NUR 501 EXAM 3 STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS, VERIFIED
ANSWERS & COMPREHENSIVE REVIEW
What is prehypertension? - correct answer ✔✔Systolic- 120 to 139mmHg, Diastolic 80 to
89mmHg
What is isolated systolic hypertension? - correct answer ✔✔SBP> 140 mmHg with DBP <
90mmHg
What is Hypertension stage 1? - correct answer ✔✔SBP 140-149 or DBP 90-99
What is hypertension? - correct answer ✔✔Persistent elevation of systolic blood pressure >/=
140mmHg, Diastolic blood pressure >/=90mmHg, current use of antihypertensive drugs
What is Hypertension stage 2 ? - correct answer ✔✔SBP >/= 160 or DBP >/= 100
Modifiable Risk Factors for Hypertension? - correct answer ✔✔alcohol, tobacco use, diabetes
mellitus, elevated serum lipids, excess of dietary sodium, obesity, sedentary lifestyle, stress
NonModifiable Risk Factors for Hypertension? - correct answer ✔✔age, gender, family history,
ethnicity, diabetes mellitus, socioeconomic status
Tx of Hypertension? - correct answer ✔✔Weight reduction; loss of 22lbs(10kg) may decrease
SBP by 5-20mmHg, calorie restriction, physical activity, DASH eating plan, lowering cholesterol,
avoidance of tobacco products
Hypertension Nursing Interventions? - correct answer ✔✔Health promotion, education,
cardiovascular risk factor modification, ambulatory and home care, detect and report adverse
effects, evaluate therapeutic effectiveness, assess and enhance compliance
,Reasons for noncompliance of HTN Tx? - correct answer ✔✔inadequate teaching, side effects,
return of normal BP, lack of motivation, financial, lack of trust
Measure to enhance compliance of HTN Tx? - correct answer ✔✔individualize plan, active Pt
participation, select affordable drugs, involve caregivers, combination drugs, Pt teaching
How to take Blood Pressure? - correct answer ✔✔take both arms initially, proper size and
placement of cuff (document site), ok to use forearm
What is a Tilt Test? - correct answer ✔✔Assess for orthostatic hypotension (measure BP and
pulse supine, sitting, and standing), measure within 1 to 2 minutes of position change. Measure
in non-dominant arm or arm with higher BP, take first thing in the morning and at night, log
reading. Classification based on the average of 2 or more readings on two or more OFC visits
What is a positive Tilt Test? - correct answer ✔✔Positive if decreases 20 20mmHg or more in
SBP, decreases 10mmHg or more in DBP or increases 20bpm or more in HR
Cholesterol Levels - correct answer ✔✔Elevated serum lipids
• Cholesterol >200 mg/dL (5.2 mmol/L)
• Triglycerides >150 mg/dL (3.7 mmol/L)
• High-density lipoproteins (HDL)
• Low-density lipoproteins (LDL)
Stress of Elevated BP do to arteries? - correct answer ✔✔The stress of an elevated BP increases
the rate of atherosclerotic development. This relates to the shearing stress that causes
endothelial injury.
, CAD modifiable risk factors? - correct answer ✔✔Lipid levels, HTN, Physical activity, obesity,
diabetes, metabolic syndrome
CAD nonmodifiable risk factors? - correct answer ✔✔age, gender, ethnicity, family hx - genetic
predisposition
Age & CAD - correct answer ✔✔The incidence of CAD and MI is highest among white, middle-
aged men. After age 65, the incidence in men and women equalizes, although cardiovascular
disease causes more deaths in women than men.
Gender & CAD - correct answer ✔✔On average, women with CAD are older than men who have
CAD, and are more likely to have co-morbidities (e.g., hypertension, diabetes). Most women
have atypical symptoms of angina rather than MI when presenting with their initial cardiac
event.
Ethnicity & CAD - correct answer ✔✔• African Americans have an earlier onset and more severe
CAD than there CAD counterparts.
• CAD incidence and mortality rates are greater in African American women than their white
counterparts.
Genetics & CAD - correct answer ✔✔The genetic basis of CAD/MI is complex and poorly
understood. It is estimated that the genetic contribution to CAD/MI is as high as 40% to 60%.
This proportion relates mainly to genes that control known risk factors (e.g., lipid metabolism).
