Hypertension By Rnpedia.Com

15 Questions | Total Attempts: 1348

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Hypertension By Rnpedia.Com

Choose the letter of the correct answer. Goodluck :-)


Questions and Answers
  • 1. 
    Which individual is at greatest risk for developing hypertension?
    • A. 

      45 year-old African American attorney

    • B. 

      60 year-old Asian American shop owner

    • C. 

      40 year-old Caucasian nurse

    • D. 

      55 year-old Hispanic teacher

  • 2. 
    A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms?
    • A. 

      Proteinuria, headaches, vaginal bleeding

    • B. 

      Headaches, double vision, vaginal bleeding

    • C. 

      Proteinuria, headaches, double vision

    • D. 

      Proteinuria, double vision, uterine contractions

  • 3. 
    A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. To reverse hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer:
    • A. 

      Phentolamine (Regitine).

    • B. 

      Methyldopa (Aldomet).

    • C. 

      Mannitol (Osmitrol).

    • D. 

      Felodipine (Plendil).

  • 4. 
    The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should: 
    • A. 

      Utilize an infusion pump

    • B. 

      Check the blood glucose level

    • C. 

      Place the client in Trendelenburg position

    • D. 

      Cover the solution with foil

  • 5. 
    The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should: 
    • A. 

      Question the order

    • B. 

      Administer the medications

    • C. 

      Administer separately

    • D. 

      Contact the pharmacy

  • 6. 
    While a client with hypertension is being assessed, he says to the nurse, “I really don’t know why I am here. I feel fine and haven’t had any  symptoms.” The nurse would explain to the client that symptoms of hypertension: 
    • A. 

      Are often not present

    • B. 

      Signify a high risk of stroke

    • C. 

      Occur only with malignant hypertension

    • D. 

      Appear after irreversible kidney damage has occurred

  • 7. 
    The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease:
    • A. 

      Pain

    • B. 

      Weight

    • C. 

      Hematuria

    • D. 

      Hypertension

  • 8. 
    Norma has started a new drug for hypertension. Thirty minutes after she takes the drug, she develops chest tightness and becomes short of breath and tachypneic. She has a decreased level of consciousness. These signs indicate which of the following conditions?
    • A. 

      Asthma attack

    • B. 

      Pulmonary embolism

    • C. 

      Respiratory failure

    • D. 

      Rheumatoid arthritis

  • 9. 
     A client with hypertension ask the nurse which factors can cause blood pressure to drop to normal levels?
    • A. 

      Kidneys’ excretion to sodium only.

    • B. 

      Kidneys’ retention of sodium and water

    • C. 

      Kidneys’ excretion of sodium and water

    • D. 

      Kidneys’ retention of sodium and excretion of water

  • 10. 
    Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered to treat hypertension is:
    • A. 

      It dilates peripheral blood vessels.

    • B. 

      It decreases sympathetic cardioacceleration.

    • C. 

      It inhibits the angiotensin-coverting enzymes

    • D. 

      It inhibits reabsorption of sodium and water in the loop of Henle.

  • 11. 
    A client with chronic schizophrenia who takes neuroleptic medication is admitted to the psychiatric unit. Nursing assessment reveals rigidity, fever, hypertension, and diaphoresis. These findings suggest which life-threatening reaction: 
    • A. 

      Tardive dyskinesia.

    • B. 

      Dystonia.

    • C. 

      Neuroleptic malignant syndrome.

    • D. 

      Akathisia.

  • 12. 
    An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the client to treat hypoglycemia by ingesting:
    • A. 

      2 to 5 g of a simple carbohydrate.

    • B. 

      10 to 15 g of a simple carbohydrate.

    • C. 

      18 to 20 g of a simple carbohydrate.

    • D. 

      25 to 30 g of a simple carbohydrate.

  • 13. 
    A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client: 
    • A. 

      At what time was your last drink taken?

    • B. 

      Why didn’t you tell us you’re a drinker?

    • C. 

      Do you drink beer or hard liquor?

    • D. 

      How long have you been drinking?

  • 14. 
    A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be:
    • A. 

      Ineffective health maintenance

    • B. 

      Impaired skin integrity

    • C. 

      Deficient fluid volume

    • D. 

      Pain

  • 15. 
    The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension and fever. The nurse should be alert for impending: 
    • A. 

      Delirium tremens

    • B. 

      Korsakoff’s syndrome

    • C. 

      esophageal varices

    • D. 

      Wernicke’s syndrome

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