AGPCNP NU 661
AGPCNP I
Final Exams Review (Qns & Ans)
2025
1. Multiple Choice
In the assessment of hypertension in adults, which of the
following measurements is essential to classify isolated systolic
hypertension?
A. Diastolic blood pressure
B. Systolic blood pressure
C. Pulse pressure
D. Mean arterial pressure
ANS: B. Systolic blood pressure
©2025
, Rationale: Isolated systolic hypertension is defined by a
systolic blood pressure of 130 mmHg or higher with a diastolic
pressure below 80 mmHg.
2. Fill-in-the-Blank
The 2021 ADA guidelines recommend a target HbA1c of less
than _______% for most non-pregnant adults diagnosed with
Type 2 Diabetes.
ANS: 7
Rationale: Maintaining an HbA1c level of less than 7% is
generally considered optimal for reducing the risk of diabetes
complications.
3. True/False
The DASH diet is effective in reducing blood pressure and can
be recommended as part of the lifestyle modification for patients
with pre-hypertension.
ANS: True
Rationale: The Dietary Approaches to Stop Hypertension
(DASH) diet is rich in fruits, vegetables, and low-fat dairy
products and is proven to help in lowering blood pressure.
©2025
,4. Multiple Response
Which of the following symptoms are commonly associated
with Chronic Obstructive Pulmonary Disease (COPD)? (Select all
that apply)
A. Chronic cough
B. Hemoptysis
C. Dyspnea
D. Barrel chest
ANS: A. Chronic cough, C. Dyspnea, D. Barrel chest
Rationale: Chronic cough, dyspnea, and a barrel chest due to
air trapping are characteristic features of COPD. Hemoptysis is
not typical.
5. Multiple Choice
In the evaluation of heart failure, which biomarker is most
indicative of fluid overload?
A. Troponin
B. B-type natriuretic peptide (BNP)
C. C-reactive protein (CRP)
D. D-dimer
©2025
, ANS: B. B-type natriuretic peptide (BNP)
Rationale: BNP levels increase in response to fluid overload
conditions such as heart failure.
6. Fill-in-the-Blank
According to the USPSTF, adults aged 50 to 75 should be
screened for colorectal cancer using stool-based tests,
sigmoidoscopy, or ________.
ANS: Colonoscopy
Rationale: USPSTF recommends colonoscopy as a screening
tool for colorectal cancer in adults aged 50 to 75.
7. True/False
Aspirin therapy is recommended universally for the primary
prevention of cardiovascular disease in all adults over the age of
50.
ANS: False
Rationale: Aspirin therapy is not universally recommended and
should be considered based on individual cardiovascular risk
factors.
©2025
AGPCNP I
Final Exams Review (Qns & Ans)
2025
1. Multiple Choice
In the assessment of hypertension in adults, which of the
following measurements is essential to classify isolated systolic
hypertension?
A. Diastolic blood pressure
B. Systolic blood pressure
C. Pulse pressure
D. Mean arterial pressure
ANS: B. Systolic blood pressure
©2025
, Rationale: Isolated systolic hypertension is defined by a
systolic blood pressure of 130 mmHg or higher with a diastolic
pressure below 80 mmHg.
2. Fill-in-the-Blank
The 2021 ADA guidelines recommend a target HbA1c of less
than _______% for most non-pregnant adults diagnosed with
Type 2 Diabetes.
ANS: 7
Rationale: Maintaining an HbA1c level of less than 7% is
generally considered optimal for reducing the risk of diabetes
complications.
3. True/False
The DASH diet is effective in reducing blood pressure and can
be recommended as part of the lifestyle modification for patients
with pre-hypertension.
ANS: True
Rationale: The Dietary Approaches to Stop Hypertension
(DASH) diet is rich in fruits, vegetables, and low-fat dairy
products and is proven to help in lowering blood pressure.
©2025
,4. Multiple Response
Which of the following symptoms are commonly associated
with Chronic Obstructive Pulmonary Disease (COPD)? (Select all
that apply)
A. Chronic cough
B. Hemoptysis
C. Dyspnea
D. Barrel chest
ANS: A. Chronic cough, C. Dyspnea, D. Barrel chest
Rationale: Chronic cough, dyspnea, and a barrel chest due to
air trapping are characteristic features of COPD. Hemoptysis is
not typical.
5. Multiple Choice
In the evaluation of heart failure, which biomarker is most
indicative of fluid overload?
A. Troponin
B. B-type natriuretic peptide (BNP)
C. C-reactive protein (CRP)
D. D-dimer
©2025
, ANS: B. B-type natriuretic peptide (BNP)
Rationale: BNP levels increase in response to fluid overload
conditions such as heart failure.
6. Fill-in-the-Blank
According to the USPSTF, adults aged 50 to 75 should be
screened for colorectal cancer using stool-based tests,
sigmoidoscopy, or ________.
ANS: Colonoscopy
Rationale: USPSTF recommends colonoscopy as a screening
tool for colorectal cancer in adults aged 50 to 75.
7. True/False
Aspirin therapy is recommended universally for the primary
prevention of cardiovascular disease in all adults over the age of
50.
ANS: False
Rationale: Aspirin therapy is not universally recommended and
should be considered based on individual cardiovascular risk
factors.
©2025
