Nsg 6440 Practice Test Majority With
Correct And Verified Answers
Which rof rthe rfollowing rantihypertensive rmedications rwould ryou ravoid rprescribing rfor
ran relderly rwhite rfemale rwith rthe rcomorbid rdiagnosis rof rosteoporosis?
a. rBeta rblockers
b. rCalcium rchannel rblockers
c. rAce rinhibitors
d. rDiuretics r- rCORRECT✅✅Calcium rchannel rblockers
Which rof rthe rfollowing rclass rof rdrugs ris rpreferred rtreatment rfor ra rdiabetic rwith rstage
rII rhypertension?
ra. rCalcium rchannel rblockers
rb. rAlpha rblockers
rc. rAngiotensin rconverting renzyme rinhibitor
rd. rLoop rdiuretics r- rCORRECT✅✅Angiotensin rconverting renzyme rinhibitor
You rare rcaring rfor ra r30-year-old rwhite rmale rin ryour roffice rwith ra rBP rof r144/90. rHe
rhas rnever rhad ra rdiagnosis rof rhypertension. rHe rdoesn't rcheck rhis rblood rpressure rat
rhome. rHe rhas ra rfamily rhistory rof rhypertension. rWhat rare ryour rrecommendations?
a. rStart rHCTZ r12.5mg rdaily, rpurchase ra rblood rpressure rcuff, rand rreturn rto ryour
roffice rin r1 rmth
b. rInstruct rto rpurchase ra rBP rcuff, rrecord rblood rpressures, rcall rif rover r140's rover
r90's, rlow rsalt rdiet, rreturn rin r2 rweeks.
c. rOrder rEKG, rCMP, rCBC, rand rlipid rpanel, rand rrefer rto rcardiology.
d. rOrder ra rcardiac rstress rtest rand rlipid rpanel. r- rCORRECT✅✅Instruct rto rpurchase
ra rBP rcuff, rrecord rblood rpressures, rcall rif rover r140's rover r90's, rlow rsalt rdiet, rreturn
rin r2 rweeks
You rare rtreating ra ryoung radult rfemale rwith rHTN rand rmigraine rheadaches. rWhich
rclass rof rmedications rcould ryou rchoose rto rtreat rboth?
rAce rinhibitors
rCalcium rchannel rblockers
rBeta rblockers
rAngiotensin rreceptor rblockers r- rCORRECT✅✅Beta rblockers
,A r42-year-old rmale rpresents rwith rthe rfollowing rlipid rprofile. rHe ris rnot ron rany
rmedications rfor rcholesterol ror rherbal rsupplements.
Total: r210
LDL: r145
TG r162
HDL r52
What rmedication rwould ryou rrecommend?
a. rLow rdose rstatin
b. rLow rdose rbile racid rsequestrant
c. rLow rdose rfibrate
d. rFish roil r- rCORRECT✅✅Low rdose rstatin
You rare rcaring rfor ra r68-year-old rmale rwho rhas rbeen rtaking ratorvastain r(Lipitor) rfor r8
rweeks. rHe rcomplains rof rfatigue, rmuscle raches, rand rdark-colored rurine. rWhich rof rthe
rfollowing ris rthe rmost rappropriate rtreatment rplan?
a. rOrder ra rCBC rand rCMP.
b. rOrder rlipid rlevel rand rserum rcreatine rphosphokinase r
r(CPK, rcreatine rkinase) r
c. rOrder ra r24 rhr rurine
d. rRecommend rincreasing rhis rfluids rand rrest. r- rCORRECT✅✅Order rlipid rlevel rand
rserum rcreatine rphosphokinase r(CPK, rcreatine rkinase).
What rwould ryou radvise rthis rpatient rregarding rtaking rhis ratrovastatin r(Lipitor)?
