PNH301 test #2 questions with
well explained correct answers
usr
[COMPANY NAME] [Company address]
,1. Which BP regulating mechanism(s) can result in the
development of hyper- tension if defective (select all that apply)?
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of the sympathetic nervous system
d. stimulation of the parasympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system Answer: a.
release of norepinephrine
c. stimulation of the sympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system
2. While obtaining subjective assessment data from a client with
hypertension, the nurse recognizes which of the following as a
modifiable risk factor for the development of hypertension?
a. Hyperlipidemia
b. Excessive alcohol intake
c. A family history of hypertension
d. Consumption of a high-carbohydrate, high-calcium diet Answer: b.
Excessive alcohol intake
3. The nurse includes which of the following ideas in teaching a
client with hypertension about controlling the condition?
a. All clients with elevated BP require medication.
b. It is not necessary to limit salt in the diet if taking a diuretic.
c. Obese people must achieve a normal weight in order to lower BP.
d. Lifestyle modifications are indicated for all people with elevated BP.
Answer: d. Lifestyle modifications are indicated for all people with elevated BP.
4. What is a major consideration in the management of an
older adult with hypertension?
a. Prevent pseudohypertension from converting to true hypertension.
b. Recognize that older adults are less likely to adhere to the drug
therapy than younger adults.
c. Ensure that the client receives larger initial doses of
antihypertensive drugs because of impaired absorption.
,d. Use careful technique in assessing the BP of the client because of
the
, possible presence of an auscultatory gap. Answer: d. Use careful technique in
assessing the BP of the client because of the possible presence of an auscultatory gap.
5. A client with newly diagnosed hypertension has a blood pressure
of 158/98 mm Hg after 12 months of exercise and diet
modifications. How does the nurse advise the client?
a. Medication may be required because the BP is still not within
the normal range.
b. Continued monitoring of the BP every 3 to 6 months is all
that will be necessary for treatment.
c. Because lifestyle modifications were not effective, they do not
need to be continued and drugs will be used.
d. The client will have to make more vigorous changes in lifestyle if
the client wants to stay off medication for hypertension. Answer: a. Medication
may be required because the BP is still not within the normal range
6. A patient is admitted to the hospital in hypertensive emergency
(BP 244/142 mm Hg). Sodium nitroprusside is started to treat the
elevated BP. Which man- agement strategy(ies) would be
appropriate for this patient? (Select all that apply)
a. Measuring hourly urine output.
b. Decreasing the MAP by 50% within the first hour.
c. Continuous BP monitoring with an intraarterial line.
d. Maintaining bed rest and providing sedation to lower the BP.
e. Assessing the patient for signs and symptoms of heart failure and
changes in mental status. Answer: a. Measuring hourly urine output.
c. Continuous BP monitoring with an intraarterial line
e. Assessing the patient for signs and symptoms of heart failure and changes in mental status.
7. which of the following are teaching points for patients with
orthostatic hy- potension? (select all that apply)
a. eat a low sodium diet
well explained correct answers
usr
[COMPANY NAME] [Company address]
,1. Which BP regulating mechanism(s) can result in the
development of hyper- tension if defective (select all that apply)?
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of the sympathetic nervous system
d. stimulation of the parasympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system Answer: a.
release of norepinephrine
c. stimulation of the sympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system
2. While obtaining subjective assessment data from a client with
hypertension, the nurse recognizes which of the following as a
modifiable risk factor for the development of hypertension?
a. Hyperlipidemia
b. Excessive alcohol intake
c. A family history of hypertension
d. Consumption of a high-carbohydrate, high-calcium diet Answer: b.
Excessive alcohol intake
3. The nurse includes which of the following ideas in teaching a
client with hypertension about controlling the condition?
a. All clients with elevated BP require medication.
b. It is not necessary to limit salt in the diet if taking a diuretic.
c. Obese people must achieve a normal weight in order to lower BP.
d. Lifestyle modifications are indicated for all people with elevated BP.
Answer: d. Lifestyle modifications are indicated for all people with elevated BP.
4. What is a major consideration in the management of an
older adult with hypertension?
a. Prevent pseudohypertension from converting to true hypertension.
b. Recognize that older adults are less likely to adhere to the drug
therapy than younger adults.
c. Ensure that the client receives larger initial doses of
antihypertensive drugs because of impaired absorption.
,d. Use careful technique in assessing the BP of the client because of
the
, possible presence of an auscultatory gap. Answer: d. Use careful technique in
assessing the BP of the client because of the possible presence of an auscultatory gap.
5. A client with newly diagnosed hypertension has a blood pressure
of 158/98 mm Hg after 12 months of exercise and diet
modifications. How does the nurse advise the client?
a. Medication may be required because the BP is still not within
the normal range.
b. Continued monitoring of the BP every 3 to 6 months is all
that will be necessary for treatment.
c. Because lifestyle modifications were not effective, they do not
need to be continued and drugs will be used.
d. The client will have to make more vigorous changes in lifestyle if
the client wants to stay off medication for hypertension. Answer: a. Medication
may be required because the BP is still not within the normal range
6. A patient is admitted to the hospital in hypertensive emergency
(BP 244/142 mm Hg). Sodium nitroprusside is started to treat the
elevated BP. Which man- agement strategy(ies) would be
appropriate for this patient? (Select all that apply)
a. Measuring hourly urine output.
b. Decreasing the MAP by 50% within the first hour.
c. Continuous BP monitoring with an intraarterial line.
d. Maintaining bed rest and providing sedation to lower the BP.
e. Assessing the patient for signs and symptoms of heart failure and
changes in mental status. Answer: a. Measuring hourly urine output.
c. Continuous BP monitoring with an intraarterial line
e. Assessing the patient for signs and symptoms of heart failure and changes in mental status.
7. which of the following are teaching points for patients with
orthostatic hy- potension? (select all that apply)
a. eat a low sodium diet
