PANCE Practice Test 15

10 free PANCE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

PANCE Practice Test 15Tutor mode

Question 1 of 10

Cardiovascular System

A 63-year-old man with heart failure with reduced ejection fraction (ejection fraction 30%) returns for follow-up. He has dyspnea when climbing one flight of stairs. He takes sacubitril-valsartan, carvedilol and empagliflozin at target doses and furosemide 20 mg daily. Pulse is 62/min, and blood pressure is 114/70 mm Hg. Lungs are clear, and there is no peripheral edema. Laboratory results are shown. Which of the following is the most appropriate addition to his regimen to reduce mortality?

Serum
Test	Result	Reference range
Sodium	138 mEq/L	136–145 mEq/L
Potassium	4.3 mEq/L	3.5–5.0 mEq/L
Creatinine	1.2 mg/dL	0.7–1.3 mg/dL
Estimated GFR	64 mL/min/1.73 m²	above 60 mL/min/1.73 m²