True/False
Fill in the Blank
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

____________ is an severely elevated blood pressure that leads to end organ damage.

What is hypertensive emergency?

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- Take blood pressure and pulse with patient standing

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- - Acetaminophen D- NSAIDS

A, B D

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
______ slow the heart rate, which decreases the amount of blood pumped through the blood vessels.
Beta blockers
400

Which lab test result would indicate that a patient with hypertension has organ damage? A- BUN 15 mg/dL B- WBC Count: 18000  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 verapamil. 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- "If I develop swelling while taking this medication I will call my doctor." C- "If I develop a dry cough while taking this medication I should notify my doctor."

B."

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

Myocardial infarction, renal failure, stroke and impaired vision are ______________ of untreated HTN

What are complications

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