©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.
NRSG 533 MN Adult Exam 3 Questions And
Answers 2025 Update.
BP - Answer✔-affected by contractility, preload, and afterload (strongest variable)
-block angiotensin II - block vasoconstriction
-angiotensin II - potent vasoconstriction
-epi - works on heart
-noripe- vasoconstriction of vascular system
primary hypertension - Answer✔idiopathic, most common, no cause
secondary hypertension - Answer✔has a specific cause that can be identified corrected
when you think HTN think - Answer✔ischemia
HTN ischemia effects - Answer✔-heart, brain, kidney, eyes, lungs
# for HTN - Answer✔-proxy of telling us how tight the pressure in vessel - blood moving through
artery
higher BP means - Answer✔less blood flow through arteries
high BP is not symptomatic until - Answer✔you hit the organ failure stage
normal BP - Answer✔Systolic <120
and
Diastolic <80
elevated BP - Answer✔S: 120-129
and
D: < 80
stage 1 hypertension - Answer✔S: 130-139
or
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.
D: 80-89
stage 2 hypertension - Answer✔S: greater than or equal to 140
or
D: greater than or equal to 90
HTN emergency - Answer✔>180/120 with end organ damage
Treat with IV nitroprusside
reduce by 25% in first hour
HTN urgency - Answer✔-no target organ damage
-treat with PO meds - clonidine
-returns to their normal
-reduce by 25%
-dont want to drop BP to fast, bc it can effect brain, pump loosen, pressure not enough
profusion
how to calculate MAP - Answer✔MAP= 1/2SBP + 2/3DBP
calculating reducing MAP - Answer✔MAP= 180, reduce by 25%
=180 x .25
=45
new MAP = 135
HF symptoms dont manifest - Answer✔in heart but heart is main problem because its not
putting out enough blood to maintain rest of body needs
why liver is not effected by HF - Answer✔bc of hepatic circulation - blood flow from other
places
kidneys and HF - Answer✔-kidneys can compensate for a short period of time
-kidneys effect water retention due to lack of profusion -vasoconstriction - increase blood
volume in body
left sided HF symptoms - Answer✔-SOB
-dyspnea
-wheezing
-moist cough
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.
-confusion
-crackles in lungs
right sided HF symptoms - Answer✔-peripheral edema, pitting
-JVD (pulsating)
-liver tenderness - hepatomegaly
-anorexia - loss of appetite
-weight gain (2/3 lbs per day or 5 lbs per week )
major causes of right sided heart failure - Answer✔-smoking
-COPD
-enphazemia
systolic HF (contractility problem) - Answer✔-HFref (reduced)
-left sided
-ejection fraction < 40 %
causes of HFref - Answer✔-ischemic CAD (70%)
-dilated cardiomyopathy (30% familial)
-myocarditis - viral
-valvular heart disease - aortic stenosis
-tachycardia - metabolic, thyroid
-atrial fibrillation
-Adriamycin for cancer treatment
diastolic heart failure (filling problem) - Answer✔-HFpef (perserved)
-left sided
-EF WNL or > 50% or higher
causes of HFpef - Answer✔-aging
-thickening of heart muscle - HTN
-diabetes
-obesity
-alcohol/substance abuse
3
NRSG 533 MN Adult Exam 3 Questions And
Answers 2025 Update.
BP - Answer✔-affected by contractility, preload, and afterload (strongest variable)
-block angiotensin II - block vasoconstriction
-angiotensin II - potent vasoconstriction
-epi - works on heart
-noripe- vasoconstriction of vascular system
primary hypertension - Answer✔idiopathic, most common, no cause
secondary hypertension - Answer✔has a specific cause that can be identified corrected
when you think HTN think - Answer✔ischemia
HTN ischemia effects - Answer✔-heart, brain, kidney, eyes, lungs
# for HTN - Answer✔-proxy of telling us how tight the pressure in vessel - blood moving through
artery
higher BP means - Answer✔less blood flow through arteries
high BP is not symptomatic until - Answer✔you hit the organ failure stage
normal BP - Answer✔Systolic <120
and
Diastolic <80
elevated BP - Answer✔S: 120-129
and
D: < 80
stage 1 hypertension - Answer✔S: 130-139
or
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.
D: 80-89
stage 2 hypertension - Answer✔S: greater than or equal to 140
or
D: greater than or equal to 90
HTN emergency - Answer✔>180/120 with end organ damage
Treat with IV nitroprusside
reduce by 25% in first hour
HTN urgency - Answer✔-no target organ damage
-treat with PO meds - clonidine
-returns to their normal
-reduce by 25%
-dont want to drop BP to fast, bc it can effect brain, pump loosen, pressure not enough
profusion
how to calculate MAP - Answer✔MAP= 1/2SBP + 2/3DBP
calculating reducing MAP - Answer✔MAP= 180, reduce by 25%
=180 x .25
=45
new MAP = 135
HF symptoms dont manifest - Answer✔in heart but heart is main problem because its not
putting out enough blood to maintain rest of body needs
why liver is not effected by HF - Answer✔bc of hepatic circulation - blood flow from other
places
kidneys and HF - Answer✔-kidneys can compensate for a short period of time
-kidneys effect water retention due to lack of profusion -vasoconstriction - increase blood
volume in body
left sided HF symptoms - Answer✔-SOB
-dyspnea
-wheezing
-moist cough
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.
-confusion
-crackles in lungs
right sided HF symptoms - Answer✔-peripheral edema, pitting
-JVD (pulsating)
-liver tenderness - hepatomegaly
-anorexia - loss of appetite
-weight gain (2/3 lbs per day or 5 lbs per week )
major causes of right sided heart failure - Answer✔-smoking
-COPD
-enphazemia
systolic HF (contractility problem) - Answer✔-HFref (reduced)
-left sided
-ejection fraction < 40 %
causes of HFref - Answer✔-ischemic CAD (70%)
-dilated cardiomyopathy (30% familial)
-myocarditis - viral
-valvular heart disease - aortic stenosis
-tachycardia - metabolic, thyroid
-atrial fibrillation
-Adriamycin for cancer treatment
diastolic heart failure (filling problem) - Answer✔-HFpef (perserved)
-left sided
-EF WNL or > 50% or higher
causes of HFpef - Answer✔-aging
-thickening of heart muscle - HTN
-diabetes
-obesity
-alcohol/substance abuse
3
