Nurs 620 Maryville Exam 2 Questions
and Answers Graded A+
Risk factors for hypertension - Correct answer-1. age & sex- women older than 55
& men older than 45
2.Obesity
3.Excessive dietary intake of salt
4.cigarette smoking
5.chronic alcohol consumption
6.Family history of high blood pressure and/or cardiovascular disease
7.African American race
8.Stress
9.Sedentary lifestyle
Blood pressure goals for JNC8 - Correct answer-Healthy patients over 60 years of
age is okay if it is below 150/90
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,Healthy patients less than 60 years of age the blood pressure is okay if less than
140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
lifestyle modifications for - Correct answer-Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week
Stop smoking
Alcohol less than 2 drinks a day
JNC8 preferred agents: - Correct answer--general population:
thiazide
CCB
ACEI
ARB
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,-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should not be used together - Correct answer-ACE
and ARBS
HTN therapy for patients over 75years old with impaired kidney function - Correct
answer-CCB
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, Thiazides
Classification of HTN per AHA - Correct answer-Normal BP: less than 120
Systolic, diastolic less than 80
Elevated: 120-129 systolic, less than 80 diastolic
Stage 1 HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month of treatment then what? - Correct answer-
Increase the intital dose of drug or add a second agent, if goal not achieved with 2
agents consider a 3rd agent.
When HTN treatment is initiated or dose changed when should patient follow up -
Correct answer-2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN - Correct answer-History- any symptoms?
Physical examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
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and Answers Graded A+
Risk factors for hypertension - Correct answer-1. age & sex- women older than 55
& men older than 45
2.Obesity
3.Excessive dietary intake of salt
4.cigarette smoking
5.chronic alcohol consumption
6.Family history of high blood pressure and/or cardiovascular disease
7.African American race
8.Stress
9.Sedentary lifestyle
Blood pressure goals for JNC8 - Correct answer-Healthy patients over 60 years of
age is okay if it is below 150/90
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Healthy patients less than 60 years of age the blood pressure is okay if less than
140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
lifestyle modifications for - Correct answer-Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week
Stop smoking
Alcohol less than 2 drinks a day
JNC8 preferred agents: - Correct answer--general population:
thiazide
CCB
ACEI
ARB
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should not be used together - Correct answer-ACE
and ARBS
HTN therapy for patients over 75years old with impaired kidney function - Correct
answer-CCB
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Thiazides
Classification of HTN per AHA - Correct answer-Normal BP: less than 120
Systolic, diastolic less than 80
Elevated: 120-129 systolic, less than 80 diastolic
Stage 1 HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month of treatment then what? - Correct answer-
Increase the intital dose of drug or add a second agent, if goal not achieved with 2
agents consider a 3rd agent.
When HTN treatment is initiated or dose changed when should patient follow up -
Correct answer-2-4 weeks, then once goal has achieved every 3-6 months.
Diagnostic workup for HTN - Correct answer-History- any symptoms?
Physical examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
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