NSG6440 TEST SCRIPT Question and
Answer 2026 | Ultimate Exam
Preparation Bundle | Grade A+
• Which of the following class of drugs is preferred treatment for a diabetic with
stage II hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics -✓✓Angiotensin converting enzyme inhibitor
• You are caring for a 30-year-old white male in your office with a BP of 144/90.
He has never had a diagnosis of hypertension. He doesn't check his blood
pressure at home. He has a family history of hypertension. What are your
recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your
office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. -✓✓Instruct to purchase a BP cuff,
record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
• You are treating a young adult female with HTN and migraine headaches. Which
class of medications could you choose to treat both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers -✓✓Beta blockers
,• A 42-year-old male presents with the following lipid profile. He is not on any
medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil -✓✓Low dose statin
• You are caring for a 68-year-old male who has been taking atorvastain (Lipitor)
for 8 weeks. He complains of fatigue, muscle aches, and dark-colored urine.
Which of the following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. -✓✓Order lipid level and serum
creatine phosphokinase (CPK, creatine kinase).
• What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available -✓✓Stop taking atorvastatin until the labs are available.
,• A 58 year old male presents to your office with an episode of chest tightness in
his substernal area that radiated to his back while he was jogging. It was relieved
with rest. Which of the following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis -✓✓Angina pectoris
• What is the most common cause of left ventricular hypertrophy in the United
States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension -✓✓Chronic hypertension
• Which of the following heart sounds is associated with heart failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 -✓✓S3
• While performing a routine physical exam on a 60-year-old hypertensive male,
you notice a bruit over the carotid area on the left side of the neck. There is no
induration of the skin. This patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches -✓✓Stroke and coronary heart disease
• A 72-year-old female presents to your office with gradual difficulty breathing,
non-productive cough, bilateral swelling of her feet, and a 10 pound weight gain.
Upon examination you hear crackles and rhonchi with an S3 heart sound. What is
the most likely diagnosis?
, COPD
Renal hypertension
Congestive heart hailure
Asthma -✓✓Congestive heart failure
• What is your treatment plan for this patient with difficulty breathing, cough,
weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation -✓✓Diuretics, digoxin, and anti-
hypertensive medications
• You are treating a 49-year-old female who presents with fatigue and
palpitations. You check her apical pulse and she is irregular and tachycardic. You
obtain an EKG and it reveals afib with rapid ventricular response. What is your
treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. -✓✓You admit her to the hospital for new onset
afib.
• Upon examination of a 17-year-old during a sports physical, you hear a split S2
during inspiration that disappears during expiration. The patient denies chest pain
and dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Answer 2026 | Ultimate Exam
Preparation Bundle | Grade A+
• Which of the following class of drugs is preferred treatment for a diabetic with
stage II hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics -✓✓Angiotensin converting enzyme inhibitor
• You are caring for a 30-year-old white male in your office with a BP of 144/90.
He has never had a diagnosis of hypertension. He doesn't check his blood
pressure at home. He has a family history of hypertension. What are your
recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your
office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. -✓✓Instruct to purchase a BP cuff,
record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
• You are treating a young adult female with HTN and migraine headaches. Which
class of medications could you choose to treat both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers -✓✓Beta blockers
,• A 42-year-old male presents with the following lipid profile. He is not on any
medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil -✓✓Low dose statin
• You are caring for a 68-year-old male who has been taking atorvastain (Lipitor)
for 8 weeks. He complains of fatigue, muscle aches, and dark-colored urine.
Which of the following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. -✓✓Order lipid level and serum
creatine phosphokinase (CPK, creatine kinase).
• What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available -✓✓Stop taking atorvastatin until the labs are available.
,• A 58 year old male presents to your office with an episode of chest tightness in
his substernal area that radiated to his back while he was jogging. It was relieved
with rest. Which of the following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis -✓✓Angina pectoris
• What is the most common cause of left ventricular hypertrophy in the United
States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension -✓✓Chronic hypertension
• Which of the following heart sounds is associated with heart failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 -✓✓S3
• While performing a routine physical exam on a 60-year-old hypertensive male,
you notice a bruit over the carotid area on the left side of the neck. There is no
induration of the skin. This patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches -✓✓Stroke and coronary heart disease
• A 72-year-old female presents to your office with gradual difficulty breathing,
non-productive cough, bilateral swelling of her feet, and a 10 pound weight gain.
Upon examination you hear crackles and rhonchi with an S3 heart sound. What is
the most likely diagnosis?
, COPD
Renal hypertension
Congestive heart hailure
Asthma -✓✓Congestive heart failure
• What is your treatment plan for this patient with difficulty breathing, cough,
weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation -✓✓Diuretics, digoxin, and anti-
hypertensive medications
• You are treating a 49-year-old female who presents with fatigue and
palpitations. You check her apical pulse and she is irregular and tachycardic. You
obtain an EKG and it reveals afib with rapid ventricular response. What is your
treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. -✓✓You admit her to the hospital for new onset
afib.
• Upon examination of a 17-year-old during a sports physical, you hear a split S2
during inspiration that disappears during expiration. The patient denies chest pain
and dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
