Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
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This Exam contains:
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
1. What is considered the normal blood pressure range?
a. 130-139/80-89
,b. <120/<80
c. ≥140/≥90
d. <120/<60
Correct Answer: b
Expert Rationale: Normal blood pressure, according to the
American College of Cardiology/American Heart Association
(ACC/AHA) 2017 guidelines, is defined as a systolic reading less
than 120 mm Hg and a diastolic reading less than 80 mm Hg.
Maintaining BP within this range reduces strain on cardiovascular
structures, minimizes risk of atherosclerosis, and decreases the
likelihood of end-organ complications like nephropathy or
retinopathy. Early identification of BP deviations enables prompt
lifestyle or therapeutic interventions.
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2. What is considered the Hypertensive Stage 1 blood pressure
range?
a. 130-139/80-89
b. 120-129/<80
c. >140/>90
d. <120/<60
Correct Answer: a
Expert Rationale: Stage 1 hypertension is diagnosed when systolic
pressure ranges from 130-139 mm Hg or diastolic from 80-89 mm
Hg. This stage reflects pathophysiologic changes such as increased
,peripheral vascular resistance and endothelial dysfunction. Early
management including lifestyle modifications (e.g., sodium
restriction, increased activity) and possible pharmacotherapy can
prevent progression to more advanced hypertension stages and
associated cardiovascular morbidity.
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3. What is considered the Hypertensive Stage 2 blood pressure
range?
a. 130-139/80-89
b. 120-129/<80
c. ≥140/≥90
d. <120/<60
Correct Answer: c
Expert Rationale: Stage 2 hypertension is defined by systolic
readings ≥140 mm Hg or diastolic ≥90 mm Hg. At this stage,
vascular remodeling is more advanced, arterial stiffness increases,
and the risk of target organ damage (heart failure, stroke, renal
impairment) is significantly heightened, warranting pharmacologic
treatment alongside lifestyle changes.
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4. What is considered the Elevated blood pressure range?
a. 130-139/80-89
, b. 120-129/<80
c. ≥140/≥90
d. <120/<60
Correct Answer: b
Expert Rationale: Elevated blood pressure refers to systolic
readings between 120-129 mm Hg with diastolic below 80 mm Hg.
This subclinical stage indicates early vascular alterations such as
increased arterial stiffness and sympathetic activation, posing
increased risk for future hypertension and cardiovascular events if
unchecked. Emphasis is on lifestyle modifications before
pharmacological therapy.
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5. What is considered the hypotension blood pressure range?
a. 130-139/80-89
b. 120-129/<80
c. ≥140/≥90
d. <90/<60
Correct Answer: d
Expert Rationale: Hypotension is commonly defined as systolic
pressure less than 90 mm Hg and diastolic less than 60 mm Hg.
Reduction in arterial pressure below this threshold may compromise
perfusion to vital organs, manifesting as symptoms like dizziness,
syncope, and in severe cases, organ ischemia or shock.