NR 661-CARDIOVASCULAR
EXAM QUESTIONS AND
VERIFIED ANSWERS
(2025/2025)RATED A+
A pa%ent has had poorly controlled hypertension for more than 10 years.
Indicate the most likely posi%on of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, leG of MCL
d. 6th ICS, right of MCL
c. 5th ICS, leG of MCL
Valve most commonly involved in chronic rheuma%c heart disease is the:
a. aor%c
b. mitral
c. pulmonic
d. tricuspid
b. mitral
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A 50 year old pa%ent with Hypertension has taken hydrochlorozide 25 mg daily
for the past 4 weeks. How should the nurse prac%%oner proceed? BP-155/95;
145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
Which choice below would be the best choice for an 80-year old pa%ent whose
blood pressure is 172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol
b. amlodipine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examina%on
,b. electrocardiography
c. echocardiography
d. chest xray
c. echocardiography
A pa%ent taking candesartan for treatment for hypertension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
b. potassium supplements
According to the Na%onal Heart, Lung and Blood ins%tute, which characteris%c
listed below is a coronary disease (CHD) risk equivelant; that is, which risk
factor places the pa%ent at a CHD risk similar to a history of CHD
a. Hypertension
b. cigarece smoking
c. male age >45 years
d. Diabetes Mellitus
d. Diabetes Mellitus
Classic symptoms of deep vein thrombosis (DVT) include:
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exercise
c. swelling, pain, discolora%on in lower extremity
d. warmth, edema and relief of pain with walking
c. swelling, pain, discolora%on in lower extremity
, Which mitral valve disorder results from redundancy of the mitral valve's
leaflets??
a. acute mitral regurgita%on
b. chronic mitral regurgita%on
c. mitral valve prolapse
d. mitral stenosis
c. mitral valve prolapse
Tables are used for determina%on of maximum blood pressure values for
adolescents. How are blood pressure values established for adolescents?
a. height percen%le, body mass index and gender
b. gender and age
c. height percen%le, gender and age
d. body mass index and gender
c. height percen%le, gender and age
The correla%on between blood pressure and age greater than 60 years is that
as age increases:
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases
d. diastolic blood pressure decreases
An 80 year old female who is otherwise well has the following blood pressure
readings. How should she be managed? 160/70; 175/68; 171/71; 163/63
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