NURSE PRACTITIONER CERTIFICATION EXAM
PREP CONCEPT REVIEW GUIDE 2026 PRIMARY
CARE AND ADVANCED ASSESSMENT SKILLS
◉ You see a 68 year old woman as a pt who is transferring care into
your practice. She has a 10y history of HTN, diabetes mellitus, and
hyperlipidemia. Current medications include HCTZ, glipizide,
metformin, simvastatin, and daily low-dose aspirin. Today's BP
reading is 158/92mm Hg and the rest of her history and exam are
unremarkable. Documentation from her former healthcare provider
indicates that her BP has been in the range for the past 12 months.
Your next best action is to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist. Answer: A. prescribe
an ACEI
◉ You examine a 78 y/o woman with long-standing poorly
controlled hHTN. When evaluating her for HTN target organ damage,
you look for evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
,D. clotting disorders. Answer: C. left ventricular hypertrophy
◉ Diagnostic testing for a pt with newly diagnosed primary hHTN
should include all of the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium. Answer: B. uric acid
◉ In the person w/HTN, the nurse practitioner recommends all of
the following to potentially reduce BP in a patient with a BMI of 30
kg/m2 except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week
D. consuming at least 1-2 servings of alcohol. Answer: D. consuming
at least 1-2 servings of alcohol
◉ what class of antihypertension medication is amlodipine?.
Answer: dihydropyridine calcium channel blocker
◉ what class of antihypertension medication is diltiazem?. Answer:
nondihydropyridine calcium channel blocker
, ◉ what class of antihypertension medication is trandolapril?.
Answer: ACEI
◉ what class of antihypertension medication is telmisartan?.
Answer: angiotensin receptor antagonist
◉ what class of antihypertension medication is pindolol?. Answer:
beta-adrenergic receptor antagonist
◉ You see a 38-year old African American male with HTN who is
currently being treated with thiazide-type diuretic. His current BP
reading is 156/94mm HG and he has no history of DM or CKD.
Following current best evidence, you consider adding which of the
following medications?
A. ACEI
B. ARBs
C. beta-adrenergic receptor antagonist
D. calcium channel blocker. Answer: D. calcium channel blocker
◉ nondihydropyridine calcium channel blockers are contraindicated
in pts with:
A. type 1 DM
B. a history of venous thromboembolism
PREP CONCEPT REVIEW GUIDE 2026 PRIMARY
CARE AND ADVANCED ASSESSMENT SKILLS
◉ You see a 68 year old woman as a pt who is transferring care into
your practice. She has a 10y history of HTN, diabetes mellitus, and
hyperlipidemia. Current medications include HCTZ, glipizide,
metformin, simvastatin, and daily low-dose aspirin. Today's BP
reading is 158/92mm Hg and the rest of her history and exam are
unremarkable. Documentation from her former healthcare provider
indicates that her BP has been in the range for the past 12 months.
Your next best action is to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist. Answer: A. prescribe
an ACEI
◉ You examine a 78 y/o woman with long-standing poorly
controlled hHTN. When evaluating her for HTN target organ damage,
you look for evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
,D. clotting disorders. Answer: C. left ventricular hypertrophy
◉ Diagnostic testing for a pt with newly diagnosed primary hHTN
should include all of the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium. Answer: B. uric acid
◉ In the person w/HTN, the nurse practitioner recommends all of
the following to potentially reduce BP in a patient with a BMI of 30
kg/m2 except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week
D. consuming at least 1-2 servings of alcohol. Answer: D. consuming
at least 1-2 servings of alcohol
◉ what class of antihypertension medication is amlodipine?.
Answer: dihydropyridine calcium channel blocker
◉ what class of antihypertension medication is diltiazem?. Answer:
nondihydropyridine calcium channel blocker
, ◉ what class of antihypertension medication is trandolapril?.
Answer: ACEI
◉ what class of antihypertension medication is telmisartan?.
Answer: angiotensin receptor antagonist
◉ what class of antihypertension medication is pindolol?. Answer:
beta-adrenergic receptor antagonist
◉ You see a 38-year old African American male with HTN who is
currently being treated with thiazide-type diuretic. His current BP
reading is 156/94mm HG and he has no history of DM or CKD.
Following current best evidence, you consider adding which of the
following medications?
A. ACEI
B. ARBs
C. beta-adrenergic receptor antagonist
D. calcium channel blocker. Answer: D. calcium channel blocker
◉ nondihydropyridine calcium channel blockers are contraindicated
in pts with:
A. type 1 DM
B. a history of venous thromboembolism
