NURS 340 Exam 2 – Study Guide, Practice Questions & Nursing Exam Review
Risks associated with poorly controlled hypertension - correct answer ✔✔Kidney disease,
stroke, vision loss, MI, heart disease
6 risks for developing hypertension - correct answer ✔✔Stress, obesity, hyperlipidemia, alcohol,
smoking, African American
Lab values that indicate hypertension - correct answer ✔✔Bun > 24, Creatinine > 1.35
Symptoms of hypertension - correct answer ✔✔Headache, flushing, dizziness, low urinary
output, nose bleeds, vision changes, nausea
ACE Inhibitors - correct answer ✔✔For hypertension
Lisinopril - cough
Enalopril
Captopril
Diuretics - correct answer ✔✔For hypertension
Potassium wasting - HCTZ and Lasix
Potassium Sparing - Spironolactone
Beta Blockers - correct answer ✔✔For Hypertension
Atenolol and Metoprolol
Assess heart rate and blood pressure before administering
Hold if heart rate below 60 if blood pressure systolic below 90
,Calcium Channel Blockers - correct answer ✔✔For hypertension
Verapamil
Amlodipine
Diltazem
ARBs - correct answer ✔✔For hypertension
Valsartan, Losartan
Statins - correct answer ✔✔Cause muscle pain
Issue with diuretics - correct answer ✔✔Hypokalemia, fall risk
Most reliable indicator of fluid loss or retention - correct answer ✔✔Daily weights, 1 lb = 1 kg
Left sided heart failure - correct answer ✔✔Fluid backs into lungs, low CO, hacking cough,
crackles in lungs, pink frothy sputum, nocturia, pale, cold, decreased palor, tachycardia
Right Sided Heart Failure - correct answer ✔✔Blood backs up into body, edema, fluid volume
excess, clothes fit tightly, jugular vein distention, systemic congestion
CO - correct answer ✔✔3-6mL/minute is normal
Preload - correct answer ✔✔How much ventricles stretch at the end of diastole based on
volume
After load - correct answer ✔✔How hard ventricles must contract based on vascular resistance
, MAP - correct answer ✔✔60-70 mmHg for adequate organ perfusion
Atherosclerosis - correct answer ✔✔Plaque, may hear bruit
Arteriosclerosis - correct answer ✔✔abnormal hardening of the walls of an artery or arteries
Myocardial Nuclear Perfusion Imaging - MNPI - correct answer ✔✔Hot spot = positive for MI
Inotrophy - correct answer ✔✔contractility- pumping
Chronotrophy - correct answer ✔✔heart rate
Digoxin - correct answer ✔✔Increase inotrophy
Signs of toxicity- anorexia, fatigue, blurred vision, change in mental status, bradycardia
Peripheral Artery Disease - correct answer ✔✔Arteries blocked, decreased perfusion to
extremities, caused by thrombus or embolus, hair loss on legs, dry skin, thick nails, ulcers and
pain, pale when raised above heart, red when below, avoid tight clothing
Pain, Pallor, Paralysis, Pulselessness, Parasthesia, Coolness
Valve Replacement - correct answer ✔✔Lifelong warfarin, PT and INR between 3-4 used to
monitor, prophylactic antibiotics for dentist, avoid dark leafy veggies
Thrombus - correct answer ✔✔Clot
Embolus - correct answer ✔✔moving blood clot
Risks associated with poorly controlled hypertension - correct answer ✔✔Kidney disease,
stroke, vision loss, MI, heart disease
6 risks for developing hypertension - correct answer ✔✔Stress, obesity, hyperlipidemia, alcohol,
smoking, African American
Lab values that indicate hypertension - correct answer ✔✔Bun > 24, Creatinine > 1.35
Symptoms of hypertension - correct answer ✔✔Headache, flushing, dizziness, low urinary
output, nose bleeds, vision changes, nausea
ACE Inhibitors - correct answer ✔✔For hypertension
Lisinopril - cough
Enalopril
Captopril
Diuretics - correct answer ✔✔For hypertension
Potassium wasting - HCTZ and Lasix
Potassium Sparing - Spironolactone
Beta Blockers - correct answer ✔✔For Hypertension
Atenolol and Metoprolol
Assess heart rate and blood pressure before administering
Hold if heart rate below 60 if blood pressure systolic below 90
,Calcium Channel Blockers - correct answer ✔✔For hypertension
Verapamil
Amlodipine
Diltazem
ARBs - correct answer ✔✔For hypertension
Valsartan, Losartan
Statins - correct answer ✔✔Cause muscle pain
Issue with diuretics - correct answer ✔✔Hypokalemia, fall risk
Most reliable indicator of fluid loss or retention - correct answer ✔✔Daily weights, 1 lb = 1 kg
Left sided heart failure - correct answer ✔✔Fluid backs into lungs, low CO, hacking cough,
crackles in lungs, pink frothy sputum, nocturia, pale, cold, decreased palor, tachycardia
Right Sided Heart Failure - correct answer ✔✔Blood backs up into body, edema, fluid volume
excess, clothes fit tightly, jugular vein distention, systemic congestion
CO - correct answer ✔✔3-6mL/minute is normal
Preload - correct answer ✔✔How much ventricles stretch at the end of diastole based on
volume
After load - correct answer ✔✔How hard ventricles must contract based on vascular resistance
, MAP - correct answer ✔✔60-70 mmHg for adequate organ perfusion
Atherosclerosis - correct answer ✔✔Plaque, may hear bruit
Arteriosclerosis - correct answer ✔✔abnormal hardening of the walls of an artery or arteries
Myocardial Nuclear Perfusion Imaging - MNPI - correct answer ✔✔Hot spot = positive for MI
Inotrophy - correct answer ✔✔contractility- pumping
Chronotrophy - correct answer ✔✔heart rate
Digoxin - correct answer ✔✔Increase inotrophy
Signs of toxicity- anorexia, fatigue, blurred vision, change in mental status, bradycardia
Peripheral Artery Disease - correct answer ✔✔Arteries blocked, decreased perfusion to
extremities, caused by thrombus or embolus, hair loss on legs, dry skin, thick nails, ulcers and
pain, pale when raised above heart, red when below, avoid tight clothing
Pain, Pallor, Paralysis, Pulselessness, Parasthesia, Coolness
Valve Replacement - correct answer ✔✔Lifelong warfarin, PT and INR between 3-4 used to
monitor, prophylactic antibiotics for dentist, avoid dark leafy veggies
Thrombus - correct answer ✔✔Clot
Embolus - correct answer ✔✔moving blood clot
