UTA Nurs 5334 Advanced Pharmacology Test 2
Latest Update 2024-2025
HTN is defined as - Answer As SBP > 130mmHg or DBP > 80mmHg
How many BP readings are required to diagnoses HTN - Answer Diagnosis should be
based on BP readings over one to two weeks
HTN treatment goal is - Answer To reduce cardiovascular and renal morbidity and
mortality
The usual form of HTN is - Answer Primary or essential
Elevated SBP presents a - Answer Greater risk for complications than elevated DBP for
people older than 50 y/o
For all ages, HTN related deaths result - Answer Largely from cerebral hemorrhage,
renal failure, heart failure and MI
Four BP categories - Answer Normal SBP <120 and DBP < 80
Elevated SBP 120-129 or DBP > 80
Stage 1 SBP > 130-139 or DBP 80-89
Stage 2 SBP ≥ 140 or DBP ≥ 90
, 1. A 30-year-old man in for annual examination. On last exam one year ago, BP was
120/70. Patient has no complaint. On examination, vital signs: BP 158/96 mm Hg, P 88, R
20 T 98.6 F orally, BMI 34 Kg/m2. Rest of examination showed normal results. What
would your next step be? - Answer a) Start antihypertensive therapy with one agent
b) Initiate antihypertensive treatment with two drugs
c) Within the following two weeks repeat BP twice
d) Refer patient to ER
2. Your final patient of the day is a 72-year-old female who has several chronic medical
conditions which include the following: Hypertension, hyperlipidemia, osteoarthritis,
anemia, and diabetes mellitus type 2. Current medications include hydrochlorothiazide,
atorvastatin (Lipitor), acetaminophen, ferrous sulfate, and metformin. Patient brings in
her BP log which shows BP readings between 152/92 to 160/96 mm Hg over the past
three months. Potassium is 4.9 mg/dl (normal 3.5-5.5 mg/dl). Your next best action is to: -
Answer a) Add another diuretic like aldosterone.
b) Prescribe an angiotensin-converting enzyme inhibitor (ACEI)
c) Continue current medications. No need to add another medication as patient may
forget to take it.
d) Schedule a six months follow-up visit.
3. A 64-year-old man with hypertension takes ACEI and Aldosterone (spironolactone).
He needs to be followed up for an increase in which of the following electrolytes? -
Answer a) Potassium
b) Sodium
c) Glucose
d) Calcium
4. Your next patient is new to your practice. Her name is Ms. Smith. Ms. Smith is a
79-year-old woman who tells you her last examination was over two years ago. She
gives history of hypertension since the age of 35 with BP readings greater than 160/100.
Patient is currently not taking any medications. Patient is at risk for: - Answer a)
Cardiovascular disease (CVA)
b) LEFT ventricular hypertrophy
Latest Update 2024-2025
HTN is defined as - Answer As SBP > 130mmHg or DBP > 80mmHg
How many BP readings are required to diagnoses HTN - Answer Diagnosis should be
based on BP readings over one to two weeks
HTN treatment goal is - Answer To reduce cardiovascular and renal morbidity and
mortality
The usual form of HTN is - Answer Primary or essential
Elevated SBP presents a - Answer Greater risk for complications than elevated DBP for
people older than 50 y/o
For all ages, HTN related deaths result - Answer Largely from cerebral hemorrhage,
renal failure, heart failure and MI
Four BP categories - Answer Normal SBP <120 and DBP < 80
Elevated SBP 120-129 or DBP > 80
Stage 1 SBP > 130-139 or DBP 80-89
Stage 2 SBP ≥ 140 or DBP ≥ 90
, 1. A 30-year-old man in for annual examination. On last exam one year ago, BP was
120/70. Patient has no complaint. On examination, vital signs: BP 158/96 mm Hg, P 88, R
20 T 98.6 F orally, BMI 34 Kg/m2. Rest of examination showed normal results. What
would your next step be? - Answer a) Start antihypertensive therapy with one agent
b) Initiate antihypertensive treatment with two drugs
c) Within the following two weeks repeat BP twice
d) Refer patient to ER
2. Your final patient of the day is a 72-year-old female who has several chronic medical
conditions which include the following: Hypertension, hyperlipidemia, osteoarthritis,
anemia, and diabetes mellitus type 2. Current medications include hydrochlorothiazide,
atorvastatin (Lipitor), acetaminophen, ferrous sulfate, and metformin. Patient brings in
her BP log which shows BP readings between 152/92 to 160/96 mm Hg over the past
three months. Potassium is 4.9 mg/dl (normal 3.5-5.5 mg/dl). Your next best action is to: -
Answer a) Add another diuretic like aldosterone.
b) Prescribe an angiotensin-converting enzyme inhibitor (ACEI)
c) Continue current medications. No need to add another medication as patient may
forget to take it.
d) Schedule a six months follow-up visit.
3. A 64-year-old man with hypertension takes ACEI and Aldosterone (spironolactone).
He needs to be followed up for an increase in which of the following electrolytes? -
Answer a) Potassium
b) Sodium
c) Glucose
d) Calcium
4. Your next patient is new to your practice. Her name is Ms. Smith. Ms. Smith is a
79-year-old woman who tells you her last examination was over two years ago. She
gives history of hypertension since the age of 35 with BP readings greater than 160/100.
Patient is currently not taking any medications. Patient is at risk for: - Answer a)
Cardiovascular disease (CVA)
b) LEFT ventricular hypertrophy
