NR667 / NR 667 VISE Call Study Guide | Latest 2026/2027 Update with Complete & Verified Solutions.

NR667 / NR 667 VISE Call Study
Guide | Latest 2026/2027 Update
with Complete & Verified Solutions.

Question:
Differential Diagnosis: Hypertension?
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Answer:
-Secondary HTN, white coat HTN (artificial elevation d/t medical
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environment anxiety) i,-




Question:
Final Diagnosis: Hypertension?
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Answer:

-Urinalysis = proteinuria
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-Electrolytes, creatinine, calciumi,- i,-




-Fasting lipid profile and BS
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-ECG

-Measure BP twice, 5 mins apart
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-Patient should be seated; use proper cuff size and application
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,Question:

Prevention: Hypertension? i,-




Answer:

-Maintaining healthy weight and BMI i,- i,- i,- i,-




-Smoking cessation i,-




-Regular aerobic exercisei,- i,-




-Alcohol in moderation (< 1 oz/day)
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-Stress management
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-Medication compliance i,-




-Assess for and treat OSA
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Question:
Non-pharm management: Hypertension? i,- i,-




Answer:

-Stage 1: Risk score < 10% =lifestyle modification
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-Stage 2: lifestyle + medication
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-DASH eating plan: high fruit, veggies, grains; low fat dairy, fish, poultry,
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beans, nuts
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-Reduce dietary sodium to 2,300mg/day, increase K+
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-Reduce sat. fat intake i,- i,- i,-




-Body weight reduction; 1kg of weight reduction = 1 mm/hg bp reduction
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,-150 mins of aerobic exercise and/or 3 sessions of isometric resistance per
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week

-Treat other underlying diseases
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-Check bp 2x/week during pregnancy
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Question:

Pharmacological management: Hypertension? i,- i,-




Answer:

-Start medication for primary prevention of CVD if pt. has ASCVD risk ≥
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10% and stage 1 HTN or if ASCVD is < 10% with bp >140/90
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-Stage 2: start 2 bp-lowering medications
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-African Americans: 2+ medications recommended; thiazide and CCBs are
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the most effective
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*DO NOT use ACE and ARB concurrently
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-Beta blockers are NOT first line
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-Thiazides, CCBs, ACEIs, and ARBs can be used alone or in combo
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Question:

Pregnancy considerations: Hypertension? i,- i,-




Answer:

-Can use beta blockers (labetalol), methyldopa, CCBs (nifedipine)
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-AVOID ARBs and ACEIs i,- i,- i,-

, Question:

Follow-up: Hypertension? i,-




Answer:

-Inquire about adherence and any side effects
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-Reassess monthly until patient reaches goal, then every 3-6 months as
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needed




Question:
Expected course: Hypertension?
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Answer:

-Only 54% of treated patients are at goal treatment; expect complications
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if under treated
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-Most patients require more than one medication to reach goal bp
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Question:

Possible Complications: Hypertension?
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Answer:
-Stroke, CAD, MI, renal failure, heart failure, eclampsia (seizures),
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pulmonary edema, hypertensive crisis, hypertensive retinopathy, ED
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