Question 1

A patient who has unsuccessfully implemented lifestyle modifications for high blood pressure asks what else can be done. What should the nurse respond to this patient?

Accepted Answer

A) "You should get more rest." 
B) "You should decrease your exercise plan." 
C) "You should consider more strenuous exercise." 
D) "Your doctor may discuss medication with you."

Question 2

The nurse is preparing to administer atenolol (Tenormin) to a patient with hypertension. The patient's blood pressure is 72/40 mm Hg. Which action should the nurse take?

Accepted Answer

A) Administer the medication as ordered. 
B) Notify the HCP. 
C) Reassess the patient's blood pressure in 8 hours. 
D) Administer half of the prescribed dose.

Question 3

The nurse is taking a medication history of a patient with a chronic cough. Which medication can the nurse suspect as contributing to the cough?

Accepted Answer

A) Chlorothiazide (Diuril) 
B) Furosemide (Lasix) 
C) Nadolol (Corgard) 
D) Lisinopril (Zestril)

Question 4

A patient on antihypertensive medication has no insurance, three children, and reports feeling great and exercising daily. What should the nurse include in this patient's teaching plan to promote compliance?

Accepted Answer

A) Encourage increased rest periods. 
B) Provide names of support groups. 
C) Refer the patient for financial assistance. 
D) Schedule an annual physical examination.

Question 5

The nurse is preparing to administer lisinopril (Prinivil) 40 mg by mouth to a patient with hypertension. The available does is 20 mg per tablet. How many tablets will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The nurse is preparing to administer lisinopril...

Question 6

The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient?

Accepted Answer

A) Increase urine output. 
B) Negate the impact of sodium in the body. 
C) Ensure an adequate potassium blood level. 
D) Reduce blood pressure by 25% in 1 hour.

Question 7

The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?

Accepted Answer

A) A 50-year-old Caucasian female who is 5 foot 6 inches and weighs 150 pounds 
B) A 30-year-old Asian male who is 5 foot 5 inches and weighs 110 pounds 
C) A 60-year-old African American female who is 5 foot 7 inches and weighs 275 pounds 
D) A 40-year-old Hispanic female who is 5 foot 7 inches and weighs 120 pounds

Question 8

A patient asks the nurse what the doctor meant by the phrase, "hypertensive emergency." Which explanation should the nurse provide?

Accepted Answer

A) "It means that you've had a small stroke." 
B) "It refers to an episode of very high blood pressure." 
C) "It's when the heart is failing to pump blood effectively." 
D) "It means the heart has become hyperactive and is beating too fast."

Question 9

The nurse is reinforcing teaching for a patient with hypertension. If a patient states, "I understand that if I do not eat or cook with salt, my hypertension will go away." What is the nurse's best response?

Accepted Answer

A) "Reducing salt in the diet increases blood pressure." 
B) "Patients who take diuretics do not need to reduce salt intake." 
C) "Excessive salt intake is responsible for most types of hypertension." 
D) "Some patients' blood pressure may not respond to salt restriction alone."

Question 10

The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?

Accepted Answer

A) "I will eat 3 ounces of baked fish for dinner." 
B) "I have eaten cup of cooked beans for dinner four times this week."  
C) "I ate a hamburger with a small order of fries last night." 
D) "My spouse has begun to cook using only 1 teaspoon of canola oil."

Exam 22: Nursing Care of Patients With Hypertension