Question 1

The nurse points out the Dietary Approaches to Stop Hypertension (DASH)diet uses as its source of protein and fat which one of the following?

Accepted Answer

A)   Lean red meat
B)   Whole grains
C)   Low fiber
D)   Sugar B

Question 2

The patient who is being evaluated every week for possible hypertension is classified as prehypertensive when the blood pressure readings are over:

Accepted Answer

A)   120/80 mm Hg for two consecutive visits
B)   130/85 mm Hg for over 2 months
C)   140/95 mm Hg for 2 months
D)   144/100 mm Hg at one visit A

Question 3

An 89-year-old patient is taking an antihypertensive medication.Home care teaching by the nurse would include instructing the patient to:

Accepted Answer

A)   Get up out of bed slowly.
B)   Take hot baths.
C)   Report sexual dysfunction immediately.
D)   Stop taking the drug if side effects occur. A

Question 4

The cause of secondary hypertension can be a variety of conditions that include:

Accepted Answer

A)   Renal disease
B)   Coarctation of the aorta
C)   Colon cancer
D)   Increased intracranial pressure (ICP) 
E)   Rheumatoid arthritis

Question 5

An 87-year-old patient is taking furosemide (Lasix)for elevated blood pressure.The nurse knows that older patients are at risk for:

Accepted Answer

A)   Falls
B)   Hypokalemia
C)   Reflex tachycardia
D)   Neutropenia

Question 6

The nurse understands that when a patient who is taking antihypertensive therapy complains of fatigue and has a pulse of 54 bpm,this side effect is most likely caused by:

Accepted Answer

A)   Diltiazem (Cardizem) 
B)   Furosemide (Lasix) 
C)   Hydrochlorothiazide (HydroDIURIL) 
D)   Methyldopa (Aldomet)

Question 7

The nurse should instruct the patient who has been started on verapamil (Calan)for his elevated blood pressure to monitor his:

Accepted Answer

A)   Urine output
B)   Pulse
C)   Stool for blood
D)   Edema

Question 8

The nurse questions the patient with hypertension about the symptoms of headache because hypertension headaches characteristically occur as:

Accepted Answer

A)   Frontal in the afternoon
B)   Temporal on exertion
C)   Occipital on arising
D)   Frontal at night

Question 9

The nurse encourages the patient with essential hypertension that a first-line therapeutic approach to lowering blood pressure is:

Accepted Answer

A)   Smoking cessation
B)   Beta blockers
C)   Exercise programs
D)   Weight loss
E)   Decreased sodium intake

Question 10

A patient is taking hydrochlorothiazide (HydroDIURIL)for hypertension.Dietary teaching would include increasing intake of:

Accepted Answer

A)   Bananas
B)   Apple juice
C)   Sugar-free foods
D)   Low-fat milk

Question 11

To use less sodium in the diet,the nurse recommends the use of spices and:

Accepted Answer

A)   Catsup
B)   Garlic
C)   Soy sauce
D)   Cheese

Question 12

In a teaching plan for a patient with hypertension,the nurse would include:

Accepted Answer

A)   Stopping medications if side effects occur.
B)   Maintaining a diet high in unsaturated fat.
C)   Advising no further visits if no other symptoms occur.
D)   Encouraging relaxation techniques.

Question 13

An obese 38-year-old African-American patient with diabetes is being evaluated for the use of propranolol (Inderal)in controlling his hypertension.The nurse points out that a contraindication for that drug's use in this patient would be his:

Accepted Answer

A)   Race
B)   Age
C)   Diabetes
D)   Weight

Question 14

The nurse includes in a teaching plan on hypertension that treatment for essential hypertension is focused on:

Accepted Answer

A)   Daily medication with mild diuretics
B)   Low-dose vasodilators
C)   Reduction of modifiable risks
D)   Combination of vasodilators and diuretics

Question 15

The advantages of hydrochlorothiazide (HydroDIURIL)as outlined by the nurse are that this diuretic:

Accepted Answer

A)   Is potassium sparing.
B)   Is effective for African Americans.
C)   Consistently controls blood pressure.
D)   Has no side effects.
E)   Decreases heart rate.

Question 16

The nurse explains that hypertension in older adults is:

Accepted Answer

A)   Age-related
B)   Unavoidable
C)   Progressively crippling
D)   Improves with treatment

Question 17

The nurse explains that treatment of secondary hypertension focuses on a:

Accepted Answer

A)   Smoking cessation program
B)   Strenuous exercise program
C)   Weight-loss program designed to reduce weight rapidly
D)   Specific etiologic disease

Question 18

The nurse explains that the force against which the left ventricle must work to force the blood into the circulation is called ______________________________.

Accepted Answer

The answer of The nurse explains that the force against...

Question 19

Malignant hypertension is most commonly observed in:

Accepted Answer

A)   White postmenopausal women
B)   Obese Asians
C)   Young African-American adults
D)   Older Latino men

Question 20

The nurse is aware that patients who have chronic obstructive pulmonary disease (COPD)and asthma are not candidates for treatment with the antihypertensive drug:

Accepted Answer

A)   Propranolol ( Inderal) : beta-adrenergic receptor blocker
B)   Hydrochlorothiazide (HydroDIURIL) : diuretic
C)   Diltiazem (Cardizem) : calcium antagonist
D)   Captopril (Capoten) : ACE inhibitor

Exam 37: Hypertension

The nurse points out the Dietary Approaches to Stop Hypertension (DASH) diet uses as its source of protein and fat which one of the following?

The patient who is being evaluated every week for possible hypertension is classified as prehypertensive when the blood pressure readings are over:

An 89-year-old patient is taking an antihypertensive medication.Home care teaching by the nurse would include instructing the patient to:

The cause of secondary hypertension can be a variety of conditions that include:

An 87-year-old patient is taking furosemide (Lasix) for elevated blood pressure.The nurse knows that older patients are at risk for:

The nurse understands that when a patient who is taking antihypertensive therapy complains of fatigue and has a pulse of 54 bpm,this side effect is most likely caused by:

The nurse should instruct the patient who has been started on verapamil (Calan) for his elevated blood pressure to monitor his:

The nurse questions the patient with hypertension about the symptoms of headache because hypertension headaches characteristically occur as:

The nurse encourages the patient with essential hypertension that a first-line therapeutic approach to lowering blood pressure is:

A patient is taking hydrochlorothiazide (HydroDIURIL) for hypertension.Dietary teaching would include increasing intake of: