533 EXAM 1 QUESTIONS WITH CORRECT
ANSERS 2026
Benazepril should be discontinued immediately if:
1. dry cough
2. pregnancy occurs
3. potassium levels decrease
4. gout develops - CORRECT ANSWER -2. pregnancy occurs
Benzapril is an ACEI and this class of drugs is contraindicated during pregnancy because of teratoge
nic effects on the renal system of the developing fetus. Dry cough is an aggravating side effect that
occurs in some patients who take ACEI, but discontinuation is elective. ACEI use is associated with
increased potassium levels, not decreased levels. Gout is not exacerbated by ACEI use.
A characteristic of an ACEI iduced cough is that it:
1. is mildly productive
2. is worse at nightime
3. usually begins within 2 weeks of starting therapy
4. is more common in men - CORRECT ANSWER -
3. usually begins within 2 weeks of starting therapy
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness, and
muscle aches in his lower back, arms, and legs for the past three days. It has not improved with r
est. How should this be evaluated?
1. stop the atorvastatin immediately
2. check liver enzymes first
3. order a CPK level
4. ask about nighttime muscle cramps - CORRECT ANSWER -1. stop the atorvastatin immediately
,This patient has complaints highly suggestive of rhabdomyolysis. The atorvastatin should be stoppe
d immediately and a CPK should be ordered. Liver enzymes would not assess for the etiology of m
yalgias. They assess tolernce of statins in the liver. Nighttime muscle cramps are not usually associa
ted with statin use. Myalgias are common but are not ypically associated with an elevated CPK. Rh
abdomyolysis is a rare side effect of the statins.
Which patient could be expected to have the highest systolic BP?
1. a 21 year old male
2. a 50 year old perimenopausal female
3. a 35 year old with T2DM
4. a 75 year old male - CORRECT ANSWER -4. a 75 year old male
Nearly 25% of the US population has HTN. The greatest incidence is in older adults because of cha
nges in the intima of vessels as aging and calcium deposition occur. Males of any age are more lik
ely than females, with AA adults having the highest incidence.
A 50 year old patient with HTN has taken hydrochlorthiazide 25mg daily for the past 4 weeks. Her
BP has decreased from 155/95 to 145/90. How should the NP proceed?
1. Wait another 4 weeks before making a dosage change
2. Increase the HCTZ to 50mg daily
3. Add a drug from another class to the daily 25mg HCTZ
4. Stop the HCTZ and start a drug from a different class - CORRECT ANSWER -
3. Add a drug from another class to the daily 25mg HCTZ
The recommended target BP is <140/90. The current plan has not allowed this patient to meet this
goal, so it is not acceptable to continue this current dose. Increasing the HCTZ to 50mg/daily will
not result in a decrease in BP, only and increase in potassium loss. Adding a drug from a different
med class is a good choice because the combined effects of antihypertensive medication is a good
choice because the combined effects of antihypertensive medication nearly always produce a decre
ase in BP and both drugs can be maintained in low doses.
,x
Whichx ofx thex followingx HTNx medsx shouldx notx bex usedx inx pregnantx women
?
a.x CCBs
b.x TZDs
c.x ARBsx andx ACEIs
d.x BBsx -x CORRECTx ANSWERx -c.x ARBsx andx ACEIs
Ax 52x yearx oldx manx presentsx tox yourx officex forx ax healthx maintenancex exam,x andx initialx vitalx signs
x sh
owx ax BPx ofx 154/94.x Previousx BPx measurementsx werex normal.x Whatx isx thex nextx stepx inx managem
en
t?
a.x startx anx anti-HTNx med
b.x repeatx thex BPx measurement
c.x Lookx forx causesx ofx secondaryx HTN
d.x Performx ax urinex drugx screenx -x CORRECTx ANSWERx -
b.x repeatx thex BPx measurement
Whichx ofx thex followingx statesx isx correctx regardingx BPx evaluation?
