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.
,c
Whichc ofc thec followingc HTNc medsc shouldc notc bec usedc inc pregnantc women?
a.c CCBs
b.c TZDs
c.c ARBsc andc ACEIs
d.c BBsc -c CORRECTc ANSWERc -c.c ARBsc andc ACEIs
Ac 52c yearc oldc manc presentsc toc yourc officec forc ac healthc maintenancec exam,c andc initialc vitalc signsc s
h
owc ac BPc ofc 154/94.c Previousc BPc measurementsc werec normal.c Whatc isc thec nextc stepc inc manageme
n
t?
a.c startc anc anti-HTNc med
b.c repeatc thec BPc measurement
c.c Lookc forc causesc ofc secondaryc HTN
d.c Performc ac urinec drugc screenc -c CORRECTc ANSWERc -b.c repeatc thec BPc measurement
Whichc ofc thec followingc statesc isc correctc regardingc BPc evaluation?
a.c thec patientc shouldc bec lyingc quietlyc onc thec examc tablec forc 5c minsc priorc toc obtainingc ac B
P
b.c armc shouldc bec belowc heartc levelc duringc BP
c.c thec bladderc ofc thec BPc cuffc shouldc encirclec 80%c ofc thec forearm
d.c HTNc canc bec dxc byc thec averagec ofc 2c elevatedc BPc readingsc onc ac singlec occasionc -
CORRECTc ANSWERc -c.c thec bladderc ofc thec BPc cuffc shouldc encirclec 80%c ofc thec forearm
Whichc ofc thec followingc anti-HTNc medicationsc shouldc bec avoidedc inc patientsc withc gout?
a.c losartan
b.c HCTZ
c.c nifedipine
d.c atenololc -c CORRECTc ANSWERc -b.c HCTZ
,c
Whichc ofc thec followingc antihypertensivec medsc shouldc bec avoidedc inc patientsc withc poorlyc controlled
asthma?
a.c losartan
b.c HCTZ
c.c nifedipine
d.c atenololc -c CORRECTc ANSWERc -d.c atenolol
Whichc ofc thec followingc antihypertensivec medsc shouldc notc bec usedc asc ac first-
linec treatmentc forc ac personc withc essentialc HTNc andc noc otherc otherc medicalc conditions?
a.c ACEI
b.c BB
c.c CCB
d.c diureticc -c CORRECTc ANSWERc -b.c BB
Whichc ofc thec followingc medicationsc shouldc bec d/cc inc ac womanc withc essentialc HTNc whoc isc tryingc t
o
getc pregnant?
a.c methyldopa
b.c labetalol
c.c nifedipine
d.c losartanc -c CORRECTc ANSWERc -d.c losartan
Whichc ofc thec followingc labc valuesc arec thec mostc likelyc toc bec affectedc byc eatingc withinc anc hourc ofc l
a
bc draw?
a.c LDL
b.c totalc 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.
,c
Whichc ofc thec followingc HTNc medsc shouldc notc bec usedc inc pregnantc women?
a.c CCBs
b.c TZDs
c.c ARBsc andc ACEIs
d.c BBsc -c CORRECTc ANSWERc -c.c ARBsc andc ACEIs
Ac 52c yearc oldc manc presentsc toc yourc officec forc ac healthc maintenancec exam,c andc initialc vitalc signsc s
h
owc ac BPc ofc 154/94.c Previousc BPc measurementsc werec normal.c Whatc isc thec nextc stepc inc manageme
n
t?
a.c startc anc anti-HTNc med
b.c repeatc thec BPc measurement
c.c Lookc forc causesc ofc secondaryc HTN
d.c Performc ac urinec drugc screenc -c CORRECTc ANSWERc -b.c repeatc thec BPc measurement
Whichc ofc thec followingc statesc isc correctc regardingc BPc evaluation?
a.c thec patientc shouldc bec lyingc quietlyc onc thec examc tablec forc 5c minsc priorc toc obtainingc ac B
P
b.c armc shouldc bec belowc heartc levelc duringc BP
c.c thec bladderc ofc thec BPc cuffc shouldc encirclec 80%c ofc thec forearm
d.c HTNc canc bec dxc byc thec averagec ofc 2c elevatedc BPc readingsc onc ac singlec occasionc -
CORRECTc ANSWERc -c.c thec bladderc ofc thec BPc cuffc shouldc encirclec 80%c ofc thec forearm
Whichc ofc thec followingc anti-HTNc medicationsc shouldc bec avoidedc inc patientsc withc gout?
a.c losartan
b.c HCTZ
c.c nifedipine
d.c atenololc -c CORRECTc ANSWERc -b.c HCTZ
,c
Whichc ofc thec followingc antihypertensivec medsc shouldc bec avoidedc inc patientsc withc poorlyc controlled
asthma?
a.c losartan
b.c HCTZ
c.c nifedipine
d.c atenololc -c CORRECTc ANSWERc -d.c atenolol
Whichc ofc thec followingc antihypertensivec medsc shouldc notc bec usedc asc ac first-
linec treatmentc forc ac personc withc essentialc HTNc andc noc otherc otherc medicalc conditions?
a.c ACEI
b.c BB
c.c CCB
d.c diureticc -c CORRECTc ANSWERc -b.c BB
Whichc ofc thec followingc medicationsc shouldc bec d/cc inc ac womanc withc essentialc HTNc whoc isc tryingc t
o
getc pregnant?
a.c methyldopa
b.c labetalol
c.c nifedipine
d.c losartanc -c CORRECTc ANSWERc -d.c losartan
Whichc ofc thec followingc labc valuesc arec thec mostc likelyc toc bec affectedc byc eatingc withinc anc hourc ofc l
a
bc draw?
a.c LDL
b.c totalc LDL
