NRNP EXAM vc
Exam Solution vc
N7230 Cartes 2026 A+ GRADE ASSURED COMPLETE SOL vc vc vc vc vc vc vc
UTIONS AND VERIFIED ANSWERS (647A0) vc vc vc vc
QUESTION 1 vc
A patient with a history of Type 2 diabetes and coronary artery disease has the following
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lipid panel: LDL 128, HDL 30, Triglycerides 208. What would first line treatment be? Life
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
style modification with diet and exercise Atorvastatin 20mg daily Atorvastatin 80 mg dai
vc vc vc vc vc vc vc vc vc vc vc vc
ly Fenofibrate
vc
ANSWER
Atorvastatin 80 mg daily vc vc vc
QUESTION 2 vc
An S3 finding on cardiac auscultation of a 59 year old patient may indicate what? Normal
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heart function Mitral valve prolapse Left ventricular hypertrophy Heart failure
vc vc vc vc vc vc vc vc vc vc
ANSWER
Heart failure vc
QUESTION 3 vc
A 65 year old male is diagnosed with Hypertension and has a history of Diabetes. What w
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ould be the best first line treatment for this patient? Calcium channel blocker Diuretic Ac
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e Inhibitor Beta blocker
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ANSWER
Ace Inhibitor vc
QUESTION 4 vc
What is the main goal for the treatment of HTN? maintain cerebral perfusion prevent tar
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get organ damage lower lipids prevent obesity
vc vc vc vc vc vc
,ANSWER
prevent target organ damage vc vc vc
QUESTION 5 vc
Therapeutic lifestyle changes are recommended for a patient with elevated cholesterol l
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evels. Patient education should include: high fiber diet low protien diet low sodium diet
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weight training 3 times a week vc vc vc vc vc
ANSWER
high fiber diet vc vc
QUESTION 6 vc
Which of the following Hypertension drugs is most effective in African Americans as well
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as decreasing stroke risk? beta blockers calicum channel blockers ACE ARB
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ANSWER
calicum channel blockers vc vc
QUESTION 7 vc
In the presence of diabetes and dyslipidemia, the National Cholesterol Education Progra
vc vc vc vc vc vc vc vc vc vc vc
m guidelines, set the goal for lipid levels at: LDL < 100, and triglycerides levels < 200 LD
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
L , 160, and triglyceride levels < 240 LDL < 100 and triglyceride levels <180 LDL < 150 a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd triglyceride levels < 220
vc vc vc vc
ANSWER
LDL < 100 and triglyceride levels <180
vc vc vc vc vc vc
QUESTION 8 vc
Lipid screening is not recommended for: Children ages 2-8 Children ages 2-
vc vc vc vc vc vc vc vc vc vc vc
8 who have no risk factors Children 12-17 Children who are overweight or obese
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Children ages 2-8 who have no risk factors
vc vc vc vc vc vc vc
QUESTION 9 vc
An older adult with COPD develops HTN. Which of the following drugs should the NP avoi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
d with this patient? Ace Inhibitor ARB Calcium channel blocker Beta blocker
vc vc vc vc vc vc vc vc vc vc vc
, ANSWER
Beta blocker vc
QUESTION 10 vc
A patient has been prescribed lisinopril 5mg PO qd for hypertension. He has developed i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n intractable cough that is unrelated to worsening of his health or heart failure. Which of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the following medications can be substituted for this medication? Calcium channel block
vc vc vc vc vc vc vc vc vc vc vc vc
er Ace inhibitor Angiotensin II Receptor Blocker (ARB) Digoxin
vc vc vc vc vc vc vc vc
ANSWER
Angiotensin II Receptor Blocker (ARB) vc vc vc vc
QUESTION 11 vc
A patient with coronary artery disease has a cholesterol of 278, LDL 160, and triglycerid
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e level of 300. He is prescribed therapy with lovastatin (Mevacor) 20 mg daily. He should
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
be instructed to take it every am in the evening at noon after meals 30 minutes before b
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
reakfast
ANSWER
in the evening
vc vc
QUESTION 12 vc
When inspecting the precordium, the FNP is checking for: scars and anatomic landmarks
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pulsations and heaves heaves and cardiac dullness pericardial friction rubs and lifts
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ANSWER
pulsations and heaves vc vc
QUESTION 13 vc
According to JNC 8 guidelines, which of the following is an appropriate blood pressure go
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al for a 65 year old male without commodities? <150/90 <140/90 <130/80 <140/80
