NURS 621V 5.2 Module 5 exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
Which of the following anti-hypertensive medications should the NP avoid when treating
patients with asthma or COPD? - CORRECT ANSWERS Beta-blockers
65yo patient with 10yr history of poorly controlled htn presents with a cluster of physical exam
findings. Which of the following indicated a target organ damage commonly seen in
hypertensive patients? - CORRECT ANSWERS Hepatomegaly, arteriovenous (AV)
nicking on fundoscopic exam, bibasilar crackles
All of the following are possible etiologies for secondary hypertension except? - CORRECT
ANSWERS gastrointestinal disease
48yo patient presents to cardiology clinic for uncontrolled hypertension and chest tightness.
After extensive diagnostic testing patient was cleared for coronary artery disease. Her chest pain
was likely due to hypertension. What are some non-pharmacologic treatments that can be
discussed with patient? - CORRECT ANSWERS Diet rich in fruits, vegetables, reduce
saturated fats
67 yo patient presents to ER with reports of difficulty swallowing and facial swelling. She has an
allergy to peanuts but states she only ate a salad and some grilled chicken. She has a history of
hypertension. After further review of her medications, the nurse practitioner notes that which of
the following medications can cause angioedema? - CORRECT ANSWERS Lisinopril
25mg daily
Which antihypertensive medication works by causing vasodilation and blocks sodium and water
retention? - CORRECT ANSWERS Angiotensin II receptor blockers
, What is the first line treatment for isolated systolic hypertension? - CORRECT
ANSWERS Calcium channel blockers and thiazides
Which of the following interventions is not indicated for an acute case of DVT in a 35yo female
who was on oral contraceptive pills? - CORRECT ANSWERS aspirin and clopidogrel
70yo male presents to clinic with pain in bilateral lower extremities for several months. He
describes as a cramping sensation that worsens with walking. He has a history of poorly
controlled diabetes and blood sugars remain close to 200mg/dL. He smoked 1PPD for 40 years
and stopped smoking last year. He had a positive ABI score and is diagnosed with PAD. What
education concerning foot care is optimal? - CORRECT ANSWERS wearing shoes and
socks
A 47yo male presents to ER with HA and CP that started upon awakening today. He reports HA
is dull and denies visual changes. He has a pressure like sensation across chest that radiates to
left arm. He describes pain as constant and unrelieved by anything. He is noted to have a BP of
186/118 upon arrival. Denies history of htn. The NP suspects end organ damage. What is the
classification of htn? - CORRECT ANSWERS HTN Emergency
The NP noted that the patient will likely need to be placed on an IV medication to control htn
emergency. What is the best choice? - CORRECT ANSWERS Nicardipine 5mcg/kg/min
Which of the following agents is preferred treatment for a diabetic with stage II htn? -
CORRECT ANSWERS Angiotensin-converting enzyme inhibitor
Unoxygenated blood flows from: - CORRECT ANSWERS RA, TV, RV, PV, lungs
55yo male describes an episode of chest tightness in his substernal area that radiated to his back
while he was jogging. It was relieved immediately when he stopped. Which of the following
conditions does this best describe? - CORRECT ANSWERS Angina pectoris
QUESTIONS AND CORRECT ANSWERS
Which of the following anti-hypertensive medications should the NP avoid when treating
patients with asthma or COPD? - CORRECT ANSWERS Beta-blockers
65yo patient with 10yr history of poorly controlled htn presents with a cluster of physical exam
findings. Which of the following indicated a target organ damage commonly seen in
hypertensive patients? - CORRECT ANSWERS Hepatomegaly, arteriovenous (AV)
nicking on fundoscopic exam, bibasilar crackles
All of the following are possible etiologies for secondary hypertension except? - CORRECT
ANSWERS gastrointestinal disease
48yo patient presents to cardiology clinic for uncontrolled hypertension and chest tightness.
After extensive diagnostic testing patient was cleared for coronary artery disease. Her chest pain
was likely due to hypertension. What are some non-pharmacologic treatments that can be
discussed with patient? - CORRECT ANSWERS Diet rich in fruits, vegetables, reduce
saturated fats
67 yo patient presents to ER with reports of difficulty swallowing and facial swelling. She has an
allergy to peanuts but states she only ate a salad and some grilled chicken. She has a history of
hypertension. After further review of her medications, the nurse practitioner notes that which of
the following medications can cause angioedema? - CORRECT ANSWERS Lisinopril
25mg daily
Which antihypertensive medication works by causing vasodilation and blocks sodium and water
retention? - CORRECT ANSWERS Angiotensin II receptor blockers
, What is the first line treatment for isolated systolic hypertension? - CORRECT
ANSWERS Calcium channel blockers and thiazides
Which of the following interventions is not indicated for an acute case of DVT in a 35yo female
who was on oral contraceptive pills? - CORRECT ANSWERS aspirin and clopidogrel
70yo male presents to clinic with pain in bilateral lower extremities for several months. He
describes as a cramping sensation that worsens with walking. He has a history of poorly
controlled diabetes and blood sugars remain close to 200mg/dL. He smoked 1PPD for 40 years
and stopped smoking last year. He had a positive ABI score and is diagnosed with PAD. What
education concerning foot care is optimal? - CORRECT ANSWERS wearing shoes and
socks
A 47yo male presents to ER with HA and CP that started upon awakening today. He reports HA
is dull and denies visual changes. He has a pressure like sensation across chest that radiates to
left arm. He describes pain as constant and unrelieved by anything. He is noted to have a BP of
186/118 upon arrival. Denies history of htn. The NP suspects end organ damage. What is the
classification of htn? - CORRECT ANSWERS HTN Emergency
The NP noted that the patient will likely need to be placed on an IV medication to control htn
emergency. What is the best choice? - CORRECT ANSWERS Nicardipine 5mcg/kg/min
Which of the following agents is preferred treatment for a diabetic with stage II htn? -
CORRECT ANSWERS Angiotensin-converting enzyme inhibitor
Unoxygenated blood flows from: - CORRECT ANSWERS RA, TV, RV, PV, lungs
55yo male describes an episode of chest tightness in his substernal area that radiated to his back
while he was jogging. It was relieved immediately when he stopped. Which of the following
conditions does this best describe? - CORRECT ANSWERS Angina pectoris
