100% Correct Answers 2025-2026
Edition.
prim Risk factors for Hypertension - Answer modifiable: high sodium, obesity, diabetes,
sedentary lifestyle, smoking, alcohol excess, depression
non modifiable: genetic factors, age, family history, race
manifestations of hypertension - Answer "silent killer", fatigue, headache in the back of the
head and neck, malaise, and dizziness
primary vs secondary hypertension - Answer 1. Primary (Essential/Idiopathic)- no known
cause, 90-95%
2. Secondary- identifiable causes
renal disease, endocrine disorders, neurological disorders, sleep apnea, medications, pregnancy
hypertension classifications - Answer
hypertension nursing considerations - Answer -late symptoms related to organ damage: retinal
and eye changes, renal damage, MI, cardiac hypertrophy, stroke
-checking BUN (>25) and creatinine (>1.5)
hypertensive emergency - Answer -blood pressure >180/120
-clinical manifestations: blurred vision, headache, confusion, motor sensory deficits, targeted
organ damage (kidneys)
-treatment: IV vasodilators (nitroprusside, nitroglycerin, etc)
-interventions: reduce BP 20 to 25% in the first hour. reduce 160/100 over 6 hours. Reducing BP
too quickly can cause CVA or MI
hypertensive urgency - Answer -blood pressure very elevated but no evidence of immediate or
progressive target organ damage.
-oral agents can be given to normalize BP within 24-48 hours. ex: labetalol, captopril, clonidine
, children: ACE inhibitors or calcium channel blockers
hypertension non med treatment - Answer -maintain blood pressure <140/90 mmHg and
<150/90 mm Hg for older adult
-weight reduction (<35 in in women, <40 in waist circumference)
-DASH diet
-30-40 minutes exercise 5-6 days/week
-reduce alcohol and smoking
risk factors pregnancy induced hypertension - Answer -history/family history of preeclampsia
-chronic htn
-kidney disease
-diabetes
-coagulation disorders
-obesity
->40 years old
-having twins
-African descent
manifestations pregnancy htn - Answer -proteinuria
-BP> or equal to 160/110 mmHg
-persistent headache
-epigastric pain
creatinine >1.1 mg/dl
-pit count less than 100,00
-elevated liver enzymes
-pulmonary edema
-visual disturbances
-altered MS or seizures
nursing managements preeclampsia - Answer -corticosteroids prior to 34 weeks to accelerate
fetal lung maturity to reduce morbidity of preterm infant