Practice Questions for FNP 2 Exam 2
With Complete Solutions| Already
Graded A+ | 2025-2026 Latest
Update!!!
72 y.o woman has been on hydrochlorothiazide 12.5 mg for many
years to control her stage 2 hypertension. Her BP at this visit is 168/
96. She has pain to her right hip/ knees and takes 400mg Ibuprofen 3X
daily. Which of the following is the appropriate education to give her
about Ibuprofen on her disease?
A. Increases the chances of adverse effects on her health.
B. Inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic.
C. Prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D. None of the above are true
B. It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic: NSAIDS and ASA inhibit vasodilatory
effects of prostaglandins which predisposes the kidney to ischemia.
NSAIDS and diuretics can cause acute pre-renal failure by decreasing
renal blood flow
Which of the following anti-hypertensive medications has beneficial
effects for an elderly female with osteoporosis?
A. Calcium Channel Blocker
B. Angiotensin-converting enzyme (ACE) inhibitor
C. Beta-Blocker
D. Diuretic
, A. Calcium Channel blocker: these work by blocking the calcium
channels in the heart muscle and blood vessels, thereby keeping
more calcium in the bones.
Which of the following lab tests is used in primary care to evaluate
renal function?
A. Electrolyte panel
B. Creatinine
C. Alkaline Phosphatase
D. Blood Urea Nitrogen (BUN)
B. Creatinine
A 63 y.o. patient presents with a 10 year history of poorly controlled
hypertension presents with a cluster of physical exam findings.
Which of the following indicates target organ damage commonly seen
in hypertensive patients?
A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and heart failure
B: hepatomegaly Av nicking and bibasilar crackles: with long-term
HTN, organ damage can occur. Organs commonly affected include
brain (stroke), eyes (retinopathy, AV nicking, bleeding, blindness) and
heart (left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal
failure, proteinuria).
Jason, an 8 y.o. boy with Type 1 diabetes is being seen for a 3 day
history of nocturia and frequency. Denies flank pain, and is afebrile.
The UA result is negative for blood and nitrites but is positive for a
large number of leukocytes and ketones. He has a trace number of
proteins. Which of the following is the best test to order initially?
A. Urine culture/ Sensitivity
B. 24 hour urine for protein and creatinine clearance
C. 24 hour urine for microalbumin
D. An IV pyelogram
With Complete Solutions| Already
Graded A+ | 2025-2026 Latest
Update!!!
72 y.o woman has been on hydrochlorothiazide 12.5 mg for many
years to control her stage 2 hypertension. Her BP at this visit is 168/
96. She has pain to her right hip/ knees and takes 400mg Ibuprofen 3X
daily. Which of the following is the appropriate education to give her
about Ibuprofen on her disease?
A. Increases the chances of adverse effects on her health.
B. Inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic.
C. Prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D. None of the above are true
B. It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic: NSAIDS and ASA inhibit vasodilatory
effects of prostaglandins which predisposes the kidney to ischemia.
NSAIDS and diuretics can cause acute pre-renal failure by decreasing
renal blood flow
Which of the following anti-hypertensive medications has beneficial
effects for an elderly female with osteoporosis?
A. Calcium Channel Blocker
B. Angiotensin-converting enzyme (ACE) inhibitor
C. Beta-Blocker
D. Diuretic
, A. Calcium Channel blocker: these work by blocking the calcium
channels in the heart muscle and blood vessels, thereby keeping
more calcium in the bones.
Which of the following lab tests is used in primary care to evaluate
renal function?
A. Electrolyte panel
B. Creatinine
C. Alkaline Phosphatase
D. Blood Urea Nitrogen (BUN)
B. Creatinine
A 63 y.o. patient presents with a 10 year history of poorly controlled
hypertension presents with a cluster of physical exam findings.
Which of the following indicates target organ damage commonly seen
in hypertensive patients?
A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and heart failure
B: hepatomegaly Av nicking and bibasilar crackles: with long-term
HTN, organ damage can occur. Organs commonly affected include
brain (stroke), eyes (retinopathy, AV nicking, bleeding, blindness) and
heart (left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal
failure, proteinuria).
Jason, an 8 y.o. boy with Type 1 diabetes is being seen for a 3 day
history of nocturia and frequency. Denies flank pain, and is afebrile.
The UA result is negative for blood and nitrites but is positive for a
large number of leukocytes and ketones. He has a trace number of
proteins. Which of the following is the best test to order initially?
A. Urine culture/ Sensitivity
B. 24 hour urine for protein and creatinine clearance
C. 24 hour urine for microalbumin
D. An IV pyelogram
