533 EXAM 1 QUESTIONS WITH CORRECT
ANSERS 2026
Benazepril should be discontinued immediately if:
1. dry cough
2. pregnancy occurs
3. potassium levels decrease
4. gout develops - CORRECT ANSWER -2. pregnancy occurs
Benzapril is an ACEI and this class of drugs is contraindicated during pregnancy because of teratoge
nic effects on the renal system of the developing fetus. Dry cough is an aggravating side effect that
occurs in some patients who take ACEI, but discontinuation is elective. ACEI use is associated with
increased potassium levels, not decreased levels. Gout is not exacerbated by ACEI use.
A characteristic of an ACEI iduced cough is that it:
1. is mildly productive
2. is worse at nightime
3. usually begins within 2 weeks of starting therapy
4. is more common in men - CORRECT ANSWER -
3. usually begins within 2 weeks of starting therapy
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness, and
muscle aches in his lower back, arms, and legs for the past three days. It has not improved with r
est. How should this be evaluated?
1. stop the atorvastatin immediately
2. check liver enzymes first
3. order a CPK level
4. ask about nighttime muscle cramps - CORRECT ANSWER -1. stop the atorvastatin immediately
,This patient has complaints highly suggestive of rhabdomyolysis. The atorvastatin should be stoppe
d immediately and a CPK should be ordered. Liver enzymes would not assess for the etiology of m
yalgias. They assess tolernce of statins in the liver. Nighttime muscle cramps are not usually associa
ted with statin use. Myalgias are common but are not ypically associated with an elevated CPK. Rh
abdomyolysis is a rare side effect of the statins.
Which patient could be expected to have the highest systolic BP?
1. a 21 year old male
2. a 50 year old perimenopausal female
3. a 35 year old with T2DM
4. a 75 year old male - CORRECT ANSWER -4. a 75 year old male
Nearly 25% of the US population has HTN. The greatest incidence is in older adults because of cha
nges in the intima of vessels as aging and calcium deposition occur. Males of any age are more lik
ely than females, with AA adults having the highest incidence.
A 50 year old patient with HTN has taken hydrochlorthiazide 25mg daily for the past 4 weeks. Her
BP has decreased from 155/95 to 145/90. How should the NP proceed?
1. Wait another 4 weeks before making a dosage change
2. Increase the HCTZ to 50mg daily
3. Add a drug from another class to the daily 25mg HCTZ
4. Stop the HCTZ and start a drug from a different class - CORRECT ANSWER -
3. Add a drug from another class to the daily 25mg HCTZ
The recommended target BP is <140/90. The current plan has not allowed this patient to meet this
goal, so it is not acceptable to continue this current dose. Increasing the HCTZ to 50mg/daily will
not result in a decrease in BP, only and increase in potassium loss. Adding a drug from a different
med class is a good choice because the combined effects of antihypertensive medication is a good
choice because the combined effects of antihypertensive medication nearly always produce a decre
ase in BP and both drugs can be maintained in low doses.
,z
Whichz ofz thez followingz HTNz medsz shouldz notz bez usedz inz pregnantz women?
a.z CCBs
b.z TZDs
c.z ARBsz andz ACEIs
d.z BBsz -z CORRECTz ANSWERz -c.z ARBsz andz ACEIs
Az 52z yearz oldz manz presentsz toz yourz officez forz az healthz maintenancez exam,z andz initialz vitalz signsz s
h
owz az BPz ofz 154/94.z Previousz BPz measurementsz werez normal.z Whatz isz thez nextz stepz inz manageme
n
t?
a.z startz anz anti-HTNz med
b.z repeatz thez BPz measurement
c.z Lookz forz causesz ofz secondaryz HTN
d.z Performz az urinez drugz screenz -z CORRECTz ANSWERz -b.z repeatz thez BPz measurement
Whichz ofz thez followingz statesz isz correctz regardingz BPz evaluation?
a.z thez patientz shouldz bez lyingz quietlyz onz thez examz tablez forz 5z minsz priorz toz obtainingz az B
P
b.z armz shouldz bez belowz heartz levelz duringz BP
c.z thez bladderz ofz thez BPz cuffz shouldz encirclez 80%z ofz thez forearm
d.z HTNz canz bez dxz byz thez averagez ofz 2z elevatedz BPz readingsz onz az singlez occasionz -
CORRECTz ANSWERz -c.z thez bladderz ofz thez BPz cuffz shouldz encirclez 80%z ofz thez forearm
Whichz ofz thez followingz anti-HTNz medicationsz shouldz bez avoidedz inz patientsz withz gout?
a.z losartan
b.z HCTZ
c.z nifedipine
d.z atenololz -z CORRECTz ANSWERz -b.z HCTZ
,z
Whichz ofz thez followingz antihypertensivez medsz shouldz bez avoidedz inz patientsz withz poorlyz controlled
asthma?
a.z losartan
b.z HCTZ
c.z nifedipine
d.z atenololz -z CORRECTz ANSWERz -d.z atenolol
Whichz ofz thez followingz antihypertensivez medsz shouldz notz bez usedz asz az first-
linez treatmentz forz az personz withz essentialz HTNz andz noz otherz otherz medicalz conditions?
a.z ACEI
b.z BB
c.z CCB
d.z diureticz -z CORRECTz ANSWERz -b.z BB
Whichz ofz thez followingz medicationsz shouldz bez d/cz inz az womanz withz essentialz HTNz whoz isz tryingz t
o
getz pregnant?
a.z methyldopa
b.z labetalol
c.z nifedipine
d.z losartanz -z CORRECTz ANSWERz -d.z losartan
Whichz ofz thez followingz labz valuesz arez thez mostz likelyz toz bez affectedz byz eatingz withinz anz hourz ofz l
a
bz draw?
a.z LDL
b.z totalz LDL
ANSERS 2026
Benazepril should be discontinued immediately if:
1. dry cough
2. pregnancy occurs
3. potassium levels decrease
4. gout develops - CORRECT ANSWER -2. pregnancy occurs
Benzapril is an ACEI and this class of drugs is contraindicated during pregnancy because of teratoge
nic effects on the renal system of the developing fetus. Dry cough is an aggravating side effect that
occurs in some patients who take ACEI, but discontinuation is elective. ACEI use is associated with
increased potassium levels, not decreased levels. Gout is not exacerbated by ACEI use.
A characteristic of an ACEI iduced cough is that it:
1. is mildly productive
2. is worse at nightime
3. usually begins within 2 weeks of starting therapy
4. is more common in men - CORRECT ANSWER -
3. usually begins within 2 weeks of starting therapy
A patient taking atorvastatin for newly diagnosed dyslipidemia complains of fatigue, weakness, and
muscle aches in his lower back, arms, and legs for the past three days. It has not improved with r
est. How should this be evaluated?
1. stop the atorvastatin immediately
2. check liver enzymes first
3. order a CPK level
4. ask about nighttime muscle cramps - CORRECT ANSWER -1. stop the atorvastatin immediately
,This patient has complaints highly suggestive of rhabdomyolysis. The atorvastatin should be stoppe
d immediately and a CPK should be ordered. Liver enzymes would not assess for the etiology of m
yalgias. They assess tolernce of statins in the liver. Nighttime muscle cramps are not usually associa
ted with statin use. Myalgias are common but are not ypically associated with an elevated CPK. Rh
abdomyolysis is a rare side effect of the statins.
Which patient could be expected to have the highest systolic BP?
1. a 21 year old male
2. a 50 year old perimenopausal female
3. a 35 year old with T2DM
4. a 75 year old male - CORRECT ANSWER -4. a 75 year old male
Nearly 25% of the US population has HTN. The greatest incidence is in older adults because of cha
nges in the intima of vessels as aging and calcium deposition occur. Males of any age are more lik
ely than females, with AA adults having the highest incidence.
A 50 year old patient with HTN has taken hydrochlorthiazide 25mg daily for the past 4 weeks. Her
BP has decreased from 155/95 to 145/90. How should the NP proceed?
1. Wait another 4 weeks before making a dosage change
2. Increase the HCTZ to 50mg daily
3. Add a drug from another class to the daily 25mg HCTZ
4. Stop the HCTZ and start a drug from a different class - CORRECT ANSWER -
3. Add a drug from another class to the daily 25mg HCTZ
The recommended target BP is <140/90. The current plan has not allowed this patient to meet this
goal, so it is not acceptable to continue this current dose. Increasing the HCTZ to 50mg/daily will
not result in a decrease in BP, only and increase in potassium loss. Adding a drug from a different
med class is a good choice because the combined effects of antihypertensive medication is a good
choice because the combined effects of antihypertensive medication nearly always produce a decre
ase in BP and both drugs can be maintained in low doses.
,z
Whichz ofz thez followingz HTNz medsz shouldz notz bez usedz inz pregnantz women?
a.z CCBs
b.z TZDs
c.z ARBsz andz ACEIs
d.z BBsz -z CORRECTz ANSWERz -c.z ARBsz andz ACEIs
Az 52z yearz oldz manz presentsz toz yourz officez forz az healthz maintenancez exam,z andz initialz vitalz signsz s
h
owz az BPz ofz 154/94.z Previousz BPz measurementsz werez normal.z Whatz isz thez nextz stepz inz manageme
n
t?
a.z startz anz anti-HTNz med
b.z repeatz thez BPz measurement
c.z Lookz forz causesz ofz secondaryz HTN
d.z Performz az urinez drugz screenz -z CORRECTz ANSWERz -b.z repeatz thez BPz measurement
Whichz ofz thez followingz statesz isz correctz regardingz BPz evaluation?
a.z thez patientz shouldz bez lyingz quietlyz onz thez examz tablez forz 5z minsz priorz toz obtainingz az B
P
b.z armz shouldz bez belowz heartz levelz duringz BP
c.z thez bladderz ofz thez BPz cuffz shouldz encirclez 80%z ofz thez forearm
d.z HTNz canz bez dxz byz thez averagez ofz 2z elevatedz BPz readingsz onz az singlez occasionz -
CORRECTz ANSWERz -c.z thez bladderz ofz thez BPz cuffz shouldz encirclez 80%z ofz thez forearm
Whichz ofz thez followingz anti-HTNz medicationsz shouldz bez avoidedz inz patientsz withz gout?
a.z losartan
b.z HCTZ
c.z nifedipine
d.z atenololz -z CORRECTz ANSWERz -b.z HCTZ
,z
Whichz ofz thez followingz antihypertensivez medsz shouldz bez avoidedz inz patientsz withz poorlyz controlled
asthma?
a.z losartan
b.z HCTZ
c.z nifedipine
d.z atenololz -z CORRECTz ANSWERz -d.z atenolol
Whichz ofz thez followingz antihypertensivez medsz shouldz notz bez usedz asz az first-
linez treatmentz forz az personz withz essentialz HTNz andz noz otherz otherz medicalz conditions?
a.z ACEI
b.z BB
c.z CCB
d.z diureticz -z CORRECTz ANSWERz -b.z BB
Whichz ofz thez followingz medicationsz shouldz bez d/cz inz az womanz withz essentialz HTNz whoz isz tryingz t
o
getz pregnant?
a.z methyldopa
b.z labetalol
c.z nifedipine
d.z losartanz -z CORRECTz ANSWERz -d.z losartan
Whichz ofz thez followingz labz valuesz arez thez mostz likelyz toz bez affectedz byz eatingz withinz anz hourz ofz l
a
bz draw?
a.z LDL
b.z totalz LDL
