NURS-620 ADULT GERO HEALTH CARE I
MARYVILLE NURS 620 ADULT GERO HEALTH
CARE I LATEST EXAM 2 2025/2026 ACCURATE
SPRING-SUMMER
What would a diagnosis of HTN w/o further confirmation be based on?
Initial screening BP of ≥180/110 mmHg or who presents with hypertensive emergency
What is the first lifestyle modification to address for someone diagnosed with HTN
Weight reduction
African Americans dx with HTN without chronic kidney disease should use
CCBs and thiazides
what 2 classes of HTN medication should not be used together?
ACEIs and ARBs
What should be used instead of ACEIs and ARBs in patients over age 75 with
impaired kidney function
CCBs and thiazides
If goal not reached within a month of treatment for HTN what is the next step?
increase the initial dose of drug or add a 2nd agent & reinforce lifestyle changes
What level of BUN will increase the CURB 65 score by 1?
, NURS-620 ADULT GERO HEALTH CARE I
greater than 19
What factors are considered to calculate CURB 65 score?
age ≥65, BUN >19, Systolic <90/Diastolic ≤ 60, RR >30, confusion
sleep apnea education
weight loss and exercise; elevate head of bed; avoid alcohol
Presents with history of asthma without treatment for a while. She reports daily but
not continual symptoms that last longer than 1 week and present at night. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you
classify her asthma?
moderate persistent
What is the most common bacterial pathogen in CAP?
Streptococcus PNA
Which obstructive lung disease is reversible
asthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD
Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor?
his collar size is 17 inches
MARYVILLE NURS 620 ADULT GERO HEALTH
CARE I LATEST EXAM 2 2025/2026 ACCURATE
SPRING-SUMMER
What would a diagnosis of HTN w/o further confirmation be based on?
Initial screening BP of ≥180/110 mmHg or who presents with hypertensive emergency
What is the first lifestyle modification to address for someone diagnosed with HTN
Weight reduction
African Americans dx with HTN without chronic kidney disease should use
CCBs and thiazides
what 2 classes of HTN medication should not be used together?
ACEIs and ARBs
What should be used instead of ACEIs and ARBs in patients over age 75 with
impaired kidney function
CCBs and thiazides
If goal not reached within a month of treatment for HTN what is the next step?
increase the initial dose of drug or add a 2nd agent & reinforce lifestyle changes
What level of BUN will increase the CURB 65 score by 1?
, NURS-620 ADULT GERO HEALTH CARE I
greater than 19
What factors are considered to calculate CURB 65 score?
age ≥65, BUN >19, Systolic <90/Diastolic ≤ 60, RR >30, confusion
sleep apnea education
weight loss and exercise; elevate head of bed; avoid alcohol
Presents with history of asthma without treatment for a while. She reports daily but
not continual symptoms that last longer than 1 week and present at night. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you
classify her asthma?
moderate persistent
What is the most common bacterial pathogen in CAP?
Streptococcus PNA
Which obstructive lung disease is reversible
asthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD
Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor?
his collar size is 17 inches
