NURS 620 Exam 2 (Latest 2026
Version) | 156 Verified Questions
and Correct Answers | Graded A+
Risk factors for hypertension --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 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: --SOLUTION-- -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 --SOLUTION--
ACE and ARBS
HTN therapy for patients over 75years old with impaired kidney function -
CORRECT ANSWERS CCB
Thiazides
Classification of HTN per AHA --SOLUTION-- 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? --SOLUTION--
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 -
-SOLUTION-- 2-4 weeks, then once goal has achieved every 3-6
months.
Diagnostic workup for HTN --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 1) Improper BP measurement
Version) | 156 Verified Questions
and Correct Answers | Graded A+
Risk factors for hypertension --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 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: --SOLUTION-- -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 --SOLUTION--
ACE and ARBS
HTN therapy for patients over 75years old with impaired kidney function -
CORRECT ANSWERS CCB
Thiazides
Classification of HTN per AHA --SOLUTION-- 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? --SOLUTION--
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 -
-SOLUTION-- 2-4 weeks, then once goal has achieved every 3-6
months.
Diagnostic workup for HTN --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 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 --SOLUTION-- 1) Improper BP measurement
