NR 661-Cardiovascular Test Questions and Answers Rated A
1. A patient has had poorly controlled hypertension for c. 5th ICS, left of MCL
more than 10 years. Indicate the most likely position
of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL
2. Valve most commonly involved in chronic rheumatic b. mitral
heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid
3. A 50 year old patient with Hypertension has taken c. add a drug from anoth-
hydrochlorozide 25 mg daily for the past 4 weeks. How er class to the daily 25 mg
should the nurse practitioner proceed? BP-155/95; hydrochlorothiazide
145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg
hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from
a different class
4. Which choice below would be the best choice for an b. amlodipine
80-year old patient whose blood pressure is 172/72
a. chlorthalidone
,NR 661-Cardiovascular Test Questions and Answers Rated A
b. amlodipine
c. monopril
d. acebutolol
5. The diagnosis of mitral valve prolapse can be con- c. echocardiography
firmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
6. A patient taking candesartan for treatment for hyper- b. potassium supplements
tension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
7. According to the National Heart, Lung and Blood in- d. Diabetes Mellitus
stitute, which characteristic listed below is a coronary
disease (CHD) risk equivelant; that is, which risk factor
places the patient at a CHD risk similar to a history of
CHD
a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus
8. Classic symptoms of deep vein thrombosis (DVT) in- c. swelling, pain, discol-
clude: oration in lower extremity
,NR 661-Cardiovascular Test Questions and Answers Rated A
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exer-
cise
c. swelling, pain, discoloration in lower extremity
d. warmth, edema and relief of pain with walking
9. Which mitral valve disorder results from redundancy c. mitral valve prolapse
of the mitral valve's leaflets??
a. acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis
10. Tables are used for determination of maximum blood c. height percentile, gen-
pressure values for adolescents. How are blood pres- der and age
sure values established for adolescents?
a. height percentile, body mass index and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender
11. The correlation between blood pressure and age d. diastolic blood pressure
greater than 60 years is that as age increases: decreases
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases
12. c. calcium channel blocker
, NR 661-Cardiovascular Test Questions and Answers Rated A
An 80 year old female who is otherwise well has the
following blood pressure readings. How should she be
managed? 160/70; 175/68; 171/71; 163/63
a. thiazide diruetic
b. ace inhibitor
c. calcium channel blocker
d. angiotensin receptor blocker
13. Which choice below characterizes a patient who has a. long asymptomatic pe-
aortic regurgitation? riod followed by exercise
intolerance then dyspnea
a. long asymptomatic period followed by exercise in- at rest
tolerance then dyspnea at rest
b. an acute onset of shortness of breath in the fifth or
sixth decade
c. dyspnea on exertion for a long period of time before
sudden cardiac death
d. a long asymptomatic period with sudden death
usually during exercise
14. How often should lipids be screened in patients who a. annually
are 65 years and older if they have lipid disorders or
cardiovascular risk factors
a. annually
b. every other year
c. every 3 years
d. every 5 years
15. Risk assessment for dyslipidemia should begin at a. 2 years
a. 2 years
1. A patient has had poorly controlled hypertension for c. 5th ICS, left of MCL
more than 10 years. Indicate the most likely position
of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL
2. Valve most commonly involved in chronic rheumatic b. mitral
heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid
3. A 50 year old patient with Hypertension has taken c. add a drug from anoth-
hydrochlorozide 25 mg daily for the past 4 weeks. How er class to the daily 25 mg
should the nurse practitioner proceed? BP-155/95; hydrochlorothiazide
145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg
hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from
a different class
4. Which choice below would be the best choice for an b. amlodipine
80-year old patient whose blood pressure is 172/72
a. chlorthalidone
,NR 661-Cardiovascular Test Questions and Answers Rated A
b. amlodipine
c. monopril
d. acebutolol
5. The diagnosis of mitral valve prolapse can be con- c. echocardiography
firmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
6. A patient taking candesartan for treatment for hyper- b. potassium supplements
tension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
7. According to the National Heart, Lung and Blood in- d. Diabetes Mellitus
stitute, which characteristic listed below is a coronary
disease (CHD) risk equivelant; that is, which risk factor
places the patient at a CHD risk similar to a history of
CHD
a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus
8. Classic symptoms of deep vein thrombosis (DVT) in- c. swelling, pain, discol-
clude: oration in lower extremity
,NR 661-Cardiovascular Test Questions and Answers Rated A
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exer-
cise
c. swelling, pain, discoloration in lower extremity
d. warmth, edema and relief of pain with walking
9. Which mitral valve disorder results from redundancy c. mitral valve prolapse
of the mitral valve's leaflets??
a. acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis
10. Tables are used for determination of maximum blood c. height percentile, gen-
pressure values for adolescents. How are blood pres- der and age
sure values established for adolescents?
a. height percentile, body mass index and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender
11. The correlation between blood pressure and age d. diastolic blood pressure
greater than 60 years is that as age increases: decreases
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases
12. c. calcium channel blocker
, NR 661-Cardiovascular Test Questions and Answers Rated A
An 80 year old female who is otherwise well has the
following blood pressure readings. How should she be
managed? 160/70; 175/68; 171/71; 163/63
a. thiazide diruetic
b. ace inhibitor
c. calcium channel blocker
d. angiotensin receptor blocker
13. Which choice below characterizes a patient who has a. long asymptomatic pe-
aortic regurgitation? riod followed by exercise
intolerance then dyspnea
a. long asymptomatic period followed by exercise in- at rest
tolerance then dyspnea at rest
b. an acute onset of shortness of breath in the fifth or
sixth decade
c. dyspnea on exertion for a long period of time before
sudden cardiac death
d. a long asymptomatic period with sudden death
usually during exercise
14. How often should lipids be screened in patients who a. annually
are 65 years and older if they have lipid disorders or
cardiovascular risk factors
a. annually
b. every other year
c. every 3 years
d. every 5 years
15. Risk assessment for dyslipidemia should begin at a. 2 years
a. 2 years
