JOYCE UNIVERSITY NUR198 EXAM 3 STUDY GUIDE | ADULT HEALTH NURSING I PRACTICE
QUESTIONS & ANSWERS 2026/2027
Expected BP - ANS ✔✔systolic: less than 120
diastolic: less than 80
Elevated BP - ANS ✔✔120-129
Less than 80
Stage 1 HTN - ANS ✔✔130-139/80-89
Stage 2 HTN - ANS ✔✔140+
90+
Hypertensive Crisis - ANS ✔✔>180 and/or >120
Diuretic Meds - ANS ✔✔"ide"
furosemide (Lasix)
chlorothiazide (Diuril)
indapamide (Lozol)
hydrochlorothiazide (HCTZ)
spironolactone (Aldactone) (K sparing)
metolazone (Zaroxolyn)
Monitor electrolytes and I/O
Ca Channel Blockers - ANS ✔✔"ine"
,Amlodpine
Nifedipine
Dilitiazem
Verapamil
Dilate the arteries and reduce the force of the heart's contractions
ACE inhibitors - ANS ✔✔"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
Cough
Angiotensin 2 Receptor Antagonist - ANS ✔✔-sartan
•Block angiotensin II receptors
•Vasodilation
•Reduced aldosterone secretion
•No cough
•May cause angioedema and hyperkalemia
Beta Blockers - ANS ✔✔"lol"
decrease heart rate and dilate arteries by blocking beta receptors.
Can cause bronchoconstriction
, Central Alpha-2 Agonist: Clonidine - ANS ✔✔Works in brain to reduce NE. Reduced BP and
slows HR
Adverse Effects are dry mouth, fatigue, and bradycardia
Alpha 1 Antagonist - ANS ✔✔•Prazosin, doxazosin, terazosin
•Vasodilate by blocking alpha-1 receptors on arterioles in the body
•Orthostatic symptoms are very common
•May cause first dose phenomenon and profound hypotension, so should be taken at night
•Can initially cause rebound tachycardia, which can be controlled with a beta-blocker
atherosclerosis vs. arteriosclerosis - ANS ✔✔Athero - deposition of fatty plaques on intima of
arteries
Arterio - arteries become more rigid
normal total cholesterol range - ANS ✔✔<200 mg/dL
When screening for heart disease
Normal LDL range - ANS ✔✔<130
Normal Triglycerides - ANS ✔✔M: 40-160
F: 35-135
Normal HDL Levels - ANS ✔✔F: >55
M: >45
QUESTIONS & ANSWERS 2026/2027
Expected BP - ANS ✔✔systolic: less than 120
diastolic: less than 80
Elevated BP - ANS ✔✔120-129
Less than 80
Stage 1 HTN - ANS ✔✔130-139/80-89
Stage 2 HTN - ANS ✔✔140+
90+
Hypertensive Crisis - ANS ✔✔>180 and/or >120
Diuretic Meds - ANS ✔✔"ide"
furosemide (Lasix)
chlorothiazide (Diuril)
indapamide (Lozol)
hydrochlorothiazide (HCTZ)
spironolactone (Aldactone) (K sparing)
metolazone (Zaroxolyn)
Monitor electrolytes and I/O
Ca Channel Blockers - ANS ✔✔"ine"
,Amlodpine
Nifedipine
Dilitiazem
Verapamil
Dilate the arteries and reduce the force of the heart's contractions
ACE inhibitors - ANS ✔✔"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
Cough
Angiotensin 2 Receptor Antagonist - ANS ✔✔-sartan
•Block angiotensin II receptors
•Vasodilation
•Reduced aldosterone secretion
•No cough
•May cause angioedema and hyperkalemia
Beta Blockers - ANS ✔✔"lol"
decrease heart rate and dilate arteries by blocking beta receptors.
Can cause bronchoconstriction
, Central Alpha-2 Agonist: Clonidine - ANS ✔✔Works in brain to reduce NE. Reduced BP and
slows HR
Adverse Effects are dry mouth, fatigue, and bradycardia
Alpha 1 Antagonist - ANS ✔✔•Prazosin, doxazosin, terazosin
•Vasodilate by blocking alpha-1 receptors on arterioles in the body
•Orthostatic symptoms are very common
•May cause first dose phenomenon and profound hypotension, so should be taken at night
•Can initially cause rebound tachycardia, which can be controlled with a beta-blocker
atherosclerosis vs. arteriosclerosis - ANS ✔✔Athero - deposition of fatty plaques on intima of
arteries
Arterio - arteries become more rigid
normal total cholesterol range - ANS ✔✔<200 mg/dL
When screening for heart disease
Normal LDL range - ANS ✔✔<130
Normal Triglycerides - ANS ✔✔M: 40-160
F: 35-135
Normal HDL Levels - ANS ✔✔F: >55
M: >45
