Practice Questions for FNP 2 Exam 2
Questions with Correct Verified
Solutions Graded A+ 2026
1
, 72 y.o woman has been on hydrochlorothiazide 12.5 mg for many years to control her
stage 2 hypertension. Her BP at this visit is 168/ 96. She has pain to her right hip/ knees
and takes 400mg Ibuprofen 3X daily. Which of the following is the appropriate education
to give her about Ibuprofen on her disease?
A. Increases the chances of adverse effects on her health.
B. Inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic.
C. Prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D. None of the above are true ANSWER >> B. It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic: NSAIDS and ASA inhibit
vasodilatory effects of prostaglandins which predisposes the kidney to ischemia.
NSAIDS and diuretics can cause acute pre-renal failure by decreasing renal blood flow
Which of the following anti-hypertensive medications has beneficial effects for an elderly
female with osteoporosis?
A. Calcium Channel Blocker
B. Angiotensin-converting enzyme (ACE) inhibitor
C. Beta-Blocker
D. Diuretic ANSWER >> A. Calcium Channel blocker: these work by blocking the
calcium channels in the heart muscle and blood vessels, thereby keeping more calcium
in the bones.
2
, Which of the following lab tests is used in primary care to evaluate renal function?
A. Electrolyte panel
B. Creatinine
C. Alkaline Phosphatase
D. Blood Urea Nitrogen (BUN) ANSWER >> B. Creatinine
A 63 y.o. patient presents with a 10 year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicates target
organ damage commonly seen in hypertensive patients?
A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and heart failure ANSWER >> B: hepatomegaly Av
nicking and bibasilar crackles: with long-term HTN, organ damage can occur. Organs
commonly affected include brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness) and heart ( left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal
failure, proteinuria).
3
Questions with Correct Verified
Solutions Graded A+ 2026
1
, 72 y.o woman has been on hydrochlorothiazide 12.5 mg for many years to control her
stage 2 hypertension. Her BP at this visit is 168/ 96. She has pain to her right hip/ knees
and takes 400mg Ibuprofen 3X daily. Which of the following is the appropriate education
to give her about Ibuprofen on her disease?
A. Increases the chances of adverse effects on her health.
B. Inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic.
C. Prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D. None of the above are true ANSWER >> B. It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic: NSAIDS and ASA inhibit
vasodilatory effects of prostaglandins which predisposes the kidney to ischemia.
NSAIDS and diuretics can cause acute pre-renal failure by decreasing renal blood flow
Which of the following anti-hypertensive medications has beneficial effects for an elderly
female with osteoporosis?
A. Calcium Channel Blocker
B. Angiotensin-converting enzyme (ACE) inhibitor
C. Beta-Blocker
D. Diuretic ANSWER >> A. Calcium Channel blocker: these work by blocking the
calcium channels in the heart muscle and blood vessels, thereby keeping more calcium
in the bones.
2
, Which of the following lab tests is used in primary care to evaluate renal function?
A. Electrolyte panel
B. Creatinine
C. Alkaline Phosphatase
D. Blood Urea Nitrogen (BUN) ANSWER >> B. Creatinine
A 63 y.o. patient presents with a 10 year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicates target
organ damage commonly seen in hypertensive patients?
A. Pedal Edema, hepatomegaly and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy and heart failure ANSWER >> B: hepatomegaly Av
nicking and bibasilar crackles: with long-term HTN, organ damage can occur. Organs
commonly affected include brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness) and heart ( left ventricle hypertrophy, MI, and/or CHF), and kidneys (renal
failure, proteinuria).
3
