NSG554 Final Exam /NSG 554 Primary Care Final Exam
NSG554 FINAL EXAM /NSG 554 PRIMARY CARE FINAL EXAM
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+||BRAND NEW
VERSION!|WILKES
Week 8
Which dietary suggestions are correct for the management of metabolic
syndrome? (Select All That Apply)
Low carbohydrates, specifically starchy carbohydrates
Moderate sodium intake
High glycemic load
Avoid ultra-processed foods and sugar sweetened beverages (SSB)
Avoid high fat foods; choose low fat food choices
Low carbohydrates, specifically starchy carbohydrates
Avoid ultra-processed foods and sugar sweetened beverages (SSB)
Avoid high fat foods; choose low fat food choices
Diet for Metabolic Syndrome
- Low fat, Low cholesterol
- HTN Control: Low sodium, DASH
- Avoid excessive alcohol intake
- Mediterranean Style: Low carbs, low glycemic load, avoid ultra-processed foods,
low sugar, low starchy carbohydrates
- Avoid SSB!
Week 8
What three specific assessments found on a physical exam of the eye indicate that
a client may have hyperlipidemia? (Select all that apply)
A. Xanthelasma
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, NSG554 Final Exam /NSG 554 Primary Care Final Exam
B. Glaucoma
C. Premature arcus cornealis
D. Diplopia
E. Lipemia retinalis
F. Astigmatism
A, C, E
Eye Exam - Hyperlipidemia
- Xanthelasma (Yellow growth appears on corners of eyelids)
- Premature arcus cornealis (White/gray ring appearing around the cornea)
- Lipemia retinalis (creamy-white/salmon-red discoloration of retinal arteries and
veins)
Week 8
True or False: Metabolic Syndrome includes possible hypertension,
hyperlipidemia, and impaired glucose control.
True
False
True
Comorbid Conditions: Hypertension, Impaired Fasting Glucose, Hyperlipidemia,
Obesity
Week 8
What conditions are commonly associated with metabolic syndrome? (Select all
that apply)
A. Hypotension
B. Obstructive Sleep Apnea (OSA)
C. Nonalcoholic Fatty Liver Disease (NAFLD)
D. Hyperthyroidism
2|Page
, NSG554 Final Exam /NSG 554 Primary Care Final Exam
E. Polycystic Ovarian Syndrome (PCOS)
F. Hypolipidemia
B, C, E
Conditions Associated with Metabolic Syndrome
- PCOS
- Acanthosis nigricans
- NAFLD (Non-alcoholic fatty liver disease)
- OSA (Obstructive sleep apnea)
- Depression
- Anxiety
- Cognitive impairment
- Alzheimer disease
- GERD (Gastroesophageal reflux disease)
- Gallstones
- Chronic renal disease
- Erectile dysfunction
- Hyperuricemia and gout
- Hypothyroidism
- Osteoarthritis
- Blount disease
- Slipped capital femoral epiphysis
Week 8
Which two first-line antihypertensives should NOT be combined?
A. CCBs and Thiazide Diuretics
B. ACE Inhibitors and ARBS
C. Thiazide Diuretics and ACE Inhibitors
D. ACE Inhibitors and CCBs
E. ARBs and CCBs
3|Page
, NSG554 Final Exam /NSG 554 Primary Care Final Exam
B (ACE + ARBs)
Principles of Drug Therapy for HTN:
- Avoid drug combinations with similar MOA/clinical effects
- Do not co-administer two drugs from same class
- Do not routinely use Beta-Blocker with Verapamil/Diltiazem (CCBs)
- Increased cardiovascular/renal risk: Combining ACE inhibitor, ARB and/or Renin
Inhibitor
Week 8
Which statement is CORRECT regarding diagnosis of hypertension?
A. "Measurement of high blood pressure readings should only be recorded when
taken in the office setting."
B. "Wrist cuffs are a reliable method for blood pressure monitoring."
C. "Home BP monitoring and/or ambulatory BP monitoring (ABPM) are very
reliable when diagnosing hypertension."
D. "Screening for hypertension should only be done if the patient has a family
history of hypertension."
C
Office Setting = Increased likelihood for White Coat Syndrome
Wrist cuffs are not considered reliable!
