NR 603 Week 3 Quiz And Answers

1. Which of the following drugs does the 8th Joint National Committee (JNC-8) 2014

Evidence Based Guidelines for the Management of High Blood Pressure in Adults

recommend for the initial treatment for Caucasian males with microalbuminuria?

Answer – Angiotensin-converting enzymes (ACE inhibitors)

2. A 58 year old male presents to the clinic with a several year history of uncontrolled

hypertension. You perform your physical assessment. Which group of physical

findings is commonly seen in target organ change in uncontrolled hypertension?

Answer – AV nicking, bibasalar crackles, and hepatomegaly

3. A 44 year old male patient presents to the clinic for evaluation of an episode of chest

tightness that radiated to his back that he had earlier in the day when he was out for

a walk. He states that once he came home and sat down, the chest tightness resolved.

What is the most likely cause of the chest tightness?

Answer - Angina pectoris

4. A 60 year old woman comes in to the clinic complaining of nausea, shortness of

breath, and a dull pain in the middle of her back while playing tag in the yard with

her grandchildren yesterday. Her past medical history includes CAD, Type 2 DM,

and HTN. Lab work reveals negative Troponins.

The most appropriate diagnostic testing includes:

Answer – Stress test with imaging

5. Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable

patients. However, ETT is contraindicated for some patients. Knowing when to

consult with specialists is an important part of NP practice. Which patient should be

referred to Cardiology to ordering and Exercise Tolerance Test?

Answer – 60 y/o male with cardiac chest pain Symptomatic Congestive Heart Failure

6. A 60 year old male with a history of Type 2 Diabetes and HTN comes in for a followup Blood Pressure Check to evaluate the recent medication/diet/exercise plan you

prescribed at his visit 3 months ago. Hi BMI is 20

His Blood Pressures sitting and standing are

138/80 mm/Hg

132/76 mm/Hg

What is the best analysis of the prescribed treatment plan?

Answer – His Blood Pressure is within JNC-8 guidelines and so no adjustments should be

made at this time

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