All APEA EXAM – PACKAGE Questions & Answers Test bank
(A GUARANTEED) <100% CORRECT> GRADED A+ | LATEST SOLUTIONS |
Cardiovascular
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Benazepril should be discontinued immediately if: pregnancy occurs.
A patient is diagnosed with mild heart failure (HF). What drug
listed below would be a good choice for reducing morbidity and
mortality long term?
Metoprolol
A patient taking an ACE inhibitor should avoid: potassium supplements.
An 87-year-old has history of symptomatic heart failure. He
presents today with lower extremity edema and mild shortness
of breath with exertion. In addition to a diuretic for volume
overload, what other medication should he receive today?
ACE inhibitor
A 42-year-old hypertensive patient was given a thiazide diuretic
4 weeks ago for treatment of primary hypertension. On his
return visit today, he reports feeling weak and tired. What
should the NP consider to evaluate the weakness and fatigue?
Potassium level
Which class of medication is frequently used to improve longterm outcomes in patients with systolic dysfunction?
ACE inhibitors
Orthostatic hypotension can be diagnosed in an older adult if
the systolic blood pressure decreases:
more than 20 points within
3 minutes after rising.
A 74-year-old patient has peripheral artery disease (PAD).
Which item listed below is an important nonmodifiable risk
factor for PAD?
Diabetes
The lipid particle with the greatest atherogenic effect is: LDL.
Which medication could potentially exacerbate heart failure
(HF)?
Naproxen
Where would the murmur associated with mitral regurgitation
best be auscultated?
Mitral listening point
A 43-year-old Hispanic male has an audible diastolic murmur
best heard in the mitral listening point. There is no audible click.
His status has been monitored for the past 2 years. This murmur
is probably:
mitral stenosis.
An independent 82-year-old male patient is very active but
retired last year. His total cholesterol and LDLs are moderately
elevated. How should the NP approach his lipid elevation?
Treatment is based on
expected length of life
A patient who has diabetes presents with pain in his lower legs
when he walks and pain resolution with rest. When specifically
asked about the pain in his lower leg, he likely will report pain:
in the calf muscle.
A 75-year-old patient with longstanding hypertension takes an
ACE inhibitor and a thiazide diuretic daily. He has developed
development of heart failure
(HF).
dyspnea on exertion and peripheral edema over the past several
days. This probably indicates:
An ACE inhibitor is specifically indicated in patients who have: hypertension, diabetes with
proteinuria, heart failure.
The correlation between blood pressure and age greater than
60 years is that as age increases:
diastolic blood pressure
decreases.
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?
Calcium channel blocker
Mrs. Brandy is having contrast dye next week for a heart
catheterization. What drug does NOT need to be stopped prior
to her catheterization?
Losartan
Older adults have a unique blood pressure pattern. Which blood
pressure reading below reflects this pattern?
160/60 mmHg
A 91-year-old female with longstanding history of chronic heart
failure has renal and liver studies that have slowly worsened
over the past year. This probably indicates:
target organ damage
secondary to heart failure.
The usual clinical course of mitral valve prolapse: is benign.
Which antibiotic should be used with caution if an older patient
has cardiac conduction issues?
Ciprofloxacin
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 shortness
of breath. The best course of action for the nurse practitioner is
to:
refer to cardiology.
The nurse practitioner is caring for an independent 74-year-old
female who had acute coronary syndrome (ACS) about 6 weeks
ago. What medications should be part of her regimen unless
there is a contraindication?
ACE, ASA, beta blocker, and
statin
Which hypertensive patient is most likely to have adverse blood
pressure effects from excessive sodium consumption?
70-year-old African
American male
A common side effect of thiazide diuretics is: erectile dysfunction.
The carotid arteries are auscultated for bruits because: this is indicative of
generalized atherosclerosis.
Which choice below would be the best choice for an 80-year-old
patient whose blood pressure is 172/72 mm Hg?
Amlodipine
Which item below represents the best choice of
antihypertensive agents for the indicated patient?
Lisinopril in a 35-year-old
Caucasian male [Show Less]