• NUR 265 Exam 09/01/2026
NUR 265 Exam 3 V1 & V2 - Advanced
Med-Surg Concepts – Actual Questions &
Correct Verified Answers Graded A with
Detailed Rationales |
A 44-year-old man is diagnosed with hypertension and receives a prescription for benazepril
(Lotensin). After the nurse teaches him about the medication, which statement by the
patient indicates his correct understanding?
A "If I take this medication, I will not need to follow a special diet."
B "It is normal to have some swelling in my face while taking this medication."
C "I will need to eat foods such as bananas and potatoes that are high in potassium."
P 1
, • NUR 265 Exam 09/01/2026
D "If I develop a dry cough while taking this medication, I should notify my doctor." –
Correct Answer :D "If I develop a dry cough while taking this medication, I should notify my
doctor."
Benazepril is an angiotensin-converting enzyme inhibitor. The medication inhibits breakdown
of bradykinin, which may cause a dry, hacking cough. Other adverse effects include
hyperkalemia. Swelling in the face could indicate angioedema and should be reported
immediately to the prescriber. Patients taking drug therapy for hypertension should also
attempt lifestyle modifications to lower blood pressure such as a reduced-sodium diet.
A 67-year-old woman with a history of coronary artery disease and prior myocardial infarction
is admitted to the emergency department with a blood pressure of 234/148 mm Hg and
started on IV nitroprusside (Nitropress). What should the nurse determine as an appropriate
goal for the first hour of treatment?
A Mean arterial pressure lower than 70 mm Hg
B Mean arterial pressure no more than 120 mm Hg
C Mean arterial pressure no lower than 133 mm Hg
D Mean arterial pressure between 70 and 110 mm Hg –
Correct Answer :C Mean arterial pressure no lower than 133 mm Hg
The initial treatment goal is to decrease mean arterial pressure by no more than 25% within
minutes to 1 hour. If the patient is stable, the goal for BP is 160/100 to 110 mm Hg over the
next 2 to 6 hours. Lowering the blood pressure too much may decrease cerebral, coronary, or
renal perfusion and could precipitate a stroke, myocardial infarction, or renal failure.
Additional gradual reductions toward a normal blood pressure should be implemented over
the next 24 to 48 hours if the patient is clinically stable.
P 2
, • NUR 265 Exam 09/01/2026
The nurse admits a 73-year-old male patient with dementia for treatment of uncontrolled
hypertension. The nurse will closely monitor for hypokalemia if the patient receives which
medication?
A Clonidine (Catapres)
B Bumetanide (Bumex)
C Amiloride (Midamor)
D Spironolactone (Aldactone) –
Correct Answer :B Bumetanide (Bumex)
Bumetanide is a loop diuretic. Hypokalemia is a common adverse effect of this medication.
Amiloride is a potassium-sparing diuretic. Spironolactone is an aldosterone-receptor blocker.
Hyperkalemia is an adverse effect of both amiloride and spironolactone. Clonidine is a central-
acting α-adrenergic antagonist and does not cause electrolyte abnormalities.
The nurse teaches a patient with hypertension that uncontrolled hypertension may damage
organs in the body primarily by which mechanism?
A Hypertension promotes atherosclerosis and damage to the walls of the arteries.
Hypertension causes direct pressure on organs, Bresulting in necrosis and replacement of
cells with scar tissue.
C Hypertension causes thickening of the capillary membranes, leading to hypoxia of organ
systems.
D Hypertension increases blood viscosity, which contributes to intravascular coagulation and
tissue necrosis distal to occlusions. –
P 3
, • NUR 265 Exam 09/01/2026
Correct Answer :A Hypertension promotes atherosclerosis and damage to the walls of the
arteries.
Hypertension is a major risk factor for the development of atherosclerosis by mechanisms not
yet fully known. However, once atherosclerosis develops, it damages the walls of arteries and
reduces circulation to target organs and tissues.
When teaching a patient about dietary management of stage 1 hypertension, which
instruction is most appropriate?
A Restrict all caffeine.
B Restrict sodium intake.
C Increase protein intake.
D Use calcium supplements. –
Correct Answer :B Restrict sodium intake.
The patient should decrease intake of sodium. This will help to control hypertension, which
can be aggravated by excessive salt intake, which in turn leads to fluid retention. Caffeine and
protein intake do not affect hypertension. Calcium supplements are not recommended to
lower BP.
In caring for a patient admitted with poorly controlled hypertension, which laboratory test
result should the nurse understand as indicating the presence of target organ damage?
