Mock Exam 2026 | Trusted Questions & Answers
1. The major cause of hypertensive heart disease is
Congenital heart disease
Secondary hypertension
Atherosclerosis
Essential hypertension
2. Which class of antihypertensive medications is recommended for African
American patients with hypertension?
Angiotensin receptor blocker
Beta-adrenergic receptor blocker
Calcium channel blocker
ACE inhibitor
3. Describe the mechanism of action of alpha/beta-adrenergic antagonists like
Carvedilol in the management of hypertension.
They primarily act by increasing heart rate and contractility.
Alpha/beta-adrenergic antagonists block both alpha and beta
receptors, leading to vasodilation and reduced heart rate, which
lowers blood pressure.
They relax the smooth muscles of the bronchi to improve airflow.
They inhibit the renin-angiotensin system to decrease blood volume.
4. A 40-year-old African American male presents with a blood pressure of
160/100 mm Hg. Which medication class should be considered for initial
, treatment based on current guidelines?
Diuretic
Beta-adrenergic receptor blocker
ACE inhibitor
Angiotensin receptor blocker
5. Mr. Williams, an 84-year-old man has heart failure and he may have all of the
following except?
Elevated serum BNP
Kerley B lines noted on CXR
Left-ventricular hypertrophy on ECG
Blurred vision
6. A patient has one elevated blood pressure reading during a routine check-
up. What should the healthcare provider do next to assess for hypertension?
Obtain additional readings on separate occasions.
Refer the patient to a specialist without further assessment.
Ignore the reading and schedule a follow-up in six months.
Immediately diagnose the patient with hypertension.
7. What diagnostic test is commonly used to assess bone density in
osteoporosis?
Ultrasound
MRI scan
CT scan
, Dual-energy X-ray absorptiometry (DEXA)
8. Screening for osteoporosis is recommended for those who are....
Children 2-18
Elite swimmers
Women 65 years and older
Professional athletes
9. What is the FEV1/FVC ratio threshold for diagnosing COPD?
Greater than 0.80
Less than 0.70
Equal to 0.75
Less than 0.60
10. Discuss the implications of elevated systolic blood pressure in older adults
and how it relates to overall health risks.
Elevated systolic blood pressure in older adults is linked to an
increased risk of cardiovascular disease, which can lead to heart
attacks and strokes.
Elevated systolic blood pressure is only a concern for individuals
under 50 years old.
Elevated systolic blood pressure has no significant impact on health
risks in older adults.
Elevated systolic blood pressure primarily affects respiratory
conditions like asthma.
, 11. What potential side effect should the nurse closely monitor for when
administering inhaled glucocorticoids to pediatric patients?
Respiratory distress
Gastrointestinal bleeding
Elevated blood pressure
Growth suppression
12. Which diagnostic test is specifically mentioned as NOT appropriate for Ms.
Smith according to the provided information?
Chest X-ray
Chemistry, CBC, Lipid, and hepatic, urine analysis
EKG
Uric acid
13. When should bone mineral density (BMD) screening for osteopenia start in
all women?
65 years
55 years
Depends on risk factors
One year post menopause
14. Which electrolyte can be significantly increased by ACE Inh, ARBs and
Aldosterone antagonists?
Sodium
Calcium