Question 1
0 / 0 pts
I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner.
I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so.
I agree to do my own work and take personal responsibility for my learning.
Correct!
I do
I do not.
Question 2
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
Regarding Mark’s prescription. What education would you provide him on checking his blood pressure, taking his medication, side effects, next follow up appointment, and labs that need to be monitored. Select all that apply.
The initial HCTZ dose is generally 50-100mg per day
Signs and symptoms of hypokalemia
Recheck hepatic function in 3-4 weeks
Signs and symptoms of ototoxicity
Question 3
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
Per the JNC 8 guidelines how would Mark’s initial treatment regimen change if he had CKD?
Initiate an ACEI or ARB instead of HCTZ
Initiate an ACE and an ARB instead of HCTZ
Initiate a calcium channel blocker with HCTZ
Initiate a beta blocker instead of HCTZ
Question 4
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
There are different types of calcium channel blockers (CCBs), which leads to varying mechanisms of actions. Which CCBs act on both vascular smooth muscle and the heart allowing them to be used in hypertension, angina, and dysrhythmias? Select all that apply.
Correct!
verapamil (Calan)
amlodipine (Norvasc)
diltiazem (Cardizem)
nifedipine (Procardia)
Question 5
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
If Mark’s hypertension continued to worsen and hydralazine was initiated, how would you counsel this patient on hydralazine’s mechanism of action?
Hydralazine relaxes vascular smooth muscle causing arterial dilation.
Hydralazine blocks beta 1 receptors in artery’s causing arterial dilation.
Hydralazine blocks alpha receptors causing vasodilation
Hydralazine inhibits ACE causing vasodilation.
Question 6
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
What lifestyle modifications would you counsel Mark on? Select all that apply
Eat healthy
Moderate to vigorous physical activity
Moderate alcohol consumption
Reduce sodium intake to less than 3,400mg/day
Question 7
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
Which antihypertensive medication is available in a patch formulation? Select all that apply.
Methyldopa
Clonidine
Furosemide
Minoxidil
Question 8
Use the Mark Jones case study to answer the following question.
The NP decided to write Mark a prescription for 1 year of hydrochlorothiazide. What errors are contained in this prescription? Select all that apply.
Medication
Sig
Refills
DISP
Question 9
Use the Mark Jones case study to answer the following question.
There are several strategies to treating blood pressures per the JNC 8 guidelines. If Mark returns to the clinic with a blood pressure that continuing to be elevated. Which of the following are strategies to use for Mark as his treatment progresses? Select all that apply.
Increase HCTZ to maximum dose and add one an additional agent during the same visit
Continue HCTZ at the current dose and add on a second agent before reaching maximum dose of HCTZ
Titrate Marks HCTZ until the maximum dose is reached
Continue HCTZ and add two agents before reaching maximum dose of HCTZ
Question 10
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
What is your recommendation to Mark on the use of NSAIDs considering his new diagnosis of hypertension?
Mark can continue NSAID use liberally
Mark should add on a topical NSAIDs
Mark should stop taking NSAIDS
Mark should switch his NSAID to ketorolacMark should switch his NSAID to ketorolac
Question 11
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
If the NP decided to write a prescription for amlodipine, which choice is the best to write on the prescription?
Take 2.5mg by mouth every day
Take 2.5mg by mouth every day for hypertension
Take 2.5mg every day for hypertension
Take 2.5mg by mouth for hypertension
Question 12
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
Diuretics are an important part of caring for patients with various cardiac diseases. Which diuretic(s) can adversely cause an increase in potassium levels? Select all that apply.
furosemide (Lasix)
spironolactone (Aldactone)
triamterene (Dyrenium)
hydrochlorothiazide (Microzide)
Question 13
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
According to the JNC 8 guidelines, what class of medication can be prescribed for treating Mark’s hypertension. Select all that apply.
Spironolactone
Beta blocker
Thiazide diuretics
Calcium channel blocker
Question 14
Use the Mark Jones case study to answer the following question.
What is Marks blood pressure goal per JNC 8?
<150/80
<140/90
<150/90
<140/80
Question 15
2.5 / 2.5 pts
Use the Mark Jones case study to answer the following question.
If a beta-blocker was indicated for Mark and he had a past medication history that consisted of asthma, which beta-blocker would be best to prescribe?
Bisoprolol
Labetalol
Carvedilol
Sotalol
Solution:
