operationFNP Class 11) Latest Update 2025-2026
150 Questions and 100% Verified Correct
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A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which
of the following statements is true about this adverse response?
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for
about one week. - CORRECT ANSWER: A. Swelling of the tongue and hoarseness are
the most common symptoms.
Art is a fifty-five-year-old smoker who has been diagnosed with angina and placed on
nitrates. He complains of headaches after using his nitrate. An appropriate reply might
be:
A. "This is a parasympathetic response to the vasodilating effects of the drug."
B. "Headaches are common side effects with these drugs. How severe are they?"
C. "This is associated with your smoking. Let's work on having you stop smoking."
D. "This is not related to your medication. Are you under a lot of stress?" - CORRECT
ANSWER: B. "Headaches are common side effects with these drugs. How severe are
they?"
At which stage/classification of hypertension should drug therapy be instituted according
to the JNC-7 Report?
,A. Prehypertension
B. Stage 1
C. Stage 2
D. Any stage where the blood pressure is greater than 120/80 mm Hg - CORRECT
ANSWER: B. Stage 1
Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia - CORRECT ANSWER: C. MI
Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile,
atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to
this drug. Donald should be told to:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect "hot flash" sensations during the first two weeks of therapy - CORRECT
ANSWER: C. Report muscle weakness or tenderness and dark urine to his provider
immediately
Furosemide is added to a treatment regimen for heart failure, which includes digoxin.
Monitoring for this combination includes:
A. Hemoglobin
,B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose - CORRECT ANSWER: B. Serum potassium
If not chosen as the first drug in hypertension treatment, which drug class should be
added as the second step because it will enhance the effects of most other agents?
A. ACE inhibitors
B. Beta blockers
C. Calcium channel blockers
D. Diuretics - CORRECT ANSWER: D. Diuretics
In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
A. To swallow the tablet with a full glass of water
B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
C. To take one tablet every five minutes until the chest pain goes away
D. That it should "burn" when placed under the tongue or it is no longer effective -
CORRECT ANSWER: B. To place one tablet under the tongue if chest pain occurs and
allow it to dissolve
Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for
administration is 7 a.m. and 2 p.m. because:
A. Long-acting forms have a higher risk for toxicity.
B. Orthostatic hypotension is a common adverse effect.
C. It must be taken with milk or food.
D. Nitrate tolerance can develop. - CORRECT ANSWER: D. Nitrate tolerance can
develop.
, Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and
LDL of 125 mg/dL. Along with diet education and recommending increased physical
activity, a treatment plan for Jose would include ____ with a reevaluation in six months.
A. statins
B. niacin
C. sterols
D. bile acid-binding resins - CORRECT ANSWER: C. sterols
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for
folate deficiency anemia is:
A. Oral folic acid 1 to 2 mg/day
B. Oral folic acid 1 gm/day
C. IM folate weekly for at least six months
D. Oral folic acid 400 mcg daily - CORRECT ANSWER: A. Oral folic acid 1 to 2 mg/day
Patients who are being treated for folate deficiency require monitoring of:
A. Complete blood count every four weeks
B. Hematocrit and hemoglobin at one week and then at eight weeks
C. Reticulocyte count at one week
D. Folate levels every four weeks until the hemoglobin stabilizes - CORRECT
ANSWER: B. Hematocrit and hemoglobin at one week and then at eight weeks
Patients who have angina, regardless of class, who are also diabetic should be on: