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N5334 Advanced Pharmacology Test 2 Questions with Complete Solutions Graded A+

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N5334 Advanced Pharmacology Test 2 Questions with Complete Solutions Graded A+

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  • August 10, 2024
  • 180
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 5334
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N5334 Advanced
Pharmacology Test 2
Questions with Complete
Solutions Graded A+

Denning [Date] [Course title]

,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. - Answer: 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. - Answer: 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. - Answer: 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. - Answer: 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

of brisk walking most days of the week.

D. consuming at least 1-2 servings of alcohol. - Answer: D

, 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

E. ACEI - Answer: 6. C.

7. B.

8. E.

9. D.

10. A.



You see a 38-year-old African American male with

hypertension who is currently being treated with

thiazide-type diuretic. His current blood pressure

reading is 156/94 mm Hg and he has no history of

diabetes mellitus or chronic kidney disease. Following

current best evidence, you consider adding which of

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