NR667 WEEK 8 EXIT EXAM CERTIFICATION
EVALUATION TEST PAPER 2026 COMPLETE
STUDY QUESTIONS WITH CORRECT ANSWERS
◉ Which of the following people groups represent the least risk of
cardiac disease?
African Americans
American Indians
Native Hawaiians
Caucasians. Answer: Caucasians
◉ as a f/u from a hospitalization an adult patent presents with ankle
edema. Which of the following medications is the most likely cause
of the edema?
Nebivolol
HCTZ
Metformin
Norvasc. Answer: Norvasc
◉ While working in a fast-track clinic as a NP in an emergency
department, your patient complains of shortness of breath with
activity and near syncope with changing position from seated to
standing on multiple recent episodes. You examine them and notice
,a harsh systolic murmur heard best at the right sternal border at the
2nd intercostal space rated 3/6, which has a bruit radiating to the
right carotid artery. Of the following examinations, which is most
appropriate or you to order next to evaluate this murmur?
12 Lead EKG
Carotid ultrasound
Transthoracic echocardiogram
CT non-contrast of chest, abdomen, pelvis. Answer: Transthoracic
echocardiogram
◉ The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses?
Systolic heart failure
The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses?
Systolic heart failure
Diastolic dysfunction
Grade 2 systolic dysfunction
Grade 3 systolic dysfunction. Answer: Diastolic dysfunction
◉ Your patient with a diagnosis of peripheral arterial disease asks
you what is considered a non-modifiable risk factor. Which of the
following represent the best answer for his question?
Smoking less cigarettes
,Medication compliance
Family history of PAD
Tight glycemic control. Answer: Family history of PAD
◉ A 50-year-old woman with a history of hypertension presents
with dyspnea on exertion and orthopnea. On examination, she has
jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction. Answer: Congestive heart failure
◉ A 60-year-old man with a history of hypertension and diabetes
presents with a new-onset headache and visual disturbances. His
blood pressure is 200/110 mmHg. What is the most appropriate
management?
Prescribe antihypertensive medication and follow up in a week
Advise dietary changes
Refer to the emergency department
Start insulin therapy. Answer: Refer to the emergency department
, ◉ A 45-year-old man presents with chest pain radiating to the left
arm, diaphoresis, and shortness of breath. His ECG shows ST-
segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services. Answer:
Administer aspirin and call for emergency medical services
◉ 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?
Seizure
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke. Answer: Stroke
◉ A 60-year-old woman presents for a routine check-up. She has a
history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood
pressure is 135/80 mmHg, heart rate is 72 beats per minute, and
BMI is 32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the
most appropriate management plan to optimize her care?
EVALUATION TEST PAPER 2026 COMPLETE
STUDY QUESTIONS WITH CORRECT ANSWERS
◉ Which of the following people groups represent the least risk of
cardiac disease?
African Americans
American Indians
Native Hawaiians
Caucasians. Answer: Caucasians
◉ as a f/u from a hospitalization an adult patent presents with ankle
edema. Which of the following medications is the most likely cause
of the edema?
Nebivolol
HCTZ
Metformin
Norvasc. Answer: Norvasc
◉ While working in a fast-track clinic as a NP in an emergency
department, your patient complains of shortness of breath with
activity and near syncope with changing position from seated to
standing on multiple recent episodes. You examine them and notice
,a harsh systolic murmur heard best at the right sternal border at the
2nd intercostal space rated 3/6, which has a bruit radiating to the
right carotid artery. Of the following examinations, which is most
appropriate or you to order next to evaluate this murmur?
12 Lead EKG
Carotid ultrasound
Transthoracic echocardiogram
CT non-contrast of chest, abdomen, pelvis. Answer: Transthoracic
echocardiogram
◉ The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses?
Systolic heart failure
The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses?
Systolic heart failure
Diastolic dysfunction
Grade 2 systolic dysfunction
Grade 3 systolic dysfunction. Answer: Diastolic dysfunction
◉ Your patient with a diagnosis of peripheral arterial disease asks
you what is considered a non-modifiable risk factor. Which of the
following represent the best answer for his question?
Smoking less cigarettes
,Medication compliance
Family history of PAD
Tight glycemic control. Answer: Family history of PAD
◉ A 50-year-old woman with a history of hypertension presents
with dyspnea on exertion and orthopnea. On examination, she has
jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction. Answer: Congestive heart failure
◉ A 60-year-old man with a history of hypertension and diabetes
presents with a new-onset headache and visual disturbances. His
blood pressure is 200/110 mmHg. What is the most appropriate
management?
Prescribe antihypertensive medication and follow up in a week
Advise dietary changes
Refer to the emergency department
Start insulin therapy. Answer: Refer to the emergency department
, ◉ A 45-year-old man presents with chest pain radiating to the left
arm, diaphoresis, and shortness of breath. His ECG shows ST-
segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services. Answer:
Administer aspirin and call for emergency medical services
◉ 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?
Seizure
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke. Answer: Stroke
◉ A 60-year-old woman presents for a routine check-up. She has a
history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood
pressure is 135/80 mmHg, heart rate is 72 beats per minute, and
BMI is 32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the
most appropriate management plan to optimize her care?