Continuing rtaking rthe rmedication runtil rthe rlabs rare
ravailable
Take ratorvastatin revery rother rday runtil rlabs rare r
ravailable r
Take rhalf rof rthe ratorvastatin revery rother rday runtil rlabs r
rare ravailable
Stop rtaking rthe ratorvastatin runtil rthe rlabs rare
ravailable r- rCORRECT✅✅Stop rtaking ratorvastatin runtil rthe rlabs rare ravailable.
A r58 ryear rold rmale rpresents rto ryour roffice rwith ran repisode rof rchest rtightness rin rhis
rsubsternal rarea rthat rradiated rto rhis rback rwhile rhe rwas rjogging. rIt rwas rrelieved rwith
rrest. rWhich rof rthe rfollowing rdoes rthis rbest rdescribe?
rAcute rmyocardial rinfarction
rGastroesophageal rreflux rdisease
rAngina rpectoris
rAcute rcostochondritis r- rCORRECT✅✅Angina rpectoris
What ris rthe rmost rcommon rcause rof rleft rventricular rhypertrophy rin rthe rUnited rStates?
,rMitral rvalve rprolapse r
rChronic ratrial rfibrillation r
rPulmonary rhypertension r
rChronic rhypertension r- rCORRECT✅✅Chronic rhypertension
Which rof rthe rfollowing rheart rsounds ris rassociated rwith rheart rfailure?
rStill's rmurmer rand rS4 r
rS3 r
rS1, rS2, rand rS4 r
rS1, rS2, rand rS3 r- rCORRECT✅✅S3
While rperforming ra rroutine rphysical rexam ron ra r60-year-old rhypertensive rmale, ryou
rnotice ra rbruit rover rthe rcarotid rarea ron rthe rleft rside rof rthe rneck. rThere ris rno
rinduration rof rthe rskin. rThis rpatient ris rat rhigher rrisk rfor:
rStroke rand rcoronary rheart rdisease r
rTemporal rarteritis rand rbrain raneurysms r
rAbdominal raneurysm rand rcongestive rheart rgailure r
rDizziness rand rheadaches r- rCORRECT✅✅Stroke rand rcoronary rheart rdisease
A r72-year-old rfemale rpresents rto ryour roffice rwith rgradual rdifficulty rbreathing, rnon-
productive rcough, rbilateral rswelling rof rher rfeet, rand ra r10 rpound rweight rgain. rUpon
rexamination ryou rhear rcrackles rand rrhonchi rwith ran rS3 rheart rsound. rWhat ris rthe
rmost rlikely rdiagnosis?
rCOPD r
rRenal rhypertension r
rCongestive rheart rhailure r
rAsthma r- rCORRECT✅✅Congestive rheart rfailure
What ris ryour rtreatment rplan rfor rthis rpatient rwith rdifficulty rbreathing, rcough, rweight
rgain, redema, rand rS3 rheart rsounds?
rRest rand rincrease rfluids r
rDiuretics, rdigoxin, rand ranti-hypertensive rmedications r
rNebulized ralbuterol rand rprednisone r
rAnti-coagulation rand rcardiology revaluation r- rCORRECT✅✅Diuretics, rdigoxin, rand
ranti-hypertensive rmedications
You rare rtreating ra r49-year-old rfemale rwho rpresents rwith rfatigue rand rpalpitations.
rYou rcheck rher rapical rpulse rand rshe ris rirregular rand rtachycardic. rYou robtain ran
rEKG rand rit rreveals rafib rwith rrapid rventricular rresponse. rWhat ris ryour rtreatment
rplan?
, rYou rorder ra r2D recho. r
rYou radmit rher rto rthe rhospital rfor rnew ronset rafib. r
rYou rperform rcardiac rmassage rand rhave rher rrelax. r
rYou rorder ra rcardiology rconsult. r- rCORRECT✅✅You radmit rher rto rthe rhospital rfor
rnew ronset rafib.
