NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
NUR 682 FINAL EXAM 2025-2026|
|300Qs&As|GRADED A+:- Pace University
You see a 59-year-old man with poorly controlled hypertension. On physical
examination, you note grade 1 hypertensive retinopathy. You anticipate all of
the following will be present except:
Patient report of acute visual change.
You see a 38-year-old African American male with hypertension who is
currently being treated with thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of diabetes mellitus or chronic
kidney disease. Following current best evidence, you consider adding which of
the following medications?
Calcium channel blocker
Mr. G is a 63 year old patient with a long history of hypertension, previously
controlled on Lisinopril and HCTZ. His BP has been rising, to 170/104 at the
last visit. He insisted he is adherent with his medications. The clinician added
amlodipine, which dropped the BP to 160/96, but it is 180/110 today. He is
asymptomatic with an essentially negative ROS. The patient has sleep apnea,
which is effectively treated with CPAP. His GFR was 64 last month. According
to figure 10 (page e193) in the 2017 ACC/AHA hypertension treatment
guidelines, what other causes of secondary hypertension would be most likely
to be causing Mr. G's new onset resistant hypertension?
Primary Aldosteronism
,NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
A 68-year-old woman presents with hypertension and BP of 152-158/92-96 mm
Hg documented over 2 months on three different occasions.
Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria.
Clinical findings include the following: BMI 26.4 kg/m2; no S3, S4, or murmur;
and point of maximal impulse at fifth intercostal space, mid-clavicular line.
Which of the following represents the best intervention?
Initiate therapy with hydrochlorothiazide.
When a heart valve fails to close properly, it is said to be:
Incompetent.
The S3 heart sound has all of the following characteristics except:
A presystolic sound
You are treating a healthy a 52 year old African American well woman never-
smoker whose BP has been averaging 135 systolic and 84 diastolic for several
years. She is on no regular medications. What additional information do you
need in order to determine whether she should be treated with medication, in
addition to lifestyle changes, according to the 2018 ACC/AHA hypertension
guidelines?
Avoid disease-related target organ damage.
,NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
What is the correct drug class of telmisartan?
Angiotensin receptor antagonist
You examine a 78-year-old woman with long-standing, poorly controlled
hypertension. When evaluating her for hypertensive target organ damage, you
look for evidence of:
Left ventricular hypertrophy.
In the person with hypertension, the nurse practitioner (NP) recommends all
of the following to potentially reduce BP in a patient with a BMI of 30 kg/m2
except:
consuming at least 1-2 servings of alcohol.
The most important long-term goal of treating hypertension is to:
avoid disease-related target organ damage.
From the 2017 update to the 2013 heart failure ACC/AHA guidelines, which of
the following would NOT be a first line treatment for HFpEF?
Any or all of the above could be first line treatments for HFrEF as needed to
reduce systolic BP to below 130
, NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
You are evaluating a patient who has rheumatic heart disease. When assessing
her for mitral stenosis, you auscultate the heart, anticipating finding the
following murmur:
localized diastolic with little radiation.
Additional findings in MVP include:
a mid-systolic click.
Of the following patients, who is in greatest need of endocarditis prophylaxis
when planning dental work?
a 54-year-old woman with a prosthetic aortic valve
When compared with Caucasians, African Americans tend to have a reduced
effect with monotherapy with all of the following blood pressure medications
except:
CCB
NUR 682 FINAL EXAM 2025-2026|
|300Qs&As|GRADED A+:- Pace University
You see a 59-year-old man with poorly controlled hypertension. On physical
examination, you note grade 1 hypertensive retinopathy. You anticipate all of
the following will be present except:
Patient report of acute visual change.
You see a 38-year-old African American male with hypertension who is
currently being treated with thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of diabetes mellitus or chronic
kidney disease. Following current best evidence, you consider adding which of
the following medications?
Calcium channel blocker
Mr. G is a 63 year old patient with a long history of hypertension, previously
controlled on Lisinopril and HCTZ. His BP has been rising, to 170/104 at the
last visit. He insisted he is adherent with his medications. The clinician added
amlodipine, which dropped the BP to 160/96, but it is 180/110 today. He is
asymptomatic with an essentially negative ROS. The patient has sleep apnea,
which is effectively treated with CPAP. His GFR was 64 last month. According
to figure 10 (page e193) in the 2017 ACC/AHA hypertension treatment
guidelines, what other causes of secondary hypertension would be most likely
to be causing Mr. G's new onset resistant hypertension?
Primary Aldosteronism
,NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
A 68-year-old woman presents with hypertension and BP of 152-158/92-96 mm
Hg documented over 2 months on three different occasions.
Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria.
Clinical findings include the following: BMI 26.4 kg/m2; no S3, S4, or murmur;
and point of maximal impulse at fifth intercostal space, mid-clavicular line.
Which of the following represents the best intervention?
Initiate therapy with hydrochlorothiazide.
When a heart valve fails to close properly, it is said to be:
Incompetent.
The S3 heart sound has all of the following characteristics except:
A presystolic sound
You are treating a healthy a 52 year old African American well woman never-
smoker whose BP has been averaging 135 systolic and 84 diastolic for several
years. She is on no regular medications. What additional information do you
need in order to determine whether she should be treated with medication, in
addition to lifestyle changes, according to the 2018 ACC/AHA hypertension
guidelines?
Avoid disease-related target organ damage.
,NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
What is the correct drug class of telmisartan?
Angiotensin receptor antagonist
You examine a 78-year-old woman with long-standing, poorly controlled
hypertension. When evaluating her for hypertensive target organ damage, you
look for evidence of:
Left ventricular hypertrophy.
In the person with hypertension, the nurse practitioner (NP) recommends all
of the following to potentially reduce BP in a patient with a BMI of 30 kg/m2
except:
consuming at least 1-2 servings of alcohol.
The most important long-term goal of treating hypertension is to:
avoid disease-related target organ damage.
From the 2017 update to the 2013 heart failure ACC/AHA guidelines, which of
the following would NOT be a first line treatment for HFpEF?
Any or all of the above could be first line treatments for HFrEF as needed to
reduce systolic BP to below 130
, NURS 682 CLINICAL PHARMACOLOGY FOR PRESCRIBING ADVANCED PRACTICE
You are evaluating a patient who has rheumatic heart disease. When assessing
her for mitral stenosis, you auscultate the heart, anticipating finding the
following murmur:
localized diastolic with little radiation.
Additional findings in MVP include:
a mid-systolic click.
Of the following patients, who is in greatest need of endocarditis prophylaxis
when planning dental work?
a 54-year-old woman with a prosthetic aortic valve
When compared with Caucasians, African Americans tend to have a reduced
effect with monotherapy with all of the following blood pressure medications
except:
CCB
