FAMILY NURSE PRACTITIONER (FNP) EXAM 3 WITH
ACCURATE SOLUTIONS.
1) George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280
mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are
doing a Framingham Risk Assessment on him. Which assessment factor would
give him the highest number of points on the scale?
A) His age
B) His cholesterol level
C) His systolic BP
D) The fact that he is on antihypertensive medication -- Correct
Answer ✔✔ b. His cholesterol level
2) Which pain characteristic is usually indicative of cardiac pathology?
A) Fleeting
B) Moving
C) Diffuse
D) Localized -- Correct Answer ✔✔ c. Diffuse
3) What percentage of patients with angina pectoris will have simultaneous dyspnea,
caused by transient increase in pulmonary venous pressures that accompany
ventricular stiffening during an episode of myocardial ischemia?
A) About 20%
, B) About 30%
C) About 50%
D) Almost all -- Correct Answer ✔✔ b. About 30%
4) Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet
or one spray should be used under the tongue every 5 minutes for three doses.
What should be done if the pain has not been relieved after three doses?
A) 911 should be called, and the patient should be transported
immediately to the emergency department.
B) One more dose of NTG may be tried
C) The person should be given two aspirin to chew.
D) A portable defibrillator should be located to ascertain the cardiac
rhythm. -- Correct Answer ✔✔ a. 911 should be called, and the
patient should be transported immediately to the emergency
department.
5) For the best therapeutic effect after a myocardial infarction (MI), thrombolytics
should be administered within the first 3 hours (ideally 30 minutes) of symptom
onset. Studies have shown, however, that thrombolytic therapy can be of benefit
up to how many hours after the initial presentation of MI symptoms?
A) 6 hours
B) 8 hours
C) 10 hours
D) 12 hours -- Correct Answer ✔✔ d. 12 hours
6) When teaching post MI patients about their NTG tablets, the clinician should
stress that the tablets should remain in the light-resistant bottle in which they are
packaged and should not be put in another pill box or remain in areas that are or
could become warm and humid. Once opened, the bottle must be dated and
discarded after how many months?
A) 1 month
B) 3 months
C) 6 months
D) As long as the tablets are kept in this special bottle, they will last
forever. -- Correct Answer ✔✔ c. 6 months
,7) There are four stages of heart failure, classified as A to D, that describe the
evolution and progression of disease. In which stage are patients hospitalized or
treated with specialized interventions or hospice care for refractory symptoms of
heart failure despite medical therapy?
A) Stage A
B) Stage B
C) Stage C
D) Stage D -- Correct Answer ✔✔ d. Stage D
8) Which of the following is abundant in the heart and rapidly rises in the
bloodstream in the presence of heart failure, making it a good diagnostic test?
A) B-type natriuretic peptide
B) C-reactive protein
C) Serum albumin
D) Erythrocyte sedimentation rate -- Correct Answer ✔✔ a. B-type
natriuretic peptide
9) Which test has long been considered the gold standard for a diagnosis of venous
thromboembolism?
A) Ultrasound
B) Magnetic resonance imaging (MRI)
C) Ascending venogram
D) D-dimer -- Correct Answer ✔✔ c. Ascending venogram
10) Statins are approved for which age group?
A) Children over the age of 2
B) Children over the age of 6
C) Children over the age of 10
D) Only adolescents and adults -- Correct Answer ✔✔ c. Children over
the age of 10
11) The American College of Cardiology/American Heart Association states which of
the following regarding the use of non-statin lipid-lowering agents?
A) Nicotinic acid derivatives are effective for lowering LDL and
triglycerides (TGs).
, B) Bile acid sequestrates increase HDL.
C) Cholesterol absorption inhibitors decrease LDL.
D) There is no sufficient evidence to use non-statin lipid-drugs. --
Correct Answer ✔✔ d. There is no sufficient evidence to use non-
statin lipid-drugs.
12) Which of the following medications can cause hyperlipidemia?
A) Diuretics
B) NSAIDs
C) Opioids
D) Insulin -- Correct Answer ✔✔ a. Diuretics
13) Jamie, age 55, has just started on a statin after having his liver function tests
(LFTs) come back normal. He now asks you how often he has to have the LFTs
repeated. What do you tell him?
A) Initially in 6 weeks
B) Every 3 months
C) Every 6 months
D) It's no longer necessary for his statin regimen. -- Correct Answer
✔✔ d. It's no longer necessary for his statin regimen.
14) In the CHADS2 Index for the stroke risk score for AF, the 'A' stands for:
A) Anticoagulation
B) Autoimmune disease
C) Age
D) Antihypertension -- Correct Answer ✔✔ c. Age
15) Which murmurs are usually 'watch and wait'?
A) Systolic murmurs
B) Diastolic murmurs
C) They both are dangerous and need immediate attention.
D) You can 'watch and wait' for both of them -- Correct Answer ✔✔ a.