Tx of CAD? - correct answer ✔✔Prevention and early treatment, identifying those at risk (health
history, presence of cardiovascular symptoms, environmental patterns, diet, activity,
psychosocial history, values and beliefs about health and illness
Physical Fitness levels in Tx of CAD? - correct answer ✔✔30min/day and wt train 2 days/wk
(FITT formula: frequency, intensity, type, time)
ANSWERS & COMPREHENSIVE REVIEW
What is prehypertension? - correct answer ✔✔Systolic- 120 to 139mmHg, Diastolic 80 to
89mmHg
What is isolated systolic hypertension? - correct answer ✔✔SBP> 140 mmHg with DBP <
90mmHg
What is Hypertension stage 1? - correct answer ✔✔SBP 140-149 or DBP 90-99
What is hypertension? - correct answer ✔✔Persistent elevation of systolic blood pressure >/=
140mmHg, Diastolic blood pressure >/=90mmHg, current use of antihypertensive drugs
What is Hypertension stage 2 ? - correct answer ✔✔SBP >/= 160 or DBP >/= 100
Modifiable Risk Factors for Hypertension? - correct answer ✔✔alcohol, tobacco use, diabetes
mellitus, elevated serum lipids, excess of dietary sodium, obesity, sedentary lifestyle, stress
NonModifiable Risk Factors for Hypertension? - correct answer ✔✔age, gender, family history,
ethnicity, diabetes mellitus, socioeconomic status
Tx of Hypertension? - correct answer ✔✔Weight reduction; loss of 22lbs(10kg) may decrease
SBP by 5-20mmHg, calorie restriction, physical activity, DASH eating plan, lowering cholesterol,
avoidance of tobacco products
Hypertension Nursing Interventions? - correct answer ✔✔Health promotion, education,
cardiovascular risk factor modification, ambulatory and home care, detect and report adverse
effects, evaluate therapeutic effectiveness, assess and enhance compliance
,Reasons for noncompliance of HTN Tx? - correct answer ✔✔inadequate teaching, side effects,
return of normal BP, lack of motivation, financial, lack of trust
Measure to enhance compliance of HTN Tx? - correct answer ✔✔individualize plan, active Pt
participation, select affordable drugs, involve caregivers, combination drugs, Pt teaching
How to take Blood Pressure? - correct answer ✔✔take both arms initially, proper size and
placement of cuff (document site), ok to use forearm
What is a Tilt Test? - correct answer ✔✔Assess for orthostatic hypotension (measure BP and
pulse supine, sitting, and standing), measure within 1 to 2 minutes of position change. Measure
in non-dominant arm or arm with higher BP, take first thing in the morning and at night, log
reading. Classification based on the average of 2 or more readings on two or more OFC visits
What is a positive Tilt Test? - correct answer ✔✔Positive if decreases 20 20mmHg or more in
SBP, decreases 10mmHg or more in DBP or increases 20bpm or more in HR
Cholesterol Levels - correct answer ✔✔Elevated serum lipids
• Cholesterol >200 mg/dL (5.2 mmol/L)
• Triglycerides >150 mg/dL (3.7 mmol/L)
• High-density lipoproteins (HDL)
• Low-density lipoproteins (LDL)
Stress of Elevated BP do to arteries? - correct answer ✔✔The stress of an elevated BP increases
the rate of atherosclerotic development. This relates to the shearing stress that causes
endothelial injury.
, CAD modifiable risk factors? - correct answer ✔✔Lipid levels, HTN, Physical activity, obesity,
diabetes, metabolic syndrome
CAD nonmodifiable risk factors? - correct answer ✔✔age, gender, ethnicity, family hx - genetic
predisposition
Age & CAD - correct answer ✔✔The incidence of CAD and MI is highest among white, middle-
aged men. After age 65, the incidence in men and women equalizes, although cardiovascular
disease causes more deaths in women than men.
Gender & CAD - correct answer ✔✔On average, women with CAD are older than men who have
CAD, and are more likely to have co-morbidities (e.g., hypertension, diabetes). Most women
have atypical symptoms of angina rather than MI when presenting with their initial cardiac
event.
Ethnicity & CAD - correct answer ✔✔• African Americans have an earlier onset and more severe
CAD than there CAD counterparts.
• CAD incidence and mortality rates are greater in African American women than their white
counterparts.
Genetics & CAD - correct answer ✔✔The genetic basis of CAD/MI is complex and poorly
understood. It is estimated that the genetic contribution to CAD/MI is as high as 40% to 60%.
This proportion relates mainly to genes that control known risk factors (e.g., lipid metabolism).
Tx of CAD? - correct answer ✔✔Prevention and early treatment, identifying those at risk (health
history, presence of cardiovascular symptoms, environmental patterns, diet, activity,
psychosocial history, values and beliefs about health and illness
Physical Fitness levels in Tx of CAD? - correct answer ✔✔30min/day and wt train 2 days/wk
(FITT formula: frequency, intensity, type, time)
