True/False
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Multiple Choice
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Scenario
100
Hypertension is the result of low blood pressure.
False; Hypotension
100

Primary hypertension is also known as ______ hypertension.

Essential

100

Which ethnic groups are more likely to suffer from hypertension?

A- Caucasian B- African American C- Hispanic D- Asian

B- African American

100

Which drugs are categorized as beta blockers?

A- Atenolol, B- Metoprolol, C- Propranolol, D- Prazosin, E- Minoxidil

A- Atenolol B- Metoprolol C- Propranolol

100

When providing dietary instruction to a patient about hypertension the nurse would advise the patient to restrict intake of which meat? A- Broiled fish B- Ribeye steak C- Roasted turkey

B- Ribeye steak

200
Prolonged hypertension can lead to stroke or cardiac failure.
True
200

The formula to calculate the mean arterial pressure is

Diastolic x 2 plus systolic then /3

200

What diagnostic exam is used to monitor cardiac rhythms?

A- Electrocardiogram (EKG) B- Computed Tomography (CT) C- Magnetic Resonance Imaging (MRI) D- Cardiac arteriogram

A- Electrocardiogram (EKG)

200

Which foods are part of the DASH Diet?

A- Low-fat dairy B- Poultry C- Fish D- Raisin Bran E- Legumes

A- Low-fat dairy B- Poultry C- Fish E- Legumes

200

A nurse is assessing a patient for orthostatic hypotension. After taking their blood pressure and pulse in the supine position, what should the nurse do next? A- Repeat blood pressure and pulse in this position B- Take blood pressure and pulse with the patient sitting C- Record the blood pressure and pulse

B- Take blood pressure and pulse with the patient sitting

300
Secondary hypertension has no known cause.
False; Primary hypertension
300

______ ______ is a decrease in blood pressure when the patient changes position from lying to sitting.

Orthostatic hypotension

300

Which teaching should a nurse give a patient about dietary management of Stage 1 Hypertension?

A- Restrict all caffeine B- Restrict sodium intake C- Increase protein intake D- Use calcium supplements

B- Restrict sodium intake

300

Which drugs can cause secondary hypertension?

A- Estrogen B- Glucocorticoids C- Cyclosporine D- Antihistamines E- Erythropoietin

A- Estrogen B- Glucocorticoids C- Cyclosporine E- Erythropoietin

300

The nurse teaches a 28-year old man newly diagnosed with hypertension about lifestyle modifications to reduce his blood pressure. Which statement by the patient requires an intervention by the nurse? A- "I will avoid adding salt to my food during or after cooking." B- "If I lose weight I might not need to continue taking medication." C- "I can lower by blood pressure by switching to smokeless tobacco."

C- "I can lower by blood pressure by switching to smokeless tobacco."

400

The DASH Diet focuses on an increase in sodium intake.

False; decrease

400

______ ______ is a type of medications which slow the heart rate, which decreases the amount of blood pumped through the blood vessels, thus decreasing the blood pressure

Beta blockers

400

Which lab test result would indicate that a patient with hypertension has organ damage? 

A- BUN 15 mg/dL B- Serum uric acid 3.8 mg/dL C- Serum creatinine 2.6 mg/dL D- Serum potassium of 3.5 mEq/dL

C- Serum creatinine 2.6 mg/dL

400

Which symptoms are possible signs of hypertension? A- Headache B- Chest pain C- Clear vision D- Dizziness E- Energized

A- Headache B- Chest pain D- Dizziness

400

A 44-year old man is diagnosed with hypertension and receives a prescription for Benazepril. After the nurse teaches him about the medication, which statement by the patient indicates his correct understanding? A- "If I take this medication I will not need to follow a special diet." B- "It is normal to have some swelling in my face while taking this medication." C- "If I develop a dry cough while taking this medication I should notify my doctor."

C- "If I develop a dry cough while taking this medication I should notify my doctor."

500
Patients taking hydrochlorothiazide should have their potassium levels monitored.
True
500

______ _____is a situation where the blood pressure is severely elevated or higher for your diastolic pressure.

Hypertensive crisis or emergency

500

A client is prescribed Enalapril (Vasotec) for control of hypertension. What health teaching will the nurse provide before the client beings therapy?

A- "You may develop a higher pulse rate." B- "You may notice some swelling in your feet." C- "You may develop a nagging cough." D- "Your diet should include foods high in sodium."

C- "You may develop a nagging cough."

500

What are some psychosocial factors that affect hypertension?

A- Job B- Finances C- Vacation D- Death in the family E- Exercise

A- Job B- Finances D- Death in the family

500

The nurse is caring for a patient with hypertension who is scheduled to receive a beta-blocker. The nurse should withhold the dose and consult the physician for which vital sign taken just before administration? 

A- Pulse 48 beats/min B- BP 119/78 C- Respirations 20 breaths/min

A- Pulse 48 beats/min