Barkley AGPCNP PRACTICE
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A 68-year-old patient with hypertension has an office BP of 168/94
mmHg on three separate visits. Which classification best describes
this blood pressure?
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: D. Stage 2 hypertension
Repeated systolic BP ≥140 mmHg meets criteria for stage 2
hypertension.
2.
,A 72-year-old patient with hypertension and chronic kidney disease
is being evaluated for initial pharmacologic therapy. Which
medication class is particularly useful for renal protection when
albuminuria is present?
A. Loop diuretic
B. ACE inhibitor
C. Alpha blocker
D. Nitrate
Answer: B. ACE inhibitor
ACE inhibitors reduce intraglomerular pressure and albuminuria and
are commonly used when hypertension is accompanied by
albuminuric chronic kidney disease.
3.
A 70-year-old patient reports exertional substernal chest pressure
that resolves after several minutes of rest. Which condition is most
likely?
A. Acute pericarditis
B. Stable angina
C. Pulmonary embolism
D. Aortic dissection
Answer: B. Stable angina
Predictable exertional chest discomfort relieved by rest is
characteristic of stable angina.
4.
Which finding is most concerning for an acute myocardial infarction?
A. Chest discomfort lasting several seconds
B. Chest pressure with diaphoresis and nausea
C. Pain reproducible by palpation
D. Burning after a large meal
,Answer: B. Chest pressure with diaphoresis and nausea
Prolonged pressure-like chest discomfort accompanied by autonomic
symptoms is concerning for acute coronary syndrome.
5.
A patient with atrial fibrillation has an irregularly irregular pulse.
Which ECG finding is expected?
A. Regular rhythm with sawtooth waves
B. Absent organized P waves
C. Prolonged PR intervals with dropped beats
D. Wide QRS complexes preceded by P waves
Answer: B. Absent organized P waves
Atrial fibrillation produces disorganized atrial activity with no
consistent P waves and an irregularly irregular ventricular response.
6.
Which symptom is most characteristic of left-sided heart failure?
A. Ascites
B. Peripheral edema only
C. Pulmonary crackles and dyspnea
D. Splenomegaly
Answer: C. Pulmonary crackles and dyspnea
Left-sided heart failure commonly causes pulmonary venous
congestion, producing dyspnea, orthopnea, and crackles.
7.
A patient with heart failure reports needing three pillows to sleep
because of shortness of breath. This symptom is called:
A. Claudication
B. Orthopnea
, C. Syncope
D. Pleurisy
Answer: B. Orthopnea
Orthopnea is dyspnea occurring when lying flat and is commonly
associated with heart failure.
8.
Which medication can worsen heart failure with reduced ejection
fraction?
A. Carvedilol
B. Lisinopril
C. Verapamil
D. Spironolactone
Answer: C. Verapamil
Verapamil is a nondihydropyridine calcium channel blocker with
negative inotropic effects and can worsen systolic heart failure.
9.
A 75-year-old patient has bilateral calf pain when walking that
resolves with rest. What is the most likely diagnosis?
A. Deep venous thrombosis
B. Peripheral arterial disease
C. Cellulitis
D. Venous insufficiency
Answer: B. Peripheral arterial disease
Intermittent claudication is a classic symptom of peripheral arterial
disease.
10.
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A 68-year-old patient with hypertension has an office BP of 168/94
mmHg on three separate visits. Which classification best describes
this blood pressure?
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: D. Stage 2 hypertension
Repeated systolic BP ≥140 mmHg meets criteria for stage 2
hypertension.
2.
,A 72-year-old patient with hypertension and chronic kidney disease
is being evaluated for initial pharmacologic therapy. Which
medication class is particularly useful for renal protection when
albuminuria is present?
A. Loop diuretic
B. ACE inhibitor
C. Alpha blocker
D. Nitrate
Answer: B. ACE inhibitor
ACE inhibitors reduce intraglomerular pressure and albuminuria and
are commonly used when hypertension is accompanied by
albuminuric chronic kidney disease.
3.
A 70-year-old patient reports exertional substernal chest pressure
that resolves after several minutes of rest. Which condition is most
likely?
A. Acute pericarditis
B. Stable angina
C. Pulmonary embolism
D. Aortic dissection
Answer: B. Stable angina
Predictable exertional chest discomfort relieved by rest is
characteristic of stable angina.
4.
Which finding is most concerning for an acute myocardial infarction?
A. Chest discomfort lasting several seconds
B. Chest pressure with diaphoresis and nausea
C. Pain reproducible by palpation
D. Burning after a large meal
,Answer: B. Chest pressure with diaphoresis and nausea
Prolonged pressure-like chest discomfort accompanied by autonomic
symptoms is concerning for acute coronary syndrome.
5.
A patient with atrial fibrillation has an irregularly irregular pulse.
Which ECG finding is expected?
A. Regular rhythm with sawtooth waves
B. Absent organized P waves
C. Prolonged PR intervals with dropped beats
D. Wide QRS complexes preceded by P waves
Answer: B. Absent organized P waves
Atrial fibrillation produces disorganized atrial activity with no
consistent P waves and an irregularly irregular ventricular response.
6.
Which symptom is most characteristic of left-sided heart failure?
A. Ascites
B. Peripheral edema only
C. Pulmonary crackles and dyspnea
D. Splenomegaly
Answer: C. Pulmonary crackles and dyspnea
Left-sided heart failure commonly causes pulmonary venous
congestion, producing dyspnea, orthopnea, and crackles.
7.
A patient with heart failure reports needing three pillows to sleep
because of shortness of breath. This symptom is called:
A. Claudication
B. Orthopnea
, C. Syncope
D. Pleurisy
Answer: B. Orthopnea
Orthopnea is dyspnea occurring when lying flat and is commonly
associated with heart failure.
8.
Which medication can worsen heart failure with reduced ejection
fraction?
A. Carvedilol
B. Lisinopril
C. Verapamil
D. Spironolactone
Answer: C. Verapamil
Verapamil is a nondihydropyridine calcium channel blocker with
negative inotropic effects and can worsen systolic heart failure.
9.
A 75-year-old patient has bilateral calf pain when walking that
resolves with rest. What is the most likely diagnosis?
A. Deep venous thrombosis
B. Peripheral arterial disease
C. Cellulitis
D. Venous insufficiency
Answer: B. Peripheral arterial disease
Intermittent claudication is a classic symptom of peripheral arterial
disease.
10.
