Practice Questions for FNP 2 Exam 2
72 y.O female has been on hydrochlorothiazide 12.5 mg for decades to control her level 2 high
blood pressure. Her BP at this go to is 168/ ninety six. She has ache to her proper hip/ knees
and takes 400mg Ibuprofen 3X each day. Which of the subsequent is the suitable training to
provide her about Ibuprofen on her ailment?
A. Increases the probabilities of unfavorable consequences on her fitness.
B. Inhibits the impact of renal prostaglandins and blunts the effectiveness of the diuretic.
C. Prolongs the therapeutic consequences of hydrochlorothiazide and different diuretics
D. None of the above are true - ANS-B. It inhibits the impact of renal prostaglandins and blunts
the effectiveness of the diuretic: NSAIDS and ASA inhibit vasodilatory effects of prostaglandins
which predisposes the kidney to ischemia. NSAIDS and diuretics can purpose acute pre-renal
failure through decreasing renal blood drift
A 55 y.O male patient describes to you an episode of chest tightness in his substernal location
that radiated to his again while jogging. It turned into relieved right away while he stopped.
Which of the subsequent situations does this nice describes:
A. Angina Pectoris
B. Acute MI
C. GERD
D. Acute Costrochondritis - ANS-A. Angina Pectoris: s/s encompass a pressing, squeezing, or
crushing pain. Weakness, fatigue, SOB, and pain radiating to the hands. Most commonly
introduced on with the aid of bodily exertion, but also can be precipitated by way of strain and
other stressors to the body.
A fifty five y.O. Girl with a records of migraine complications has recently been recognized with
degree II high blood pressure. Her EKG shows a 2nd-degree coronary heart block. The chest X
ray is ordinary. What HTN remedy might we need to keep away from for this patient?
A. ACE inhibitors
B. Angiotensin receptor blockers
C. Diuretics
D. Calcium channel blockers - ANS-D. Calcium channel blockers have aspect results together
with complications, edema of the decrease extremities, an heart block or bradycardia.
Contraindications for CCB are coronary heart blocks, bradycardia and CHF
A sixty three y.O. Affected person offers with a 10 year history of poorly controlled hypertension
affords with a cluster of physical examination findings. Which of the following suggests target
organ damage usually visible in hypertensive sufferers?
, A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and coronary heart failure - ANS-B: hepatomegaly Av nicking
and bibasilar crackles: with long-term HTN, organ damage can occur. Organs generally affected
encompass mind (stroke), eyes (retinopathy, AV nicking, bleeding, blindness) and coronary
heart ( left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal failure, proteinuria).
A 72 y.O. Girl gives to the medical institution with a crusty non restoration ulcer on her top lip
that she has had for several years. Which of the following could you suggest?
A.Triamcinolone acetonide (kenalog) cream BID for two weeks
B. Triple antibiotic ointment BID X2 weeks
C. Hydrocortisone 1% cream BID for 2 weeks
D. Refer to dermatology as she wishes to be evaluated. - ANS-D. Refer to dermatology: chance
for pores and skin most cancers desires to be evaluated
A Bulla is defined as:
A. A solid nodule much less than 1 cm in size
B. A superficial vesicle full of serous fluid more than 1 cm in length
C. A maculopapular lesion
D. A shallow ulcer - ANS-B. A superficial vesicle packed with serous fluid extra than 1 cm in
length
A not unusual aspect impact of Metformin (glucophage) remedy is:
A. Weight Gain
B. Lactic Acidosis
C. Hypoglycemic episodes
D. Gastrointestinal Problems - ANS-D: GI issues inclusive of diarrhea and stomach upset
A common facet impact of Nifedipine (Procaria XL) is:
A. Hyperuricemia and hypoglycemia
B. Hyperkalemia and angioedema
C. Edema of the ankles and headache
D. Dry hacking cough - ANS-C. Edema of the ankles and headache. Nifedipine is a calcium
channel blocker and CCBs have facet results of peripheral edema, headache, and dizziness.
