WGU D441 PROCTORED HESI
PHARMACOLOGY GHV1 EXAM
COMPREHENSIVE STUDY GUIDE WITH
SOLUTIONS
◉ Diastolic BP.
Answer: Resting pressure during ventricular filling
◉ Pulse pressure.
Answer: Difference between systolic and diastolic
◉ Stroke volume.
Answer: Amount of blood ejected with each beat
◉ How does age affect BP.
Answer: BP increases with age
◉ What BP is pre hypertensive?.
Answer: Sustained BP over 120/80
◉ What extremities should you avoid taking a BP in.
,Answer: Extremities with IV lines, invasive lines, history of
mastectomy/lymph node issues
◉ Orthostatic hypertension.
Answer: - Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
◉ Precautions in someone with orthostatic hypertension.
Answer: - change positions slowly
- falls risk
- assist back to bed if symptomatic
,◉ What is the main objective of the health history.
Answer: - To gather accurate information to provide immediate care
- Establish rapport with the client
◉ What does establishing a positive patient relationship depend on.
Answer: 1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
◉ What questions should you begin with for a health history
interview.
Answer: Open ended questions
◉ Approaching Sensitive Issues.
Answer: - Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
, ◉ CAGE questionnaire.
Answer: Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
◉ TACE questionnaire.
Answer: T - how many drinks does it TAKE to make you feel right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
◉ CRAFFT questionnaire.
Answer: - Screening tool for alcohol and substance abuse in
adolescents
Car
Relax
Alone
Forget
Friends
PHARMACOLOGY GHV1 EXAM
COMPREHENSIVE STUDY GUIDE WITH
SOLUTIONS
◉ Diastolic BP.
Answer: Resting pressure during ventricular filling
◉ Pulse pressure.
Answer: Difference between systolic and diastolic
◉ Stroke volume.
Answer: Amount of blood ejected with each beat
◉ How does age affect BP.
Answer: BP increases with age
◉ What BP is pre hypertensive?.
Answer: Sustained BP over 120/80
◉ What extremities should you avoid taking a BP in.
,Answer: Extremities with IV lines, invasive lines, history of
mastectomy/lymph node issues
◉ Orthostatic hypertension.
Answer: - Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
◉ Precautions in someone with orthostatic hypertension.
Answer: - change positions slowly
- falls risk
- assist back to bed if symptomatic
,◉ What is the main objective of the health history.
Answer: - To gather accurate information to provide immediate care
- Establish rapport with the client
◉ What does establishing a positive patient relationship depend on.
Answer: 1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
◉ What questions should you begin with for a health history
interview.
Answer: Open ended questions
◉ Approaching Sensitive Issues.
Answer: - Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
, ◉ CAGE questionnaire.
Answer: Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
◉ TACE questionnaire.
Answer: T - how many drinks does it TAKE to make you feel right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
◉ CRAFFT questionnaire.
Answer: - Screening tool for alcohol and substance abuse in
adolescents
Car
Relax
Alone
Forget
Friends