Upon rexamination rof ra r17-year-old rduring ra rsports rphysical, ryou rhear ra rsplit rS2
rduring rinspiration rthat rdisappears rduring rexpiration. rThe rpatient rdenies rchest rpain
rand rdyspnea. rWhat rwill ryou rtell rthe rmother rand rpatient rregarding ryour rfindings?
rYou radvise rthe rpatient rto ravoid rstrenuous rphysical r
ractivity runtil rfurther rinvestigation
r
rYou rrecommend ra rreferral rto rcardiology. r
rDue rto rthe rpatient rbeing ran rathlete, ryou rrecommend ra r
rstress recho
rEducate rthe rmother rand rpatient rthat rthis ris ra rbenign r
rfinding r- rCORRECT✅✅Educate rthe rmother rand rpatient rthat rthis ris ra rbenign
rfinding.
The rfirst rsign rof ran rasthma rexacerbation ris:
rCough
rWheeze
rDyspnea
rChest rtightness r- rCORRECT✅✅Cough
According rto rthe rNAEPP-3 rGuidelines rfor rthe rTreatment rand rManagement rof
rAsthma, rwhat ris rthe rgold rstandard rfor rdaily rtreatment rof rmild-persistent rasthma?
rInhaled rsteroids
rLong-acting rbronchodliators
rShort-acting rbronchodilators
rCombination rtherapies r- rCORRECT✅✅Inhaled rsteroids
You rare rtreating ran radult rasthma rpatient rand rreviewing rher rmetered rdose rinhaler
r(MDI) rtechnique. rShe rdemonstrates rher rMDI rtechnique rby rshaking rthe rinhaler,
rplacing rthe rinhaler rin rher rmouth, rpressing rthe rcanister, rand rinhaling rquickly. rWhat ris
ryour rresponse?
rYou rpraise rthe rpatient rfor rdemonstrating rthe rcorrect r
rMDI rtechnique
r
rYou reducate rthe rpatient rtaht, rfirst, rshe rshould rexhale r
rfully, rthen rshake rthe rinhale, rand rfinally, ras rshe
Correct And Verified Answers
Which rof rthe rfollowing rantihypertensive rmedications rwould ryou ravoid rprescribing rfor
ran relderly rwhite rfemale rwith rthe rcomorbid rdiagnosis rof rosteoporosis?
a. rBeta rblockers
b. rCalcium rchannel rblockers
c. rAce rinhibitors
d. rDiuretics r- rCORRECT✅✅Calcium rchannel rblockers
Which rof rthe rfollowing rclass rof rdrugs ris rpreferred rtreatment rfor ra rdiabetic rwith rstage
rII rhypertension?
ra. rCalcium rchannel rblockers
rb. rAlpha rblockers
rc. rAngiotensin rconverting renzyme rinhibitor
rd. rLoop rdiuretics r- rCORRECT✅✅Angiotensin rconverting renzyme rinhibitor
You rare rcaring rfor ra r30-year-old rwhite rmale rin ryour roffice rwith ra rBP rof r144/90. rHe
rhas rnever rhad ra rdiagnosis rof rhypertension. rHe rdoesn't rcheck rhis rblood rpressure rat
rhome. rHe rhas ra rfamily rhistory rof rhypertension. rWhat rare ryour rrecommendations?
a. rStart rHCTZ r12.5mg rdaily, rpurchase ra rblood rpressure rcuff, rand rreturn rto ryour
roffice rin r1 rmth
b. rInstruct rto rpurchase ra rBP rcuff, rrecord rblood rpressures, rcall rif rover r140's rover
r90's, rlow rsalt rdiet, rreturn rin r2 rweeks.
c. rOrder rEKG, rCMP, rCBC, rand rlipid rpanel, rand rrefer rto rcardiology.
