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UTA NURS 5334 ADVANCED PHARMACOLOGY
EXAM 2 TESTBANK 2025-2026|ACTUAL 550+
Qs&As|ORIGINAL EXAM|GRADED A+
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. 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. 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.
D
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 the following medications? A. ACEI B. angiotensin receptor blocker (ARBs) C. beta-adrenergic receptor antagonist D. calcium channel blocker D Nondihydropyridine calcium channel blockers are contraindicated in patients with: A. type 1 diabetes mellitus. B. a history of venous thromboembolism. C. severe left ventricular dysfunction. D. concomitant treatment with an ACEI. C
In obtaining an office BP measurement, which of the following is most reflective of the best practice? A. The patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading. B. The BP cuff should not cover more than 50% of the upper arm. C. The patient should sit on the edge of the examination table without arm support to enhance reading accuracy. D. Obtaining the BP reading immediately after the patient walks into the examination room is recommended. A A BP elevation noted only at an office visit is commonly known as hypertension. A. provider-induced B. clinical C. white coat
A 68-year-old woman presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2; no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid-clavicular line. Which of the following represents the best intervention? A. Initiate therapy with metoprolol. B. Initiate therapy with hydrochlorothiazide. C. Initiate therapy with methyldopa. D. Continue to monitor BP, and start drug therapy if evidence of target organ damage. B Which of the following can have a favorable effect on a comorbid condition in a person with hypertension? A. chlorthalidone in gout B. propranolol with airway disease
C. aldosterone antagonist in heart failure D. methyldopa in an older adult C 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
- C.
C. sharp optic disc borders. D. absence of retinal hemorrhage. A According to JNC-8, a 52-year-old well woman with a healthy BMI whose blood pressure is consistently 130-135/82-86 mm Hg is considered to have: A. normal blood pressure. B. hypertension requiring therapy with a calcium channel blocker (CCB). C. hypertension requiring therapy with an alpha blocker. D. hypertension requiring therapy with a thiazide-type diuretic. A Which of the following is associated with the highest risk of ischemic heart disease? A. presence of microalbuminuria plus heavy alcohol intake
B. absence of microalbuminuria plus use of a thiazolidinedione C. absence of microalbuminuria plus chronic physical inactivity D. presence of microalbuminuria plus cigarette smoking D When compared with Caucasians, African Americans tend to have a reduced effect with monotherapy with all of the following blood pressure medications except: A. ACEIs. B. ARBs. C. CCB. D. beta blockers. C Match the recommended blood pressure goal for each patient according to JNC-8 guidelines. (An answer can be used more than once.)
with no history of DM or CKD _______29. a 72-year-old female with DM and CKD
- C.
- C.
- C.
- D.
- D.
- C. You see a 62-year-old man without chronic kidney disease or diabetes mellitus who is currently being treated with low-dose HCTZ and losartan. His blood pressure is currently 162/88 mm Hg. All of the following are appropriate next courses of action except: A. increasing the dose of losartan. B. adding a beta-adrenergic receptor antagonist. C. adding a calcium channel blocker. D. increasing the dose of HCTZ. B
Which of the following statements concerning postural hypotension in the elderly is false? A. It increases the risk of falls and syncope. B. It is characterized by a drop in blood pressure when going from a standing to a sitting position. C. It increases the risk of cardiovascular events. D. It is associated with the use of vasodilating medications. B According to American College of Cardiology Foundation/American Heart Association (ACCF/AHA) guidelines, when treating elderly patients with hypertension, which of the following medications have a compelling indication for use in the following patient conditions? (The medications listed can be used more than once. A given condition can have more than one medication indicated.) A. thiazide diuretic B. beta blocker
may also include: A. pectus excavatum. B. obesity. C. petite stature. D. hyperextensible joints. A
- In performing a cardiac examination in a person with MVP, you expect to find: A. an early- to mid-systolic, crescendo-decrescendo murmur. B. a pansystolic murmur. C. a low-pitched, diastolic rumble. D. a mid- to late-systolic murmur. D
- A risk factor for MVP includes a history of: A. rheumatic fever. B. rheumatoid arthritis. C. Kawasaki disease. D. Marfan syndrome.
D
- Additional findings in MVP include: A. an opening snap. B. a mid-systolic click. C. a paradoxical splitting of the second heart sound (S2). D. a fourth heart sound (S4). B
- Intervention for patients with MVP often includes advice about which of the following? A. restricted activity because of low cardiac output B. control of fluid intake to minimize risk of volume overload C. routine use of beta-adrenergic antagonists to control palpitations D. encouragement of a regular program of aerobic activity D
D. cardiac computerized tomography (CT) scan. B
- You are evaluating a patient who has rheumatic heart disease. When assessing her for mitral stenosis, you auscultate the heart, anticipating finding the following murmur: A. systolic with wide radiation over the precordium. B. localized diastolic with little radiation. C. diastolic with radiation to the neck. D. systolic with radiation to the axilla. B
- In evaluating mitral valve incompetency, you expect to find the following murmur: A. systolic with radiation to the axilla. B. diastolic with little radiation. C. diastolic with radiation to the axilla. D. localized systolic. A
- In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes consistent with: A. right bundle branch block. B. extreme axis deviation. C. right atrial enlargement. D. left ventricular hypertrophy. D
- Signs and symptoms consistent with endocarditis include all of the following except: A. bradycardia. B. Osler's nodes. C. hematuria. D. petechiae. A
- From the following list, the most helpful test in suspected bacterial endocarditis includes: A. urine culture.
