FNP1 FINAL EXAM
All of the following are possible causes for secondary hypertension except ?
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta (correct answers)A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for an elderly White woman
with osteoporosis?
A. Calcium Channel Blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics (correct answers)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?
A. It increased the chances of adverse effects to her health
B. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
C. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
,D. None of the statements are true (correct answers)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?
A. Calcium Channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Diuretics (correct answers)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?
A. Pedal edema, hepatomegaly, and enlarged kidneys
B. Arteriovenous (AV) nicking, Left ventricular hypertrophy
C. Renal infection, S3 heart sound, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy, heart failure (correct answers)B. Arteriovenous (AV) nicking, left
ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal function?
A. Electrolyte panel
, B. Estimated GFR
C. Creatinine
D. Blood urea nitrogen (correct answers)B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta (correct answers)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 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
B. 24-hour urine for protein and creatinine clearance
C. 24-hour urine for microalbumin
D. Intravenous pyelogram (correct answers)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?
All of the following are possible causes for secondary hypertension except ?
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta (correct answers)A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for an elderly White woman
with osteoporosis?
A. Calcium Channel Blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics (correct answers)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?
A. It increased the chances of adverse effects to her health
B. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
C. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
,D. None of the statements are true (correct answers)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?
A. Calcium Channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Diuretics (correct answers)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?
A. Pedal edema, hepatomegaly, and enlarged kidneys
B. Arteriovenous (AV) nicking, Left ventricular hypertrophy
C. Renal infection, S3 heart sound, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy, heart failure (correct answers)B. Arteriovenous (AV) nicking, left
ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal function?
A. Electrolyte panel
, B. Estimated GFR
C. Creatinine
D. Blood urea nitrogen (correct answers)B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta (correct answers)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 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
B. 24-hour urine for protein and creatinine clearance
C. 24-hour urine for microalbumin
D. Intravenous pyelogram (correct answers)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?
