NR 603 WEEK 3: TEST QUESTIONS WITH COMPLETE
SOLUTIONS
1) A 60 year old male with a history of type 2 Diabetes and HTN comes in for a
follow up blood pressure check to evaluate the recent medication/diet/exercise
plan you prescribed at his visit 3 months ago. His BMI is 20. His Blood pressures
sitting and standing are: 138/80 and 132/76 respectively. What is the best analysis
of the prescribed treatment plan?
A) His blood pressure is within JNC 8 guidelines so no adjustments will
be made at this time
B) his blood pressure is within JNC 8 guidelines but there should be less
variability with position change
C) His blood pressure is not within JNC 8 guidelines and there should be
less variability with position change
D) His blood pressure is NOT within JNC 8 guidelines and therefore his
therapy needs to be increased -- Correct Answer ✔✔ a. His blood
pressure is within JNC 8 guidelines so no adjustments will be made at
this time
2) You are reviewing the labs of a 50 year old female patient who presented to you
for a physical exam. You note, upon review of her labs, that her triglycerides are
670. Triglyceride levels over 500 raise immediate concern for which of the
following disorders?
, A) liver failure
B) acute pancreatitis
C) myocardial infarction
D) pulmonary embolism -- Correct Answer ✔✔ b. acute pancreatitis
3) A 44 year old male patient presents to the clinic for evaluation of an episode of
chest tightness that radiated to his back that he had earlier in the day when he
was out for a walk. He states that once he came home and sat down, the chest
tightness resolved. What is the most likely cause of his chest tightness?
A) Dissecting aortic aneurysm
B) Angina pectoris
C) Gastroesophageal disease
D) Pancreatitis exacerbation -- Correct Answer ✔✔ b. angina pectoris
4) A 52 year old Caucasian male with a past medical history of COPD comes in for
follow up on his stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a
new medication needs to be added. Which medication would be the best second
line therapy?
A) A calcium channel blocker such as Cardizem
B) An Ace inhibitor such as Lisinopril
C) A beta blocker such as Metoprolol
D) An alpha 1 receptor blocker such as Cardura -- Correct Answer ✔✔
a. An Ace inhibitor such as Lisinopril
5) Which of the following drugs does the 8th Joint National Committee (JNC8)
2014 Evidence Based Guidelines for the Management of High Blood pressure in
adults recommend for the treatment for Caucasian males with microalbuminuria?
A) Diuretics
B) Angiotensin-Converting enzymes (ACE inhibitors)
C) Calcium channel blockers
D) Beta blocker -- Correct Answer ✔✔ b. Angiotensin-Converting
enzymes (ACE inhibitors)
6) Exercise Tolerance Test (ETT) is the first line approach to detecting CAD in
stable patients. However ETT is contraindicated for some patients. Knowing
SOLUTIONS
1) A 60 year old male with a history of type 2 Diabetes and HTN comes in for a
follow up blood pressure check to evaluate the recent medication/diet/exercise
plan you prescribed at his visit 3 months ago. His BMI is 20. His Blood pressures
sitting and standing are: 138/80 and 132/76 respectively. What is the best analysis
of the prescribed treatment plan?
A) His blood pressure is within JNC 8 guidelines so no adjustments will
be made at this time
B) his blood pressure is within JNC 8 guidelines but there should be less
variability with position change
C) His blood pressure is not within JNC 8 guidelines and there should be
less variability with position change
D) His blood pressure is NOT within JNC 8 guidelines and therefore his
therapy needs to be increased -- Correct Answer ✔✔ a. His blood
pressure is within JNC 8 guidelines so no adjustments will be made at
this time
2) You are reviewing the labs of a 50 year old female patient who presented to you
for a physical exam. You note, upon review of her labs, that her triglycerides are
670. Triglyceride levels over 500 raise immediate concern for which of the
following disorders?
, A) liver failure
B) acute pancreatitis
C) myocardial infarction
D) pulmonary embolism -- Correct Answer ✔✔ b. acute pancreatitis
3) A 44 year old male patient presents to the clinic for evaluation of an episode of
chest tightness that radiated to his back that he had earlier in the day when he
was out for a walk. He states that once he came home and sat down, the chest
tightness resolved. What is the most likely cause of his chest tightness?
A) Dissecting aortic aneurysm
B) Angina pectoris
C) Gastroesophageal disease
D) Pancreatitis exacerbation -- Correct Answer ✔✔ b. angina pectoris
4) A 52 year old Caucasian male with a past medical history of COPD comes in for
follow up on his stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a
new medication needs to be added. Which medication would be the best second
line therapy?
A) A calcium channel blocker such as Cardizem
B) An Ace inhibitor such as Lisinopril
C) A beta blocker such as Metoprolol
D) An alpha 1 receptor blocker such as Cardura -- Correct Answer ✔✔
a. An Ace inhibitor such as Lisinopril
5) Which of the following drugs does the 8th Joint National Committee (JNC8)
2014 Evidence Based Guidelines for the Management of High Blood pressure in
adults recommend for the treatment for Caucasian males with microalbuminuria?
A) Diuretics
B) Angiotensin-Converting enzymes (ACE inhibitors)
C) Calcium channel blockers
D) Beta blocker -- Correct Answer ✔✔ b. Angiotensin-Converting
enzymes (ACE inhibitors)
6) Exercise Tolerance Test (ETT) is the first line approach to detecting CAD in
stable patients. However ETT is contraindicated for some patients. Knowing
