©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
Hypertension, FNP 1 Final Exam
Questions with 100% Correct Answers
What is the goal blood pressure for patients 60 years and older? -
✔✔<150/90
(if pt has diabetes or CKD, consider starting tx at 140/90)
What are the parameters for a 'normal' blood pressure? - ✔✔<120/80
What is the most common cause of secondary hypertension? -
✔✔Renovascular disease
What are the parameters for prehypertension?
What are the parameters for Stage 1 hypertension?
What are the parameters for Stage 2 hypertension? - ✔✔SBP 120-139 or
DBP 80-89 on 2 different occasions
SBP 140-159 or DBP 90-99 on 2 different occasions
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
SBP>160 or DBP > 100 on 2 different occasions
To confirm a new diagnosis of Stage 1 hypertension, how soon should you
have the pt return to recheck the reading?
To confirm a new diagnosis of Stage 2 hypertension, how soon should you
have the pt return to recheck the reading? - ✔✔Within 2 months
Within 1 month
How should a pt be positioned in order to obtain an optimal blood pressure
reading?
Are wrist monitors recommended for checking BP? - ✔✔Seated
comfortably for at least 5 min, back supported, legs uncrossed, arm at level
of the heart
No - use upper arm
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
How many blood pressure readings are needed in a week to allow for good
clinical decision making? - ✔✔12 readings / week
When should you consider initiating hypertension therapy with TWO drugs
instead of just one? - ✔✔if SBP is 20 mmHg over goal or DBP is 10 mmHg
over goal (20/10) - one drug should be a diuretic
* it's nice to use multi-drug combinations (i.e. HCTZ + spironolactone)
What is the blood pressure goal for pts with diabetes or renal disease of
ALL AGES? - ✔✔consider a goal of 140/90
What are two potential side effects that spironolactone can cause in men? -
✔✔gynecomastia and erectile dysfunction
Name some common potassium sparing diuretics? - ✔✔spironolactone
(aldactone)
amiloride
What class (es) of antihypertensive medication increases the risk of
hyperkalemia when administered w/potassium sparing diuretics? -
✔✔ACEI, ARB
What elements should be included in a focused exam of pt
w/hypertension? - ✔✔- eyes (fundoscopic exam)
Hypertension, FNP 1 Final Exam
Questions with 100% Correct Answers
What is the goal blood pressure for patients 60 years and older? -
✔✔<150/90
(if pt has diabetes or CKD, consider starting tx at 140/90)
What are the parameters for a 'normal' blood pressure? - ✔✔<120/80
What is the most common cause of secondary hypertension? -
✔✔Renovascular disease
What are the parameters for prehypertension?
What are the parameters for Stage 1 hypertension?
What are the parameters for Stage 2 hypertension? - ✔✔SBP 120-139 or
DBP 80-89 on 2 different occasions
SBP 140-159 or DBP 90-99 on 2 different occasions
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
SBP>160 or DBP > 100 on 2 different occasions
To confirm a new diagnosis of Stage 1 hypertension, how soon should you
have the pt return to recheck the reading?
To confirm a new diagnosis of Stage 2 hypertension, how soon should you
have the pt return to recheck the reading? - ✔✔Within 2 months
Within 1 month
How should a pt be positioned in order to obtain an optimal blood pressure
reading?
Are wrist monitors recommended for checking BP? - ✔✔Seated
comfortably for at least 5 min, back supported, legs uncrossed, arm at level
of the heart
No - use upper arm
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
How many blood pressure readings are needed in a week to allow for good
clinical decision making? - ✔✔12 readings / week
When should you consider initiating hypertension therapy with TWO drugs
instead of just one? - ✔✔if SBP is 20 mmHg over goal or DBP is 10 mmHg
over goal (20/10) - one drug should be a diuretic
* it's nice to use multi-drug combinations (i.e. HCTZ + spironolactone)
What is the blood pressure goal for pts with diabetes or renal disease of
ALL AGES? - ✔✔consider a goal of 140/90
What are two potential side effects that spironolactone can cause in men? -
✔✔gynecomastia and erectile dysfunction
Name some common potassium sparing diuretics? - ✔✔spironolactone
(aldactone)
amiloride
What class (es) of antihypertensive medication increases the risk of
hyperkalemia when administered w/potassium sparing diuretics? -
✔✔ACEI, ARB
What elements should be included in a focused exam of pt
w/hypertension? - ✔✔- eyes (fundoscopic exam)
