Hypertension And Cardiac Care 100
Question Practice Exam With Correct
Verified And Well Analyzed Answers
Graded A+ | 100% Correct | 2026
Latest Update!!!
1. A nurse is assessing a client with hypertension. Which blood
pressure reading is classified as hypertensive?
A. 110/70 mm Hg B. 118/76 mm Hg C. 128/78 mm Hg D. 146/92 mm
Hg
Answer: D. 146/92 mm Hg
Rationale: A blood pressure reading of 146/92 mm Hg is classified as
hypertension because the systolic pressure is above 140 mm Hg and
the diastolic pressure is above 90 mm Hg. Persistent hypertension
increases the risk of cardiovascular disease, stroke, kidney damage,
and heart failure. The other readings are within normal or elevated
ranges but do not meet the criteria for hypertension.
2. Which assessment finding is most concerning in a client with
chest pain?
,A. Heart rate of 82 beats/minute B. Blood pressure of 124/80 mm Hg
C. Oxygen saturation of 88% D. Respiratory rate of 18
breaths/minute
Answer: C. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates inadequate
oxygenation and may suggest severe cardiac or respiratory
compromise. Clients with chest pain and low oxygen levels require
immediate intervention to prevent myocardial damage and further
complications. The other findings are within normal limits.
3. Which instruction should the nurse provide to a client taking
nitroglycerin for angina?
A. “Store the medication in a warm location.” B. “Take the
medication only after meals.” C. “Sit down before taking the
medication.” D. “Swallow the tablet immediately with water.”
Answer: C. “Sit down before taking the medication.”
Rationale: Nitroglycerin causes vasodilation, which can result in
dizziness or hypotension. Clients should sit or lie down before taking
the medication to prevent falls. Nitroglycerin tablets should be placed
under the tongue and stored in a cool, dark container to maintain
potency.
4. A client with heart failure has bilateral crackles in the lungs.
What is the nurse’s priority action?
A. Encourage increased fluid intake B. Assess oxygenation status C.
Place the client flat in bed D. Restrict all movement
Answer: B. Assess oxygenation status
Rationale: Crackles in the lungs may indicate pulmonary congestion
caused by heart failure. Assessing oxygenation is the priority because
, impaired gas exchange can become life-threatening. Positioning the
client upright and administering oxygen may also be necessary.
5. Which laboratory value is most important to monitor in a
client receiving digoxin?
A. Potassium level B. Sodium level C. Calcium level D. Hemoglobin
level
Answer: A. Potassium level
Rationale: Low potassium levels increase the risk of digoxin toxicity.
Monitoring potassium is essential because hypokalemia enhances the
effects of digoxin on the myocardium and may lead to dangerous
dysrhythmias.
6. Which symptom is commonly associated with left-sided heart
failure?
A. Peripheral edema B. Jugular vein distention C. Pulmonary
crackles D. Enlarged liver
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure causes fluid backup into the lungs,
resulting in pulmonary congestion and crackles. Peripheral edema
and jugular vein distention are more common with right-sided heart
failure.
7. A nurse is caring for a client with hypertension. Which lifestyle
modification should the nurse recommend?
A. Increase sodium intake B. Limit physical activity C. Maintain a
healthy weight D. Drink caffeinated beverages frequently
Answer: C. Maintain a healthy weight
Question Practice Exam With Correct
Verified And Well Analyzed Answers
Graded A+ | 100% Correct | 2026
Latest Update!!!
1. A nurse is assessing a client with hypertension. Which blood
pressure reading is classified as hypertensive?
A. 110/70 mm Hg B. 118/76 mm Hg C. 128/78 mm Hg D. 146/92 mm
Hg
Answer: D. 146/92 mm Hg
Rationale: A blood pressure reading of 146/92 mm Hg is classified as
hypertension because the systolic pressure is above 140 mm Hg and
the diastolic pressure is above 90 mm Hg. Persistent hypertension
increases the risk of cardiovascular disease, stroke, kidney damage,
and heart failure. The other readings are within normal or elevated
ranges but do not meet the criteria for hypertension.
2. Which assessment finding is most concerning in a client with
chest pain?
,A. Heart rate of 82 beats/minute B. Blood pressure of 124/80 mm Hg
C. Oxygen saturation of 88% D. Respiratory rate of 18
breaths/minute
Answer: C. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates inadequate
oxygenation and may suggest severe cardiac or respiratory
compromise. Clients with chest pain and low oxygen levels require
immediate intervention to prevent myocardial damage and further
complications. The other findings are within normal limits.
3. Which instruction should the nurse provide to a client taking
nitroglycerin for angina?
A. “Store the medication in a warm location.” B. “Take the
medication only after meals.” C. “Sit down before taking the
medication.” D. “Swallow the tablet immediately with water.”
Answer: C. “Sit down before taking the medication.”
Rationale: Nitroglycerin causes vasodilation, which can result in
dizziness or hypotension. Clients should sit or lie down before taking
the medication to prevent falls. Nitroglycerin tablets should be placed
under the tongue and stored in a cool, dark container to maintain
potency.
4. A client with heart failure has bilateral crackles in the lungs.
What is the nurse’s priority action?
A. Encourage increased fluid intake B. Assess oxygenation status C.
Place the client flat in bed D. Restrict all movement
Answer: B. Assess oxygenation status
Rationale: Crackles in the lungs may indicate pulmonary congestion
caused by heart failure. Assessing oxygenation is the priority because
, impaired gas exchange can become life-threatening. Positioning the
client upright and administering oxygen may also be necessary.
5. Which laboratory value is most important to monitor in a
client receiving digoxin?
A. Potassium level B. Sodium level C. Calcium level D. Hemoglobin
level
Answer: A. Potassium level
Rationale: Low potassium levels increase the risk of digoxin toxicity.
Monitoring potassium is essential because hypokalemia enhances the
effects of digoxin on the myocardium and may lead to dangerous
dysrhythmias.
6. Which symptom is commonly associated with left-sided heart
failure?
A. Peripheral edema B. Jugular vein distention C. Pulmonary
crackles D. Enlarged liver
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure causes fluid backup into the lungs,
resulting in pulmonary congestion and crackles. Peripheral edema
and jugular vein distention are more common with right-sided heart
failure.
7. A nurse is caring for a client with hypertension. Which lifestyle
modification should the nurse recommend?
A. Increase sodium intake B. Limit physical activity C. Maintain a
healthy weight D. Drink caffeinated beverages frequently
Answer: C. Maintain a healthy weight
