MSN 611 PREPARATION TEST 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
● A patient who has been taking propranolol for 6 months reporting
having nocturnal cough and SOB. The primary care NP should: Answer:
tell the patient to stop taking the medication.
● JW is a patient at your clinic started on several new medications
during first clinic visit two months ago. Pt reports feeling up and down
emotionally for the past month with little interest in socializing.
Medical hx: xxxxxxx
Vitals today: xxxxxxxxx
Current medication list: simvastatin, clonidine 0.1 every 8 hours,
hydrochlorothiazide, etc
pt has another appt in a month but is inquiring abot a med to help with
mood at his visit. Which of the following is the best intervention at this
time? Answer: decrease clonidine to 0.1 mg every 12 hours for 4 days
then discontinue
● A pt who will begin using nitroglycerin for angina asks the primary
care NP how the medication works to relieve the pain. The NP should
, tell the pt that nitroglycerin acts to: Answer: relax vascular smooth
muscle
● A primary care NP prescribes nitroglycerin transdermal patch 0.4
mg/hour release, for a pt with chronic stable angina describing sxs
occurring mostly in the evening. The NP should teach the pt to: Answer:
apply patch at 8 pm and remove at 6 am daily
● A pt who has heart failure has been treated with furosemide and an
ACE inhibitor. The pts' cardiologist has added digoxin to the pts' med
regimen. The primary care NP who cares for this pt should expect to
monitor: Answer: serum electrolytes
● A pt is seen in a clinic and you question choice of beta blocker pt is
receiving post MI. Pt is receiving atenolol. Which of the following
would support use of this beta blocker? Answer: atenolol may prevent
post MI arrhythmia
● Which of the following would be recommended to lower a triglyceride
value of 220mg/dL, assuming all other lipid values are WNL? Answer:
gemfibrozil
● A pt who is taking an ACE inhibitor sees the primary care NP for a
follow-up visit. The pt reports having a persistent cough. The NP should:
Answer: consider changing the med to an ARB
QUESTIONS AND CORRECT ANSWERS
GRADED A+
● A patient who has been taking propranolol for 6 months reporting
having nocturnal cough and SOB. The primary care NP should: Answer:
tell the patient to stop taking the medication.
● JW is a patient at your clinic started on several new medications
during first clinic visit two months ago. Pt reports feeling up and down
emotionally for the past month with little interest in socializing.
Medical hx: xxxxxxx
Vitals today: xxxxxxxxx
Current medication list: simvastatin, clonidine 0.1 every 8 hours,
hydrochlorothiazide, etc
pt has another appt in a month but is inquiring abot a med to help with
mood at his visit. Which of the following is the best intervention at this
time? Answer: decrease clonidine to 0.1 mg every 12 hours for 4 days
then discontinue
● A pt who will begin using nitroglycerin for angina asks the primary
care NP how the medication works to relieve the pain. The NP should
, tell the pt that nitroglycerin acts to: Answer: relax vascular smooth
muscle
● A primary care NP prescribes nitroglycerin transdermal patch 0.4
mg/hour release, for a pt with chronic stable angina describing sxs
occurring mostly in the evening. The NP should teach the pt to: Answer:
apply patch at 8 pm and remove at 6 am daily
● A pt who has heart failure has been treated with furosemide and an
ACE inhibitor. The pts' cardiologist has added digoxin to the pts' med
regimen. The primary care NP who cares for this pt should expect to
monitor: Answer: serum electrolytes
● A pt is seen in a clinic and you question choice of beta blocker pt is
receiving post MI. Pt is receiving atenolol. Which of the following
would support use of this beta blocker? Answer: atenolol may prevent
post MI arrhythmia
● Which of the following would be recommended to lower a triglyceride
value of 220mg/dL, assuming all other lipid values are WNL? Answer:
gemfibrozil
● A pt who is taking an ACE inhibitor sees the primary care NP for a
follow-up visit. The pt reports having a persistent cough. The NP should:
Answer: consider changing the med to an ARB
