N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
N5334 Advanced Pharmacology Test 2
Latest 2022 Graded A+
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination 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 blood urea nitrogen, creatinine, and potassium
ion measurements and urinalysis.
D. advise her to reduce her sodium intake. Answer B
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination 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 angiotensin-converting enzyme inhibitor
(ACEI).
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
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
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. Answer
C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
D. potassium. Answer B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) 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
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI Answer
6. C.
7. B.
8. E.
9. D.
10. A.
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
D. calcium channel blocker Answer D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI. Answer C
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 patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommended. Answer A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo Answer C
N5334 Advanced Pharmacology Test 2
Latest 2022 Graded A+
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination 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 blood urea nitrogen, creatinine, and potassium
ion measurements and urinalysis.
D. advise her to reduce her sodium intake. Answer B
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination 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 angiotensin-converting enzyme inhibitor
(ACEI).
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
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
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. Answer
C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
D. potassium. Answer B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) 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
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI Answer
6. C.
7. B.
8. E.
9. D.
10. A.
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
, N5334 Advanced Pharmacology Test 2 Latest 2022 Graded A+
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
D. calcium channel blocker Answer D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI. Answer C
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 patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommended. Answer A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo Answer C
