart
failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 Ans: — S3
While performing a routine physical exam on a 60-year-old
hypertensive male, you notice a bruit over the carotid area on the
left side of the neck. There is no induration of the skin. This
patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
© 2025 All rights reserved
NSG 6440 Practice Test Questions and
Correct Answers
Which of the following antihypertensive medications would you
avoid prescribing for an elderly white female with the comorbid
diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics Ans: — Calcium channel blockers
Which of the following class of drugs is preferred treatment for a
diabetic with stage II hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics Ans: — Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP
of 144/90. He has never had a diagnosis of hypertension. He
doesn't check his blood pressure at home. He has a family history
of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and
return to your office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if
over 140's over 90's, low salt diet, return in 2 weeks.
© 2025 All rights reserved
, 2 | Page
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. Ans: — Instruct to
purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine
headaches. Which class of medications could you choose to treat
both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers Ans: — Beta blockers
A 42-year-old male presents with the following lipid profile. He is
not on any medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil Ans: — Low dose statin
© 2025 All rights reserved
, 3 | Page
You are caring for a 68-year-old male who has been taking
atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle
aches, and dark-colored urine. Which of the following is the most
appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. Ans: — Order lipid
level and serum creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his
atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available Ans: — Stop taking atorvastatin until the labs are
available.
A 58 year old male presents to your office with an episode of chest
tightness in his substernal area that radiated to his back while he
was jogging. It was relieved with rest. Which of the following does
this best describe?
© 2025 All rights reserved
, 4 | Page
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis Ans: — Angina pectoris
What is the most common cause of left ventricular hypertrophy in
the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension Ans: — Chronic hypertension
Which of the following heart sounds is associated with heart
failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 Ans: — S3
While performing a routine physical exam on a 60-year-old
hypertensive male, you notice a bruit over the carotid area on the
left side of the neck. There is no induration of the skin. This
patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
© 2025 All rights reserved
