NR667 CEA FINAL EXAM (CHAMBERLAIN COLLEGE OF NURSING) COMPLETE NR
667 AC WITH CORRECT VERIFIED ANSWERS ALREADY GRADED A+ EXAM. 1
Cardiovascular System
1. A 65-year-old woman with hypertension and smoking history has fasting lipid
profile: cholesterol 240 mg/dL, HDL 30 mg/dL, LDL 200 mg/dL. Her mother died of
a heart attack at age 40. In addition to lifestyle changes, what should be
prescribed?
A. Bile acid sequestrant
B. Statin
C. Cholesterol absorption inhibitor
D. Niacin
Answer: B. Statin
Rationale: This patient has multiple risk factors (active smoker, hypertension,
premature coronary disease history in mother, LDL far from goal). Statin therapy
,represents the most aggressive and evidence-based lipid-lowering option for
secondary prevention .
2. Which end-organ sequela is NOT directly caused by uncontrolled hypertension?
A. Proteinuria
B. AV nicking on fundoscopy
C. Hemorrhagic stroke
D. Peripheral neuropathy
Answer: D. Peripheral neuropathy
Rationale: Although peripheral neuropathy may coexist with hypertension, it is
not directly caused by hypertension. It is commonly associated with diabetes.
Proteinuria (renal damage), AV nicking (retinopathy), and hemorrhagic stroke are
direct consequences of uncontrolled hypertension .
3. An otherwise healthy African American adult male has hypertension not
controlled with DASH diet and exercise. According to JNC8, which is the BEST
initial medication?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
,D. Metoprolol
Answer: C. Amlodipine
*Rationale: JNC8 guidelines recommend dihydropyridine calcium channel
blockers (such as amlodipine) as first-line therapy for hypertension in African
American patients not at goal with lifestyle modifications .*
4. The inability to fully relax the myocardium during relaxation is a trademark of
which diagnosis?
A. Hypertrophic cardiomyopathy
B. Diastolic dysfunction
C. Systolic heart failure
D. Restrictive cardiomyopathy
Answer: B. Diastolic dysfunction
Rationale: Diastolic dysfunction is characterized by impaired myocardial
relaxation during diastole, common in patients with thickened, hypertrophic
myocardium .
5. During which phase of the cardiac cycle would you auscultate S3 or S4 heart
sounds?
, A. Systole
B. Diastole
C. Mid-systole
D. Late systole
Answer: B. Diastole
Rationale: S3 (ventricular filling sound) and S4 (atrial gallop) both occur during
diastole. S3 is heard in early diastole; S4 in late diastole just before S1 .
6. Where is the point of maximum impulse (PMI) most commonly located in a
healthy adult?
A. Left 2nd intercostal space, midaxillary line
B. Left 5th intercostal space, midclavicular line
C. Right 4th intercostal space, midaxillary line
D. Right 2nd intercostal space, midclavicular line
Answer: B. Left 5th intercostal space, midclavicular line
Rationale: In healthy adults, the PMI is typically palpated in the left 5th intercostal
space at the midclavicular line .
667 AC WITH CORRECT VERIFIED ANSWERS ALREADY GRADED A+ EXAM. 1
Cardiovascular System
1. A 65-year-old woman with hypertension and smoking history has fasting lipid
profile: cholesterol 240 mg/dL, HDL 30 mg/dL, LDL 200 mg/dL. Her mother died of
a heart attack at age 40. In addition to lifestyle changes, what should be
prescribed?
A. Bile acid sequestrant
B. Statin
C. Cholesterol absorption inhibitor
D. Niacin
Answer: B. Statin
Rationale: This patient has multiple risk factors (active smoker, hypertension,
premature coronary disease history in mother, LDL far from goal). Statin therapy
,represents the most aggressive and evidence-based lipid-lowering option for
secondary prevention .
2. Which end-organ sequela is NOT directly caused by uncontrolled hypertension?
A. Proteinuria
B. AV nicking on fundoscopy
C. Hemorrhagic stroke
D. Peripheral neuropathy
Answer: D. Peripheral neuropathy
Rationale: Although peripheral neuropathy may coexist with hypertension, it is
not directly caused by hypertension. It is commonly associated with diabetes.
Proteinuria (renal damage), AV nicking (retinopathy), and hemorrhagic stroke are
direct consequences of uncontrolled hypertension .
3. An otherwise healthy African American adult male has hypertension not
controlled with DASH diet and exercise. According to JNC8, which is the BEST
initial medication?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
,D. Metoprolol
Answer: C. Amlodipine
*Rationale: JNC8 guidelines recommend dihydropyridine calcium channel
blockers (such as amlodipine) as first-line therapy for hypertension in African
American patients not at goal with lifestyle modifications .*
4. The inability to fully relax the myocardium during relaxation is a trademark of
which diagnosis?
A. Hypertrophic cardiomyopathy
B. Diastolic dysfunction
C. Systolic heart failure
D. Restrictive cardiomyopathy
Answer: B. Diastolic dysfunction
Rationale: Diastolic dysfunction is characterized by impaired myocardial
relaxation during diastole, common in patients with thickened, hypertrophic
myocardium .
5. During which phase of the cardiac cycle would you auscultate S3 or S4 heart
sounds?
, A. Systole
B. Diastole
C. Mid-systole
D. Late systole
Answer: B. Diastole
Rationale: S3 (ventricular filling sound) and S4 (atrial gallop) both occur during
diastole. S3 is heard in early diastole; S4 in late diastole just before S1 .
6. Where is the point of maximum impulse (PMI) most commonly located in a
healthy adult?
A. Left 2nd intercostal space, midaxillary line
B. Left 5th intercostal space, midclavicular line
C. Right 4th intercostal space, midaxillary line
D. Right 2nd intercostal space, midclavicular line
Answer: B. Left 5th intercostal space, midclavicular line
Rationale: In healthy adults, the PMI is typically palpated in the left 5th intercostal
space at the midclavicular line .
