NURSE PRACTITIONER
CERTIFICATION EXAM AND
PRACTICE PREP
CARDIOVASCULAR EXAM WITH
QUESTIONS AND 100% CORRECT
ANSWERS GRADED A
You examine a 38 year old woman who has presented for an initial
examination and Papanicolaou test. She has no complaint. Her BP is
154/98 mm Hg bilaterally and her BMI is 31 kg/m2. The rest of her
physical exam is unremarkable. Your next best action is to:
A. initiate antihypertensive therapy
B. arrange for at least two additional BP measurements during the next 2
weeks.
C. order BUN, creatinine, and potassium ion measurements and UA
D. advise her to reduce her sodium intake - CORRECT ANSWER-B. arrange
for at least two additional BP measurements during the next 2 weeks
You see a 68 year old woman as a pt who is transferring care into your
practice. She has a 10y history of HTN, diabetes mellitus, and
hyperlipidemia. Current medications include HCTZ, glipizide, metformin,
simvastatin, and daily low-dose aspirin. Today's BP reading is 158/92mm
Hg and the rest of her history and exam are unremarkable.
,Documentation from her former healthcare provider indicates that her
BP has been in the range for the past 12 months. Your next best action is
to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist - CORRECT ANSWER-A.
prescribe an ACEI
You examine a 78 y/o woman with long-standing poorly controlled hHTN.
When evaluating her for HTN target organ damage, you look for
evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
D. clotting disorders - CORRECT ANSWER-C. left ventricular hypertrophy
Diagnostic testing for a pt with newly diagnosed primary hHTN should
include all of the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium - CORRECT ANSWER-B. uric acid
, In the person w/HTN, the nurse practitioner recommends all of the
following to potentially reduce BP in a patient with a BMI of 30 kg/m2
except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week
D. consuming at least 1-2 servings of alcohol - CORRECT ANSWER-D.
consuming at least 1-2 servings of alcohol
what class of antihypertension medication is amlodipine? - CORRECT
ANSWER-dihydropyridine calcium channel blocker
what class of antihypertension medication is diltiazem? - CORRECT
ANSWER-nondihydropyridine calcium channel blocker
what class of antihypertension medication is trandolapril? - CORRECT
ANSWER-ACEI
what class of antihypertension medication is telmisartan? - CORRECT
ANSWER-angiotensin receptor antagonist
what class of antihypertension medication is pindolol? - CORRECT
ANSWER-beta-adrenergic receptor antagonist
CERTIFICATION EXAM AND
PRACTICE PREP
CARDIOVASCULAR EXAM WITH
QUESTIONS AND 100% CORRECT
ANSWERS GRADED A
You examine a 38 year old woman who has presented for an initial
examination and Papanicolaou test. She has no complaint. Her BP is
154/98 mm Hg bilaterally and her BMI is 31 kg/m2. The rest of her
physical exam is unremarkable. Your next best action is to:
A. initiate antihypertensive therapy
B. arrange for at least two additional BP measurements during the next 2
weeks.
C. order BUN, creatinine, and potassium ion measurements and UA
D. advise her to reduce her sodium intake - CORRECT ANSWER-B. arrange
for at least two additional BP measurements during the next 2 weeks
You see a 68 year old woman as a pt who is transferring care into your
practice. She has a 10y history of HTN, diabetes mellitus, and
hyperlipidemia. Current medications include HCTZ, glipizide, metformin,
simvastatin, and daily low-dose aspirin. Today's BP reading is 158/92mm
Hg and the rest of her history and exam are unremarkable.
,Documentation from her former healthcare provider indicates that her
BP has been in the range for the past 12 months. Your next best action is
to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist - CORRECT ANSWER-A.
prescribe an ACEI
You examine a 78 y/o woman with long-standing poorly controlled hHTN.
When evaluating her for HTN target organ damage, you look for
evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
D. clotting disorders - CORRECT ANSWER-C. left ventricular hypertrophy
Diagnostic testing for a pt with newly diagnosed primary hHTN should
include all of the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium - CORRECT ANSWER-B. uric acid
, In the person w/HTN, the nurse practitioner recommends all of the
following to potentially reduce BP in a patient with a BMI of 30 kg/m2
except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week
D. consuming at least 1-2 servings of alcohol - CORRECT ANSWER-D.
consuming at least 1-2 servings of alcohol
what class of antihypertension medication is amlodipine? - CORRECT
ANSWER-dihydropyridine calcium channel blocker
what class of antihypertension medication is diltiazem? - CORRECT
ANSWER-nondihydropyridine calcium channel blocker
what class of antihypertension medication is trandolapril? - CORRECT
ANSWER-ACEI
what class of antihypertension medication is telmisartan? - CORRECT
ANSWER-angiotensin receptor antagonist
what class of antihypertension medication is pindolol? - CORRECT
ANSWER-beta-adrenergic receptor antagonist
