NURS 5434/NURS5434 HTN Quiz Family III FNP 3 Review
Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: Hypertension Classification & Diagnosis (Questions 1–15)
Q1: A 58-year-old male presents for a routine physical. His blood pressure is measured
as 142/88 mmHg on two separate occasions, one week apart, using proper technique.
According to the 2017 ACC/AHA hypertension classification guidelines, which category
best describes his blood pressure?
A. Normal
B. Elevated
C. Stage 1 Hypertension [CORRECT]
D. Stage 2 Hypertension
Correct Answer: C
Rationale: Correct because Stage 1 hypertension is defined as systolic 130–139 mmHg
or diastolic 80–89 mmHg. This patient's readings of 142/88 mmHg place him in Stage 1
due to the systolic value of 142. Priority is accurate classification using the lower
threshold introduced in the 2017 guidelines.
Q2: A 45-year-old woman has an average home blood pressure of 128/78 mmHg but
consistently measures 148/92 mmHg in the clinic. Which phenomenon does this
pattern most likely represent?
,A. White coat hypertension [CORRECT]
B. Masked hypertension
C. Labile hypertension
D. Pseudohypertension
Correct Answer: A
Rationale: Correct because white coat hypertension is characterized by elevated BP in
the clinical setting with normal BP outside the clinic. This matches the pattern of
elevated clinic readings (148/92 mmHg) with normal home readings (128/78 mmHg).
Priority is distinguishing this from masked hypertension, which shows the opposite
pattern.
Q3: According to the 2017 ACC/AHA guidelines, what is the threshold for diagnosing
hypertension based on the average of two or more properly measured readings on two
or more occasions?
A. ≥120/80 mmHg
B. ≥130/80 mmHg [CORRECT]
C. ≥140/90 mmHg
D. ≥150/90 mmHg
Correct Answer: B
Rationale: Correct because the 2017 ACC/AHA guidelines lowered the diagnostic
threshold to ≥130/80 mmHg, replacing the previous ≥140/90 mmHg standard. This
matches the updated classification system that redefined categories to improve early
detection and intervention.
, Q4: A 62-year-old patient with diabetes and CKD presents with a blood pressure of
138/86 mmHg. According to current guidelines, what is the recommended blood
pressure target for this patient?
A. <140/90 mmHg
B. <130/80 mmHg [CORRECT]
C. <120/80 mmHg
D. <150/90 mmHg
Correct Answer: B
Rationale: Correct because the 2017 ACC/AHA guidelines recommend a BP target of
<130/80 mmHg for patients with diabetes, CKD, and other high-risk conditions. This
matches the evidence that stricter control reduces cardiovascular and renal
complications in these populations.
Q5: Proper blood pressure measurement technique includes having the patient seated
quietly for how many minutes before the first reading?
A. 1 minute
B. 3 minutes
C. 5 minutes [CORRECT]
D. 10 minutes
Correct Answer: C
Rationale: Correct because guidelines recommend the patient be seated quietly for at
least 5 minutes before BP measurement to allow hemodynamic stabilization. This
matches proper technique standards and reduces falsely elevated readings from recent
activity or anxiety.
Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: Hypertension Classification & Diagnosis (Questions 1–15)
Q1: A 58-year-old male presents for a routine physical. His blood pressure is measured
as 142/88 mmHg on two separate occasions, one week apart, using proper technique.
According to the 2017 ACC/AHA hypertension classification guidelines, which category
best describes his blood pressure?
A. Normal
B. Elevated
C. Stage 1 Hypertension [CORRECT]
D. Stage 2 Hypertension
Correct Answer: C
Rationale: Correct because Stage 1 hypertension is defined as systolic 130–139 mmHg
or diastolic 80–89 mmHg. This patient's readings of 142/88 mmHg place him in Stage 1
due to the systolic value of 142. Priority is accurate classification using the lower
threshold introduced in the 2017 guidelines.
Q2: A 45-year-old woman has an average home blood pressure of 128/78 mmHg but
consistently measures 148/92 mmHg in the clinic. Which phenomenon does this
pattern most likely represent?
,A. White coat hypertension [CORRECT]
B. Masked hypertension
C. Labile hypertension
D. Pseudohypertension
Correct Answer: A
Rationale: Correct because white coat hypertension is characterized by elevated BP in
the clinical setting with normal BP outside the clinic. This matches the pattern of
elevated clinic readings (148/92 mmHg) with normal home readings (128/78 mmHg).
Priority is distinguishing this from masked hypertension, which shows the opposite
pattern.
Q3: According to the 2017 ACC/AHA guidelines, what is the threshold for diagnosing
hypertension based on the average of two or more properly measured readings on two
or more occasions?
A. ≥120/80 mmHg
B. ≥130/80 mmHg [CORRECT]
C. ≥140/90 mmHg
D. ≥150/90 mmHg
Correct Answer: B
Rationale: Correct because the 2017 ACC/AHA guidelines lowered the diagnostic
threshold to ≥130/80 mmHg, replacing the previous ≥140/90 mmHg standard. This
matches the updated classification system that redefined categories to improve early
detection and intervention.
, Q4: A 62-year-old patient with diabetes and CKD presents with a blood pressure of
138/86 mmHg. According to current guidelines, what is the recommended blood
pressure target for this patient?
A. <140/90 mmHg
B. <130/80 mmHg [CORRECT]
C. <120/80 mmHg
D. <150/90 mmHg
Correct Answer: B
Rationale: Correct because the 2017 ACC/AHA guidelines recommend a BP target of
<130/80 mmHg for patients with diabetes, CKD, and other high-risk conditions. This
matches the evidence that stricter control reduces cardiovascular and renal
complications in these populations.
Q5: Proper blood pressure measurement technique includes having the patient seated
quietly for how many minutes before the first reading?
A. 1 minute
B. 3 minutes
C. 5 minutes [CORRECT]
D. 10 minutes
Correct Answer: C
Rationale: Correct because guidelines recommend the patient be seated quietly for at
least 5 minutes before BP measurement to allow hemodynamic stabilization. This
matches proper technique standards and reduces falsely elevated readings from recent
activity or anxiety.
