NR324 EXAM 2/NR-324 ADULT HEALTH 1 EXAM 2 LATEST VERSION
2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |AGRADE
What is BMP – ANSWER- ( B-type natriuretic peptide) will be
increased in there is heart failure
What are the cholesterol level – ANSWER- Total cholesterol <200 LDL- (bad) <130 HDL-( happy ) >40
What are the nursing responsibility for cardiac cath – ANSWER- check
site, lay flat, log roll, check pulses, Bed rest for 2 hours
How much sodium should a cardio patient get in 24 hours – ANSWER2300 grams
What are the cardiac biomarkers ( troponin) – ANSWER- Troponin T
(cTnT)
Troponin I (cTnI)
Rises within 4-6 hours, peaks 10-24 hours, detected for up to 10-14 days
What are the cardiac biomarkers ( creatine kinase ( CK) – ANSWERThree isoenzymes
CK-MB cardiac specific
Rises in 3-6 hours, peaks in 12-24 hours, returns to baseline within 12-
48 hours
Cardiac catheterization – ANSWER- Right-sided to measure pressures
Left-sided to evaluate coronary arteries
How do the Baroreceptors Factors Influencing BP – ANSWERSensitive to stretching
Send impulses to sympathetic vasomotor center
Blood pressure (BP) – ANSWER- the force exerted by the blood against
the walls of the blood vessel, is primarily a function of cardiac output
(CO) and systemic vascular resistance.
What is the Systolic BP – ANSWER- the force exerted by the blood
against the walls of the blood vessel
What is the Diastolic BP – ANSWER- pressure in the arterial system
during ventricular filling
What is a normal BP – ANSWER- <120 /<80
What is prehypertension – ANSWER- 120/139/80-89
What is hypertension stage 1 – ANSWER- 140-149/90-99
What is hypertension stage 2 – ANSWER- >160/>100
What are the sign and symptoms of Hypertension – ANSWER- “Silent
killer”, Often asymptomatic
S/S reflect effects on target organs/tissues
Fatigue , Activity intolerance, Dizziness, Palpitations, Angina
Dyspnea
What kind of studies are done for hypertension – ANSWER- Urinalysis,
BUN and serum creatinine, Creatinine clearance
Serum electrolytes, glucose, Serum lipid profile, Uric acid levels, ECG,
Echocardiogram
What does MAP mean – ANSWER- it is the average pressure in the
arterial system
if the mean < 60mm HG for adequate tissue prefusion
Primary (essential or idiopathic) hypertension – ANSWER- elevated BP
without an identified cause, and it accounts for 90% to 95% of all cases
of hypertension.
Secondary hypertension – ANSWER- elevated BP with a specific cause
that often can be identified and corrected. relates to a underlying cause