Screening for HTN
- Ambulatory BP Monitoring/Home BP Monitoring should be used outside of
clinical setting to confirm diagnosis
- Adults >40: Annual HTN Screening
- Adults 18-39 with Normal BP Documentation: Screen every 3-5 years
Week 8
Geriatric considerations for Hypertension include: (Select all that apply)
4|Page
NSG554 FINAL EXAM /NSG 554 PRIMARY CARE FINAL EXAM
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+||BRAND NEW
VERSION!|WILKES
Week 8
Which dietary suggestions are correct for the management of metabolic
syndrome? (Select All That Apply)
Low carbohydrates, specifically starchy carbohydrates
Moderate sodium intake
High glycemic load
Avoid ultra-processed foods and sugar sweetened beverages (SSB)
Avoid high fat foods; choose low fat food choices
Low carbohydrates, specifically starchy carbohydrates
Avoid ultra-processed foods and sugar sweetened beverages (SSB)
Avoid high fat foods; choose low fat food choices
Diet for Metabolic Syndrome
- Low fat, Low cholesterol
- HTN Control: Low sodium, DASH
- Avoid excessive alcohol intake
- Mediterranean Style: Low carbs, low glycemic load, avoid ultra-processed foods,
low sugar, low starchy carbohydrates
- Avoid SSB!
Week 8
What three specific assessments found on a physical exam of the eye indicate that
a client may have hyperlipidemia? (Select all that apply)
A. Xanthelasma
1|Page
, NSG554 Final Exam /NSG 554 Primary Care Final Exam
B. Glaucoma
C. Premature arcus cornealis
D. Diplopia
E. Lipemia retinalis
F. Astigmatism
A, C, E
Eye Exam - Hyperlipidemia
- Xanthelasma (Yellow growth appears on corners of eyelids)
- Premature arcus cornealis (White/gray ring appearing around the cornea)
- Lipemia retinalis (creamy-white/salmon-red discoloration of retinal arteries and
veins)
Week 8
True or False: Metabolic Syndrome includes possible hypertension,
hyperlipidemia, and impaired glucose control.
True
False
True
Comorbid Conditions: Hypertension, Impaired Fasting Glucose, Hyperlipidemia,
Obesity
Week 8
What conditions are commonly associated with metabolic syndrome? (Select all
that apply)
A. Hypotension
B. Obstructive Sleep Apnea (OSA)
C. Nonalcoholic Fatty Liver Disease (NAFLD)
D. Hyperthyroidism
2|Page
, NSG554 Final Exam /NSG 554 Primary Care Final Exam
E. Polycystic Ovarian Syndrome (PCOS)
F. Hypolipidemia
B, C, E
Conditions Associated with Metabolic Syndrome
- PCOS
- Acanthosis nigricans
- NAFLD (Non-alcoholic fatty liver disease)
- OSA (Obstructive sleep apnea)
- Depression
- Anxiety
- Cognitive impairment
- Alzheimer disease
- GERD (Gastroesophageal reflux disease)
- Gallstones
- Chronic renal disease
- Erectile dysfunction
- Hyperuricemia and gout
- Hypothyroidism
- Osteoarthritis
- Blount disease
- Slipped capital femoral epiphysis
Week 8
Which two first-line antihypertensives should NOT be combined?
A. CCBs and Thiazide Diuretics
B. ACE Inhibitors and ARBS
C. Thiazide Diuretics and ACE Inhibitors
D. ACE Inhibitors and CCBs
E. ARBs and CCBs
3|Page
, NSG554 Final Exam /NSG 554 Primary Care Final Exam
B (ACE + ARBs)
Principles of Drug Therapy for HTN:
- Avoid drug combinations with similar MOA/clinical effects
- Do not co-administer two drugs from same class
- Do not routinely use Beta-Blocker with Verapamil/Diltiazem (CCBs)
- Increased cardiovascular/renal risk: Combining ACE inhibitor, ARB and/or Renin
Inhibitor
Week 8
Which statement is CORRECT regarding diagnosis of hypertension?
A. "Measurement of high blood pressure readings should only be recorded when
taken in the office setting."
B. "Wrist cuffs are a reliable method for blood pressure monitoring."
C. "Home BP monitoring and/or ambulatory BP monitoring (ABPM) are very
reliable when diagnosing hypertension."
D. "Screening for hypertension should only be done if the patient has a family
history of hypertension."
C
Office Setting = Increased likelihood for White Coat Syndrome
Wrist cuffs are not considered reliable!
Screening for HTN
- Ambulatory BP Monitoring/Home BP Monitoring should be used outside of
clinical setting to confirm diagnosis
- Adults >40: Annual HTN Screening
- Adults 18-39 with Normal BP Documentation: Screen every 3-5 years
Week 8
Geriatric considerations for Hypertension include: (Select all that apply)
4|Page
