NR 603 WEEK 3 QUIZ AND SOLUTIONS
CASE STUDY – 40 MCQS
1. Mr. Brown, a 45-year-old African American male, has elevated lipids. What should the
nurse practitioner do next?
A. Prescribe a statin daily
B. Check a thyroid stimulating hormone (TSH) level
C. Check a second measurement to confirm diagnosis
D. Order a stress test
Answer: B. Check a thyroid stimulating hormone (TSH) level
Explanation: Hypothyroidism can cause secondary hyperlipidemia. TSH should be evaluated
before initiating lipid-lowering therapy.
2. Which of the following medications may have an unfavorable effect on a hypertensive
patient's blood pressure?
A. Lovastatin
B. Naproxen
C. Inhaled fluticasone
D. Amoxicillin
Answer: B. Naproxen
Explanation: NSAIDs like naproxen can elevate blood pressure by causing sodium and water
retention.
3. Which group of medications would be detrimental if used to treat a patient who has
heart failure?
A. ACEIs
B. Calcium channel blockers
C. Diuretics
D. Beta blockers
Answer: B. Calcium channel blockers
Explanation: Some calcium channel blockers, especially nondihydropyridines, can worsen heart
failure.
4. A patient with hypertension has been diagnosed with gout. Which home medication may
have contributed to this episode of gout?
A. Verapamil
B. Metoprolol
, C. Lisinopril
D. Furosemide
Answer: D. Furosemide
Explanation: Loop diuretics like furosemide increase uric acid levels and can trigger gout.
5. What group of BP medications should be discontinued immediately if pregnancy occurs?
A. Calcium channel blockers
B. Loop diuretics
C. ACEIs
D. Beta blockers
Answer: C. ACEIs
Explanation: ACE inhibitors are teratogenic and contraindicated in pregnancy.
6. What are the classic symptoms of DVT?
A. Heaviness in legs, burning and throbbing, muscle cramps
B. Swelling, pain, and discoloration in lower extremity
C. Leg numbness or weakness, coldness in feet, pain and cramping in leg and buttocks
D. Leg pain with walking, numbness and tingling in legs, pain in buttocks
Answer: B. Swelling, pain, and discoloration in lower extremity
Explanation: Classic signs of DVT include unilateral swelling, pain, and redness.
7. Why are the carotid arteries assessed for bruit?
A. It is indicative of generalized atherosclerosis
B. To listen for a pulse
C. To assess heart rhythm
D. To determine risk of stroke
Answer: A. It is indicative of generalized atherosclerosis
Explanation: A bruit suggests turbulent blood flow due to plaque and atherosclerosis.
8. What is a common side effect of thiazide diuretics in males?
A. Ringing in the ears
B. Frequent urination
C. Erectile dysfunction
D. Hypokalemia
Answer: C. Erectile dysfunction
Explanation: Thiazide diuretics are associated with sexual side effects including ED.
CASE STUDY – 40 MCQS
1. Mr. Brown, a 45-year-old African American male, has elevated lipids. What should the
nurse practitioner do next?
A. Prescribe a statin daily
B. Check a thyroid stimulating hormone (TSH) level
C. Check a second measurement to confirm diagnosis
D. Order a stress test
Answer: B. Check a thyroid stimulating hormone (TSH) level
Explanation: Hypothyroidism can cause secondary hyperlipidemia. TSH should be evaluated
before initiating lipid-lowering therapy.
2. Which of the following medications may have an unfavorable effect on a hypertensive
patient's blood pressure?
A. Lovastatin
B. Naproxen
C. Inhaled fluticasone
D. Amoxicillin
Answer: B. Naproxen
Explanation: NSAIDs like naproxen can elevate blood pressure by causing sodium and water
retention.
3. Which group of medications would be detrimental if used to treat a patient who has
heart failure?
A. ACEIs
B. Calcium channel blockers
C. Diuretics
D. Beta blockers
Answer: B. Calcium channel blockers
Explanation: Some calcium channel blockers, especially nondihydropyridines, can worsen heart
failure.
4. A patient with hypertension has been diagnosed with gout. Which home medication may
have contributed to this episode of gout?
A. Verapamil
B. Metoprolol
, C. Lisinopril
D. Furosemide
Answer: D. Furosemide
Explanation: Loop diuretics like furosemide increase uric acid levels and can trigger gout.
5. What group of BP medications should be discontinued immediately if pregnancy occurs?
A. Calcium channel blockers
B. Loop diuretics
C. ACEIs
D. Beta blockers
Answer: C. ACEIs
Explanation: ACE inhibitors are teratogenic and contraindicated in pregnancy.
6. What are the classic symptoms of DVT?
A. Heaviness in legs, burning and throbbing, muscle cramps
B. Swelling, pain, and discoloration in lower extremity
C. Leg numbness or weakness, coldness in feet, pain and cramping in leg and buttocks
D. Leg pain with walking, numbness and tingling in legs, pain in buttocks
Answer: B. Swelling, pain, and discoloration in lower extremity
Explanation: Classic signs of DVT include unilateral swelling, pain, and redness.
7. Why are the carotid arteries assessed for bruit?
A. It is indicative of generalized atherosclerosis
B. To listen for a pulse
C. To assess heart rhythm
D. To determine risk of stroke
Answer: A. It is indicative of generalized atherosclerosis
Explanation: A bruit suggests turbulent blood flow due to plaque and atherosclerosis.
8. What is a common side effect of thiazide diuretics in males?
A. Ringing in the ears
B. Frequent urination
C. Erectile dysfunction
D. Hypokalemia
Answer: C. Erectile dysfunction
Explanation: Thiazide diuretics are associated with sexual side effects including ED.