A BUN of 15 mg/dL
B Serum uric acid of 3.8 mg/dL
C Serum creatinine of 2.6 mg/dL
D Serum potassium of 3.5 mEq/L - Correct Answer :C Serum creatinine of 2.6 mg/dL
P 4
NUR 265 Exam 3 V1 & V2 - Advanced
Med-Surg Concepts – Actual Questions &
Correct Verified Answers Graded A with
Detailed Rationales |
A 44-year-old man is diagnosed with hypertension and receives a prescription for benazepril
(Lotensin). After the nurse teaches him about the medication, which statement by the
patient indicates his correct understanding?
A "If I take this medication, I will not need to follow a special diet."
B "It is normal to have some swelling in my face while taking this medication."
C "I will need to eat foods such as bananas and potatoes that are high in potassium."
P 1
, • NUR 265 Exam 09/01/2026
D "If I develop a dry cough while taking this medication, I should notify my doctor." –
Correct Answer :D "If I develop a dry cough while taking this medication, I should notify my
doctor."
Benazepril is an angiotensin-converting enzyme inhibitor. The medication inhibits breakdown
of bradykinin, which may cause a dry, hacking cough. Other adverse effects include
hyperkalemia. Swelling in the face could indicate angioedema and should be reported
immediately to the prescriber. Patients taking drug therapy for hypertension should also
attempt lifestyle modifications to lower blood pressure such as a reduced-sodium diet.
A 67-year-old woman with a history of coronary artery disease and prior myocardial infarction
is admitted to the emergency department with a blood pressure of 234/148 mm Hg and
started on IV nitroprusside (Nitropress). What should the nurse determine as an appropriate
goal for the first hour of treatment?
A Mean arterial pressure lower than 70 mm Hg
B Mean arterial pressure no more than 120 mm Hg
C Mean arterial pressure no lower than 133 mm Hg
D Mean arterial pressure between 70 and 110 mm Hg –
Correct Answer :C Mean arterial pressure no lower than 133 mm Hg
The initial treatment goal is to decrease mean arterial pressure by no more than 25% within
minutes to 1 hour. If the patient is stable, the goal for BP is 160/100 to 110 mm Hg over the
next 2 to 6 hours. Lowering the blood pressure too much may decrease cerebral, coronary, or
renal perfusion and could precipitate a stroke, myocardial infarction, or renal failure.
Additional gradual reductions toward a normal blood pressure should be implemented over
the next 24 to 48 hours if the patient is clinically stable.
P 2
, • NUR 265 Exam 09/01/2026
The nurse admits a 73-year-old male patient with dementia for treatment of uncontrolled
hypertension. The nurse will closely monitor for hypokalemia if the patient receives which
medication?
A Clonidine (Catapres)
B Bumetanide (Bumex)
C Amiloride (Midamor)
D Spironolactone (Aldactone) –
Correct Answer :B Bumetanide (Bumex)
Bumetanide is a loop diuretic. Hypokalemia is a common adverse effect of this medication.
Amiloride is a potassium-sparing diuretic. Spironolactone is an aldosterone-receptor blocker.
Hyperkalemia is an adverse effect of both amiloride and spironolactone. Clonidine is a central-
acting α-adrenergic antagonist and does not cause electrolyte abnormalities.
The nurse teaches a patient with hypertension that uncontrolled hypertension may damage
organs in the body primarily by which mechanism?
A Hypertension promotes atherosclerosis and damage to the walls of the arteries.
Hypertension causes direct pressure on organs, Bresulting in necrosis and replacement of
cells with scar tissue.
C Hypertension causes thickening of the capillary membranes, leading to hypoxia of organ
systems.
D Hypertension increases blood viscosity, which contributes to intravascular coagulation and
tissue necrosis distal to occlusions. –
P 3
, • NUR 265 Exam 09/01/2026
Correct Answer :A Hypertension promotes atherosclerosis and damage to the walls of the
arteries.
Hypertension is a major risk factor for the development of atherosclerosis by mechanisms not
yet fully known. However, once atherosclerosis develops, it damages the walls of arteries and
reduces circulation to target organs and tissues.
When teaching a patient about dietary management of stage 1 hypertension, which
instruction is most appropriate?
A Restrict all caffeine.
B Restrict sodium intake.
C Increase protein intake.
D Use calcium supplements. –
Correct Answer :B Restrict sodium intake.
The patient should decrease intake of sodium. This will help to control hypertension, which
can be aggravated by excessive salt intake, which in turn leads to fluid retention. Caffeine and
protein intake do not affect hypertension. Calcium supplements are not recommended to
lower BP.
In caring for a patient admitted with poorly controlled hypertension, which laboratory test
result should the nurse understand as indicating the presence of target organ damage?
A BUN of 15 mg/dL
B Serum uric acid of 3.8 mg/dL
C Serum creatinine of 2.6 mg/dL
D Serum potassium of 3.5 mEq/L - Correct Answer :C Serum creatinine of 2.6 mg/dL
P 4
