Hypertension Nursing Quiz Questions And Answers

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Hypertension Nursing Quiz Questions And Answers - Quiz

Prepare yourself to take this hypertension nursing quiz that we have brought here for you. Hypertension is defined or known as an intermittent or sustained systolic BP of 140 mm Hg or even higher or a diastolic BP of 90 mm Hg or higher. It comes as essential or primary hypertension; no cause is identified in this or as secondary hypertension in which high BP is the result of a specific condition or medication. Let's test your knowledge now!


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

  • 16. 
    The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
    • A. 

      Cornflakes, whole milk, banana, and coffee

    • B. 

      Scrambled eggs, bacon, toast, and coffee

    • C. 

      Oatmeal, apple juice, dry toast, and coffee

    • D. 

      Pancakes, ham, tomato juice, and coffee

  • 17. 
    The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for:
    • A. 

      Facial swelling

    • B. 

      Pulse deficits

    • C. 

      Ankle edema

    • D. 

      Diminished reflexes

  • 18. 
    The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?
    • A. 

      "I need to reduce my daily intake to 1,200 calories a day."

    • B. 

      "I need to drink at least a quart of milk a day."

    • C. 

      "I shouldn’t add salt when I am cooking."

    • D. 

      "I need to eat more protein and fiber each day."

  • 19. 
    A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:
    • A. 

      20–30 minutes three times a week

    • B. 

      45 minutes two times a week

    • C. 

      1 hour four times a week

    • D. 

      1 hour two times a week

  • 20. 
     Which of the following terms is given to hypertension in which the blood pressure, which is controlled with therapy, becomes uncontrolled (abnormally high) with the discontinuation of therapy?
    • A. 

      Rebound

    • B. 

      Essential

    • C. 

      Primary

    • D. 

      Secondary

  • 21. 
    Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period.
    • A. 

      140, 90

    • B. 

      130, 80

    • C. 

      110, 60

    • D. 

      120, 70

  • 22. 
    The nurse teaches the patient which of the following guidelines regarding lifestyle modifications for hypertension?
    • A. 

      Maintain adequate dietary intake of potassium

    • B. 

      Reduce smoking to no more than four cigarettes per day

    • C. 

      Limit aerobic physical activity to 15 minutes, three times per week

    • D. 

      Stop alcohol intake

  • 23. 
    This hypertension drug is the first choice for diabetic and renal failure pts.
    • A. 

      K sparing diuretics

    • B. 

      ACE inhibitors

    • C. 

      Loop diuretics

    • D. 

      Calcium channel blockers

  • 24. 
    Glenn comes into the ED with olguria.  Upon his assessment he says that he is on an antihypertensive.  Glenn was outside in the hot sun working in his garden when he became dizzy.  His wife found him soaked in sweat.  What could have caused Glenn's problem?
    • A. 

      ACE inhibitor

    • B. 

      Calcium Channel Blocker

    • C. 

      K sparing diruretic

    • D. 

      Loop Diuretic

  • 25. 
    Aldactone can cause which of the following side effects?
    • A. 

      Hypokalemia

    • B. 

      Hypercalcemia

    • C. 

      Hyperkalemia

    • D. 

      Hyperphosphemia

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