NSG 6020 / NSG6020 WEEK 4 QUIZ 3
CARDIAC STUDY GUIDE QUESTIONS AND ANSWERS
All of the following are possible causes for secondary hypertension?
A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for an elderly White
woman with osteoporosis?
D. Thiazide diuretics
A 75-year-old woman has been on nifedepine (Procardia XL) 10-mg capsule for many years to
control her stage II hypertension. Her blood pressure at this visit is 165/80 mmHg. She is
currently complaining of pain at her right hip and in both knees. She has increased her dose of
ibuprofen (Motrin) from 400mg three times daily (TID) to 800mg TID. She is still in pain and
would like something stronger. Which of the following statements is the best explanation of the
effects of ibuprofen (Motrin) on her disease?
B. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
Which of the following antihypertensive medications should the NP avoid when treating
patients with emphysema?
C. Beta-blockers
A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with a
cluster of physical exam findings. Which of the following clusters indicates the target organ
damage commonly seen in hypertensive patients?
B. Arteriovenous (AV) nicking, left ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal function?
B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
An 8-year-old boy with type I diabetes is being seen for a 3-day history of urinary frequency and
nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and
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https://www.coursehero.com/file/67346574/NSG-6020-NSG6020-WEEK-4-QUIZ-3docx/
, nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of
protein. Which of the following is the best test to order initially?
A. urine for culture and sensitivity
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned about her kidneys.
She has a history of three urinary tract infections (UTIs) within the past 8 months, but is
currently asymptomatic. Which of the following is the best course to follow?
A. Recheck urine during the visit, send a urine specimen for culture and sensitivity, and refer to
a nephrologist
When evaluating the blood pressure on both arms and legs of an infant who has a diagnosis of
coarctation of the aorta, which of the following is the correct finding?
A. The blood pressure is higher in the arms than in the legs.
Your 35-year-old patient is being worked up for microscopic hematuria. All of the following are
differential diagnoses of microscopic hematuria except:
D. Renal artery stenosis
A common side effect of metformin (Glucophage) therapy is:
D. Diarrhea
The nurse practitioner is evaluating patients who are at high risk for complications due to UTIs.
Which of the following patients does not belong in this category?
C. A 21-year-old woman who has a history of irritable bowel disease
A 68-year-old woman with hypertension and diabetes is seen by the NP for a dry cough that
worsens at night when she lies in bed. She has shortness of breath, which worsens when she
exerts herself, and has gained 6 lbs during the past 2 months. Her pulse rate is 90 beats/min and
regular. She is on a nitroglycerine patch and furosemide daily. The best explanation for her
symptoms is:
B. Congestive heart failure
A 21-year-old woman complains to you of a 1-week episode of dysuria, frequency, and a strong
odor to her urine. This is her second episode of the year. The previous urinary tract infection
occurred 3 months ago. What is the most appropriate follow-up for this patient?
A. order a urinalysis and urine for culture and sensitivity, and treat the patient with antibiotics
A 30-year-old woman with type 2 diabetes uses regular and NPH insulin in the morning and in
the evening. She denies changes in her diet of any illness, but recently started attending aerobic
This study source was downloaded by 100000840403022 from CourseHero.com on 03-04-2022 17:00:14 GMT -06:00
https://www.coursehero.com/file/67346574/NSG-6020-NSG6020-WEEK-4-QUIZ-3docx/
CARDIAC STUDY GUIDE QUESTIONS AND ANSWERS
All of the following are possible causes for secondary hypertension?
A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for an elderly White
woman with osteoporosis?
D. Thiazide diuretics
A 75-year-old woman has been on nifedepine (Procardia XL) 10-mg capsule for many years to
control her stage II hypertension. Her blood pressure at this visit is 165/80 mmHg. She is
currently complaining of pain at her right hip and in both knees. She has increased her dose of
ibuprofen (Motrin) from 400mg three times daily (TID) to 800mg TID. She is still in pain and
would like something stronger. Which of the following statements is the best explanation of the
effects of ibuprofen (Motrin) on her disease?
B. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
Which of the following antihypertensive medications should the NP avoid when treating
patients with emphysema?
C. Beta-blockers
A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with a
cluster of physical exam findings. Which of the following clusters indicates the target organ
damage commonly seen in hypertensive patients?
B. Arteriovenous (AV) nicking, left ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal function?
B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
An 8-year-old boy with type I diabetes is being seen for a 3-day history of urinary frequency and
nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and
This study source was downloaded by 100000840403022 from CourseHero.com on 03-04-2022 17:00:14 GMT -06:00
https://www.coursehero.com/file/67346574/NSG-6020-NSG6020-WEEK-4-QUIZ-3docx/
, nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of
protein. Which of the following is the best test to order initially?
A. urine for culture and sensitivity
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned about her kidneys.
She has a history of three urinary tract infections (UTIs) within the past 8 months, but is
currently asymptomatic. Which of the following is the best course to follow?
A. Recheck urine during the visit, send a urine specimen for culture and sensitivity, and refer to
a nephrologist
When evaluating the blood pressure on both arms and legs of an infant who has a diagnosis of
coarctation of the aorta, which of the following is the correct finding?
A. The blood pressure is higher in the arms than in the legs.
Your 35-year-old patient is being worked up for microscopic hematuria. All of the following are
differential diagnoses of microscopic hematuria except:
D. Renal artery stenosis
A common side effect of metformin (Glucophage) therapy is:
D. Diarrhea
The nurse practitioner is evaluating patients who are at high risk for complications due to UTIs.
Which of the following patients does not belong in this category?
C. A 21-year-old woman who has a history of irritable bowel disease
A 68-year-old woman with hypertension and diabetes is seen by the NP for a dry cough that
worsens at night when she lies in bed. She has shortness of breath, which worsens when she
exerts herself, and has gained 6 lbs during the past 2 months. Her pulse rate is 90 beats/min and
regular. She is on a nitroglycerine patch and furosemide daily. The best explanation for her
symptoms is:
B. Congestive heart failure
A 21-year-old woman complains to you of a 1-week episode of dysuria, frequency, and a strong
odor to her urine. This is her second episode of the year. The previous urinary tract infection
occurred 3 months ago. What is the most appropriate follow-up for this patient?
A. order a urinalysis and urine for culture and sensitivity, and treat the patient with antibiotics
A 30-year-old woman with type 2 diabetes uses regular and NPH insulin in the morning and in
the evening. She denies changes in her diet of any illness, but recently started attending aerobic
This study source was downloaded by 100000840403022 from CourseHero.com on 03-04-2022 17:00:14 GMT -06:00
https://www.coursehero.com/file/67346574/NSG-6020-NSG6020-WEEK-4-QUIZ-3docx/
