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NURS 362 Final Exam Questions with Guaranteed Pass Solutions Updated.

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what is the most common risk factor for cardiovascular disease? - Answer hypertension AHA definition of HTN - Answer SBP 130, DBP 80 effects of HTN - Answer Increased pressure on vessel walls Increases rate of atherosclerosis Increases narrowing of vessels (obstruction) Damages small vessels to organs Increases workload of heart Increases incidence of thrombus formation effects of HTN on vessel damage - Answer can damage vessels in the: Brain Kidney Heart effects of HTN on cardiac workload - Answer R/L ventricle hypertrophy Ventricle dilation effects of HTN on thrombus formation - Answer Infarcts CVA Mesenteric, renal artery thrombi risk factors for HTN - Answer Family history Smoking Dyslipidemia Diabetes mellitus Obesity Inactivity Poor education

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NURS 362 Final Exam Questions with
Guaranteed Pass Solutions 2025-2026
Updated.
what is the most common risk factor for cardiovascular disease? - Answer hypertension



AHA definition of HTN - Answer SBP >130, DBP >80



effects of HTN - Answer Increased pressure on vessel walls

Increases rate of atherosclerosis

Increases narrowing of vessels (obstruction)

Damages small vessels to organs

Increases workload of heart

Increases incidence of thrombus formation



effects of HTN on vessel damage - Answer can damage vessels in the:

Brain

Kidney

Heart



effects of HTN on cardiac workload - Answer R/L ventricle hypertrophy

Ventricle dilation



effects of HTN on thrombus formation - Answer Infarcts

CVA

Mesenteric, renal artery thrombi



risk factors for HTN - Answer Family history

Smoking

Dyslipidemia

Diabetes mellitus

Obesity

Inactivity

Poor education

,Low SES

Older age



african americans and HTN - Answer Highest prevalence

Develop at a younger age than whites

Higher mortality rate

Women>men have HTN

Do not respond well to ACE inhibitors



hispanic americans and HTN - Answer Lower awareness of HTN and treatments

Less likely to receive treatment than African Americans or Caucasions

Lower rates of adequate blood pressure control



asian americans and HTN - Answer Similar to African Americans, higher incidences of side
effects with ACE inhibitors



native americans and HTN - Answer Lower rates of BP control than African Americans and
Caucasians



men and HTN - Answer HTN more common before age 55

More likely to suffer a MI than stroke



women and HTN - Answer HTN more common after age 55

More likely to suffer a stroke than a MI

Links to menopause related factors, oral contraceptive use



normal BP - Answer <120 / <80



elevated BP - Answer 120-129/<80



stage 1 HTN - Answer 130-139/80-89



stage 2 HTN - Answer >140/>90



primary (essential, idiopathic) hypertension - Answer 95% of all cases

,Also known as essential hypertension

Numerous contributing factors



secondary hypertension - Answer Less common

Stems from another disorders (renal disease, alcohol abuse, pregnancy, etc.)



why are 75% of those with HTN not controlled? - Answer Excess body weight

Insufficient physical activity

Lifestyle modification

Complacency among providers

Poor compliance

Absence of symptoms (AKA "the silent killer")



complications of HTN - Answer Longstanding, untreated hypertension can result in end-
organ damage

Heart disease

Angina/MI (coronary artery disease)

Heart failure

Other vascular disorders



metabolic syndrome - Answer Also known as Insulin-Resistance Syndrome or Syndrome X or
Cardiovascular Dysmetabolic Syndrome

A group of physical characteristics /conditions that appear to predispose people to heart
disease

May require interventions to delay or prevent heart disease



metabolic syndrome s/sx - Answer Abdominal obesity >35" women, >40" men

Hypertension

Dyslipidemia (low HDL, high trig)

Hyperinsulinemia (& insulin resistance)

Glucose intolerance



causes of metabolic syndrome - Answer Abdominal obesity ("apples v. pears")

Physical inactivity

Genetic factors

Diet (high sat. fat intake)

, Aging

Hormones



management of HTN depends on - Answer Blood pressure

Presence of risk factors

Modifiable and non-modifiable

Presence of organ damage

Blood pressure goals are lower than for those w/ no complications



goals for management of HTN - Answer Prevent disability and death

Maintain BP lower than 130/80



lifestyle modifications for HTN: weight loss - Answer 10 pound weight gain can increase SBP
by 4 points.

Weight loss decreases BP, serum lipids, improves type II DM, risk for CAD.



lifestyle modifications for HTN: quit nicotine use in all forms - Answer Nicotine causes
catecholamine release

This causes increased HR and BP



lifestyle modifications for HTN: limit/avoid other substances that increase BP - Answer
Caffeine

Oral contraceptives

Tricyclic antidepressants

Cold medicine

Steroids

Illegal drugs (methamphetamine, cocaine, ecstasy - narrows arteries)

Alcohol



lifestyle modifications for HTN - Answer Stress management

Take medications as prescribed (over 60 HTN meds and numerous supportive meds)

Seek regular medical care

Body movement at least 3-4 x week



dietary management for HTN - Answer Dietary Approaches to Stop Hypertension = DASH
diet

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