Which patient could be expected to have the highest systolic blood pressure
a. a 21 year old male
b. a 50 year old perimenopausal female
c. a 35 year old with Type 2 diabetes
d. a 75 year old male
Give this one a try later!
, d. a 75 year old male
Besides hypertension, what risk factor contributes the most to development of an
abdominal aortic aneurysm?
a. valvular dysfunction
b. elevated LDL values
c. cigarette smoking
d. alcohol consumption
Give this one a try later!
c. cigarette smoking
A 40 year old african american patient has blood pressure readings of 175/100 and
170/102. What is a reasonable plan of care for this patient today?
a. start 12.5mg Hydrochlorothiazide daily (usual dose 12.5-50mg daily)
b. start 10 mg Lisinopril daily (usual dose 10-40 mg daily)
c. initiate 5 mg amlodipine daily (usual dose 5-10mg daily)
d. initiate 5 mg amlodipine and 10 mg lisinopril daily
Give this one a try later!
c. initiate 5 mg amlodipine daily (usual dose 5-10mg daily)
Warfarin treatment is greatly influenced by a patient's food and medication intake.
Which group listed can potentially decrease INR in an outpatient who takes warfarin?
,a. alcohol and aspirin
b. flu vaccine and ketoprofen
c. naproxen and Celecoxib
d. sucralfate and cholestyramine
Give this one a try later!
d. sucralfate and cholestyramine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
Give this one a try later!
c. echocardiography
Pharmacologic treatment for older adults with hypertension should be initiated:
a. only if there is a life expectancy of 10 years or more
b. for any type of hypertension
c. without regard to lifestyle modification
d. only for those who are symptomatic
Give this one a try later!
b. for any type of hypertension
, A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for
the past 4 weeks. How should the nurse practitioner proceed? BP-155/95; 145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
Give this one a try later!
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks ago for
treatment of primary hypertension. On his return visit today, he reports feeling weak
and tired. What should the NP consider to evaluate the weakness and fatigue?
a. glucose level
b. potassium level
c. cbc
d. tsh
Give this one a try later!
b. potassium level
Orthostatic hypotension can be diagnosed in an older adult if the systolic blood
pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
a. a 21 year old male
b. a 50 year old perimenopausal female
c. a 35 year old with Type 2 diabetes
d. a 75 year old male
Give this one a try later!
, d. a 75 year old male
Besides hypertension, what risk factor contributes the most to development of an
abdominal aortic aneurysm?
a. valvular dysfunction
b. elevated LDL values
c. cigarette smoking
d. alcohol consumption
Give this one a try later!
c. cigarette smoking
A 40 year old african american patient has blood pressure readings of 175/100 and
170/102. What is a reasonable plan of care for this patient today?
a. start 12.5mg Hydrochlorothiazide daily (usual dose 12.5-50mg daily)
b. start 10 mg Lisinopril daily (usual dose 10-40 mg daily)
c. initiate 5 mg amlodipine daily (usual dose 5-10mg daily)
d. initiate 5 mg amlodipine and 10 mg lisinopril daily
Give this one a try later!
c. initiate 5 mg amlodipine daily (usual dose 5-10mg daily)
Warfarin treatment is greatly influenced by a patient's food and medication intake.
Which group listed can potentially decrease INR in an outpatient who takes warfarin?
,a. alcohol and aspirin
b. flu vaccine and ketoprofen
c. naproxen and Celecoxib
d. sucralfate and cholestyramine
Give this one a try later!
d. sucralfate and cholestyramine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
Give this one a try later!
c. echocardiography
Pharmacologic treatment for older adults with hypertension should be initiated:
a. only if there is a life expectancy of 10 years or more
b. for any type of hypertension
c. without regard to lifestyle modification
d. only for those who are symptomatic
Give this one a try later!
b. for any type of hypertension
, A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for
the past 4 weeks. How should the nurse practitioner proceed? BP-155/95; 145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
Give this one a try later!
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks ago for
treatment of primary hypertension. On his return visit today, he reports feeling weak
and tired. What should the NP consider to evaluate the weakness and fatigue?
a. glucose level
b. potassium level
c. cbc
d. tsh
Give this one a try later!
b. potassium level
Orthostatic hypotension can be diagnosed in an older adult if the systolic blood
pressure decreases:
a. more than 20 points anytime after rising
b. more than 20 points within 3 minutes after rising
