NURS 340 Exam 2 Questions with Correct Answers Latest Update 2025/2026

NURS 340 Exam 2 Questions with Correct Answers Latest Update 2025/2026 Risks associated with poorly controlled hypertension - Answers Kidney disease, stroke, vision loss, MI, heart disease 6 risks for developing hypertension - Answers Stress, obesity, hyperlipidemia, alcohol, smoking, African American Lab values that indicate hypertension - Answers Bun > 24, Creatinine > 1.35 Symptoms of hypertension - Answers Headache, flushing, dizziness, low urinary output, nose bleeds, vision changes, nausea ACE Inhibitors - Answers For hypertension Lisinopril - cough Enalopril Captopril Diuretics - Answers For hypertension Potassium wasting - HCTZ and Lasix Potassium Sparing - Spironolactone Beta Blockers - Answers For Hypertension Atenolol and Metoprolol Assess heart rate and blood pressure before administering Hold if heart rate below 60 if blood pressure systolic below 90 Calcium Channel Blockers - Answers For hypertension Verapamil Amlodipine Diltazem ARBs - Answers For hypertension Valsartan, Losartan Statins - Answers Cause muscle pain Issue with diuretics - Answers Hypokalemia, fall risk Most reliable indicator of fluid loss or retention - Answers Daily weights, 1 lb = 1 kg Left sided heart failure - Answers Fluid backs into lungs, low CO, hacking cough, crackles in lungs, pink frothy sputum, nocturia, pale, cold, decreased palor, tachycardia Right Sided Heart Failure - Answers Blood backs up into body, edema, fluid volume excess, clothes fit tightly, jugular vein distention, systemic congestion CO - Answers 3-6mL/minute is normal Preload - Answers How much ventricles stretch at the end of diastole based on volume After load - Answers How hard ventricles must contract based on vascular resistance MAP - Answers 60-70 mmHg for adequate organ perfusion Atherosclerosis - Answers Plaque, may hear bruit Arteriosclerosis - Answers abnormal hardening of the walls of an artery or arteries Myocardial Nuclear Perfusion Imaging - MNPI - Answers Hot spot = positive for MI Inotrophy - Answers contractility- pumping Chronotrophy - Answers heart rate Digoxin - Answers Increase inotrophy Signs of toxicity- anorexia, fatigue, blurred vision, change in mental status, bradycardia Peripheral Artery Disease - Answers Arteries blocked, decreased perfusion to extremities, caused by thrombus or embolus, hair loss on legs, dry skin, thick nails, ulcers and pain, pale when raised above heart, red when below, avoid tight clothing Pain, Pallor, Paralysis, Pulselessness, Parasthesia, Coolness Valve Replacement - Answers Lifelong warfarin, PT and INR between 3-4 used to monitor, prophylactic antibiotics for dentist, avoid dark leafy veggies Thrombus - Answers Clot Embolus - Answers moving blood clot Troponins - Answers Serum cardiac enzyme Troponin > 0.1 and I > 0.03 indicates MI Chest Pain Protocol - Answers IV EKG Oxygen MONA Vitals Heparin IV Drip - Answers APTT 60-80 every 6 hours After reached therapeutic level, add warfarin PO for a week then take off heparin INR 15-20 MONA - Answers M- morphine 1-2mg