NR 667 Week 2
NR 667 Week 2 Exam Study Guide
– Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Your 50-year-old male African American (AA) patient was found to have a blood
pressure of 160/96 upon arrival 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 - Answer✔✔-amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He
also has a diagnosis of polycythemia vera and has regular phlebotomies for
management. Which of the following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
,NR 667 Week 2
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - Answer✔✔-He should avoid dietary
iron supplements
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 ejection fraction of 40%
two years ago who is also not on optimal medical therapy has been diagnosed
with 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 priority 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 discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less
than 45% - Answer✔✔-Ordering a new transthoracic echocardiogram and
Lifevest if EF is less than 35%
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 - Answer✔✔-Stroke
,NR 667 Week 2
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 hospitalization. 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
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - Answer✔✔-High intensity statin therapy
Which of the following medications is not considered part of optimal medical
therapy for a 54 year-old male patient with a diagnosis of heart failure with
reduced ejection fraction (HFrEF) with an EF of 30%, known coronary artery
disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - Answer✔✔-Diltiazem (Cardizem)
An older adult with diabetes mellitus presents with leg cramps. She states that
the cramps were worst when walking to the supermarket. If she stops to rest,
the pain subsides. The nurse practitioner knows that this patient needs a
workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - Answer✔✔-Intermittent claudication
, NR 667 Week 2
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - Answer✔✔-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than
5 minutes and occurring 3-5 times daily. The patient describes a substernal flip-
flop sensation with a sudden rapid heart rate, ending with a forceful beat.
Holter monitoring would most likely document:
Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - Answer✔✔-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac
disease?
Native Hawaiians
American Indians
Caucasians
African Americans - Answer✔✔-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
NR 667 Week 2 Exam Study Guide
– Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Your 50-year-old male African American (AA) patient was found to have a blood
pressure of 160/96 upon arrival 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 - Answer✔✔-amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He
also has a diagnosis of polycythemia vera and has regular phlebotomies for
management. Which of the following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
,NR 667 Week 2
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - Answer✔✔-He should avoid dietary
iron supplements
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 ejection fraction of 40%
two years ago who is also not on optimal medical therapy has been diagnosed
with 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 priority 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 discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less
than 45% - Answer✔✔-Ordering a new transthoracic echocardiogram and
Lifevest if EF is less than 35%
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 - Answer✔✔-Stroke
,NR 667 Week 2
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 hospitalization. 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
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - Answer✔✔-High intensity statin therapy
Which of the following medications is not considered part of optimal medical
therapy for a 54 year-old male patient with a diagnosis of heart failure with
reduced ejection fraction (HFrEF) with an EF of 30%, known coronary artery
disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - Answer✔✔-Diltiazem (Cardizem)
An older adult with diabetes mellitus presents with leg cramps. She states that
the cramps were worst when walking to the supermarket. If she stops to rest,
the pain subsides. The nurse practitioner knows that this patient needs a
workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - Answer✔✔-Intermittent claudication
, NR 667 Week 2
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - Answer✔✔-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than
5 minutes and occurring 3-5 times daily. The patient describes a substernal flip-
flop sensation with a sudden rapid heart rate, ending with a forceful beat.
Holter monitoring would most likely document:
Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - Answer✔✔-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac
disease?
Native Hawaiians
American Indians
Caucasians
African Americans - Answer✔✔-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
