Nurs 620 Maryville Exam 2
Questions and Answers 100%
PASS
Risk factors for hypertension—ANSWER-1. age & sex- women older than 55 & men older
than 45
2.Obesity
3.Excessive dietary intake of salt
4.cigarette smoking
5.chronic alcohol consumption
6.Family history of high blood pressure and/or cardiovascular disease
7.African American race
8.Stress
9.Sedentary lifestyle
Blood pressure goals for JNC8—ANSWER-Healthy patients over 60 years of age is okay if it is
below 150/90
,Healthy patients less than 60 years of age the blood pressure is okay if less than 140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
lifestyle modifications for—ANSWER-Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week
Stop smoking
Alcohol less than 2 drinks a day
JNC8 preferred agents:—ANSWER--general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,thiazide
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should not be used together—ANSWER-ACE and ARBS
HTN therapy for patients over 75years old with impaired kidney function—ANSWER-CCB
Thiazides
Classification of HTN per AHA—ANSWER-Normal BP: less than 120 Systolic, diastolic less
than 80
Elevated: 120-129 systolic, less than 80 diastolic
Stage 1 HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month of treatment then what?—ANSWER-Increase the intital
dose of drug or add a second agent, if goal not achieved with 2 agents consider a 3rd agent.
, When HTN treatment is initiated or dose changed when should patient follow up—ANSWER-
2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN—ANSWER-History- any symptoms?
Physical examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
need to know kidney function, electrolytes, are they spilling protein in their urine.
Work up for secondary causes of HTN—ANSWER-Cushings- need a 24 hour urine
Coarctation of the aorta- CXR
Pheochromocytoma- 24 hour urine
Primary hyperaldosteronism
Renovascular hypertension- Renal arterogram, ultrasound of kidneys
Resistant Hypertension—ANSWER-failure to reach goal BP in patients who are taking full
doses of an appropriate three-drug therapy regimen that includes a diuretic
needs referral to cardiologist
Causes of resistant HTN—ANSWER-1) Improper BP measurement
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Questions and Answers 100%
PASS
Risk factors for hypertension—ANSWER-1. age & sex- women older than 55 & men older
than 45
2.Obesity
3.Excessive dietary intake of salt
4.cigarette smoking
5.chronic alcohol consumption
6.Family history of high blood pressure and/or cardiovascular disease
7.African American race
8.Stress
9.Sedentary lifestyle
Blood pressure goals for JNC8—ANSWER-Healthy patients over 60 years of age is okay if it is
below 150/90
,Healthy patients less than 60 years of age the blood pressure is okay if less than 140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
lifestyle modifications for—ANSWER-Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week
Stop smoking
Alcohol less than 2 drinks a day
JNC8 preferred agents:—ANSWER--general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,thiazide
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should not be used together—ANSWER-ACE and ARBS
HTN therapy for patients over 75years old with impaired kidney function—ANSWER-CCB
Thiazides
Classification of HTN per AHA—ANSWER-Normal BP: less than 120 Systolic, diastolic less
than 80
Elevated: 120-129 systolic, less than 80 diastolic
Stage 1 HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month of treatment then what?—ANSWER-Increase the intital
dose of drug or add a second agent, if goal not achieved with 2 agents consider a 3rd agent.
, When HTN treatment is initiated or dose changed when should patient follow up—ANSWER-
2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN—ANSWER-History- any symptoms?
Physical examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
need to know kidney function, electrolytes, are they spilling protein in their urine.
Work up for secondary causes of HTN—ANSWER-Cushings- need a 24 hour urine
Coarctation of the aorta- CXR
Pheochromocytoma- 24 hour urine
Primary hyperaldosteronism
Renovascular hypertension- Renal arterogram, ultrasound of kidneys
Resistant Hypertension—ANSWER-failure to reach goal BP in patients who are taking full
doses of an appropriate three-drug therapy regimen that includes a diuretic
needs referral to cardiologist
Causes of resistant HTN—ANSWER-1) Improper BP measurement
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
