All APEA EXAM – PACKAGE Questions & Answers Test bank.
Cardiovascular Disorders
Benazepril should be discontinued immediately if: pregnancy occurs.
A patient is diagnosed with mild heart failure (HF). What drug Metoprolol
listed below would be a good choice for reducing morbidity and
mortality long term?
A patient taking an ACE inhibitor should avoid: potassium supplements.
An 87-year-old has history of symptomatic heart failure. He ACE inhibitor
presents today with lower extremity edema and mild shortness
of breath with exertion. In addition to a diuretic for volume
overload, what other medication should he receive today?
A 42-year-old hypertensive patient was given a thiazide diuretic Potassium level
4 weeks ago for treatment of primary hypertension. On his
return visit today, he reports feeling weak and tired. What
should the NP consider to evaluate the weakness and fatigue?
Which class of medication is frequently used to improve long- ACE inhibitors
term outcomes in patients with systolic dysfunction?
Orthostatic hypotension can be diagnosed in an older adult if more than 20 points within
the systolic blood pressure decreases: 3 minutes after rising.
,A 74-year-old patient has peripheral artery disease (PAD). Diabetes
Which item listed below is an important nonmodifiable risk
factor for PAD?
The lipid particle with the greatest atherogenic effect is: LDL.
Which medication could potentially exacerbate heart failure Naproxen
(HF)?
Where would the murmur associated with mitral regurgitation Mitral listening point
best be auscultated?
A 43-year-old Hispanic male has an audible diastolic murmur mitral stenosis.
best heard in the mitral listening point. There is no audible click.
His status has been monitored for the past 2 years. This murmur
is probably:
An independent 82-year-old male patient is very active but Treatment is based on
retired last year. His total cholesterol and LDLs are moderately expected length of life
elevated. How should the NP approach his lipid elevation?
A patient who has diabetes presents with pain in his lower legs in the calf muscle.
when he walks and pain resolution with rest. When specifically
asked about the pain in his lower leg, he likely will report pain:
A 75-year-old patient with longstanding hypertension takes an development of heart failure
ACE inhibitor and a thiazide diuretic daily. He has developed (HF).
,dyspnea on exertion and peripheral edema over the past several
days. This probably indicates:
An ACE inhibitor is specifically indicated in patients who have: hypertension, diabetes with
proteinuria, heart failure.
The correlation between blood pressure and age greater than diastolic blood pressure
60 years is that as age increases: decreases.
A 77-year-old patient has had an increase in blood pressure Calcium channel blocker
since the last exam. The blood pressure readings are provided. If
medication is to be started on this patient, what would be a
good first choice?
Mrs. Brandy is having contrast dye next week for a heart Losartan
catheterization. What drug does NOT need to be stopped prior
to her catheterization?
Older adults have a unique blood pressure pattern. Which blood 160/60 mmHg
pressure reading below reflects this pattern?
A 91-year-old female with longstanding history of chronic heart target organ damage
failure has renal and liver studies that have slowly worsened secondary to heart failure.
over the past year. This probably indicates:
The usual clinical course of mitral valve prolapse: is benign.
, Which antibiotic should be used with caution if an older patient Ciprofloxacin
has cardiac conduction issues?
A patient with aortic stenosis has been asymptomatic for refer to cardiology.
decades. On routine exam, he states that he has had some
dizziness associated with activity but no chest pain or shortness
of breath. The best course of action for the nurse practitioner is
to:
The nurse practitioner is caring for an independent 74-year-old ACE, ASA, beta blocker, and
female who had acute coronary syndrome (ACS) about 6 weeks statin
ago. What medications should be part of her regimen unless
there is a contraindication?
Which hypertensive patient is most likely to have adverse blood 70-year-old African
pressure effects from excessive sodium consumption? American male
A common side effect of thiazide diuretics is: erectile dysfunction.
The carotid arteries are auscultated for bruits because: this is indicative of
generalized atherosclerosis.
Which choice below would be the best choice for an 80-year-old Amlodipine
patient whose blood pressure is 172/72 mm Hg?
