NSG 6020 / NSG6020 WEEK 4 QUIZ 3
CARDIAC STUDY GUIDE QUESTIONS AND ANSWERS
All of the following are possible causes for secondary hypertension?
A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for
an elderly White woman with osteoporosis?
D. Thiazide diuretics
A 75-year-old woman has been on nifedepine (Procardia XL) 10-mg capsule
for many years to control her stage II hypertension. Her blood pressure at
this visit is 165/80 mmHg. She is currently complaining of pain at her right
hip and in both knees. She has increased her dose of ibuprofen (Motrin) from
400mg three times daily (TID) to 800mg TID. She is still in pain and would
like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her disease?
B.It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic
Which of the following antihypertensive medications should the NP avoid
when treating patients with emphysema?
C.Beta-blockers
A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following
clusters indicates the target organ damage commonly seen in hypertensive
patients?
B. Arteriovenous (AV) nicking, left ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal
function?
B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
1.
, An 8-year-old boy with type I diabetes is being seen for a 3-day history of
urinary frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for a large
amount of leukocytes and ketones. He has a trace amount of protein. Which
of the following is the best test to order initially?
A. urine for culture and sensitivity
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned
about her kidneys. She has a history of three urinary tract infections (UTIs)
within the past 8 months, but is currently asymptomatic. Which of the
following is the best course to follow?
A. Recheck urine during the visit, send a urine specimen for culture and
sensitivity, and refer to a nephrologist
When evaluating the blood pressure on both arms and legs of an infant who
has a diagnosis of coarctation of the aorta, which of the following is the
correct finding? A. The blood pressure is higher in the arms than in the legs.
Your 35-year-old patient is being worked up for microscopic hematuria. All of
the following are differential diagnoses of microscopic hematuria except:
D. Renal artery stenosis
A common side effect of metformin (Glucophage) therapy is:
D. Diarrhea
The nurse practitioner is evaluating patients who are at high risk for
complications due to UTIs. Which of the following patients does not belong in
this category?
C. A 21-year-old woman who has a history of irritable bowel disease
A 68-year-old woman with hypertension and diabetes is seen by the NP for a
dry cough that worsens at night when she lies in bed. She has shortness of
breath, which worsens when she exerts herself, and has gained 6 lbs during
the past 2 months. Her pulse rate is 90 beats/min and regular. She is on a
nitroglycerine patch and furosemide daily. The best explanation for her
symptoms is:
B. Congestive heart failure
A 21-year-old woman complains to you of a 1-week episode of dysuria,
frequency, and a strong odor to her urine. This is her second episode of the
1.
CARDIAC STUDY GUIDE QUESTIONS AND ANSWERS
All of the following are possible causes for secondary hypertension?
A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for
an elderly White woman with osteoporosis?
D. Thiazide diuretics
A 75-year-old woman has been on nifedepine (Procardia XL) 10-mg capsule
for many years to control her stage II hypertension. Her blood pressure at
this visit is 165/80 mmHg. She is currently complaining of pain at her right
hip and in both knees. She has increased her dose of ibuprofen (Motrin) from
400mg three times daily (TID) to 800mg TID. She is still in pain and would
like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her disease?
B.It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic
Which of the following antihypertensive medications should the NP avoid
when treating patients with emphysema?
C.Beta-blockers
A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following
clusters indicates the target organ damage commonly seen in hypertensive
patients?
B. Arteriovenous (AV) nicking, left ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal
function?
B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
1.
, An 8-year-old boy with type I diabetes is being seen for a 3-day history of
urinary frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for a large
amount of leukocytes and ketones. He has a trace amount of protein. Which
of the following is the best test to order initially?
A. urine for culture and sensitivity
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned
about her kidneys. She has a history of three urinary tract infections (UTIs)
within the past 8 months, but is currently asymptomatic. Which of the
following is the best course to follow?
A. Recheck urine during the visit, send a urine specimen for culture and
sensitivity, and refer to a nephrologist
When evaluating the blood pressure on both arms and legs of an infant who
has a diagnosis of coarctation of the aorta, which of the following is the
correct finding? A. The blood pressure is higher in the arms than in the legs.
Your 35-year-old patient is being worked up for microscopic hematuria. All of
the following are differential diagnoses of microscopic hematuria except:
D. Renal artery stenosis
A common side effect of metformin (Glucophage) therapy is:
D. Diarrhea
The nurse practitioner is evaluating patients who are at high risk for
complications due to UTIs. Which of the following patients does not belong in
this category?
C. A 21-year-old woman who has a history of irritable bowel disease
A 68-year-old woman with hypertension and diabetes is seen by the NP for a
dry cough that worsens at night when she lies in bed. She has shortness of
breath, which worsens when she exerts herself, and has gained 6 lbs during
the past 2 months. Her pulse rate is 90 beats/min and regular. She is on a
nitroglycerine patch and furosemide daily. The best explanation for her
symptoms is:
B. Congestive heart failure
A 21-year-old woman complains to you of a 1-week episode of dysuria,
frequency, and a strong odor to her urine. This is her second episode of the
1.
