Nurse Practitioner Certification Exam Preparation: Cardiovascular Focus, Exams of Nursing

Download Nurse Practitioner Certification Exam Preparation: Cardiovascular Focus and more Exams Nursing in PDF only on Docsity! NURSE PRACTITIONER CERTIFICATION EXAM AND PRACTICE PREP CARDIOVASCULAR You examine a 38 year old woman who has presented for an initial examination and Papanicolaou test. She has no complaint. Her BP is 154/98 mm Hg bilaterally and her BMI is 31 kg/m2. The rest of her physical exam 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 BUN, creatinine, and potassium ion measurements and UA D. advise her to reduce her sodium intake B. arrange for at least two additional BP measurements during the next 2 weeks You see a 68 year old woman as a pt who is transferring care into your practice. She has a 10y history of HTN, diabetes mellitus, and hyperlipidemia. Current medications include HCTZ, glipizide, metformin, simvastatin, and daily low-dose aspirin. Today's BP reading is 158/92mm Hg and the rest of her history and exam 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 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. prescribe an ACEI You examine a 78 y/o woman with long-standing poorly controlled hHTN. When evaluating her for HTN target organ damage, you look for evidence of: A. lipid abnormalities B. insulin resistance C. left ventricular hypertrophy D. clotting disorders C. left ventricular hypertrophy Diagnostic testing for a pt with newly diagnosed primary hHTN should include all of the following except: A. hematocrit B. uric acid C. creatinine D. potassium B. uric acid In the person w/HTN, the nurse practitioner recommends all of the following to potentially reduce BP in a patient with a BMI of 30 kg/m2 except: A. 10kg weight loss B. dietary sodium restriction to 2.4g 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