VATI PN FULL SCRIPT 2026 QUESTIONS WITH
SOLUTIONS AND GRADING
▶ A patient come in this is her third Blood pressure reasoning and her
blood pressure is 136/87. She doesn't have any symptoms of high blood
pressure and is motivated to do what she need to reduce it. Which of the
following is recommended for this patient?
A. Start DASH diet and walking for 60 minutes a day
B. Start medication and lifestyle modification
C. Start medication only
D. Refer to Cardiologist Answer: A. Start DASH diet and walking for 60
minutes a day
▶ A patient come in this is her third Blood pressure reasoning and her
blood pressure is 136/87. She complains of headaches that's are severe
once a week. Which of the following is recommended for this patient?
A. Start DASH diet and walking for 60 minutes a day
B. Start medication and lifestyle modification
C. Start medication only
D. Refer to Cardiologist Answer: B. Start medication and lifestyle
modification
▶ What does a high sodium diet do to potassium levels?
A. Increases it
B. Has no effect
C. Lowers it
D. Stabilizes it Answer: C. Lowers it
▶ Which nonpharmacologic intervention has the highest SBP reduction?
A. Yoga
B. Low sodium diet
C. Weight loss
D. Stress reduction Answer: C. Weight loss
,▶ How long should lifestyle changes be trialed in a Stage I HTN patient
without TOD or risk factors?
A. 1-2 weeks
B. 6-12 months
C. 3 days
D. Indefinitely Answer: B. 6-12 months
▶ When should HTN drug therapy be started immediately?
A. Stage I HTN with no TOD
B. Stage II HTN
C. White coat HTN
D. Pre hypertension Answer: B. Stage II HTN
▶ What lab value indicates possible hyperaldosteronism?
A. Low potassium
B. High sodium
C. Low creatine
D. Low calcium Answer: A. Low potassium
▶ What approach is the best when patients want to reduce meds that
maintain BP control?
A. Stop all meds immediately
B. Reduce Potassium
C. Add another drug
D. Add alternative approaches as adjuncts Answer: D. Add alternative
approaches as adjuncts
▶ Which of the following medications are not recommended as a first time
drug for hypertension?
A. ACE inhibitors
B. Angiotensin II receptor blockers
C. Calcium channel blockers
D. Beta blockers Answer: D. Beta blockers
, ▶ Which of the following patients would you not recommend the use of
Hydrochlorothiazide?
A. A patient with diabetes
B. A patient with erectile dysfunction
C. A patient with gout
D. A patient that's overweight Answer: C. A patient with gout
▶ You can have a patient on an ACEi and and ARB if they need it, True or
False? Answer: False
▶ Which of the following drug categories are known for causing Pedal
Edema?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics Answer: D. Calcium channel blockers
▶ Which of the following drug categories are known for causing
constipation in the elderly?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics Answer: D. Calcium channel blockers
▶ Secondary HTN is common cause of HTN and should be ruled out for
most patients. All HTN drug categories can lower BP, and that is most
important thing to accomplish. However, if someone has known renal
function issue, it's best to start with?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics
F. Loop diuretics Answer: F. Loop diuretics
SOLUTIONS AND GRADING
▶ A patient come in this is her third Blood pressure reasoning and her
blood pressure is 136/87. She doesn't have any symptoms of high blood
pressure and is motivated to do what she need to reduce it. Which of the
following is recommended for this patient?
A. Start DASH diet and walking for 60 minutes a day
B. Start medication and lifestyle modification
C. Start medication only
D. Refer to Cardiologist Answer: A. Start DASH diet and walking for 60
minutes a day
▶ A patient come in this is her third Blood pressure reasoning and her
blood pressure is 136/87. She complains of headaches that's are severe
once a week. Which of the following is recommended for this patient?
A. Start DASH diet and walking for 60 minutes a day
B. Start medication and lifestyle modification
C. Start medication only
D. Refer to Cardiologist Answer: B. Start medication and lifestyle
modification
▶ What does a high sodium diet do to potassium levels?
A. Increases it
B. Has no effect
C. Lowers it
D. Stabilizes it Answer: C. Lowers it
▶ Which nonpharmacologic intervention has the highest SBP reduction?
A. Yoga
B. Low sodium diet
C. Weight loss
D. Stress reduction Answer: C. Weight loss
,▶ How long should lifestyle changes be trialed in a Stage I HTN patient
without TOD or risk factors?
A. 1-2 weeks
B. 6-12 months
C. 3 days
D. Indefinitely Answer: B. 6-12 months
▶ When should HTN drug therapy be started immediately?
A. Stage I HTN with no TOD
B. Stage II HTN
C. White coat HTN
D. Pre hypertension Answer: B. Stage II HTN
▶ What lab value indicates possible hyperaldosteronism?
A. Low potassium
B. High sodium
C. Low creatine
D. Low calcium Answer: A. Low potassium
▶ What approach is the best when patients want to reduce meds that
maintain BP control?
A. Stop all meds immediately
B. Reduce Potassium
C. Add another drug
D. Add alternative approaches as adjuncts Answer: D. Add alternative
approaches as adjuncts
▶ Which of the following medications are not recommended as a first time
drug for hypertension?
A. ACE inhibitors
B. Angiotensin II receptor blockers
C. Calcium channel blockers
D. Beta blockers Answer: D. Beta blockers
, ▶ Which of the following patients would you not recommend the use of
Hydrochlorothiazide?
A. A patient with diabetes
B. A patient with erectile dysfunction
C. A patient with gout
D. A patient that's overweight Answer: C. A patient with gout
▶ You can have a patient on an ACEi and and ARB if they need it, True or
False? Answer: False
▶ Which of the following drug categories are known for causing Pedal
Edema?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics Answer: D. Calcium channel blockers
▶ Which of the following drug categories are known for causing
constipation in the elderly?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics Answer: D. Calcium channel blockers
▶ Secondary HTN is common cause of HTN and should be ruled out for
most patients. All HTN drug categories can lower BP, and that is most
important thing to accomplish. However, if someone has known renal
function issue, it's best to start with?
A. ACEi
B. ARBS
C. Beta blockers
D. Calcium channel blockers
E. Thiazide diuretics
F. Loop diuretics Answer: F. Loop diuretics
