NSG 6320 Midterm Exam Study Guide
Week 4 Quiz 80%
Question 1 (2 points)
A patient comes to a clinic for an annual visit. He has a history of Type 2
DM. His lab work today indicates creatinine of 1.6 (0.6–1.5). Last year, his
BP was 138/80 in both arms. Today, his BP is 150/80 in both arms.
Which of the following is the most appropriate intervention?
Question 1 options:
Placing him on an alpha blocker
Counseling him to lower his BP with lifestyle modification
Counseling him regarding lifestyle modifications and placing him on an ACE-I
Counseling him regarding lifestyle modifications and placing him on a vasodilator
Question 2 (2 points)
A seventy-eight-year-old African American woman presents to your office
as a new patient. She complains of headache and dizziness. Her PMH is
significant for HTN. She states, "I have been taking HCTZ for a long time."
Her temperature is normal. BP 190/100, HR 86, RR 16.
Which of the following would be the most appropriate action to assist in
determining how to treat her current symptoms?
Question 2 options:
Perform a fundoscopic exam of her eyes.
Perform a monofilament test on her feet.
Order an echocardiogram for the next week.
Order a lipid profile and liver panel.
Question 3 (2 points)
A seventy-eight-year-old woman comes to see you for her annual visit. She
has a history of osteoarthritis and GERD. She comes in today for her annual
visit. Her BP is 148/88. Last year, her BP was 140/80 and you had advised a
This study source was downloaded by 100000832361371 from CourseHero.com on 07-30-2022 02:17:16 GMT -05:00
https://www.coursehero.com/file/41381027/Week-4-Quizdocx/
, 2-gram sodium diet and exercise. She states that she has been faithfully
following your instructions.
Which of the following would be the most appropriate management
strategy for this patient?
Question 3 options:
Praise her for her efforts and tell her to keep up the good work
Start her on HCTZ 50 mg daily
Start her on hydralazine 25 mg daily
Advise her that she needs to follow a strict 1.5 gram sodium diet
Question 4 (2 points)
A hypertensive middle-aged man has been recently diagnosed with mild
renal insufficiency. He has been on lisinopril (Accupril) for many years.
Which of the following laboratory values should be carefully monitored?
Question 4 options:
Hemoglobin, hematocrit, and MCV
Serum creatinine and potassium levels
AST and ALT
Serum sodium, phosphate, and magnesium
Question 5 (2 points)
Mr. Wilson is a seventy-three-year-old male who has been on rosuvastatin
(Crestor) 20 mg QD for the past three months. He complains of diffuse
muscle aches and severe fatigue and weakness in spite of getting his usual
eight hours of sleep every night.
What is the MOST appropriate management for this patient?
Question 5 options:
This study source was downloaded by 100000832361371 from CourseHero.com on 07-30-2022 02:17:16 GMT -05:00
https://www.coursehero.com/file/41381027/Week-4-Quizdocx/
Week 4 Quiz 80%
Question 1 (2 points)
A patient comes to a clinic for an annual visit. He has a history of Type 2
DM. His lab work today indicates creatinine of 1.6 (0.6–1.5). Last year, his
BP was 138/80 in both arms. Today, his BP is 150/80 in both arms.
Which of the following is the most appropriate intervention?
Question 1 options:
Placing him on an alpha blocker
Counseling him to lower his BP with lifestyle modification
Counseling him regarding lifestyle modifications and placing him on an ACE-I
Counseling him regarding lifestyle modifications and placing him on a vasodilator
Question 2 (2 points)
A seventy-eight-year-old African American woman presents to your office
as a new patient. She complains of headache and dizziness. Her PMH is
significant for HTN. She states, "I have been taking HCTZ for a long time."
Her temperature is normal. BP 190/100, HR 86, RR 16.
Which of the following would be the most appropriate action to assist in
determining how to treat her current symptoms?
Question 2 options:
Perform a fundoscopic exam of her eyes.
Perform a monofilament test on her feet.
Order an echocardiogram for the next week.
Order a lipid profile and liver panel.
Question 3 (2 points)
A seventy-eight-year-old woman comes to see you for her annual visit. She
has a history of osteoarthritis and GERD. She comes in today for her annual
visit. Her BP is 148/88. Last year, her BP was 140/80 and you had advised a
This study source was downloaded by 100000832361371 from CourseHero.com on 07-30-2022 02:17:16 GMT -05:00
https://www.coursehero.com/file/41381027/Week-4-Quizdocx/
, 2-gram sodium diet and exercise. She states that she has been faithfully
following your instructions.
Which of the following would be the most appropriate management
strategy for this patient?
Question 3 options:
Praise her for her efforts and tell her to keep up the good work
Start her on HCTZ 50 mg daily
Start her on hydralazine 25 mg daily
Advise her that she needs to follow a strict 1.5 gram sodium diet
Question 4 (2 points)
A hypertensive middle-aged man has been recently diagnosed with mild
renal insufficiency. He has been on lisinopril (Accupril) for many years.
Which of the following laboratory values should be carefully monitored?
Question 4 options:
Hemoglobin, hematocrit, and MCV
Serum creatinine and potassium levels
AST and ALT
Serum sodium, phosphate, and magnesium
Question 5 (2 points)
Mr. Wilson is a seventy-three-year-old male who has been on rosuvastatin
(Crestor) 20 mg QD for the past three months. He complains of diffuse
muscle aches and severe fatigue and weakness in spite of getting his usual
eight hours of sleep every night.
What is the MOST appropriate management for this patient?
Question 5 options:
This study source was downloaded by 100000832361371 from CourseHero.com on 07-30-2022 02:17:16 GMT -05:00
https://www.coursehero.com/file/41381027/Week-4-Quizdocx/
