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APEA Cardiac Exam: Comprehensive Questions and Answers for 2024/2025, Exams of Nursing

William Jessup UniversityNursing

A comprehensive set of questions and answers related to the apea cardiac exam, covering various aspects of cardiovascular health, including hypertension, heart failure, valvular heart disease, and congenital heart defects. It is a valuable resource for students and professionals preparing for the apea cardiac exam.

Typology: Exams

2024/2025

Available from 11/05/2024

lucinda-bernadette
lucinda-bernadette 🇺🇸

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APEA Cardiac Exam | Comprehensive Questions and Answers Latest Updated 2024/2025 With
100% Verified Solutions
A common side effect of thiazide diuretics is: - erectile dysfunction
Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT need to
be stopped prior to her catheterization? - Losartan
Pharmacologic treatment for children who have hypertension should be initiated for: - Diabetics with
hypertension
A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide daily. He has
developed dyspnea on exertion and peripheral edema over the past several days. This probably
indicates: - Development of heart failure
Which class of medication is frequently used to improve long-term outcomes in patients with systolic
dysfunction - ACE inhibitors
The usual clinical course of mitral valve prolapse - is benign
A characteristic of an ACE inhibitor induced cough is that it: - usually begins within 2 weeks of starting
therapy
Warfarin treatment is greatly influenced by a patient's food and medication intake. Which group listed
can potentially decrease INR in an outpatient who takes warfarin - Sucralfate and cholestyramine
A 77-year-old patient has had an increase in blood pressure since the last exam. THe blood pressure
readings are provided. If medication is to be started on this patient, what would be a good first choice:
BP: 144/90 to 168/88 - Calcium channel blocker
The carotid arteries are auscultated for bruits because: - this is indicative of generalized atherosclerosis
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APEA Cardiac Exam | Comprehensive Questions and Answers Latest Updated 2024/2025 With 100% Verified Solutions A common side effect of thiazide diuretics is: - erectile dysfunction Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT need to be stopped prior to her catheterization? - Losartan Pharmacologic treatment for children who have hypertension should be initiated for: - Diabetics with hypertension A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide daily. He has developed dyspnea on exertion and peripheral edema over the past several days. This probably indicates: - Development of heart failure Which class of medication is frequently used to improve long-term outcomes in patients with systolic dysfunction - ACE inhibitors The usual clinical course of mitral valve prolapse - is benign A characteristic of an ACE inhibitor induced cough is that it: - usually begins within 2 weeks of starting therapy Warfarin treatment is greatly influenced by a patient's food and medication intake. Which group listed can potentially decrease INR in an outpatient who takes warfarin - Sucralfate and cholestyramine A 77-year-old patient has had an increase in blood pressure since the last exam. THe blood pressure readings are provided. If medication is to be started on this patient, what would be a good first choice: BP: 144/90 to 168/88 - Calcium channel blocker The carotid arteries are auscultated for bruits because: - this is indicative of generalized atherosclerosis

A decrease in blood pressure can occur in men who take sildenafil (Viagra) and: - any antihypertensive medication A 74-year-old who retired as a store clerk last year would like to start an exercise program. She tells the nurse practitioner that she would like to start walking 15-20 min daily. Which statement is correct regarding the patient - She does not need any testing because she is asymptomatic Which medication listed below could potentially exacerbate heart failure in a susceptible patient - Metoprolol Mr. Brown a 45-year old African American male has the following lab values. What should the NP do next: LDL 180 HDL 37 Cholesterol 250 Triglycerides 140 - A thyroid stimulating hormone (TSH) level According to the national heart, lung and blood institute, which characteristic listed below is a coronary heard disease risk equivalent; that is, which risk factor places the patient at a CHD risk similar to a history of CHD - Diabetes mellitus An otherwise healthy two-year-old presents with a heart rate that varies with inspiration and expiration. Which statement is true - This is a normal exam A medication that may produce exercise intolerance in a patient who has hypertension is: - metoprolol Three of the following medications warrant monitoring of potassium levels. Which one does NOT - Amlodipine A patient will be screened for hyperlipidemia via a serum specimen. He should be told: - to fast for 12- 14 hours

What choice below would be beneficial to a 76-year-old who takes daily oral steroids for COPD and now takes a daily aspirin for primary prevention of myocardial infarction - Daily PPI The diagnosis of mitral valve prolapse can be confirmed by - Which antibiotic should be used with caution if an older patient has cardiac conduction issues - Ciprofloxacin A common, early finding in patients who have chronic aortic regurgitation (AR) is - a hypertrophied left ventricle Which choice below would be the best choice for an 80 year old patient whose blood pressure is 172/

  • Amlodipine A patient taking an ACE inhibitor should avoid - potassium supplements An older adult who has hypertension also has osteoporosis. Which antihypertensive agent would have the secondary effect of improving her osteoporosis - A thiazide Diuretic How often should bp be measured in a child who is 3 years old - It should be measured annually Which patient could be expected to have the highest systolic blood pressure - A 75 year old male Which infant feeding behavior is least likely related to CHD - Infants that burp frequently when feeding How often should lipids be screened in patients who are 65 years and older if they have lipid disorders or cv risk factors - annually A patient taking an ARB should avoid - potassium supplements

A patient with aortic stenosis has been asymptomatic for decades. On routine exam, he states that he has had some dizziness associated with activity but no chest pain or SOB. The best course of action for the NP is to - Refer to cardiology Classic symptoms of DVT include - swelling, pain, and discoloration in lower extremity A child's resting heart rate is expected to be between 60-100 beats per minute once he reaches - 10 years Which test below is most cost-effective to screen for AAA - Abdominal ultrasound Which hypertensive patient is most likely to have adverse blood pressure effects from excessive sodium consumption - 70 year old African American male An ACE inhibitor is specifically indicated in patients who have - hypertension, diabetes with proteinuria, heart failure The major difference between varicose veins and arteriosclerosis is the - vessels affected An immune response to Group A Streptococcal infections involving the heart is - rheumatic fever which of the following medications may have an unfavorable effect on a hypertensive patient's blood pressure - naproxen which of the following medications may have an unfavorable effect on a hypertensive patient's blood pressure - naproxen The correlation between blood pressure and age greater than 60 years is that as age increases - diastolic blood pressure decreases Which choice below characterizes a patient who has aortic regurgitation - long asymptomatic period followed by exercise intolerance, then dyspnea at rest

A patient taking candesartan for treatment of htn should avoid - potassium supplements Which mitral disorder results from redundancy of the mitral valve's leaflets - Mitral valve prolapse which medication could potentially exacerbate HF - naproxen A patient who takes HCTZ 25 mg daily has complaints of muscle cramps. He probably has - hypokalemia In order to reduce lipid levels, statins are most beneficial when taken - in conjunction with diet and exercise WHich laboratory abnormality may be observed in a patient who takes lisinopril - increased potassium level Most hypertension in preadolescents and children is - secondary hypertension Mrs. Jones is an 85 year old who has average bp of 170/70. Which agent would be a good starting medication to normalize her bp - amlodipine You are managing the warfarin dose for an older adult with a prosthetic heart valve. Which situation listed requires that warfarin be discontinued now - INR of 8, no significant bleeding A patient with HTN has been diagnosed with gout. Which home medication may have contributed to this episode of gout - Furosemide A patient who has MVP reports chest pain and frequent arrhythmias. In the absence of other underlying cardiac anomalies, the drug of choice to treat her symptoms is - metoprolol The lipid particle with the greatest atherogenic effect is - LDL