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NR 661-CARDIOVASCULAR EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Mr. Diagle is an 80 year old patient who takes warfarin for chronic afib. The
NP should: INR 6.0
a. stop the warfarin for the next two days and repeat the INR on day 3
b. admit to the hospital immediately
c. administer vitamin K and repeat INR tomorrow
d. stop warfarin for one week and recheck INR - ANS ✓a. stop the warfarin for
the next two days and repeat the INR on day 3
A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks
ago for treatment of primary hypertension. On his return visit today, he
reports feeling weak and tired. What should the NP consider to evaluate the
weakness and fatigue?
a. glucose level
b. potassium level
c. cbc
d. tsh - ANS ✓b. potassium level
The NP is caring for an independent 74 year old female who had acute
coronary syndrome (ACS) about 6 weeks ago. what medications should be
part of her regimen unless there is a contraindication?
a. ASA and beta blocker
b. ACE and betablocker
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c. ACE, ASA and beta blocker
d. ACE, ASA, beta blocker and statin - ANS ✓d. ACE, ASA, beta blocker and
statin
Which hypertensive is most likely to have adverse blood pressure effects
from excessive sodium consumption?
a. 21 year old Asian American Male
b. 35 year old menstruating female
c. 55 year old post menopausal female
d. 70 year old african american male - ANS ✓d. 70 year old african american
male
An 87 year old has a history of symptomatic heart failure. He presents
today with lower extremity edema and mild shortness of breath with
exertion. In addition to a diruetic for volume overload, what other
medication should he receive today?
a. ACE inhibitor
b. Beta Blocker
c. Calcium Channel blocker
d. oxygen - ANS ✓a. ACE inhibitor
A 76 year old patient who is very active has elevated cholesterol and LDL's.
He had been treated for hypertension for >10 years with near normal blood
pressures. What is the current recommendation for managing his lipids?
a. no treatment should take place since his age exceeds 75 years
b. he should be treated with an aspirin only
c. he should be treated with a statin
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d. the benefits of treating this patient do not exceed the risk of using a
statin or aspirin - ANS ✓c. he should be treated with a statin
A patient who has mitral valve prolapse (MVP) reports chest pain and
frequent arrhythmias. In the absence of other underlying cardiac
abnormalies, the drug of choice to treat her symptoms is:
a. lisinopril
b. metoprolol
c. Amlodipine
d. Chlorthalidone - ANS ✓b. metoprolol
A patient taking atorvastatin for newly diagnosed dyslipidemia complains
of fatigue, weakness and muscle aches in his lower back, arms and legs for
the past three days. It has not improved with rest. How should this be
evaluated?
a. stop the atorvastatin immediately
b. check liver enzymes first
c. order a CPK level
d. ask about nighttime muscle cramps - ANS ✓a. stop the atorvastatin
immediately
A 75 year old patient who has aortic stenosis wants to know what
symptoms indicate worsening of his stenosis. The NP replies:
a. palpitations and weakness
b. ventricular arrythmias
c. shortness of breath and syncope
d. fatigue and exercise intolerance - ANS ✓c. shortness of breath and syncope
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The most common indicator of end-organ damage in adolescents with
hypertension is:
a. left ventricular hypertrophy
b. seizure
c. renal dysfunction
d. renal artery damage - ANS ✓a. left ventricular hypertrophy
A characteristic of an ACE inhibitor-induced cough is that it:
a. is mildly productive
b. is worse at nighttime
c. usually begins within 2 weeks of starting therapy
d. is more common in men - ANS ✓c. usually begins within 2 weeks of starting
therapy
Which infant feeding behavior is least likely related to congenital heart
disease (CHD)?
