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NURSING 301 EXAM 2B QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT LATEST UPDATED 2025/2026

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NURSING 301 EXAM 2B QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT LATEST UPDATED 2025/2026

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NURSING 301 EXAM 2B QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT LATEST
UPDATED 2025/2026
✅ Diagnostic Studies of the Heart
 Chest X-Ray (CXR):
✔✔ Checks heart size, shape, and lung involvement
 Electrocardiogram (ECG):
✔✔ Evaluates electrical activity, rhythm, ischemia, or infarction
 Echocardiogram:
✔✔ Ultrasound of the heart; assesses:
o Heart chamber size and motion
o Valve function
o Ejection fraction (EF)
 Exercise Stress Test:
✔✔ Assesses cardiovascular response to physical stress
o Detects coronary artery disease (CAD)
o Evaluates chest pain
o Monitors for arrhythmias
o Assesses post-MI function


🧪 Cardiac Enzymes & Biomarkers
CK-MB (Creatine Kinase–Myocardial Band):
 Rises: 3–12 hours after injury
 Peaks: ~24 hours

,  Returns to baseline: 48–72 hours
✔✔ Indicates myocardial damage
Troponins (I & T):
 Proteins specific to myocardial cells; regulate muscle contraction
Troponin T:
 Detected: 3–5 hours
 Elevated for: 14–21 days
Troponin I:
 Detected: ~3 hours
 Elevated for: 7–10 days

✔✔ Troponins are more specific and sensitive than CK-MB for detecting
myocardial infarction (MI)


💉 Systems That Regulate Blood Pressure
 Sympathetic Nervous System (SNS):
✔✔ Increases HR, BP, and CO (cardiac output)
 Cardiovascular system:
✔✔ Adjusts heart and vessel function to regulate BP
 Renal system:
✔✔ Controls blood volume via fluid retention/excretion
 Endocrine system:
✔✔ Releases hormones (e.g., ADH, RAAS) that influence BP


📊 Blood Pressure Categories

,Category Systolic (mmHg) Diastolic (mmHg)

Normal <120 <80

Prehypertension 120–139 80–89

Stage 1 HTN 140–159 90–99



Stage 2 Htn - ANSWER✔✔160/100<


What would we encourage patients to do with prehypertension? -
ANSWER✔✔eat healthy and exercise


What would be encourage patients to do with stage 1 HTN - ANSWER✔✔use
medication and maintain healthy life style


What would we encourage patients to do with stage 2 HTN - ANSWER✔✔use of
combination meds and maintain a healthy lifestyle


Risk factors for HTN - ANSWER✔✔obesity
dyslipidemia
diabetes
sedentary lifestyle
impaired renal function
age
family history

, Metabolic syndrome: insulin resistance - ANSWER✔✔fasting glucose 100< or
abnormal glucose test


Metabolic syndrome: central obesity - ANSWER✔✔35 in< females
40< males


Metabolic syndrome: dyslipidemia - ANSWER✔✔triglycerides 150<
HDL <50 (females) <40 (males)


Metabolic syndrome: BP - ANSWER✔✔135/85<


What are some things that could help diagnose Metabolic Syndrome (only need 3
to diagnose) - ANSWER✔✔insulin resistance
central obesity
dyslipidemia
high BP
high C-reactive protein
high fibrinogen levels


Lifestyle modifications for HTN - ANSWER✔✔decrease sodium intake
DASH diet
decrease weight
increase exercise
moderate alcohol consumption

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