NSG 6001 QUIZ 4 LATEST 2026/2027 | PRIMARY
CARE ADULT-GERONTOLOGY | 50 VERIFIED
Q&A | DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION I: CARDIOVASCULAR DISORDERS – Questions 1-8
Q1: Hypertension – Ambulatory Blood Pressure Monitoring
The student is reviewing hypertension. What is the advantage of ambulatory blood pressure
monitoring (ABPM) over office readings?
A. It predicts cardiovascular events better
B. It is cheaper
C. It requires less equipment
D. It is more convenient for patients
Correct Answer: A
Rationale: ABPM provides multiple readings over 24 hours, including nighttime BP, and is a stronger
predictor of cardiovascular events than office BP. It also identifies white coat and masked
hypertension. It is not cheaper or more convenient than office readings. [100% CORRECT]
Q2: Heart Failure – Cardiac Resynchronization Therapy
The student is reviewing heart failure. Which patient is a candidate for cardiac resynchronization
therapy (CRT)?
A. HFrEF with EF ≤35%, sinus rhythm, and QRS ≥150 ms with LBBB
B. HFpEF with normal QRS
C. HFrEF with atrial fibrillation
D. All heart failure patients
Correct Answer: A
Rationale: CRT is indicated for patients with HFrEF (EF ≤35%), sinus rhythm, and a wide QRS (≥150
ms) with left bundle branch block (LBBB) despite optimal medical therapy. It improves symptoms
and survival. [100% CORRECT]
Q3: Atrial Fibrillation – Ablation
The student is reviewing atrial fibrillation. What is catheter ablation used for?
A. To isolate pulmonary veins and restore sinus rhythm
B. To control heart rate
, 2
C. To prevent stroke
D. To treat heart failure
Correct Answer: A
Rationale: Catheter ablation for AF targets the pulmonary veins to eliminate triggers and restore
sinus rhythm. It is used for symptomatic AF refractory to medications. It does not prevent stroke or
treat heart failure directly. [100% CORRECT]
Q4: Hyperlipidemia – PCSK9 Inhibitors
The student is reviewing lipid management. Which medication class is a PCSK9 inhibitor?
A. Evolocumab
B. Atorvastatin
C. Ezetimibe
D. Fenofibrate
Correct Answer: A
Rationale: Evolocumab and alirocumab are PCSK9 inhibitors that dramatically lower LDL cholesterol.
They are used for familial hypercholesterolemia or statin-intolerant patients. [100% CORRECT]
Q5: Acute Coronary Syndrome – Stress Testing
The student is reviewing ACS. When is stress testing indicated after ACS?
A. For risk stratification before discharge
B. Immediately on admission
C. Only if troponin is negative
D. Never
Correct Answer: A
Rationale: Stress testing is used for risk stratification after ACS, typically before discharge in low-risk
patients or after stabilization. It is not performed immediately on admission. [100% CORRECT]
Q6: Peripheral Artery Disease – Exercise Therapy
The student is reviewing PAD. What is the benefit of supervised exercise therapy?
A. Improves walking distance and quality of life
B. Reverses atherosclerosis
C. Cures claudication
D. Eliminates need for revascularization
Correct Answer: A
Rationale: Supervised exercise therapy improves walking distance, functional status, and quality of
life in PAD. It does not reverse atherosclerosis or cure claudication, but it is a cornerstone of
treatment. [100% CORRECT]