NR 661-Cardiovascular ACTUAL EXAM 120 QUESTIONS AND
CORRECT ANSWERS// MOST TEST QUESTIOINS WITH 80%
PASS RATE//GRADED A+
A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL - ANSWER-c. 5th ICS, left of MCL
Valve most commonly involved in chronic rheumatic heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid - ANSWER-b. mitral
A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks.
How should the nurse practitioner proceed? BP-155/95; 145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class - ANSWER-c. add a drug
from another class to the daily 25 mg hydrochlorothiazide
Which choice below would be the best choice for an 80-year old patient whose blood pressure is
172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol - ANSWER-b. amlodipine
,A 76 year old patient who is very active has elevated cholesterol and LDL's. He had been treated for
hypertension for >10 years with near normal blood pressures. What is the current recommendation
for managing his lipids?
a. no treatment should take place since his age exceeds 75 years
b. he should be treated with an aspirin only
c. he should be treated with a statin
d. the benefits of treating this patient do not exceed the risk of using a statin or aspirin - ANSWER-
c. he should be treated with a statin
A patient who has mitral valve prolapse (MVP) reports chest pain and frequent arrhythmias. In the
absence of other underlying cardiac abnormalies, the drug of choice to treat her symptoms is:
a. lisinopril
b. metoprolol
c. Amlodipine
d. Chlorthalidone - ANSWER-b. metoprolol
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness and
muscle aches in his lower back, arms and legs for the past three days. It has not improved with rest.
How should this be evaluated?
a. stop the atorvastatin immediately
b. check liver enzymes first
c. order a CPK level
d. ask about nighttime muscle cramps - ANSWER-a. stop the atorvastatin immediately
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of
his stenosis. The NP replies:
a. palpitations and weakness
b. ventricular arrythmias
c. shortness of breath and syncope
d. fatigue and exercise intolerance - ANSWER-c. shortness of breath and syncope
The most common indicator of end-organ damage in adolescents with hypertension is:
, a. left ventricular hypertrophy
b. seizure
c. renal dysfunction
d. renal artery damage - ANSWER-a. left ventricular hypertrophy
A characteristic of an ACE inhibitor-induced cough is that it:
a. is mildly productive
b. is worse at nighttime
c. usually begins within 2 weeks of starting therapy
d. is more common in men - ANSWER-c. usually begins within 2 weeks of starting therapy
Which infant feeding behavior is least likely related to congenital heart disease (CHD)?
a. limited intake of volume of milk
b. feedings that take a long time to complete
c. feedings that are interrupted by sleeping
d. infants that burp frequently when feeding - ANSWER-d. infants that burp frequently when
feeding
Orthostatic hypotension can be diagnosed in an older adult if the systolic blood pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
c. more than 20 points within 1 minute after rising
d. any degree drop if the patient becomes weak or dizzy - ANSWER-b. more than 20 points within
3 minutes after rising
The carotid arteries are auscultated for bruits because:
a. a bruit is indicative of an impending state
b. a bruit is indicative of carotid stenosis
c. this is indicative of generalized artherosclerosis
d. this is reflective of stroke risk - ANSWER-c. this is indicative of generalized artherosclerosis
CORRECT ANSWERS// MOST TEST QUESTIOINS WITH 80%
PASS RATE//GRADED A+
A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL - ANSWER-c. 5th ICS, left of MCL
Valve most commonly involved in chronic rheumatic heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid - ANSWER-b. mitral
A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks.
How should the nurse practitioner proceed? BP-155/95; 145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class - ANSWER-c. add a drug
from another class to the daily 25 mg hydrochlorothiazide
Which choice below would be the best choice for an 80-year old patient whose blood pressure is
172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol - ANSWER-b. amlodipine
,A 76 year old patient who is very active has elevated cholesterol and LDL's. He had been treated for
hypertension for >10 years with near normal blood pressures. What is the current recommendation
for managing his lipids?
a. no treatment should take place since his age exceeds 75 years
b. he should be treated with an aspirin only
c. he should be treated with a statin
d. the benefits of treating this patient do not exceed the risk of using a statin or aspirin - ANSWER-
c. he should be treated with a statin
A patient who has mitral valve prolapse (MVP) reports chest pain and frequent arrhythmias. In the
absence of other underlying cardiac abnormalies, the drug of choice to treat her symptoms is:
a. lisinopril
b. metoprolol
c. Amlodipine
d. Chlorthalidone - ANSWER-b. metoprolol
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness and
muscle aches in his lower back, arms and legs for the past three days. It has not improved with rest.
How should this be evaluated?
a. stop the atorvastatin immediately
b. check liver enzymes first
c. order a CPK level
d. ask about nighttime muscle cramps - ANSWER-a. stop the atorvastatin immediately
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of
his stenosis. The NP replies:
a. palpitations and weakness
b. ventricular arrythmias
c. shortness of breath and syncope
d. fatigue and exercise intolerance - ANSWER-c. shortness of breath and syncope
The most common indicator of end-organ damage in adolescents with hypertension is:
, a. left ventricular hypertrophy
b. seizure
c. renal dysfunction
d. renal artery damage - ANSWER-a. left ventricular hypertrophy
A characteristic of an ACE inhibitor-induced cough is that it:
a. is mildly productive
b. is worse at nighttime
c. usually begins within 2 weeks of starting therapy
d. is more common in men - ANSWER-c. usually begins within 2 weeks of starting therapy
Which infant feeding behavior is least likely related to congenital heart disease (CHD)?
a. limited intake of volume of milk
b. feedings that take a long time to complete
c. feedings that are interrupted by sleeping
d. infants that burp frequently when feeding - ANSWER-d. infants that burp frequently when
feeding
Orthostatic hypotension can be diagnosed in an older adult if the systolic blood pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
c. more than 20 points within 1 minute after rising
d. any degree drop if the patient becomes weak or dizzy - ANSWER-b. more than 20 points within
3 minutes after rising
The carotid arteries are auscultated for bruits because:
a. a bruit is indicative of an impending state
b. a bruit is indicative of carotid stenosis
c. this is indicative of generalized artherosclerosis
d. this is reflective of stroke risk - ANSWER-c. this is indicative of generalized artherosclerosis
