NR 667 WEEK 2 EXAM 140 QUESTIONS & CORRECT
ANSWERS LATEST 2026/2027
Your 50 year-old male African American (AA) patient was found to have a blood
pressure of 160/96 upon arrival to your clinic. He does not have any other medical
conditions. For the following 24 hours of self-reported vital signs, it remained
between 160-170 systolic and 90-100 diastolic without treatment. After finding all
basic metabolic panel (BMP) lab values to be within normal limits, your first
choice of antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - ANSWER-amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also
has a diagnosis of polycythemia vera and has regular phlebotomies for
management. Which of the following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - ANSWER-He should avoid dietary
iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified
from a hospitalist that your long-term patient with a history of HFrEF (heart failure
with reduced ejection fraction) with an ejection fraction of 40% two years ago who
is also not on optimal medical therapy has been diagnosed with a myocardial
,infarction this admission and received emergent placement of a drug-eluting stent
to the left anterior descending artery. As the patient's medical home who will
manage this patient after discharge, which of the following would you expect to be
a priority in the patient's care for their heart failure after an acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less
than 45% - ANSWER-Ordering a new transthoracic echocardiogram and Lifevest
if EF is less than 35%
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset
left-sided weakness and slurred speech. What is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - ANSWER-Stroke
A 55 year-old female patient with no previous cardiac history and no family
history of hyperlipidemia with an acute myocardial infarction is treated
successfully with a drug-eluting stent during a recent hospitalization. As their long-
term care provider, you anticipate they were most likely to be also started on which
of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - ANSWER-High intensity statin therapy
,Which of the following medications is not considered part of optimal medical
therapy for a 54 year-old male patient with a diagnosis of heart failure with
reduced ejection fraction (HFrEF) with an EF of 30%, known coronary artery
disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - ANSWER-Diltiazem (Cardizem)
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - ANSWER-Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - ANSWER-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
, Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - ANSWER-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
African Americans - ANSWER-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is suspected.
Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - ANSWER-Dry skin, bradycardia, and
hypoactive deep tendon reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin
detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than
7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99
mg/dL]. Which of the following regimens should the nurse practitioner
recommend?
ANSWERS LATEST 2026/2027
Your 50 year-old male African American (AA) patient was found to have a blood
pressure of 160/96 upon arrival to your clinic. He does not have any other medical
conditions. For the following 24 hours of self-reported vital signs, it remained
between 160-170 systolic and 90-100 diastolic without treatment. After finding all
basic metabolic panel (BMP) lab values to be within normal limits, your first
choice of antihypertensive is most likely which of the following agents?
carvedilol
metoprolol
amlodipine
lisinopril - ANSWER-amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also
has a diagnosis of polycythemia vera and has regular phlebotomies for
management. Which of the following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements - ANSWER-He should avoid dietary
iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified
from a hospitalist that your long-term patient with a history of HFrEF (heart failure
with reduced ejection fraction) with an ejection fraction of 40% two years ago who
is also not on optimal medical therapy has been diagnosed with a myocardial
,infarction this admission and received emergent placement of a drug-eluting stent
to the left anterior descending artery. As the patient's medical home who will
manage this patient after discharge, which of the following would you expect to be
a priority in the patient's care for their heart failure after an acute MI?
Ordering a Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and Lifevest if EF is less than 35%
Ordering aspirin and clopidogrel for 3 months at discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less
than 45% - ANSWER-Ordering a new transthoracic echocardiogram and Lifevest
if EF is less than 35%
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset
left-sided weakness and slurred speech. What is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure - ANSWER-Stroke
A 55 year-old female patient with no previous cardiac history and no family
history of hyperlipidemia with an acute myocardial infarction is treated
successfully with a drug-eluting stent during a recent hospitalization. As their long-
term care provider, you anticipate they were most likely to be also started on which
of the following lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy - ANSWER-High intensity statin therapy
,Which of the following medications is not considered part of optimal medical
therapy for a 54 year-old male patient with a diagnosis of heart failure with
reduced ejection fraction (HFrEF) with an EF of 30%, known coronary artery
disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone) - ANSWER-Diltiazem (Cardizem)
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - ANSWER-Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - ANSWER-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
, Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - ANSWER-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
African Americans - ANSWER-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is suspected.
Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - ANSWER-Dry skin, bradycardia, and
hypoactive deep tendon reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin
detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than
7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99
mg/dL]. Which of the following regimens should the nurse practitioner
recommend?
