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UTA NURS 5334 ADVANCED PHARMACOLOGY EXAM 2 TESTBANK 2025-2026|ACTUAL 550+ Qs&As|GRADED A+, Exams of Pharmacology

UTA NURS 5334 ADVANCED PHARMACOLOGY EXAM 2 TESTBANK 2025-2026|ACTUAL 550+ Qs&As|ORIGINAL EXAM|GRADED A+

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2024/2025

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UTA NURS 5334 ADVANCED PHARMACOLOGY
EXAM 2 TESTBANK 2025-2026|ACTUAL 550+
Qs&As|ORIGINAL EXAM|GRADED A+
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.
B. arrange for at least two additional BP measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium
ion measurements and urinalysis.
D. advise her to reduce her sodium intake.
B
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).
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UTA NURS 5334 ADVANCED PHARMACOLOGY

EXAM 2 TESTBANK 2025-2026|ACTUAL 550+

Qs&As|ORIGINAL EXAM|GRADED A+

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. B. arrange for at least two additional BP measurements during the next 2 weeks. C. order blood urea nitrogen, creatinine, and potassium ion measurements and urinalysis. D. advise her to reduce her sodium intake. B 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 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 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 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: A. 10-kg (22-lb) weight loss. B. dietary sodium restriction to 2.4 g (6 g NaCl) per day. C. regular aerobic physical activity, such as 30-40 minutes

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 The most important long-term goal of treating hypertension is to: A. strive to reach recommended numeric BP measurement. B. avoid disease-related target organ damage. C. develop a plan of care with minimal adverse effects. D. treat concomitant health problems often noted in the person with this condition. B You start a patient with hypertension who is already receiving an ACEI on spironolactone. You advise the patient to return in 4 weeks to check which of the following laboratory parameters? A. sodium 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 Match the antihypertension medication with its appropriate class. _______6. amlodipine

grade 1 hypertensive retinopathy. You anticipate all of the following will be present except: A. patient report of acute visual change. B. narrowing of the terminal arterioles. C. sharp optic disc borders. D. absence of retinal hemorrhage. A According to JNC-8, a 52-year-old well woman with a healthy BMI whose blood pressure is consistently 130-135/82-86 mm Hg is considered to have: A. normal blood pressure. B. hypertension requiring therapy with a calcium channel blocker (CCB). C. hypertension requiring therapy with an alpha blocker. D. hypertension requiring therapy with a thiazide-type diuretic. A Which of the following is associated with the highest risk of ischemic heart disease? A. presence of microalbuminuria plus heavy alcohol intake 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

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

  1. A, B, C, D, E, F.
  2. A, B, C, D, F.
  3. B, F.

35. A, B, C, F.

36. A, B, C, F.

37. A, C, D, F.

  1. You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum. B. obesity. C. petite stature. D. hyperextensible joints. A
  2. In performing a cardiac examination in a person with MVP, you expect to find: A. an early- to mid-systolic, crescendo-decrescendo murmur. B. a pansystolic murmur. C. a low-pitched, diastolic rumble. D. a mid- to late-systolic murmur. D
  3. A risk factor for MVP includes a history of: A. rheumatic fever. B. rheumatoid arthritis. C. Kawasaki disease. D. Marfan syndrome. D
  4. Additional findings in MVP include:
  1. Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining a diagnostic procedure usually includes a: A. ventilation perfusion scan. B. echocardiogram. C. pulmonary artery angiography. D. cardiac computerized tomography (CT) scan. B
  2. You are evaluating a patient who has rheumatic heart disease. When assessing her for mitral stenosis, you auscultate the heart, anticipating finding the following murmur: A. systolic with wide radiation over the precordium. B. localized diastolic with little radiation. C. diastolic with radiation to the neck. D. systolic with radiation to the axilla. B
  3. In evaluating mitral valve incompetency, you expect to find the following murmur: A. systolic with radiation to the axilla. B. diastolic with little radiation. C. diastolic with radiation to the axilla. D. localized systolic. A
  4. 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

  1. Signs and symptoms consistent with endocarditis include all of the following except: A. bradycardia. B. Osler's nodes. C. hematuria. D. petechiae. A
  2. 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
  3. 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
  1. A risk factor for acquired aortic stenosis is: A. history of pulmonary embolism. B. chronic obstructive pulmonary disease (COPD). C. type 2 diabetes. D. prior rheumatic fever. D
  2. Management of mild aortic stenosis in a 12-year-old boy usually includes: A. ongoing monitoring with ECG and echocardiogram. B. use of a balloon catheter to separate fused valve leaflets. C. valve replacement. D. use of warfarin or other anticoagulant. A
  3. A physiological murmur has which of the following characteristics? A. occurs late in systole B. is noted in a localized area of auscultation C. becomes softer when the patient moves from supine to standing D. frequently obliterates S C
  4. You are examining an 18 - year-old man who is seeking a sports clearance physical examination. You note a mid-systolic murmur that gets louder when he stands. This may represent: A. aortic stenosis.

B. hypertrophic cardiomyopathy. C. a physiological murmur. D. a Still's murmur. B

  1. According to recommendations of the American Heart Association (AHA), which of the following antibiotics should be used for endocarditis prophylaxis in patients who are allergic to penicillin? A. erythromycin B. dicloxacillin C. azithromycin D. ofloxacin C
  2. A grade III systolic heart murmur is usually: A. softer than the S2 heart sound. B. about as loud as the S1 heart sound. C. accompanied by a thrill. D. heard across the precordium but without radiation. B 61.The S3 heart sound has all of the following characteristics except: A. it is heard in early diastole B. a presystolic sound C. it is noted in the presence of ventricular overload D. it is heard best with the bell of the stethoscope B

metabolic demands of the body. D

  1. A leading cause of heart failure is: A. hypertensive heart disease. B. atrial fibrillation. C. pulmonary embolism. D. type 2 diabetes. A 94 to 96. Match each of the following conditions with its mechanism for contributing to heart failure:
  2. pneumonia
  3. anemia
  4. high sodium intake A. increase in circulating volume of blood B. increased right-sided heart workload C. decreased oxygen-carrying capacity of blood
  5. B.
  6. C.
  7. A.
  8. The condition of a sudden shortness of breath that usually occurs after 2- 3 hours of sleep and leads to sudden awakening followed by a feeling of severe anxiety and breathlessness is known as: A. dyspnea. B. orthopnea. C. resting dyspnea. D. paroxysmal nocturnal dyspnea.

D

  1. You examine an 82-year-old woman who has a history of heart failure (HF). She is in the office because of increasing shortness of breath. When auscultating her heart, you note a tachycardia with a rate of 104 beats per minute and a single extra heart sound early in diastole. This sound most likely represents: A. summation gallop. B. S3. C. opening snap. D. S4. B
  2. You examine a 65-year-old man with dilated cardio - myopathy and HF. On examination, you expect to find all of the following except: A. jugular venous distention. B. tenderness on right upper-abdominal quadrant palpation. C. point of maximal impulse at the fifth intercostal space, mid-clavicular line. D. peripheral edema. C
  3. In patients with heart failure, the point of maximum impulse usually: A. remains unchanged near the fourth intercostal space. B. remains unchanged near the fifth intercostal space.