a.x thex patientx shouldx bex lyingx quietlyx onx thex examx tablex forx 5x minsx priorx tox obtainingx ax
BP
b.x armx shouldx bex belowx heartx levelx duringx BP
c.x thex bladderx ofx thex BPx cuffx shouldx encirclex 80%x ofx thex forear
m
d.x HTNx canx bex dxx byx thex averagex ofx 2x elevatedx BPx readingsx onx ax singlex occasionx -
CORRECTx ANSWERx -
c.x thex bladderx ofx thex BPx cuffx shouldx encirclex 80%x ofx thex forearm
Whichx ofx thex followingx anti-
HTNx medicationsx shouldx bex avoidedx inx patientsx withx gout?
a.x losartan
b.x HCTZ
c.x nifedipine
d.x atenololx -x CORRECTx ANSWERx -b.x HCTZ
,x
Whichx ofx thex followingx antihypertensivex medsx shouldx bex avoidedx inx patientsx withx poorlyx controlle
d
asthma?
a.x losartan
b.x HCTZ
c.x nifedipine
d.x atenololx -x CORRECTx ANSWERx -d.x atenolol
Whichx ofx thex followingx antihypertensivex medsx shouldx notx bex usedx asx ax first-
linex treatmentx forx ax personx withx essentialx HTNx andx nox otherx otherx medicalx conditions
?
a.x ACEI
b.x BB
c.x CCB
d.x diureticx -x CORRECTx ANSWERx -b.x BB
Whichx ofx thex followingx medicationsx shouldx bex d/cx inx ax womanx withx essentialx HTNx whox isx tryingx
to
getx pregnant?
a.x methyldopa
b.x labetalol
c.x nifedipine
d.x losartanx -x CORRECTx ANSWERx -d.x losartan
Whichx ofx thex followingx labx valuesx arex thex mostx likelyx tox bex affectedx byx eatingx withinx anx hourx of
x la
bx draw?
a.x LDL
b.x totalx LDL
ANSERS 2026
Benazepril should be discontinued immediately if:
1. dry cough
2. pregnancy occurs
3. potassium levels decrease
4. gout develops - CORRECT ANSWER -2. pregnancy occurs
Benzapril is an ACEI and this class of drugs is contraindicated during pregnancy because of teratoge
nic effects on the renal system of the developing fetus. Dry cough is an aggravating side effect that
occurs in some patients who take ACEI, but discontinuation is elective. ACEI use is associated with
increased potassium levels, not decreased levels. Gout is not exacerbated by ACEI use.
A characteristic of an ACEI iduced cough is that it:
1. is mildly productive
2. is worse at nightime
3. usually begins within 2 weeks of starting therapy
4. is more common in men - CORRECT ANSWER -
3. usually begins within 2 weeks of starting therapy
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness, and
muscle aches in his lower back, arms, and legs for the past three days. It has not improved with r
est. How should this be evaluated?
1. stop the atorvastatin immediately
2. check liver enzymes first
3. order a CPK level
4. ask about nighttime muscle cramps - CORRECT ANSWER -1. stop the atorvastatin immediately
,This patient has complaints highly suggestive of rhabdomyolysis. The atorvastatin should be stoppe
d immediately and a CPK should be ordered. Liver enzymes would not assess for the etiology of m
yalgias. They assess tolernce of statins in the liver. Nighttime muscle cramps are not usually associa
ted with statin use. Myalgias are common but are not ypically associated with an elevated CPK. Rh
abdomyolysis is a rare side effect of the statins.
Which patient could be expected to have the highest systolic BP?
1. a 21 year old male
2. a 50 year old perimenopausal female
3. a 35 year old with T2DM
4. a 75 year old male - CORRECT ANSWER -4. a 75 year old male
Nearly 25% of the US population has HTN. The greatest incidence is in older adults because of cha
nges in the intima of vessels as aging and calcium deposition occur. Males of any age are more lik
ely than females, with AA adults having the highest incidence.
