NR 667 Practice Exam Week 2 2025 With
100% Correct Answers
Your 50 year-old male African American (AA) patient was
found to have a blood pressure of 160/96 upon arrival to your
clinic. He does not have any other medical conditions. For the
following 24 hours of self-reported vital signs, it remained
between 160-170 systolic and 90-100 diastolic without
treatment. After finding all basic metabolic panel (BMP) lab
values to be within normal limits, your first choice of
antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - correct answersamlodipine
A patient is being followed for type 2 diabetes mellitus and
hypertension. He also has a diagnosis of polycythemia vera and
has regular phlebotomies for management. Which of the
following statements about this patient is correct?
,The phlebotomies will improve his glycosylated hemoglobin
levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - correct answersHe
should avoid dietary iron supplements
As the nurse practitioner working in a primary care clinic, you
have been notified from a hospitalist that your long-term patient
with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% two years ago who is
also not on optimal medical therapy has been diagnosed with a
myocardial infarction this admission and received emergent
placement of a drug-eluting stent to the left anterior descending
artery. As the patient's medical home who will manage this
patient after discharge, which of the following would you expect
to be a priority in the patient's care for their heart failure after an
acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF
is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
,Ordering a new transthoracic echocardiogram and order a
Lifevest if EF is less than 45% - correct answersOrdering a new
transthoracic echocardiogram and Lifevest if EF is less than
35%
A 70-year-old man with a history of atrial fibrillation presents
with sudden-onset left-sided weakness and slurred speech. What
is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - correct answersStroke
A 55 year-old female patient with no previous cardiac history
and no family history of hyperlipidemia with an acute
myocardial infarction is treated successfully with a drug-eluting
stent during a recent hospitalization. As their long-term care
provider, you anticipate they were most likely to be also started
on which of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
, High intensity statin therapy
Moderate intensity statin therapy - correct answersHigh
intensity statin therapy
Which of the following medications is not considered part of
optimal medical therapy for a 54 year-old male patient with a
diagnosis of heart failure with reduced ejection fraction (HFrEF)
with an EF of 30%, known coronary artery disease, and normal
renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - correct answersDiltiazem
(Cardizem)
An older adult with diabetes mellitus presents with leg cramps.
She states that the cramps were worst when walking to the
supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
100% Correct Answers
Your 50 year-old male African American (AA) patient was
found to have a blood pressure of 160/96 upon arrival to your
clinic. He does not have any other medical conditions. For the
following 24 hours of self-reported vital signs, it remained
between 160-170 systolic and 90-100 diastolic without
treatment. After finding all basic metabolic panel (BMP) lab
values to be within normal limits, your first choice of
antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - correct answersamlodipine
A patient is being followed for type 2 diabetes mellitus and
hypertension. He also has a diagnosis of polycythemia vera and
has regular phlebotomies for management. Which of the
following statements about this patient is correct?
,The phlebotomies will improve his glycosylated hemoglobin
levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - correct answersHe
should avoid dietary iron supplements
As the nurse practitioner working in a primary care clinic, you
have been notified from a hospitalist that your long-term patient
with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% two years ago who is
also not on optimal medical therapy has been diagnosed with a
myocardial infarction this admission and received emergent
placement of a drug-eluting stent to the left anterior descending
artery. As the patient's medical home who will manage this
patient after discharge, which of the following would you expect
to be a priority in the patient's care for their heart failure after an
acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF
is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
,Ordering a new transthoracic echocardiogram and order a
Lifevest if EF is less than 45% - correct answersOrdering a new
transthoracic echocardiogram and Lifevest if EF is less than
35%
A 70-year-old man with a history of atrial fibrillation presents
with sudden-onset left-sided weakness and slurred speech. What
is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - correct answersStroke
A 55 year-old female patient with no previous cardiac history
and no family history of hyperlipidemia with an acute
myocardial infarction is treated successfully with a drug-eluting
stent during a recent hospitalization. As their long-term care
provider, you anticipate they were most likely to be also started
on which of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
, High intensity statin therapy
Moderate intensity statin therapy - correct answersHigh
intensity statin therapy
Which of the following medications is not considered part of
optimal medical therapy for a 54 year-old male patient with a
diagnosis of heart failure with reduced ejection fraction (HFrEF)
with an EF of 30%, known coronary artery disease, and normal
renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - correct answersDiltiazem
(Cardizem)
An older adult with diabetes mellitus presents with leg cramps.
She states that the cramps were worst when walking to the
supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
