NUR 502 EXAM 1 REVISED QUESTIONS AND ANSWERS VERIFIED 100% CORRECT

NUR 502 EXAM 1 REVISED QUESTIONS AND ANSWERS VERIFIED 100% CORRECT Which of the following P2Y12 inhibitors is contraindicated in patients with a previous history of stroke? a. Clopidogrel b. Prasugrel c. Ticagrelor d. Aspirin - ANSWER -b. Prasugrel A 35 year old patient returns to clinic one month after starting a new medication for blood pressure. The patient complains of feeling tired and sleepy all the time. Which of the following antihypertensive agents is most likely to be related to this patient's complaints? a. Hydrochlorothiazide b. Clonidine c. Amlodipine d. Furosemide - ANSWER -b. Clonidine Which of the following is a contraindication for thrombolytic therapy? a. Previous ACS event b. Allergy to aspirin c. Current gastrointestinal bleed d. History of diabetes - ANSWER -c. Current gastrointestinal bleed Treatment of hypertension is important because it effectively reduces the risk of which of the following? a. Heart failure b. All of the above c. Myocardial infarction d. Stroke - ANSWER -b. All of the above Which of the following approaches is most effective at clearing occluded arteries in patients with a STEMI? a. Ischemic guided strategy with dual antiplatelet therapy b. Primary PCI c. GP IIb/IIIa receptor inhibitor therapy d. Fibrinolytic therapy - ANSWER -b. Primary PCI Which of the following would be most appropriate for a patient with very-high ASCVD risk? a. Lovastatin 20 mg b. Rosuvastatin 20 mg c. Simvastatin 20 mg d. Pravastatin 20 mg - ANSWER -b. Rosuvastatin 20 mg HMG-CoA reductase inhibitors (or statins) are considered first line therapy due to their tolerability and ability to reduce LDL cholesterol. Which of the following agents is considered first line instead of statins to reduce triglyceride levels greater than 500 mg/dL? a. Ezetimibe (Zetia) b. Colestipol (Colestid) c. Fenofibrate (Tricor) d. Lovastatin (Mevacor) - ANSWER -c. Fenofibrate (Tricor) A patient received thrombolytic therapy because PCI was expected to be delayed in a patient presenting with a STEMI. Which of the following agents is recommended for antiplatelet therapy ? a. Warfarin b. Clopidogrel c. Prasugrel d. Ticagrelor - ANSWER -b. Clopidogrel What reduction in LDL cholesterol might be expected from a weight loss of 10 pounds? a. 20-30% b. 1-2% c. 5-8% d. 10-15% - ANSWER -c. 5-8% Which of the following medication classes primarily blocks ADP from activating platelets? a. Heparin b. P2Y12 inhibitors c. Aspirin d. GP IIb/IIIa blockers - ANSWER -b. P2Y12 inhibitors A 46 year old female patient with newly diagnosed hypertension by her physician complains that she does not want to start any medication. Currently her blood pressure is 148/94 mmHg, height 5'3", weight 158 lbs., body mass index (BMI) 28. What behavioral change has the greatest impact on her blood pressure? a. Exercise 20 minutes twice each week b. Restrict alcohol to less than 3 drinks per day c. Switch to DASH dietary pattern d. Restrict dietary sodium intake - ANSWER -c. Switch to DASH dietary pattern A 41 year old female patient continues to have elevated blood pressure on hydrochlorothiazide. She has a past medical history of angioedema on an angiotensin-converting enzyme (ACE) inhibitor requiring hospitalization. Which of the following antihypertensives would be the best addition to her regimen? a. Amlodipine b. Metoprolol c. Captopril d. Losartan - ANSWER -a. Amlodipine Which of the following is an adverse effects associated loop diuretic therapy? a. Hypokalemia b. Hypernatremia c. Hyperglycemia d. Hypermagnesemia - ANSWER -a. Hypokalemia The use of sacubitril/valsartan is contraindicated with ACE inhibitor therapy due to which of the following adverse effects? a. tachycardia b. fluid retention c. hypokalemia d. angioedema - ANSWER -d. angioedema Which of the following is a Factor Xa inhibitor? a. Prasugrel b. Dabigatran c. Warfarin d. Apixaban - ANSWER -d. Apixaban Dyspepsia is a side effect associated with which anticoagulant? a. Rivaroxaban