d. rOrder ra rcardiac rstress rtest rand rlipid rpanel. r- rCORRECT✅✅Instruct rto rpurchase
ra rBP rcuff, rrecord rblood rpressures, rcall rif rover r140's rover r90's, rlow rsalt rdiet, rreturn
rin r2 rweeks
You rare rtreating ra ryoung radult rfemale rwith rHTN rand rmigraine rheadaches. rWhich
rclass rof rmedications rcould ryou rchoose rto rtreat rboth?
rAce rinhibitors
rCalcium rchannel rblockers
rBeta rblockers
rAngiotensin rreceptor rblockers r- rCORRECT✅✅Beta rblockers
,A r42-year-old rmale rpresents rwith rthe rfollowing rlipid rprofile. rHe ris rnot ron rany
rmedications rfor rcholesterol ror rherbal rsupplements.
Total: r210
LDL: r145
TG r162
HDL r52
What rmedication rwould ryou rrecommend?
a. rLow rdose rstatin
b. rLow rdose rbile racid rsequestrant
c. rLow rdose rfibrate
d. rFish roil r- rCORRECT✅✅Low rdose rstatin
You rare rcaring rfor ra r68-year-old rmale rwho rhas rbeen rtaking ratorvastain r(Lipitor) rfor r8
rweeks. rHe rcomplains rof rfatigue, rmuscle raches, rand rdark-colored rurine. rWhich rof rthe
rfollowing ris rthe rmost rappropriate rtreatment rplan?
a. rOrder ra rCBC rand rCMP.
b. rOrder rlipid rlevel rand rserum rcreatine rphosphokinase r
r(CPK, rcreatine rkinase) r
c. rOrder ra r24 rhr rurine
d. rRecommend rincreasing rhis rfluids rand rrest. r- rCORRECT✅✅Order rlipid rlevel rand
rserum rcreatine rphosphokinase r(CPK, rcreatine rkinase).
What rwould ryou radvise rthis rpatient rregarding rtaking rhis ratrovastatin r(Lipitor)?
Continuing rtaking rthe rmedication runtil rthe rlabs rare
ravailable
Take ratorvastatin revery rother rday runtil rlabs rare r
ravailable r
Take rhalf rof rthe ratorvastatin revery rother rday runtil rlabs r
rare ravailable
Stop rtaking rthe ratorvastatin runtil rthe rlabs rare
ravailable r- rCORRECT✅✅Stop rtaking ratorvastatin runtil rthe rlabs rare ravailable.
A r58 ryear rold rmale rpresents rto ryour roffice rwith ran repisode rof rchest rtightness rin rhis
rsubsternal rarea rthat rradiated rto rhis rback rwhile rhe rwas rjogging. rIt rwas rrelieved rwith
rrest. rWhich rof rthe rfollowing rdoes rthis rbest rdescribe?
rAcute rmyocardial rinfarction
rGastroesophageal rreflux rdisease
rAngina rpectoris
rAcute rcostochondritis r- rCORRECT✅✅Angina rpectoris
What ris rthe rmost rcommon rcause rof rleft rventricular rhypertrophy rin rthe rUnited rStates?
,rMitral rvalve rprolapse r
rChronic ratrial rfibrillation r
rPulmonary rhypertension r
rChronic rhypertension r- rCORRECT✅✅Chronic rhypertension
Which rof rthe rfollowing rheart rsounds ris rassociated rwith rheart rfailure?
rStill's rmurmer rand rS4 r
rS3 r
rS1, rS2, rand rS4 r
rS1, rS2, rand rS3 r- rCORRECT✅✅S3
While rperforming ra rroutine rphysical rexam ron ra r60-year-old rhypertensive rmale, ryou
rnotice ra rbruit rover rthe rcarotid rarea ron rthe rleft rside rof rthe rneck. rThere ris rno
rinduration rof rthe rskin. rThis rpatient ris rat rhigher rrisk rfor:
rStroke rand rcoronary rheart rdisease r
rTemporal rarteritis rand rbrain raneurysms r
rAbdominal raneurysm rand rcongestive rheart rgailure r
rDizziness rand rheadaches r- rCORRECT✅✅Stroke rand rcoronary rheart rdisease
A r72-year-old rfemale rpresents rto ryour roffice rwith rgradual rdifficulty rbreathing, rnon-
productive rcough, rbilateral rswelling rof rher rfeet, rand ra r10 rpound rweight rgain. rUpon
rexamination ryou rhear rcrackles rand rrhonchi rwith ran rS3 rheart rsound. rWhat ris rthe
rmost rlikely rdiagnosis?