Which item below represents the best choice of Lisinopril in a 35-year-old
antihypertensive agents for the indicated patient? Caucasian male
Cardiovascular Disorders
Benazepril should be discontinued immediately if: pregnancy occurs.
A patient is diagnosed with mild heart failure (HF). What drug Metoprolol
listed below would be a good choice for reducing morbidity and
mortality long term?
A patient taking an ACE inhibitor should avoid: potassium supplements.
An 87-year-old has history of symptomatic heart failure. He ACE inhibitor
presents today with lower extremity edema and mild shortness
of breath with exertion. In addition to a diuretic for volume
overload, what other medication should he receive today?
A 42-year-old hypertensive patient was given a thiazide diuretic Potassium level
4 weeks ago for treatment of primary hypertension. On his
return visit today, he reports feeling weak and tired. What
should the NP consider to evaluate the weakness and fatigue?
Which class of medication is frequently used to improve long- ACE inhibitors
term outcomes in patients with systolic dysfunction?
Orthostatic hypotension can be diagnosed in an older adult if more than 20 points within
the systolic blood pressure decreases: 3 minutes after rising.
,A 74-year-old patient has peripheral artery disease (PAD). Diabetes
Which item listed below is an important nonmodifiable risk
factor for PAD?
The lipid particle with the greatest atherogenic effect is: LDL.
Which medication could potentially exacerbate heart failure Naproxen
(HF)?
Where would the murmur associated with mitral regurgitation Mitral listening point
best be auscultated?
A 43-year-old Hispanic male has an audible diastolic murmur mitral stenosis.
best heard in the mitral listening point. There is no audible click.
His status has been monitored for the past 2 years. This murmur
is probably:
An independent 82-year-old male patient is very active but Treatment is based on
retired last year. His total cholesterol and LDLs are moderately expected length of life
elevated. How should the NP approach his lipid elevation?
A patient who has diabetes presents with pain in his lower legs in the calf muscle.
when he walks and pain resolution with rest. When specifically
asked about the pain in his lower leg, he likely will report pain:
A 75-year-old patient with longstanding hypertension takes an development of heart failure
ACE inhibitor and a thiazide diuretic daily. He has developed (HF).
,dyspnea on exertion and peripheral edema over the past several
days. This probably indicates:
An ACE inhibitor is specifically indicated in patients who have: hypertension, diabetes with
proteinuria, heart failure.
The correlation between blood pressure and age greater than diastolic blood pressure
60 years is that as age increases: decreases.
A 77-year-old patient has had an increase in blood pressure Calcium channel blocker
since the last exam. The blood pressure readings are provided. If
medication is to be started on this patient, what would be a
good first choice?
Mrs. Brandy is having contrast dye next week for a heart Losartan
catheterization. What drug does NOT need to be stopped prior
to her catheterization?
Older adults have a unique blood pressure pattern. Which blood 160/60 mmHg
pressure reading below reflects this pattern?
A 91-year-old female with longstanding history of chronic heart target organ damage
failure has renal and liver studies that have slowly worsened secondary to heart failure.
over the past year. This probably indicates:
The usual clinical course of mitral valve prolapse: is benign.
, Which antibiotic should be used with caution if an older patient Ciprofloxacin
has cardiac conduction issues?
A patient with aortic stenosis has been asymptomatic for refer to cardiology.
decades. On routine exam, he states that he has had some
dizziness associated with activity but no chest pain or shortness
of breath. The best course of action for the nurse practitioner is
to:
The nurse practitioner is caring for an independent 74-year-old ACE, ASA, beta blocker, and
female who had acute coronary syndrome (ACS) about 6 weeks statin
ago. What medications should be part of her regimen unless
there is a contraindication?
Which hypertensive patient is most likely to have adverse blood 70-year-old African
pressure effects from excessive sodium consumption? American male
A common side effect of thiazide diuretics is: erectile dysfunction.
The carotid arteries are auscultated for bruits because: this is indicative of
generalized atherosclerosis.
Which choice below would be the best choice for an 80-year-old Amlodipine
patient whose blood pressure is 172/72 mm Hg?
Which item below represents the best choice of Lisinopril in a 35-year-old
antihypertensive agents for the indicated patient? Caucasian male
