Test Bank For Nurse Practitioner Certification Exam
Prep 6th Edition By Margaret A. Fitzgerald
You examine a 38 year old woman who has presented for an initial examination and
Papanicolaou test. She has no complaint. Her BP is 154/98 mm Hg bilaterally and her
BMI is 31 kg/m2. The rest of her physical exam is unremarkable. Your next best
action is to:
A. initiate antihypertensive therapy
B. arrange for at least two additional BP measurements during the next 2 weeks.
C. order BUN, creatinine, and potassium ion measurements and UA
D. advise her to reduce her sodium intake - ANSWER:B. arrange for at least two
additional BP measurements during the next 2 weeks
You see a 68 year old woman as a pt who is transferring care into your practice. She
has a 10y history of HTN, diabetes mellitus, and hyperlipidemia. Current medications
include HCTZ, glipizide, metformin, simvastatin, and daily low-dose aspirin. Today's
BP reading is 158/92mm Hg and the rest of her history and exam are unremarkable.
Documentation from her former healthcare provider indicates that her BP has been
in the range for the past 12 months. Your next best action is to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist - ANSWER:A. prescribe an ACEI
You examine a 78 y/o woman with long-standing poorly controlled hHTN. When
evaluating her for HTN target organ damage, you look for evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
D. clotting disorders - ANSWER:C. left ventricular hypertrophy
Diagnostic testing for a pt with newly diagnosed primary hHTN should include all of
the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium - ANSWER:B. uric acid
In the person w/HTN, the nurse practitioner recommends all of the following to
potentially reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
, C. regular aerobic physical activity, such as 30-40 minutes of brisk walking most days
of the week
D. consuming at least 1-2 servings of alcohol - ANSWER:D. consuming at least 1-2
servings of alcohol
what class of antihypertension medication is amlodipine? - ANSWER:dihydropyridine
calcium channel blocker
what class of antihypertension medication is diltiazem? -
ANSWER:nondihydropyridine calcium channel blocker
what class of antihypertension medication is trandolapril? - ANSWER:ACEI
what class of antihypertension medication is telmisartan? - ANSWER:angiotensin
receptor antagonist
what class of antihypertension medication is pindolol? - ANSWER:beta-adrenergic
receptor antagonist
You see a 38-year old African American male with HTN who is currently being
treated with thiazide-type diuretic. His current BP reading is 156/94mm HG and he
has no history of DM or CKD. Following current best evidence, you consider adding
which of the following medications?
A. ACEI
B. ARBs
C. beta-adrenergic receptor antagonist
D. calcium channel blocker - ANSWER:D. calcium channel blocker
nondihydropyridine calcium channel blockers are contraindicated in pts with:
A. type 1 DM
B. a history of venous thromboembolism
C. severe left ventricular dysfunction
D. concomitant treatment with an ACEI - ANSWER:C. severe left ventricular
dysfunction
In obtaining an office BP measurement, which of the following is most reflective of
the best practice?
A. the patient should sit in a chair with feet flat on the floor for at least 5 minutes
before obtaining the reading
B. the BP cuff should not cover more than 50% of the upper arm
C. the pt should sit on the edge of the exam table w/o arm support to enhance
reading accuracy
D. obtaining the BP reading immediately after the pt walks into the exam room is
recommended - ANSWER:A. the patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the reading
Prep 6th Edition By Margaret A. Fitzgerald
You examine a 38 year old woman who has presented for an initial examination and
Papanicolaou test. She has no complaint. Her BP is 154/98 mm Hg bilaterally and her
BMI is 31 kg/m2. The rest of her physical exam is unremarkable. Your next best
action is to:
A. initiate antihypertensive therapy
B. arrange for at least two additional BP measurements during the next 2 weeks.
C. order BUN, creatinine, and potassium ion measurements and UA
D. advise her to reduce her sodium intake - ANSWER:B. arrange for at least two
additional BP measurements during the next 2 weeks
You see a 68 year old woman as a pt who is transferring care into your practice. She
has a 10y history of HTN, diabetes mellitus, and hyperlipidemia. Current medications
include HCTZ, glipizide, metformin, simvastatin, and daily low-dose aspirin. Today's
BP reading is 158/92mm Hg and the rest of her history and exam are unremarkable.
Documentation from her former healthcare provider indicates that her BP has been
in the range for the past 12 months. Your next best action is to:
A. prescribe an ACEI
B. have her return for a BP check in 1 week
C. advise that her current therapy is adequate
D. add therapy with an aldosterone antagonist - ANSWER:A. prescribe an ACEI
You examine a 78 y/o woman with long-standing poorly controlled hHTN. When
evaluating her for HTN target organ damage, you look for evidence of:
A. lipid abnormalities
B. insulin resistance
C. left ventricular hypertrophy
D. clotting disorders - ANSWER:C. left ventricular hypertrophy
Diagnostic testing for a pt with newly diagnosed primary hHTN should include all of
the following except:
A. hematocrit
B. uric acid
C. creatinine
D. potassium - ANSWER:B. uric acid
In the person w/HTN, the nurse practitioner recommends all of the following to
potentially reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10kg weight loss
B. dietary sodium restriction to 2.4g per day
, C. regular aerobic physical activity, such as 30-40 minutes of brisk walking most days
of the week
D. consuming at least 1-2 servings of alcohol - ANSWER:D. consuming at least 1-2
servings of alcohol
what class of antihypertension medication is amlodipine? - ANSWER:dihydropyridine
calcium channel blocker
what class of antihypertension medication is diltiazem? -
ANSWER:nondihydropyridine calcium channel blocker
what class of antihypertension medication is trandolapril? - ANSWER:ACEI
what class of antihypertension medication is telmisartan? - ANSWER:angiotensin
receptor antagonist
what class of antihypertension medication is pindolol? - ANSWER:beta-adrenergic
receptor antagonist
You see a 38-year old African American male with HTN who is currently being
treated with thiazide-type diuretic. His current BP reading is 156/94mm HG and he
has no history of DM or CKD. Following current best evidence, you consider adding
which of the following medications?
A. ACEI
B. ARBs
C. beta-adrenergic receptor antagonist
D. calcium channel blocker - ANSWER:D. calcium channel blocker
nondihydropyridine calcium channel blockers are contraindicated in pts with:
A. type 1 DM
B. a history of venous thromboembolism
C. severe left ventricular dysfunction
D. concomitant treatment with an ACEI - ANSWER:C. severe left ventricular
dysfunction
In obtaining an office BP measurement, which of the following is most reflective of
the best practice?
A. the patient should sit in a chair with feet flat on the floor for at least 5 minutes
before obtaining the reading
B. the BP cuff should not cover more than 50% of the upper arm
C. the pt should sit on the edge of the exam table w/o arm support to enhance
reading accuracy
D. obtaining the BP reading immediately after the pt walks into the exam room is
recommended - ANSWER:A. the patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the reading