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
<150/90
QUESTION 14 vc
Exam Solution vc
N7230 Cartes 2026 A+ GRADE ASSURED COMPLETE SOL vc vc vc vc vc vc vc
UTIONS AND VERIFIED ANSWERS (647A0) vc vc vc vc
QUESTION 1 vc
A patient with a history of Type 2 diabetes and coronary artery disease has the following
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lipid panel: LDL 128, HDL 30, Triglycerides 208. What would first line treatment be? Life
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
style modification with diet and exercise Atorvastatin 20mg daily Atorvastatin 80 mg dai
vc vc vc vc vc vc vc vc vc vc vc vc
ly Fenofibrate
vc
ANSWER
Atorvastatin 80 mg daily vc vc vc
QUESTION 2 vc
An S3 finding on cardiac auscultation of a 59 year old patient may indicate what? Normal
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
heart function Mitral valve prolapse Left ventricular hypertrophy Heart failure
vc vc vc vc vc vc vc vc vc vc
ANSWER
Heart failure vc
QUESTION 3 vc
A 65 year old male is diagnosed with Hypertension and has a history of Diabetes. What w
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ould be the best first line treatment for this patient? Calcium channel blocker Diuretic Ac
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e Inhibitor Beta blocker
vc vc vc
ANSWER
Ace Inhibitor vc
QUESTION 4 vc
What is the main goal for the treatment of HTN? maintain cerebral perfusion prevent tar
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
get organ damage lower lipids prevent obesity
vc vc vc vc vc vc
,ANSWER
prevent target organ damage vc vc vc
QUESTION 5 vc
Therapeutic lifestyle changes are recommended for a patient with elevated cholesterol l
vc vc vc vc vc vc vc vc vc vc vc
evels. Patient education should include: high fiber diet low protien diet low sodium diet
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
weight training 3 times a week vc vc vc vc vc
ANSWER
high fiber diet vc vc
QUESTION 6 vc
Which of the following Hypertension drugs is most effective in African Americans as well
vc vc vc vc vc vc vc vc vc vc vc vc vc v
as decreasing stroke risk? beta blockers calicum channel blockers ACE ARB
c vc vc vc vc vc vc vc vc vc vc
ANSWER
calicum channel blockers vc vc
QUESTION 7 vc
In the presence of diabetes and dyslipidemia, the National Cholesterol Education Progra
vc vc vc vc vc vc vc vc vc vc vc
m guidelines, set the goal for lipid levels at: LDL < 100, and triglycerides levels < 200 LD
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
L , 160, and triglyceride levels < 240 LDL < 100 and triglyceride levels <180 LDL < 150 a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd triglyceride levels < 220
vc vc vc vc
ANSWER
LDL < 100 and triglyceride levels <180
vc vc vc vc vc vc
QUESTION 8 vc
Lipid screening is not recommended for: Children ages 2-8 Children ages 2-
vc vc vc vc vc vc vc vc vc vc vc
8 who have no risk factors Children 12-17 Children who are overweight or obese
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Children ages 2-8 who have no risk factors
vc vc vc vc vc vc vc
QUESTION 9 vc
An older adult with COPD develops HTN. Which of the following drugs should the NP avoi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
d with this patient? Ace Inhibitor ARB Calcium channel blocker Beta blocker
vc vc vc vc vc vc vc vc vc vc vc
, ANSWER
Beta blocker vc
QUESTION 10 vc
A patient has been prescribed lisinopril 5mg PO qd for hypertension. He has developed i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n intractable cough that is unrelated to worsening of his health or heart failure. Which of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the following medications can be substituted for this medication? Calcium channel block
vc vc vc vc vc vc vc vc vc vc vc vc
er Ace inhibitor Angiotensin II Receptor Blocker (ARB) Digoxin
vc vc vc vc vc vc vc vc
ANSWER
Angiotensin II Receptor Blocker (ARB) vc vc vc vc
QUESTION 11 vc
A patient with coronary artery disease has a cholesterol of 278, LDL 160, and triglycerid
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e level of 300. He is prescribed therapy with lovastatin (Mevacor) 20 mg daily. He should
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
be instructed to take it every am in the evening at noon after meals 30 minutes before b
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
reakfast
ANSWER
in the evening
vc vc
QUESTION 12 vc
When inspecting the precordium, the FNP is checking for: scars and anatomic landmarks
vc vc vc vc vc vc vc vc vc vc vc vc v
pulsations and heaves heaves and cardiac dullness pericardial friction rubs and lifts
c vc vc vc vc vc vc vc vc vc vc vc
ANSWER
pulsations and heaves vc vc
QUESTION 13 vc
According to JNC 8 guidelines, which of the following is an appropriate blood pressure go
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al for a 65 year old male without commodities? <150/90 <140/90 <130/80 <140/80
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
<150/90
QUESTION 14 vc