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NURS 5434 / NURS5434 HTN Quiz – Family III (FNP 3) Review
Hypertension Comprehensive Practice Exam (FNP Level)
Table of Contents
Section Topic Questions
I Hypertension Classification & Diagnosis 1–5
II Risk Factors & Pathophysiology 6–10
III Lifestyle Management 11–15
IV Pharmacologic Therapy 16–30
V Special Populations 31–38
VI Resistant Hypertension & Emergencies 39–45
VII Clinical Decision-Making Cases 46–50
Section I: Hypertension Classification & Diagnosis
Question 1
A 52-year-old patient has repeated office blood pressures of
146/92 mmHg. How should this blood pressure be classified?
,A. Normal
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct Answer: D
Rationale: A blood pressure ≥140/90 mmHg is classified as stage
2 hypertension in ACC/AHA-based classification systems.
Question 2
The best method to confirm a diagnosis of hypertension after an
elevated office reading is:
A. Repeat measurement immediately after exercise
B. Ambulatory or home blood pressure monitoring
C. Check cholesterol levels
D. Perform an echocardiogram
Correct Answer: B
Rationale: Out-of-office measurements help identify sustained
hypertension, white-coat hypertension, and masked
hypertension.
Question 3
Which blood pressure measurement technique is most
appropriate?
, A. Measure immediately after the patient walks into clinic
B. Use a cuff that is too small for the patient
C. Allow the patient to rest before measurement
D. Measure only once during the visit
Correct Answer: C
Rationale: Proper positioning, rest period, and correct cuff size
improve accuracy.
Section II: Risk Factors & Pathophysiology
Question 4
Which is a nonmodifiable risk factor for hypertension?
A. Obesity
B. High sodium intake
C. Increasing age
D. Physical inactivity
Correct Answer: C
Rationale: Age and genetics are nonmodifiable risk factors, while
lifestyle factors can often be changed.
Question 5
The primary mechanism contributing to essential hypertension
includes: