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.
,v
Whichv ofv thev followingv HTNv medsv shouldv notv bev usedv inv pregnantv women
?
a.v CCBs
b.v TZDs
c.v ARBsv andv ACEIs
d.v BBsv -v CORRECTv ANSWERv -c.v ARBsv andv ACEIs
Av 52v yearv oldv manv presentsv tov yourv officev forv av healthv maintenancev exam,v andv initialv vitalv signs
v sh
owv av BPv ofv 154/94.v Previousv BPv measurementsv werev normal.v Whatv isv thev nextv stepv inv managem
en
t?
a.v startv anv anti-HTNv med
b.v repeatv thev BPv measurement
c.v Lookv forv causesv ofv secondaryv HTN
d.v Performv av urinev drugv screenv -v CORRECTv ANSWERv -
b.v repeatv thev BPv measurement
Whichv ofv thev followingv statesv isv correctv regardingv BPv evaluation?
a.v thev patientv shouldv bev lyingv quietlyv onv thev examv tablev forv 5v minsv priorv tov obtainingv av
BP
b.v armv shouldv bev belowv heartv levelv duringv BP
c.v thev bladderv ofv thev BPv cuffv shouldv encirclev 80%v ofv thev forear
m
d.v HTNv canv bev dxv byv thev averagev ofv 2v elevatedv BPv readingsv onv av singlev occasionv -
CORRECTv ANSWERv -
c.v thev bladderv ofv thev BPv cuffv shouldv encirclev 80%v ofv thev forearm
Whichv ofv thev followingv anti-
HTNv medicationsv shouldv bev avoidedv inv patientsv withv gout?
a.v losartan
b.v HCTZ
c.v nifedipine
d.v atenololv -v CORRECTv ANSWERv -b.v HCTZ
,v
Whichv ofv thev followingv antihypertensivev medsv shouldv bev avoidedv inv patientsv withv poorlyv controlle
d
asthma?
a.v losartan
b.v HCTZ
c.v nifedipine
d.v atenololv -v CORRECTv ANSWERv -d.v atenolol
Whichv ofv thev followingv antihypertensivev medsv shouldv notv bev usedv asv av first-
linev treatmentv forv av personv withv essentialv HTNv andv nov otherv otherv medicalv conditions
?
a.v ACEI
b.v BB
c.v CCB
d.v diureticv -v CORRECTv ANSWERv -b.v BB
Whichv ofv thev followingv medicationsv shouldv bev d/cv inv av womanv withv essentialv HTNv whov isv tryingv
to
getv pregnant?
a.v methyldopa
b.v labetalol
c.v nifedipine
d.v losartanv -v CORRECTv ANSWERv -d.v losartan
Whichv ofv thev followingv labv valuesv arev thev mostv likelyv tov bev affectedv byv eatingv withinv anv hourv of
v la
bv draw?
a.v LDL
b.v totalv 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.
,v
Whichv ofv thev followingv HTNv medsv shouldv notv bev usedv inv pregnantv women
?
a.v CCBs
b.v TZDs
c.v ARBsv andv ACEIs
d.v BBsv -v CORRECTv ANSWERv -c.v ARBsv andv ACEIs
Av 52v yearv oldv manv presentsv tov yourv officev forv av healthv maintenancev exam,v andv initialv vitalv signs
v sh
owv av BPv ofv 154/94.v Previousv BPv measurementsv werev normal.v Whatv isv thev nextv stepv inv managem
en
t?
a.v startv anv anti-HTNv med
b.v repeatv thev BPv measurement
c.v Lookv forv causesv ofv secondaryv HTN
d.v Performv av urinev drugv screenv -v CORRECTv ANSWERv -
b.v repeatv thev BPv measurement
Whichv ofv thev followingv statesv isv correctv regardingv BPv evaluation?
a.v thev patientv shouldv bev lyingv quietlyv onv thev examv tablev forv 5v minsv priorv tov obtainingv av
BP
b.v armv shouldv bev belowv heartv levelv duringv BP
c.v thev bladderv ofv thev BPv cuffv shouldv encirclev 80%v ofv thev forear
m
d.v HTNv canv bev dxv byv thev averagev ofv 2v elevatedv BPv readingsv onv av singlev occasionv -
CORRECTv ANSWERv -
c.v thev bladderv ofv thev BPv cuffv shouldv encirclev 80%v ofv thev forearm
Whichv ofv thev followingv anti-
HTNv medicationsv shouldv bev avoidedv inv patientsv withv gout?
a.v losartan
b.v HCTZ
c.v nifedipine
d.v atenololv -v CORRECTv ANSWERv -b.v HCTZ
,v
Whichv ofv thev followingv antihypertensivev medsv shouldv bev avoidedv inv patientsv withv poorlyv controlle
d
asthma?
a.v losartan
b.v HCTZ
c.v nifedipine
d.v atenololv -v CORRECTv ANSWERv -d.v atenolol
Whichv ofv thev followingv antihypertensivev medsv shouldv notv bev usedv asv av first-
linev treatmentv forv av personv withv essentialv HTNv andv nov otherv otherv medicalv conditions
?
a.v ACEI
b.v BB
c.v CCB
d.v diureticv -v CORRECTv ANSWERv -b.v BB
Whichv ofv thev followingv medicationsv shouldv bev d/cv inv av womanv withv essentialv HTNv whov isv tryingv
to
getv pregnant?
a.v methyldopa
b.v labetalol
c.v nifedipine
d.v losartanv -v CORRECTv ANSWERv -d.v losartan
Whichv ofv thev followingv labv valuesv arev thev mostv likelyv tov bev affectedv byv eatingv withinv anv hourv of
v la
bv draw?
a.v LDL
b.v totalv LDL