a. limited intake of volume of milk
b. feedings that take a long time to complete
c. feedings that are interrupted by sleeping
d. infants that burp frequently when feeding - ANS ✓d. infants that burp
frequently when feeding
Orthostatic hypotension can be diagnosed in an older adult if the systolic
blood pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
NR 661
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NR 661-CARDIOVASCULAR EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Mr. Diagle is an 80 year old patient who takes warfarin for chronic afib. The
NP should: INR 6.0
a. stop the warfarin for the next two days and repeat the INR on day 3
b. admit to the hospital immediately
c. administer vitamin K and repeat INR tomorrow
d. stop warfarin for one week and recheck INR - ANS ✓a. stop the warfarin for
the next two days and repeat the INR on day 3
A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks
ago for treatment of primary hypertension. On his return visit today, he
reports feeling weak and tired. What should the NP consider to evaluate the
weakness and fatigue?
a. glucose level
b. potassium level
c. cbc
d. tsh - ANS ✓b. potassium level
The NP is caring for an independent 74 year old female who had acute
coronary syndrome (ACS) about 6 weeks ago. what medications should be
part of her regimen unless there is a contraindication?
a. ASA and beta blocker
b. ACE and betablocker
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c. ACE, ASA and beta blocker
d. ACE, ASA, beta blocker and statin - ANS ✓d. ACE, ASA, beta blocker and
statin
Which hypertensive is most likely to have adverse blood pressure effects
from excessive sodium consumption?
a. 21 year old Asian American Male
b. 35 year old menstruating female
c. 55 year old post menopausal female
d. 70 year old african american male - ANS ✓d. 70 year old african american
male
An 87 year old has a history of symptomatic heart failure. He presents
today with lower extremity edema and mild shortness of breath with
exertion. In addition to a diruetic for volume overload, what other
medication should he receive today?
a. ACE inhibitor
b. Beta Blocker
c. Calcium Channel blocker
d. oxygen - ANS ✓a. ACE inhibitor
A 76 year old patient who is very active has elevated cholesterol and LDL's.
He had been treated for hypertension for >10 years with near normal blood
pressures. What is the current recommendation for managing his lipids?
a. no treatment should take place since his age exceeds 75 years
b. he should be treated with an aspirin only
c. he should be treated with a statin
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d. the benefits of treating this patient do not exceed the risk of using a
statin or aspirin - ANS ✓c. he should be treated with a statin
A patient who has mitral valve prolapse (MVP) reports chest pain and
frequent arrhythmias. In the absence of other underlying cardiac
abnormalies, the drug of choice to treat her symptoms is:
a. lisinopril
b. metoprolol
c. Amlodipine
d. Chlorthalidone - ANS ✓b. metoprolol
A patient taking atorvastatin for newly diagnosed dyslipidemia complains
of fatigue, weakness and muscle aches in his lower back, arms and legs for
the past three days. It has not improved with rest. How should this be
evaluated?
a. stop the atorvastatin immediately
b. check liver enzymes first
c. order a CPK level
d. ask about nighttime muscle cramps - ANS ✓a. stop the atorvastatin
immediately
A 75 year old patient who has aortic stenosis wants to know what
symptoms indicate worsening of his stenosis. The NP replies:
a. palpitations and weakness
b. ventricular arrythmias
c. shortness of breath and syncope
d. fatigue and exercise intolerance - ANS ✓c. shortness of breath and syncope
NR 661
, 4
NR
The most common indicator of end-organ damage in adolescents with
hypertension is:
a. left ventricular hypertrophy
b. seizure
c. renal dysfunction
d. renal artery damage - ANS ✓a. left ventricular hypertrophy
A characteristic of an ACE inhibitor-induced cough is that it:
a. is mildly productive
b. is worse at nighttime
c. usually begins within 2 weeks of starting therapy
d. is more common in men - ANS ✓c. usually begins within 2 weeks of starting
therapy
Which infant feeding behavior is least likely related to congenital heart
disease (CHD)?
a. limited intake of volume of milk
b. feedings that take a long time to complete
c. feedings that are interrupted by sleeping
d. infants that burp frequently when feeding - ANS ✓d. infants that burp
frequently when feeding
Orthostatic hypotension can be diagnosed in an older adult if the systolic
blood pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
NR 661
