NURSE PRACTITIONER CERTIFICATION EXAM AND PRACTICE PREP CARDIOVASCULAR QUESTIONS & ANSWERS UPDATED 2026

NURSE PRACTITIONER
CERTIFICATION EXAM AND
PRACTICE PREP CARDIOVASCULAR
QUESTIONS & ANSWERS UPDATED
2026
YouBexamineBaB38ByearBoldBwomanBwhoBhasBpresentedBforBanBinitialBexaminationBan
dBPapanicolaouBtest.BSheBhasBnoBcomplaint.BHerBBPBisB154/98BmmBHgBbilaterallyBand
BherBBMIBisB31Bkg/m2.BTheBrestBofBherBphysicalBexamBisBunremarkable.BYourBnextBbe
stBactionBisBto:

A.BinitiateBantihypertensiveBtherapy

B.BarrangeBforBatBleastBtwoBadditionalBBPBmeasurementsBduringBtheBnextB2Bweeks.

C.BorderBBUN,Bcreatinine,BandBpotassiumBionBmeasurementsBandBUA

D.BadviseBherBtoBreduceBherBsodiumBintakeB-
BAnswerB.BarrangeBforBatBleastBtwoBadditionalBBPBmeasurementsBduringBtheBnextB2Bw
eeks



YouBseeBaB68ByearBoldBwomanBasBaBptBwhoBisBtransferringBcareBintoByourBpractice.BS
heBhasBaB10yBhistoryBofBHTN,BdiabetesBmellitus,BandBhyperlipidemia.BCurrentBmedicati
onsBincludeBHCTZ,Bglipizide,Bmetformin,Bsimvastatin,BandBdailyBlow-
doseBaspirin.BToday'sBBPBreadingBisB158/92mmBHgBandBtheBrestBofBherBhistoryBandBe
xamBareBunremarkable.BDocumentationBfromBherBformerBhealthcareBproviderBindicates
BthatBherBBPBhasBbeenBinBtheBrangeBforBtheBpastB12Bmonths.BYourBnextBbestBactionBi
sBto:B

A.BprescribeBanBACEI

B.BhaveBherBreturnBforBaBBPBcheckBinB1Bweek

C.BadviseBthatBherBcurrentBtherapyBisBadequate

D.BaddBtherapyBwithBanBaldosteroneBantagonistB-BAnswerA.BprescribeBanBACEI



YouBexamineBaB78By/oBwomanBwithBlong-
standingBpoorlyBcontrolledBhHTN.BWhenBevaluatingBherBforBHTNBtargetBorganBdamage,
ByouBlookBforBevidenceBof:

A.BlipidBabnormalities

,B.BinsulinBresistance

C.BleftBventricularBhypertrophy

D.BclottingBdisordersB-BAnswerC.BleftBventricularBhypertrophy



DiagnosticBtestingBforBaBptBwithBnewlyBdiagnosedBprimaryBhHTNBshouldBincludeBallBof
BtheBfollowingBexcept:

A.Bhematocrit

B.BuricBacid

C.Bcreatinine

D.BpotassiumB-BAnswerB.BuricBacid



InBtheBpersonBw/HTN,BtheBnurseBpractitionerBrecommendsBallBofBtheBfollowingBtoBpot
entiallyBreduceBBPBinBaBpatientBwithBaBBMIBofB30Bkg/m2Bexcept:

A.B10kgBweightBloss

B.BdietaryBsodiumBrestrictionBtoB2.4gBperBday

C.BregularBaerobicBphysicalBactivity,BsuchBasB30-
40BminutesBofBbriskBwalkingBmostBdaysBofBtheBweek

D.BconsumingBatBleastB1-2BservingsBofBalcoholB-BAnswerD.BconsumingBatBleastB1-
2BservingsBofBalcohol



whatBclassBofBantihypertensionBmedicationBisBamlodipine?B-
BAnswerdihydropyridineBcalciumBchannelBblocker



whatBclassBofBantihypertensionBmedicationBisBdiltiazem?B-
BAnswernondihydropyridineBcalciumBchannelBblocker



whatBclassBofBantihypertensionBmedicationBisBtrandolapril?B-BAnswerACEI



whatBclassBofBantihypertensionBmedicationBisBtelmisartan?B-
BAnswerangiotensinBreceptorBantagonist

, whatBclassBofBantihypertensionBmedicationBisBpindolol?B-BAnswerbeta-
adrenergicBreceptorBantagonist



YouBseeBaB38-
yearBoldBAfricanBAmericanBmaleBwithBHTNBwhoBisBcurrentlyBbeingBtreatedBwithBthiazi
de-
typeBdiuretic.BHisBcurrentBBPBreadingBisB156/94mmBHGBandBheBhasBnoBhistoryBofBDM
BorBCKD.BFollowingBcurrentBbestBevidence,ByouBconsiderBaddingBwhichBofBtheBfollowin
gBmedications?

A.BACEI

B.BARBs

C.Bbeta-adrenergicBreceptorBantagonist

D.BcalciumBchannelBblockerB-BAnswerD.BcalciumBchannelBblocker



nondihydropyridineBcalciumBchannelBblockersBareBcontraindicatedBinBptsBwith:

A.BtypeB1BDM

B.BaBhistoryBofBvenousBthromboembolism

C.BsevereBleftBventricularBdysfunction

D.BconcomitantBtreatmentBwithBanBACEIB-BAnswerC.BsevereBleftBventricularBdysfunction



InBobtainingBanBofficeBBPBmeasurement,BwhichBofBtheBfollowingBisBmostBreflectiveBofB
theBbestBpractice?

A.BtheBpatientBshouldBsitBinBaBchairBwithBfeetBflatBonBtheBfloorBforBatBleastB5Bminute
sBbeforeBobtainingBtheBreading

B.BtheBBPBcuffBshouldBnotBcoverBmoreBthanB50%BofBtheBupperBarm

C.BtheBptBshouldBsitBonBtheBedgeBofBtheBexamBtableBw/oBarmBsupportBtoBenhanceBre
adingBaccuracy

D.BobtainingBtheBBPBreadingBimmediatelyBafterBtheBptBwalksBintoBtheBexamBroomBisBr
ecommendedB-
BAnswerA.BtheBpatientBshouldBsitBinBaBchairBwithBfeetBflatBonBtheBfloorBforBatBleastB5
BminutesBbeforeBobtainingBtheBreading