NIGHTINGALE SCHOOL OF NURSING & HEALTH SCIENCES
NR 667 VISE - Advanced Nursing Practice
Comprehensive Review & Clinical Question Bank
Academic Year: 2026/2027 Term: Fall / Spring
Mastery Examination: Primary Care & Chronic Disease
Management
Question 1
What are common symptoms of hypertension?
A. Chest pain and palpitations only
B. May be asymptomatic or occipital headache, headache upon waking, blurry vision
C. Nausea, vomiting, and diarrhea
D. Peripheral edema and weight gain
CORRECT ANSWER:
B. May be asymptomatic or occipital headache, headache upon waking, blurry vision
RATIONALE: Hypertension is often called the silent killer because many patients are asymptomatic.
When symptoms do occur, they may include occipital headaches (often upon waking), dizziness,
and visual changes. Chest pain and peripheral edema are not typical primary symptoms of
uncomplicated hypertension.
, Question 2
What are non-pharmacological interventions for hypertension?
A. Increase sodium intake and reduce physical activity
B. Weight loss, 30 mins aerobic exercise 5x/week, smoking cessation, alcohol cessation,
diet improvement (avoid salt)
C. Start beta-blockers immediately
D. High-protein diet and vitamin supplements
CORRECT ANSWER:
B. Weight loss, 30 mins aerobic exercise 5x/week, smoking cessation, alcohol cessation, diet
improvement (avoid salt)
RATIONALE: Lifestyle modification is first-line for hypertension management. The DASH diet (low
sodium), regular aerobic exercise, weight reduction, and cessation of smoking/alcohol significantly
lower blood pressure. Pharmacotherapy is added when lifestyle changes are insufficient.
Question 3
What are pharmacological interventions for hypertension?
A. Beta-blockers as first-line monotherapy
B. Start with Thiazide Diuretic (HCTZ), CCB (Amlodipine), ACE/ARB (Lisinopril)
C. Only loop diuretics are effective
D. Immediate combination of four agents
CORRECT ANSWER:
B. Start with Thiazide Diuretic (HCTZ), CCB (Amlodipine), ACE/ARB (Lisinopril)
RATIONALE: First-line antihypertensive classes include thiazide diuretics, calcium channel blockers
(CCBs), ACE inhibitors, and ARBs. Guidelines recommend monotherapy with any of these, often
starting with HCTZ, amlodipine, or lisinopril based on patient characteristics.
NR 667 VISE - Advanced Nursing Practice
Comprehensive Review & Clinical Question Bank
Academic Year: 2026/2027 Term: Fall / Spring
Mastery Examination: Primary Care & Chronic Disease
Management
Question 1
What are common symptoms of hypertension?
A. Chest pain and palpitations only
B. May be asymptomatic or occipital headache, headache upon waking, blurry vision
C. Nausea, vomiting, and diarrhea
D. Peripheral edema and weight gain
CORRECT ANSWER:
B. May be asymptomatic or occipital headache, headache upon waking, blurry vision
RATIONALE: Hypertension is often called the silent killer because many patients are asymptomatic.
When symptoms do occur, they may include occipital headaches (often upon waking), dizziness,
and visual changes. Chest pain and peripheral edema are not typical primary symptoms of
uncomplicated hypertension.
, Question 2
What are non-pharmacological interventions for hypertension?
A. Increase sodium intake and reduce physical activity
B. Weight loss, 30 mins aerobic exercise 5x/week, smoking cessation, alcohol cessation,
diet improvement (avoid salt)
C. Start beta-blockers immediately
D. High-protein diet and vitamin supplements
CORRECT ANSWER:
B. Weight loss, 30 mins aerobic exercise 5x/week, smoking cessation, alcohol cessation, diet
improvement (avoid salt)
RATIONALE: Lifestyle modification is first-line for hypertension management. The DASH diet (low
sodium), regular aerobic exercise, weight reduction, and cessation of smoking/alcohol significantly
lower blood pressure. Pharmacotherapy is added when lifestyle changes are insufficient.
Question 3
What are pharmacological interventions for hypertension?
A. Beta-blockers as first-line monotherapy
B. Start with Thiazide Diuretic (HCTZ), CCB (Amlodipine), ACE/ARB (Lisinopril)
C. Only loop diuretics are effective
D. Immediate combination of four agents
CORRECT ANSWER:
B. Start with Thiazide Diuretic (HCTZ), CCB (Amlodipine), ACE/ARB (Lisinopril)
RATIONALE: First-line antihypertensive classes include thiazide diuretics, calcium channel blockers
(CCBs), ACE inhibitors, and ARBs. Guidelines recommend monotherapy with any of these, often
starting with HCTZ, amlodipine, or lisinopril based on patient characteristics.
