NSG 6440 PRACTICE TEST
MAJORITYQUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION!
Which of the following antihypertensive medications would you avoid prescribing for an
elderly white female with a comorbid diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics - Right Ansa Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II
hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics - Right Ansa Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has
never had a diagnosis of hypertension. He doesn't check his blood pressure at home.
He has a family history of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your office in
1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's,
low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. - Right Ansa Instruct to purchase a BP
cuff, record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class
of medications could you choose to treat both?
,Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers - Right Ansa Beta blockers
A 42-year-old male presents with the following lipid profile. He is not on any medications
for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil - Right Ansa Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8
weeks. He complains of fatigue, muscle aches, and dark-colored urine. Which of the
following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. - Right Ansa Order lipid level and serum
creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available - Right Ansa Stop taking atorvastatin until the labs are available.
A 58 year old male presents to your office with an episode of chest tightness in his
substernal area that radiated to his back while he was jogging. It was relieved with rest.
Which of the following does this best describe?
Acute myocardial infarction
,Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis - Right Ansa Angina pectoris
What is the most common cause of left ventricular hypertrophy in the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension - Right Ansa Chronic hypertension
Which of the following heart sounds is associated with heart failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 - Right Ansa S3
While performing a routine physical exam on a 60-year-old hypertensive male, you
notice a bruit over the carotid area on the left side of the neck. There is no induration of
the skin. This patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches - Right Ansa Stroke and coronary heart disease
A 72-year-old female presents to your office with gradual difficulty breathing, non-
productive cough, bilateral swelling of her feet, and a 10 pound weight gain. Upon
examination you hear crackles and rhonchi with an S3 heart sound. What is the most
likely diagnosis?
COPD
Renal hypertension
Congestive heart hailure
Asthma - Right Ansa Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough, weight gain,
edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation - Right Ansa Diuretics, digoxin, and anti-
hypertensive medications
, You are treating a 49-year-old female who presents with fatigue and palpitations. You
check her apical pulse and she is irregular and tachycardic. You obtain an EKG and it
reveals afib with rapid ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. - Right Ansa You admit her to the hospital for new
onset afib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2 during
inspiration that disappears during expiration. The patient denies chest pain and
dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding - Right Ansa Educate the mother and patient that this is a benign finding.
The first sign of an asthma exacerbation is:
Cough
Wheeze
Dyspnea
Chest tightness - Right Ansa Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of Asthma,
what is the gold standard for daily treatment of mild-persistent asthma?
Inhaled steroids
Long-acting bronchodliators
Short-acting bronchodilators
Combination therapies - Right Ansa Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler (MDI)
technique. She demonstrates her MDI technique by shaking the inhaler, placing the
inhaler in her mouth, pressing the canister, and inhaling quickly. What is your response?
You praise the patient for demonstrating the correct
MDI technique
MAJORITYQUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION!
Which of the following antihypertensive medications would you avoid prescribing for an
elderly white female with a comorbid diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics - Right Ansa Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II
hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics - Right Ansa Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has
never had a diagnosis of hypertension. He doesn't check his blood pressure at home.
He has a family history of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your office in
1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's,
low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. - Right Ansa Instruct to purchase a BP
cuff, record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class
of medications could you choose to treat both?
,Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers - Right Ansa Beta blockers
A 42-year-old male presents with the following lipid profile. He is not on any medications
for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil - Right Ansa Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8
weeks. He complains of fatigue, muscle aches, and dark-colored urine. Which of the
following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. - Right Ansa Order lipid level and serum
creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available - Right Ansa Stop taking atorvastatin until the labs are available.
A 58 year old male presents to your office with an episode of chest tightness in his
substernal area that radiated to his back while he was jogging. It was relieved with rest.
Which of the following does this best describe?
Acute myocardial infarction
,Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis - Right Ansa Angina pectoris
What is the most common cause of left ventricular hypertrophy in the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension - Right Ansa Chronic hypertension
Which of the following heart sounds is associated with heart failure?
Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 - Right Ansa S3
While performing a routine physical exam on a 60-year-old hypertensive male, you
notice a bruit over the carotid area on the left side of the neck. There is no induration of
the skin. This patient is at higher risk for:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches - Right Ansa Stroke and coronary heart disease
A 72-year-old female presents to your office with gradual difficulty breathing, non-
productive cough, bilateral swelling of her feet, and a 10 pound weight gain. Upon
examination you hear crackles and rhonchi with an S3 heart sound. What is the most
likely diagnosis?
COPD
Renal hypertension
Congestive heart hailure
Asthma - Right Ansa Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough, weight gain,
edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation - Right Ansa Diuretics, digoxin, and anti-
hypertensive medications
, You are treating a 49-year-old female who presents with fatigue and palpitations. You
check her apical pulse and she is irregular and tachycardic. You obtain an EKG and it
reveals afib with rapid ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. - Right Ansa You admit her to the hospital for new
onset afib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2 during
inspiration that disappears during expiration. The patient denies chest pain and
dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding - Right Ansa Educate the mother and patient that this is a benign finding.
The first sign of an asthma exacerbation is:
Cough
Wheeze
Dyspnea
Chest tightness - Right Ansa Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of Asthma,
what is the gold standard for daily treatment of mild-persistent asthma?
Inhaled steroids
Long-acting bronchodliators
Short-acting bronchodilators
Combination therapies - Right Ansa Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler (MDI)
technique. She demonstrates her MDI technique by shaking the inhaler, placing the
inhaler in her mouth, pressing the canister, and inhaling quickly. What is your response?
You praise the patient for demonstrating the correct
MDI technique