ACE drugs motive angioedema and dry hacking cough
72 y.O female has been on hydrochlorothiazide 12.5 mg for decades to control her level 2 high
blood pressure. Her BP at this go to is 168/ ninety six. She has ache to her proper hip/ knees
and takes 400mg Ibuprofen 3X each day. Which of the subsequent is the suitable training to
provide her about Ibuprofen on her ailment?
A. Increases the probabilities of unfavorable consequences on her fitness.
B. Inhibits the impact of renal prostaglandins and blunts the effectiveness of the diuretic.
C. Prolongs the therapeutic consequences of hydrochlorothiazide and different diuretics
D. None of the above are true - ANS-B. It inhibits the impact of renal prostaglandins and blunts
the effectiveness of the diuretic: NSAIDS and ASA inhibit vasodilatory effects of prostaglandins
which predisposes the kidney to ischemia. NSAIDS and diuretics can purpose acute pre-renal
failure through decreasing renal blood drift
A 55 y.O male patient describes to you an episode of chest tightness in his substernal location
that radiated to his again while jogging. It turned into relieved right away while he stopped.
Which of the subsequent situations does this nice describes:
A. Angina Pectoris
B. Acute MI
C. GERD
D. Acute Costrochondritis - ANS-A. Angina Pectoris: s/s encompass a pressing, squeezing, or
crushing pain. Weakness, fatigue, SOB, and pain radiating to the hands. Most commonly
introduced on with the aid of bodily exertion, but also can be precipitated by way of strain and
other stressors to the body.
A fifty five y.O. Girl with a records of migraine complications has recently been recognized with
degree II high blood pressure. Her EKG shows a 2nd-degree coronary heart block. The chest X
ray is ordinary. What HTN remedy might we need to keep away from for this patient?
A. ACE inhibitors
B. Angiotensin receptor blockers
C. Diuretics
D. Calcium channel blockers - ANS-D. Calcium channel blockers have aspect results together
with complications, edema of the decrease extremities, an heart block or bradycardia.
Contraindications for CCB are coronary heart blocks, bradycardia and CHF
A sixty three y.O. Affected person offers with a 10 year history of poorly controlled hypertension
affords with a cluster of physical examination findings. Which of the following suggests target
organ damage usually visible in hypertensive sufferers?
, A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and coronary heart failure - ANS-B: hepatomegaly Av nicking
and bibasilar crackles: with long-term HTN, organ damage can occur. Organs generally affected
encompass mind (stroke), eyes (retinopathy, AV nicking, bleeding, blindness) and coronary
heart ( left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal failure, proteinuria).
A 72 y.O. Girl gives to the medical institution with a crusty non restoration ulcer on her top lip
that she has had for several years. Which of the following could you suggest?
A.Triamcinolone acetonide (kenalog) cream BID for two weeks
B. Triple antibiotic ointment BID X2 weeks
C. Hydrocortisone 1% cream BID for 2 weeks
D. Refer to dermatology as she wishes to be evaluated. - ANS-D. Refer to dermatology: chance
for pores and skin most cancers desires to be evaluated
A Bulla is defined as:
A. A solid nodule much less than 1 cm in size
B. A superficial vesicle full of serous fluid more than 1 cm in length
C. A maculopapular lesion
D. A shallow ulcer - ANS-B. A superficial vesicle packed with serous fluid extra than 1 cm in
length
A not unusual aspect impact of Metformin (glucophage) remedy is:
A. Weight Gain
B. Lactic Acidosis
C. Hypoglycemic episodes
D. Gastrointestinal Problems - ANS-D: GI issues inclusive of diarrhea and stomach upset
A common facet impact of Nifedipine (Procaria XL) is:
A. Hyperuricemia and hypoglycemia
B. Hyperkalemia and angioedema
C. Edema of the ankles and headache
D. Dry hacking cough - ANS-C. Edema of the ankles and headache. Nifedipine is a calcium
channel blocker and CCBs have facet results of peripheral edema, headache, and dizziness.
ACE drugs motive angioedema and dry hacking cough