Systolic murmurs
ACCURATE SOLUTIONS.
1) George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280
mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are
doing a Framingham Risk Assessment on him. Which assessment factor would
give him the highest number of points on the scale?
A) His age
B) His cholesterol level
C) His systolic BP
D) The fact that he is on antihypertensive medication -- Correct
Answer ✔✔ b. His cholesterol level
2) Which pain characteristic is usually indicative of cardiac pathology?
A) Fleeting
B) Moving
C) Diffuse
D) Localized -- Correct Answer ✔✔ c. Diffuse
3) What percentage of patients with angina pectoris will have simultaneous dyspnea,
caused by transient increase in pulmonary venous pressures that accompany
ventricular stiffening during an episode of myocardial ischemia?
A) About 20%
, B) About 30%
C) About 50%
D) Almost all -- Correct Answer ✔✔ b. About 30%
4) Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet
or one spray should be used under the tongue every 5 minutes for three doses.
What should be done if the pain has not been relieved after three doses?
A) 911 should be called, and the patient should be transported
immediately to the emergency department.
B) One more dose of NTG may be tried
C) The person should be given two aspirin to chew.
D) A portable defibrillator should be located to ascertain the cardiac
rhythm. -- Correct Answer ✔✔ a. 911 should be called, and the
patient should be transported immediately to the emergency
department.
5) For the best therapeutic effect after a myocardial infarction (MI), thrombolytics
should be administered within the first 3 hours (ideally 30 minutes) of symptom
onset. Studies have shown, however, that thrombolytic therapy can be of benefit
up to how many hours after the initial presentation of MI symptoms?
A) 6 hours
B) 8 hours
C) 10 hours
D) 12 hours -- Correct Answer ✔✔ d. 12 hours
6) When teaching post MI patients about their NTG tablets, the clinician should
stress that the tablets should remain in the light-resistant bottle in which they are
packaged and should not be put in another pill box or remain in areas that are or
could become warm and humid. Once opened, the bottle must be dated and
discarded after how many months?
A) 1 month
B) 3 months
C) 6 months
D) As long as the tablets are kept in this special bottle, they will last
forever. -- Correct Answer ✔✔ c. 6 months
,7) There are four stages of heart failure, classified as A to D, that describe the
evolution and progression of disease. In which stage are patients hospitalized or
treated with specialized interventions or hospice care for refractory symptoms of
heart failure despite medical therapy?
A) Stage A
B) Stage B
C) Stage C
D) Stage D -- Correct Answer ✔✔ d. Stage D
8) Which of the following is abundant in the heart and rapidly rises in the
bloodstream in the presence of heart failure, making it a good diagnostic test?
A) B-type natriuretic peptide
B) C-reactive protein
C) Serum albumin
D) Erythrocyte sedimentation rate -- Correct Answer ✔✔ a. B-type
natriuretic peptide
9) Which test has long been considered the gold standard for a diagnosis of venous
thromboembolism?
A) Ultrasound
B) Magnetic resonance imaging (MRI)
C) Ascending venogram
D) D-dimer -- Correct Answer ✔✔ c. Ascending venogram
10) Statins are approved for which age group?
A) Children over the age of 2
B) Children over the age of 6
C) Children over the age of 10
D) Only adolescents and adults -- Correct Answer ✔✔ c. Children over
the age of 10
11) The American College of Cardiology/American Heart Association states which of
the following regarding the use of non-statin lipid-lowering agents?
A) Nicotinic acid derivatives are effective for lowering LDL and
triglycerides (TGs).
, B) Bile acid sequestrates increase HDL.
C) Cholesterol absorption inhibitors decrease LDL.
D) There is no sufficient evidence to use non-statin lipid-drugs. --
Correct Answer ✔✔ d. There is no sufficient evidence to use non-
statin lipid-drugs.
12) Which of the following medications can cause hyperlipidemia?
A) Diuretics
B) NSAIDs
C) Opioids
D) Insulin -- Correct Answer ✔✔ a. Diuretics
13) Jamie, age 55, has just started on a statin after having his liver function tests
(LFTs) come back normal. He now asks you how often he has to have the LFTs
repeated. What do you tell him?
A) Initially in 6 weeks
B) Every 3 months
C) Every 6 months
D) It's no longer necessary for his statin regimen. -- Correct Answer
✔✔ d. It's no longer necessary for his statin regimen.
14) In the CHADS2 Index for the stroke risk score for AF, the 'A' stands for:
A) Anticoagulation
B) Autoimmune disease
C) Age
D) Antihypertension -- Correct Answer ✔✔ c. Age
15) Which murmurs are usually 'watch and wait'?
A) Systolic murmurs
B) Diastolic murmurs
C) They both are dangerous and need immediate attention.
D) You can 'watch and wait' for both of them -- Correct Answer ✔✔ a.
Systolic murmurs
