Barkley FNP
Predictor/Readiness PRACTICE
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A 52-year-old patient with hypertension has an average home BP of
148/92 mm Hg despite adherence to lifestyle modifications. Which
diagnosis is most appropriate?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: D. Stage 2 hypertension
An average BP of ≥140 systolic or ≥90 diastolic is consistent with
stage 2 hypertension.
,2.
A 58-year-old patient with hypertension and chronic kidney disease
has an elevated BP despite treatment with an ACE inhibitor. Which
laboratory value is especially important to monitor?
A. Calcium
B. Potassium
C. Hemoglobin
D. Amylase
Answer: B. Potassium
ACE inhibitors can increase serum potassium, particularly in patients
with renal impairment.
3.
A patient taking lisinopril develops persistent dry cough. Which
medication is an appropriate alternative?
A. Losartan
B. Propranolol
C. Furosemide
D. Clonidine
Answer: A. Losartan
Angiotensin receptor blockers such as losartan provide renin-
angiotensin system blockade without the bradykinin-mediated cough
commonly associated with ACE inhibitors.
4.
A 45-year-old patient has LDL cholesterol of 210 mg/dL. What should
the clinician suspect?
A. Familial hypercholesterolemia
B. Familial hypertriglyceridemia
,C. Hypothyroidism only
D. Nephrotic syndrome only
Answer: A. Familial hypercholesterolemia
An LDL ≥190 mg/dL strongly raises concern for severe primary
hypercholesterolemia, including familial hypercholesterolemia.
5.
Which lifestyle intervention has the greatest direct effect on
lowering cardiovascular risk in a patient who smokes cigarettes?
A. Increasing dietary calcium
B. Smoking cessation
C. Increasing vitamin C
D. Avoiding gluten
Answer: B. Smoking cessation
Smoking cessation substantially reduces cardiovascular and
pulmonary morbidity and mortality.
6.
A patient with diabetes reports burning pain in both feet that is
worse at night. Which complication is most likely?
A. Peripheral neuropathy
B. Nephropathy
C. Retinopathy
D. Gastroparesis
Answer: A. Peripheral neuropathy
Distal symmetric diabetic polyneuropathy commonly causes burning,
tingling, numbness, and pain in the feet.
7.
, Which medication is generally considered first-line pharmacotherapy
for many adults with newly diagnosed type 2 diabetes when no
contraindication exists?
A. Metformin
B. Glyburide
C. NPH insulin
D. Acarbose
Answer: A. Metformin
Metformin is commonly used as initial therapy because of its efficacy,
safety profile, low cost, and low risk of hypoglycemia.
8.
A patient with type 2 diabetes has an A1C of 9.8% and symptomatic
polyuria and weight loss. Which treatment may be particularly
appropriate?
A. Lifestyle modification alone
B. Insulin therapy
C. Discontinue all medications
D. Calcium supplementation
Answer: B. Insulin therapy
Marked hyperglycemia accompanied by catabolic symptoms may
require insulin to rapidly control glucose.
9.
Which finding is most characteristic of hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Hyporeflexia
Answer: C. Heat intolerance
Predictor/Readiness PRACTICE
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A 52-year-old patient with hypertension has an average home BP of
148/92 mm Hg despite adherence to lifestyle modifications. Which
diagnosis is most appropriate?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: D. Stage 2 hypertension
An average BP of ≥140 systolic or ≥90 diastolic is consistent with
stage 2 hypertension.
,2.
A 58-year-old patient with hypertension and chronic kidney disease
has an elevated BP despite treatment with an ACE inhibitor. Which
laboratory value is especially important to monitor?
A. Calcium
B. Potassium
C. Hemoglobin
D. Amylase
Answer: B. Potassium
ACE inhibitors can increase serum potassium, particularly in patients
with renal impairment.
3.
A patient taking lisinopril develops persistent dry cough. Which
medication is an appropriate alternative?
A. Losartan
B. Propranolol
C. Furosemide
D. Clonidine
Answer: A. Losartan
Angiotensin receptor blockers such as losartan provide renin-
angiotensin system blockade without the bradykinin-mediated cough
commonly associated with ACE inhibitors.
4.
A 45-year-old patient has LDL cholesterol of 210 mg/dL. What should
the clinician suspect?
A. Familial hypercholesterolemia
B. Familial hypertriglyceridemia
,C. Hypothyroidism only
D. Nephrotic syndrome only
Answer: A. Familial hypercholesterolemia
An LDL ≥190 mg/dL strongly raises concern for severe primary
hypercholesterolemia, including familial hypercholesterolemia.
5.
Which lifestyle intervention has the greatest direct effect on
lowering cardiovascular risk in a patient who smokes cigarettes?
A. Increasing dietary calcium
B. Smoking cessation
C. Increasing vitamin C
D. Avoiding gluten
Answer: B. Smoking cessation
Smoking cessation substantially reduces cardiovascular and
pulmonary morbidity and mortality.
6.
A patient with diabetes reports burning pain in both feet that is
worse at night. Which complication is most likely?
A. Peripheral neuropathy
B. Nephropathy
C. Retinopathy
D. Gastroparesis
Answer: A. Peripheral neuropathy
Distal symmetric diabetic polyneuropathy commonly causes burning,
tingling, numbness, and pain in the feet.
7.
, Which medication is generally considered first-line pharmacotherapy
for many adults with newly diagnosed type 2 diabetes when no
contraindication exists?
A. Metformin
B. Glyburide
C. NPH insulin
D. Acarbose
Answer: A. Metformin
Metformin is commonly used as initial therapy because of its efficacy,
safety profile, low cost, and low risk of hypoglycemia.
8.
A patient with type 2 diabetes has an A1C of 9.8% and symptomatic
polyuria and weight loss. Which treatment may be particularly
appropriate?
A. Lifestyle modification alone
B. Insulin therapy
C. Discontinue all medications
D. Calcium supplementation
Answer: B. Insulin therapy
Marked hyperglycemia accompanied by catabolic symptoms may
require insulin to rapidly control glucose.
9.
Which finding is most characteristic of hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Hyporeflexia
Answer: C. Heat intolerance