A 50 year old patient with HTN has taken hydrochlorthiazide 25mg daily for the past 4 weeks. Her
BP has decreased from 155/95 to 145/90. How should the NP proceed?
1. Wait another 4 weeks before making a dosage change
2. Increase the HCTZ to 50mg daily
3. Add a drug from another class to the daily 25mg HCTZ
4. Stop the HCTZ and start a drug from a different class - CORRECT ANSWER -
3. Add a drug from another class to the daily 25mg HCTZ
The recommended target BP is <140/90. The current plan has not allowed this patient to meet this
goal, so it is not acceptable to continue this current dose. Increasing the HCTZ to 50mg/daily will
not result in a decrease in BP, only and increase in potassium loss. Adding a drug from a different
med class is a good choice because the combined effects of antihypertensive medication is a good
choice because the combined effects of antihypertensive medication nearly always produce a decre
ase in BP and both drugs can be maintained in low doses.
,x
Whichx ofx thex followingx HTNx medsx shouldx notx bex usedx inx pregnantx women
?
a.x CCBs
b.x TZDs
c.x ARBsx andx ACEIs
d.x BBsx -x CORRECTx ANSWERx -c.x ARBsx andx ACEIs
Ax 52x yearx oldx manx presentsx tox yourx officex forx ax healthx maintenancex exam,x andx initialx vitalx signs
x sh
owx ax BPx ofx 154/94.x Previousx BPx measurementsx werex normal.x Whatx isx thex nextx stepx inx managem
en
t?
a.x startx anx anti-HTNx med
b.x repeatx thex BPx measurement
c.x Lookx forx causesx ofx secondaryx HTN
d.x Performx ax urinex drugx screenx -x CORRECTx ANSWERx -
b.x repeatx thex BPx measurement
Whichx ofx thex followingx statesx isx correctx regardingx BPx evaluation?
a.x thex patientx shouldx bex lyingx quietlyx onx thex examx tablex forx 5x minsx priorx tox obtainingx ax
BP
b.x armx shouldx bex belowx heartx levelx duringx BP
c.x thex bladderx ofx thex BPx cuffx shouldx encirclex 80%x ofx thex forear
m
d.x HTNx canx bex dxx byx thex averagex ofx 2x elevatedx BPx readingsx onx ax singlex occasionx -
CORRECTx ANSWERx -
c.x thex bladderx ofx thex BPx cuffx shouldx encirclex 80%x ofx thex forearm
Whichx ofx thex followingx anti-
HTNx medicationsx shouldx bex avoidedx inx patientsx withx gout?
a.x losartan
b.x HCTZ
c.x nifedipine
d.x atenololx -x CORRECTx ANSWERx -b.x HCTZ
,x
Whichx ofx thex followingx antihypertensivex medsx shouldx bex avoidedx inx patientsx withx poorlyx controlle
d
asthma?
a.x losartan
b.x HCTZ
c.x nifedipine
d.x atenololx -x CORRECTx ANSWERx -d.x atenolol
Whichx ofx thex followingx antihypertensivex medsx shouldx notx bex usedx asx ax first-
linex treatmentx forx ax personx withx essentialx HTNx andx nox otherx otherx medicalx conditions
?
a.x ACEI
b.x BB
c.x CCB
d.x diureticx -x CORRECTx ANSWERx -b.x BB
Whichx ofx thex followingx medicationsx shouldx bex d/cx inx ax womanx withx essentialx HTNx whox isx tryingx
to
getx pregnant?
a.x methyldopa
b.x labetalol
c.x nifedipine
d.x losartanx -x CORRECTx ANSWERx -d.x losartan
Whichx ofx thex followingx labx valuesx arex thex mostx likelyx tox bex affectedx byx eatingx withinx anx hourx of
x la
bx draw?
a.x LDL
b.x totalx LDL
