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FNP1 FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTION!!
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FNP1 FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTION!!
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FNP1 FINAL EXAM STUDY GUIDE WITHCOMPLETE SOLUTION!!
All of the following are possible causes for secondary hypertension?
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta
answers: A. Acute pyelonephritis
Which of the following antihypertensive medications has beneficial effects for an
elderly White woman with osteoporosis?
A. Calcium Channel Blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics
answers: D. Thiazide diuretics
A 75-year-old woman has been on nifedepine (Procardia XL) 10-mg capsule for
many years to control her stage II hypertension. Her blood pressure at this visit is
165/80 mmHg. She is currently complaining of pain at her right hip and in both
knees. She has increased her dose of ibuprofen (Motrin) from 400mg three times
daily (TID) to 800mg TID. She is still in pain and would like something stronger.
Which of the following statements is the best explanation of the effects of
ibuprofen (Motrin) on her disease?
A. It increased the chances of adverse effects to her health
B. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
,C. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D. None of the statements are true
answers: B. It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
Which of the following antihypertensive medications should the NP avoid when
treating patients with emphysema?
A. Calcium Channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Diuretics
answers: C. Beta-blockers
A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following clusters
indicates the target organ damage commonly seen in hypertensive patients?
A. Pedal edema, hepatomegaly, and enlarged kidneys
B. Arteriovenous (AV) nicking, Left ventricular hypertrophy
C. Renal infection, S3 heart sound, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy, heart failure
answers: B. Arteriovenous (AV) nicking, left ventricular hypertrophy
Which of the following laboratory tests in a sensitive test for evaluating renal
function?
, A. Electrolyte panel
B. Estimated GFR
C. Creatinine
D. Blood urea nitrogen
answers: B. Estimated GFR
All of the following are possible causes for secondary hypertension except:
A. Acute pyelonephritis
B. Pheochromocytoma
C. Renovascular stenosis
D. Coarctation of the aorta
answers: A. Acute pyelonephritis
An 8-year-old boy with type I diabetes is being seen for a 3-day history of urinary
frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result
is negative for blood and nitrites but is positive for a large amount of leukocytes
and ketones. He has a trace amount of protein. Which of the following is the best
test to order initially?
A. Urine for culture and sensitivity
B. 24-hour urine for protein and creatinine clearance
C. 24-hour urine for microalbumin
D. Intravenous pyelogram
answers: A. urine for culture and sensitivity
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