Download N5334 ADVANCED PHARMACOLOGY TEST ACTUAL EXAM NEWEST VERSION -2025/2026- WITH 100+ Q & A and more Exams Nursing in PDF only on Docsity!
N5334 ADVANCED PHAMACOLOGY TEST ACTUAL EXAM
NEWEST VERSION - 2025/2026- WITH 100+ QUESTIONS AND
VERIFIED ANSWERS (100% SUCCESS)
Diagnostic testing for a patient with newly diagnosed primary hypertension should include all of the following except: A. hematocrit. B. uric acid. C. creatinine. D. potassium. B You examine a 78-year-old woman with long-standing, poorly controlled hypertension. When evaluating her for hypertensive target organ damage, you look for evidence of: A. lipid abnormalities. B. insulin resistance. C. left ventricular hypertrophy. D. clotting disorders. C
You see a 68-year-old woman as a patient who is transferring care into your practice. She has a 10-year history of hypertension, diabetes mellitus, and hyperlipidemia. Current medications include hydrochlorothiazide (HCTZ), glipizide, metformin, simvastatin, and daily low-dose aspirin. Today's BP reading is 158/92 mm Hg, and the rest of her history and examination are unremarkable. Documentation from her former healthcare provider indicates that her BP has been in the range for the past 12 months. Your next best action is to: A. prescribe an angiotensin-converting enzyme inhibitor (ACEI). B. have her return for a BP check in 1 week. C. advise that her current therapy is adequate. D. add therapy with an aldosterone antagonist. A In the person with hypertension, the nurse practitioner (NP) recommends all of the following to potentially reduce BP in a patient with a BMI of 30 kg/m2 except:
in patients with: A. type 1 diabetes mellitus. B. a history of venous thromboembolism. C. severe left ventricular dysfunction. D. concomitant treatment with an ACEI. C In obtaining an office BP measurement, which of the following is most reflective of the best practice? A. The patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading. B. The BP cuff should not cover more than 50% of the upper arm. C. The patient should sit on the edge of the examination table without arm support to enhance reading accuracy. D. Obtaining the BP reading immediately after the patient walks into the examination room is recommended. A
A BP elevation noted only at an office visit is commonly known as hypertension. A. provider-induced B. clinical C. white coat D. pseudo C Match the antihypertension medication with its appropriate class. _______6. amlodipine _______7. diltiazem _______8. trandolapril _______9. telmisartan _______10. pindolol A. beta-adrenergic receptor antagonist B. nondihydropyridine calcium channel blocker C. dihydropyridine calcium channel blocker D. angiotensin receptor antagonist
B. calcium C. potassium D. chloride C A 68-year-old woman presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2; no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid-clavicular line. Which of the following represents the best intervention? A. Initiate therapy with metoprolol. B. Initiate therapy with hydrochlorothiazide. C. Initiate therapy with methyldopa. D. Continue to monitor BP, and start drug therapy if evidence of target organ damage. B Which of the following can have a favorable effect on a comorbid condition in a person with
hypertension? A. chlorthalidone in gout B. propranolol with airway disease C. aldosterone antagonist in heart failure D. methyldopa in an older adult C According to JNC-8 guidelines, all of the following medications are first-line agents for use in a middle-aged white man without diabetes mellitus except: A. lisinopril. B. hydrochlorothiazide. C. metoprolol. D. amlodipine. C You see a 59-year-old man with poorly controlled hypertension. On physical examination, you note grade 1 hypertensive retinopathy. You anticipate all of the following will be present except: A. patient report of acute visual change.
B. absence of microalbuminuria plus use of a thiazolidinedione C. absence of microalbuminuria plus chronic physical inactivity D. presence of microalbuminuria plus cigarette smoking D When compared with Caucasians, African Americans tend to have a reduced effect with monotherapy with all of the following blood pressure medications except: A. ACEIs. B. ARBs. C. CCB. D. beta blockers. C Match the recommended blood pressure goal for each patient according to JNC-8 guidelines. (An answer can be used more than once.)
A. <130/80 mm Hg B. <140/80 mm Hg C. <140/90 mm Hg D. <150/90 mm _______24. a 57-year-old white male with no history of diabetes mellitus (DM) or chronic kidney disease (CKD) _______25. a 62-year-old African American male with diabetes mellitus _______26. a 67-year-old female with CKD _______27. a 62-year-old female with no history of DM or CKD _______28. an 82-year-old male with no history of DM or CKD
hypotension in the elderly is false? A. It increases the risk of falls and syncope. B. It is characterized by a drop in blood pressure when going from a standing to a sitting position. C. It increases the risk of cardiovascular events. D. It is associated with the use of vasodilating medications. B According to American College of Cardiology Foundation/American Heart Association (ACCF/AHA) guidelines, when treating elderly patients with hypertension, which of the following medications have a compelling indication for use in the following patient conditions? (The medications listed can be used more than once. A given condition can have more than one medication indicated.) A. thiazide diuretic B. beta blocker C. ACEI D. ARB E. aldosterone antagonist
F. calcium channel blocker _______32. heart failure _______33. diabetes mellitus _______34. angina pectoris B _______35. coronary artery disease _______36. aortic aneurysm _______37. recurrent stroke prevention
- A, B, C, D, E, F.
- A, B, C, D, F.
- B, F.
- A, B, C, F.
- A, B, C, F.
- A, C, D, F. You examine a 38-year-old woman who has presented for an initial examination and Papanicolaou test. She has no complaint. Her blood pressure (BP) is 154/98 mm Hg bilaterally and her body mass index (BMI) is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to: A. initiate antihypertensive therapy.
D
- A risk factor for MVP includes a history of: A. rheumatic fever. B. rheumatoid arthritis. C. Kawasaki disease. D. Marfan syndrome. D
- Additional findings in MVP include: A. an opening snap. B. a mid-systolic click. C. a paradoxical splitting of the second heart sound (S2). D. a fourth heart sound (S4). B
- Intervention for patients with MVP often includes advice about which of the following? A. restricted activity because of low cardiac output B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations D. encouragement of a regular program of aerobic activity D
- When a heart valve fails to open to its normal orifice size, it is said to be: A. stenotic. B. incompetent. C. sclerotic. D. regurgitant. A
- When a heart valve fails to close properly, it is said to be: A. stenotic. B. incompetent. C. sclerotic. D. regurgitant. B
B. diastolic with little radiation. C. diastolic with radiation to the axilla. D. localized systolic. A
- In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes consistent with: A. right bundle branch block. B. extreme axis deviation. C. right atrial enlargement. D. left ventricular hypertrophy. D
- Signs and symptoms consistent with endocarditis include all of the following except: A. bradycardia. B. Osler's nodes. C. hematuria. D. petechiae. A
- From the following list, the most helpful test in suspected bacterial endocarditis includes: A. urine culture. B. blood culture. C. chest x-ray. D. myocardial biopsy. B
- Of the following patients, who is in greatest need of endocarditis prophylaxis when planning dental work? A. a 22-year-old woman with MVP with trace mitral regurgitation noted on echocardiogram B. a 54-year-old woman with a prosthetic aortic valve C. a 66-year-old man with cardiomyopathy D. a 58-year-old woman who had a three-vessel coronary artery bypass graft with drug-eluting stents 1 year ago B
