NR 508 FINAL EXAM 2026/2027 | 150 HIGH-
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
What assessment that can be done at home is the most reliable for making decisions to
change HF medications?
1. Weight
2. BP
3. Heart rate
4. Serum Glucose - correct answer-1. Weight
Evidence is strong that the timing of HF interventions are best initiated when:
1. The person enters stage C
2. The person has functional disabilities
3. At the earliest indication
4. When stage IV is determined - correct answer-3. At the earliest indication
HF patients frequently take more than one drug. When are anticoagulants typically used?
1. When the patient enters stage III
2. Only in cases of diastolic failure
3. When there is concurrent A Fib
4. In all cases - correct answer-3. When there is concurrent A Fib
What can chest x-rays contribute to the diagnosis and management of HF?
1. They have no role.
,2. They can give very precise pictures of pulmonary fluid status.
3. They provide an idea of general cardiac size and pulmonary great vessel distribution.
4. They can confirm the diagnosis. - correct answer-3. They provide an idea of general cardiac size
and pulmonary great vessel distribution.
The overall goal of treating hyperlipidemia is:
1. Maintain an LDL level of less than 160 mg/dL
2. To reduce atherogenesis
3. Lowering apo B, one of the apoliproteins
4. All of the above - correct answer-2. To reduce atherogenesis
When considering which cholesterol-lowering drug to prescribe, which factor determines
the type and intensity of treatment?
1. Total LDL
2. Fasting HDL
3. Coronary artery disease risk level
4. Fasting total cholesterol - correct answer-3. Coronary artery disease risk level
First-line therapy for hyperlipidemia is:
1. Statins
2. Niacin
3. Lifestyle changes
4. Bile acid-binding resins - correct answer-3. Lifestyle changes
James is a 45-year-old patient with an LDL level of 120 and normal triglycerides. Appropriate
firstline therapy for James may include diet counseling, increased physical activity, and: 1. A
statin
2. Niacin
,3. Sterols
4. A fibric acid derivative - correct answer-3. Sterols
Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease.
She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6
months her LDL is slightly higher. The next step in her treatment would be: 1. A statin
2. Niacin
3. Sterols
4. A fibric acid derivative - correct answer-1. A statin
Sharlene is a 65-year-old patient who has been on a lipid-lowering diet and using plant sterol
margarine daily for the past 3 months. Her LDL is 135 mg/dL. An appropriate treatment for her
would be:
1. A statin
2. Niacin
3. A fibric acid derivative
4. Determined by her risk factors - correct answer-4. Determined by her risk factors
Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months
to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable
change in therapy would be to:
1. Discontinue the statin and change to a fibric acid derivative.
2. Discontinue the statin and change to ezetimibe.
3. Continue the statin and add in ezetimibe.
4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia. - correct answer-3.
Continue the statin and add in ezetimibe.
Jamie is a 34-year-old pregnant woman with familial hyperlipidemia and elevated LDL levels. What is
the appropriate treatment for a pregnant woman?
1. A statin
, 2. Niacin
3. Fibric acid derivative
4. Bile acid-binding resins - correct answer-4. Bile acid-binding resins
Cost of antianginal drug therapy should be considered in drug selection because of all of
the following EXCEPT:
1. Patients often require multiple drugs
2. A large number of angina patients are older adults on fixed incomes
3. Generic formulations may be cheaper but are rarely bioequivalent
4. Lack of drug selectivity may result in increased adverse reactions - correct answer-3. Generic
formulations may be cheaper but are rarely bioequivalent
Situations that suggest referral to a specialist is appropriate include:
1. When chronic stable angina becomes unpredictable in its characteristics and precipitating factors
2. When a post-myocardial infarction patient develops new-onset angina
3. When standard therapy is not successful in improving exercise tolerance or reducing the incidence
of angina
4. All of the above - correct answer-4. All of the above
The rationale for prescribing calcium blockers for angina can be based on the need for:
1. Increased inotropic effect in the heart
2. Increasing peripheral perfusion
3. Keeping heart rates high enough to ensure perfusion of coronary arteries 4. Help with rate control
- correct answer-4. Help with rate control
Medications are typically started for angina patients when:
1. The first permanent EKG changes occur
2. The start of class I or II symptoms
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
What assessment that can be done at home is the most reliable for making decisions to
change HF medications?