rCOPD r
rRenal rhypertension r
rCongestive rheart rhailure r
rAsthma r- rCORRECT✅✅Congestive rheart rfailure
What ris ryour rtreatment rplan rfor rthis rpatient rwith rdifficulty rbreathing, rcough, rweight
rgain, redema, rand rS3 rheart rsounds?
rRest rand rincrease rfluids r
rDiuretics, rdigoxin, rand ranti-hypertensive rmedications r
rNebulized ralbuterol rand rprednisone r
rAnti-coagulation rand rcardiology revaluation r- rCORRECT✅✅Diuretics, rdigoxin, rand
ranti-hypertensive rmedications
You rare rtreating ra r49-year-old rfemale rwho rpresents rwith rfatigue rand rpalpitations.
rYou rcheck rher rapical rpulse rand rshe ris rirregular rand rtachycardic. rYou robtain ran
rEKG rand rit rreveals rafib rwith rrapid rventricular rresponse. rWhat ris ryour rtreatment
rplan?
, rYou rorder ra r2D recho. r
rYou radmit rher rto rthe rhospital rfor rnew ronset rafib. r
rYou rperform rcardiac rmassage rand rhave rher rrelax. r
rYou rorder ra rcardiology rconsult. r- rCORRECT✅✅You radmit rher rto rthe rhospital rfor
rnew ronset rafib.
Upon rexamination rof ra r17-year-old rduring ra rsports rphysical, ryou rhear ra rsplit rS2
rduring rinspiration rthat rdisappears rduring rexpiration. rThe rpatient rdenies rchest rpain
rand rdyspnea. rWhat rwill ryou rtell rthe rmother rand rpatient rregarding ryour rfindings?
rYou radvise rthe rpatient rto ravoid rstrenuous rphysical r
ractivity runtil rfurther rinvestigation
r
rYou rrecommend ra rreferral rto rcardiology. r
rDue rto rthe rpatient rbeing ran rathlete, ryou rrecommend ra r
rstress recho
rEducate rthe rmother rand rpatient rthat rthis ris ra rbenign r
rfinding r- rCORRECT✅✅Educate rthe rmother rand rpatient rthat rthis ris ra rbenign
rfinding.
The rfirst rsign rof ran rasthma rexacerbation ris:
rCough
rWheeze
rDyspnea
rChest rtightness r- rCORRECT✅✅Cough
According rto rthe rNAEPP-3 rGuidelines rfor rthe rTreatment rand rManagement rof
rAsthma, rwhat ris rthe rgold rstandard rfor rdaily rtreatment rof rmild-persistent rasthma?
rInhaled rsteroids
rLong-acting rbronchodliators
rShort-acting rbronchodilators
rCombination rtherapies r- rCORRECT✅✅Inhaled rsteroids
You rare rtreating ran radult rasthma rpatient rand rreviewing rher rmetered rdose rinhaler
r(MDI) rtechnique. rShe rdemonstrates rher rMDI rtechnique rby rshaking rthe rinhaler,
rplacing rthe rinhaler rin rher rmouth, rpressing rthe rcanister, rand rinhaling rquickly. rWhat ris
ryour rresponse?
rYou rpraise rthe rpatient rfor rdemonstrating rthe rcorrect r
rMDI rtechnique
r
rYou reducate rthe rpatient rtaht, rfirst, rshe rshould rexhale r
rfully, rthen rshake rthe rinhale, rand rfinally, ras rshe
