NR 661-CARDIOVASCULAR EXAM/ NR 661-UROLOGY EXAM WITH
150 COMPLETE QUESTIONS AND CORRECT ANSWERS |ALREADY
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An 80 year old female who is otherwise well has the following blood pressure
readings. How should she be managed? 160/70; 175/68; 171/71; 163/63
a. thiazide diruetic
b. ace inhibitor
c. calcium channel blocker
d. angiotensin receptor blocker
c. calcium channel blocker
Which choice below characterizes a patient who has aortic regurgitation?
a. long asymptomatic period followed by exercise intolerance then dyspnea at rest
b. an acute onset of shortness of breath in the fifth or sixth decade
c. dyspnea on exertion for a long period of time before sudden cardiac death
d. a long asymptomatic period with sudden death usually during exercise
a. long asymptomatic period followed by exercise intolerance then dyspnea at rest
How often should lipids be screened in patients who are 65 years and older if they
have lipid disorders or cardiovascular risk factors
a. annually
b. every other year
c. every 3 years
d. every 5 years
a. annually
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Risk assessment for dyslipidemia should begin at
a. 2 years
b. 6 years
c. 18 years
d. 21 years
a. 2 years
In older adults, the three most common ailments are:
a. hearing loss, vision loss, hypertension
b. hearing loss, hypertension, arthritis
c. depression, vision loss, hypertension
d. arthritis, hearing loss, depression
b. hearing loss, hypertension, arthritis
A 75 year old patient with longstanding hypertension takes a combined ACE
inhibitor/thiazide diruetic and amlodipine daily. Today his diastolic blood pressure
and heart rate is elevated. He has developed dyspnea on exertion and peripheral
edema over the past several days. These symptoms likely demonstrate:
a. primary renal dysfunction
b. development of heart failure
c. renal insufficiency
d. dietary indiscretion
b. development of heart failure
Mr. Diagle is an 80 year old patient who takes warfarin for chronic afib. The NP
should: INR 6.0
a. stop the warfarin for the next two days and repeat the INR on day 3
b. admit to the hospital immediately
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, NR 661-Cardiovascular Exam/ NR 661-Urology Exam
c. administer vitamin K and repeat INR tomorrow
d. stop warfarin for one week and recheck INR
a. stop the warfarin for the next two days and repeat the INR on day 3
A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks ago for
treatment of primary hypertension. On his return visit today, he reports feeling
weak and tired. What should the NP consider to evaluate the weakness and
fatigue?
a. glucose level
b. potassium level
c. cbc
d. tsh
b. potassium level
The NP is caring for an independent 74 year old female who had acute coronary
syndrome (ACS) about 6 weeks ago. what medications should be part of her
regimen unless there is a contraindication?
a. ASA and beta blocker
b. ACE and betablocker
c. ACE, ASA and beta blocker
d. ACE, ASA, beta blocker and statin
d. ACE, ASA, beta blocker and statin
Which hypertensive is most likely to have adverse blood pressure effects from
excessive sodium consumption?
a. 21 year old Asian American Male
b. 35 year old menstruating female
c. 55 year old post menopausal female
d. 70 year old african american male
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, NR 661-Cardiovascular Exam/ NR 661-Urology Exam
d. 70 year old african american male
An 87 year old has a history of symptomatic heart failure. He presents today with
lower extremity edema and mild shortness of breath with exertion. In addition to
a diruetic for volume overload, what other medication should he receive today?
a. ACE inhibitor
b. Beta Blocker
c. Calcium Channel blocker
d. oxygen
a. ACE inhibitor
A 76 year old patient who is very active has elevated cholesterol and LDL's. He had
been treated for hypertension for >10 years with near normal blood pressures.
What is the current recommendation for managing his lipids?
a. no treatment should take place since his age exceeds 75 years
b. he should be treated with an aspirin only
c. he should be treated with a statin
d. the benefits of treating this patient do not exceed the risk of using a statin or
aspirin
c. he should be treated with a statin
A patient who has mitral valve prolapse (MVP) reports chest pain and frequent
arrhythmias. In the absence of other underlying cardiac abnormalies, the drug of
choice to treat her symptoms is:
a. lisinopril
b. metoprolol
c. Amlodipine
d. Chlorthalidone
b. metoprolol
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