NURS 620 Maryville Exam 2 2026/2027 |
Latest Study Guide | Practice Questions,
Answers & Detailed Rationales
Risk factors for hypertension - correct 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 - correct 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 - correct 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: - correct answer--general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
ARB
,-CKD:
ACE
ARB
Which medications for HTN should not be used together - correct answer-ACE
and ARBS
HTN therapy for patients over 75years old with impaired kidney function - correct
answer-CCB
Thiazides
Classification of HTN per AHA - correct 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? - correct 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 -
correct answer-2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN - correct 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 - correct 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 - correct 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 - correct answer-1) Improper BP measurement
2) Excess Na+ intake
3) Inadequate diuretic Tx
4) Med issues such as inadequate doses, drug actions and interactions (e.g.
NSAIDs, illicit drugs, sympathomimetics, OCPs), or OTC drugs and herbals
5) Excess EtOH intake
Latest Study Guide | Practice Questions,
Answers & Detailed Rationales
Risk factors for hypertension - correct 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 - correct 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 - correct 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: - correct answer--general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
ARB
,-CKD:
ACE
ARB
Which medications for HTN should not be used together - correct answer-ACE
and ARBS
HTN therapy for patients over 75years old with impaired kidney function - correct
answer-CCB
Thiazides
Classification of HTN per AHA - correct 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? - correct 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 -
correct answer-2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN - correct 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 - correct 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 - correct 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 - correct answer-1) Improper BP measurement
2) Excess Na+ intake
3) Inadequate diuretic Tx
4) Med issues such as inadequate doses, drug actions and interactions (e.g.
NSAIDs, illicit drugs, sympathomimetics, OCPs), or OTC drugs and herbals
5) Excess EtOH intake
