Free hypertension review questions sample from Med-Challenger.
Med-Challenger offers hypertension review along with everything else that nurse practitioners need to stay up-to-date and pass ANCC/AANP exams with in-depth review questions with detailed explanations. More nurse practitioner review questions can be accessed via a free trial of Med-Challenger NP: Start Free Full Trial
Hypertension review can also be found in a host of other Med-Challenger products for physicians and physician assistants as well.
This week’s case-based question:
A 59-year-old man with a known history of hypertension presents to you for evaluation because he says he has been having frontal headaches and blurred vision during the past few days. When asked, he does not note any focal weakness, numbness, chest pain, shortness of breath, palpitations, or recent, illicit drug use. He tells you that he has been compliant with his antihypertensive medications that he takes at home (hydrochlorothiazide, lisinopril, and metoprolol), and he adds that he took these medications today.
On today’s visit, his blood pressure is 200/130 mm Hg and his pulse is 90 beats/minute. General physical examination is unremarkable and neurologic examination is nonfocal. You perform a funduscopic examination (see Figure).
What would be the best next step in the management of this patient’s blood pressure?
additional dose of current antihypertensive medications
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