1. Weight
2. BP
3. Heart rate
4. Serum Glucose - correct answer-1. Weight
Evidence is strong that the timing of HF interventions are best initiated when:
1. The person enters stage C
2. The person has functional disabilities
3. At the earliest indication
4. When stage IV is determined - correct answer-3. At the earliest indication
HF patients frequently take more than one drug. When are anticoagulants typically used?
1. When the patient enters stage III
2. Only in cases of diastolic failure
3. When there is concurrent A Fib
4. In all cases - correct answer-3. When there is concurrent A Fib
What can chest x-rays contribute to the diagnosis and management of HF?
1. They have no role.
,2. They can give very precise pictures of pulmonary fluid status.
3. They provide an idea of general cardiac size and pulmonary great vessel distribution.
4. They can confirm the diagnosis. - correct answer-3. They provide an idea of general cardiac size
and pulmonary great vessel distribution.
The overall goal of treating hyperlipidemia is:
1. Maintain an LDL level of less than 160 mg/dL
2. To reduce atherogenesis
3. Lowering apo B, one of the apoliproteins
4. All of the above - correct answer-2. To reduce atherogenesis
When considering which cholesterol-lowering drug to prescribe, which factor determines
the type and intensity of treatment?
1. Total LDL
2. Fasting HDL
3. Coronary artery disease risk level
4. Fasting total cholesterol - correct answer-3. Coronary artery disease risk level
First-line therapy for hyperlipidemia is:
1. Statins
2. Niacin
3. Lifestyle changes
4. Bile acid-binding resins - correct answer-3. Lifestyle changes
James is a 45-year-old patient with an LDL level of 120 and normal triglycerides. Appropriate
firstline therapy for James may include diet counseling, increased physical activity, and: 1. A
statin
2. Niacin
,3. Sterols
4. A fibric acid derivative - correct answer-3. Sterols
Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease.
She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6
months her LDL is slightly higher. The next step in her treatment would be: 1. A statin
2. Niacin
3. Sterols
4. A fibric acid derivative - correct answer-1. A statin
Sharlene is a 65-year-old patient who has been on a lipid-lowering diet and using plant sterol
margarine daily for the past 3 months. Her LDL is 135 mg/dL. An appropriate treatment for her
would be:
1. A statin
2. Niacin
3. A fibric acid derivative
4. Determined by her risk factors - correct answer-4. Determined by her risk factors
Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months
to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable
change in therapy would be to:
1. Discontinue the statin and change to a fibric acid derivative.
2. Discontinue the statin and change to ezetimibe.
3. Continue the statin and add in ezetimibe.
4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia. - correct answer-3.
Continue the statin and add in ezetimibe.
Jamie is a 34-year-old pregnant woman with familial hyperlipidemia and elevated LDL levels. What is
the appropriate treatment for a pregnant woman?
1. A statin
, 2. Niacin
3. Fibric acid derivative
4. Bile acid-binding resins - correct answer-4. Bile acid-binding resins
Cost of antianginal drug therapy should be considered in drug selection because of all of
the following EXCEPT:
1. Patients often require multiple drugs
2. A large number of angina patients are older adults on fixed incomes
3. Generic formulations may be cheaper but are rarely bioequivalent
4. Lack of drug selectivity may result in increased adverse reactions - correct answer-3. Generic
formulations may be cheaper but are rarely bioequivalent
Situations that suggest referral to a specialist is appropriate include:
1. When chronic stable angina becomes unpredictable in its characteristics and precipitating factors
2. When a post-myocardial infarction patient develops new-onset angina
3. When standard therapy is not successful in improving exercise tolerance or reducing the incidence
of angina
4. All of the above - correct answer-4. All of the above
The rationale for prescribing calcium blockers for angina can be based on the need for:
1. Increased inotropic effect in the heart
2. Increasing peripheral perfusion
3. Keeping heart rates high enough to ensure perfusion of coronary arteries 4. Help with rate control
- correct answer-4. Help with rate control
Medications are typically started for angina patients when:
1. The first permanent EKG changes occur
2. The start of class I or II symptoms
