Nurse Practitioner Certification Exam And Practice Prep Cardiovascular Questions With Correct Answers

You examine a 38 year old woman who has presented for an initial examination and Papanicolaou test. She has no complaint. Her BP is 154/98 mm Hg bilaterally and her BMI is 31 kg/m2. The rest of her physical exam is unremarkable. Your next best action is to: A. initiate antihypertensive therapy B. arrange for at least two additional BP measurements during the next 2 weeks. C. order BUN, creatinine, and potassium ion measurements and UA D. advise her to reduce her sodium intake - correct answer B. arrange for at least two additional BP measurements during the next 2 weeks You see a 68 year old woman as a pt who is transferring care into your practice. She has a 10y history of HTN, diabetes mellitus, and hyperlipidemia. Current medications include HCTZ, glipizide, metformin, simvastatin, and daily low-dose aspirin. Today's BP reading is 158/92mm Hg and the rest of her history and exam are unremarkable. Documentation from her former healthcare provider indicates that her BP has been in the range for the past 12 months. Your next best action is to: A. prescribe an ACEI B. have her return for a BP check in 1 week C. advise that her current therapy is adequate D. add therapy with an aldosterone antagonist - correct answer A. prescribe an ACEI You examine a 78 y/o woman with long-standing poorly controlled hHTN. When evaluating her for HTN target organ damage, you look for evidence of: A. lipid abnormalities B. insulin resistance C. left ventricular hypertrophy D. clotting disorders - correct answer C. left ventricular hypertrophy