2
PNH301 test 2 questions with precise detailed answers || || || || || || ||
Which BP regulating mechanism(s) can result in the development of hypertension if
|| || || || || || || || || || || ||
defective (select all that apply)?
|| || || ||
a. release of norepinephrine
|| || ||
b. secretion of prostaglandins
|| || ||
c. stimulation of the sympathetic nervous system
|| || || || || ||
d. stimulation of the parasympathetic nervous system
|| || || || || ||
e. activation of the renin-angiotensin-aldosterone system
|| || || || ||
a. release of norepinephrine
|| || ||
c. stimulation of the sympathetic nervous system
|| || || || || ||
e. activation of the renin-angiotensin-aldosterone system
|| || || || ||
While obtaining subjective assessment data from a client with hypertension, the nurse
|| || || || || || || || || || || ||
recognizes which of the following as a modifiable risk factor for the development of
|| || || || || || || || || || || || || ||
hypertension?
a. Hyperlipidemia
||
b. Excessive alcohol intake
|| || ||
c. A family history of hypertension
|| || || || ||
d. Consumption of a high-carbohydrate, high-calcium diet
|| || || || || ||
b. Excessive alcohol intake
|| || ||
The nurse includes which of the following ideas in teaching a client with hypertension
|| || || || || || || || || || || || || ||
about controlling the condition?
|| || ||
,2
a. All clients with elevated BP require medication.
|| || || || || || ||
b. It is not necessary to limit salt in the diet if taking a diuretic.
|| || || || || || || || || || || || || ||
c. Obese people must achieve a normal weight in order to lower BP.
|| || || || || || || || || || || ||
d. Lifestyle modifications are indicated for all people with elevated BP.
|| || || || || || || || || ||
d. Lifestyle modifications are indicated for all people with elevated BP.
|| || || || || || || || || ||
What is a major consideration in the management of an older adult with hypertension?
|| || || || || || || || || || || || ||
a. Prevent pseudohypertension from converting to true hypertension.
|| || || || || || ||
b. Recognize that older adults are less likely to adhere to the drug therapy than younger
|| || || || || || || || || || || || || || || ||
adults.
c. Ensure that the client receives larger initial doses of antihypertensive drugs because of
|| || || || || || || || || || || || || ||
impaired absorption. ||
d. Use careful technique in assessing the BP of the client because of the possible presence of
|| || || || || || || || || || || || || || || ||
an auscultatory gap.
|| || ||
d. Use careful technique in assessing the BP of the client because of the possible presence of
|| || || || || || || || || || || || || || || ||
an auscultatory gap.
|| || ||
A client with newly diagnosed hypertension has a blood pressure of 158/98 mm Hg after 12
|| || || || || || || || || || || || || || || ||
months of exercise and diet modifications. How does the nurse advise the client?
|| || || || || || || || || || || ||
a. Medication may be required because the BP is still not within the normal range.
|| || || || || || || || || || || || || ||
b. Continued monitoring of the BP every 3 to 6 months is all that will be necessary for
|| || || || || || || || || || || || || || || || || ||
treatment.
c. Because lifestyle modifications were not effective, they do not need to be continued and
|| || || || || || || || || || || || || || ||
drugs will be used. || || ||
,2
d. The client will have to make more vigorous changes in lifestyle if the client wants to stay
|| || || || || || || || || || || || || || || || || ||
off medication for hypertension.
|| || ||
a. Medication may be required because the BP is still not within the normal range
|| || || || || || || || || || || || || ||
A patient is admitted to the hospital in hypertensive emergency (BP 244/142 mm Hg).
|| || || || || || || || || || || || || ||
Sodium nitroprusside is started to treat the elevated BP. Which management strategy(ies)
|| || || || || || || || || || || ||
would be appropriate for this patient? (Select all that apply)
|| || || || || || || || ||
a. Measuring hourly urine output.
|| || || ||
b. Decreasing the MAP by 50% within the first hour.
|| || || || || || || || ||
c. Continuous BP monitoring with an intraarterial line.
|| || || || || || ||
d. Maintaining bed rest and providing sedation to lower the BP.
|| || || || || || || || || ||
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
|| || || || || || || || || || || || || || ||
status.
a. Measuring hourly urine output.
|| || || ||
c. Continuous BP monitoring with an intraarterial line
|| || || || || || ||
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
|| || || || || || || || || || || || || || ||
status.
which of the following are teaching points for patients with orthostatic hypotension? (select
|| || || || || || || || || || || || ||
all that apply)
|| ||
a. eat a low sodium diet
|| || || || ||
b. avoid prolonged standing
|| || ||
c. avoid cholesterol in diet
|| || || ||
, 2
d. avoid hot baths and showers
|| || || || ||
e. rise slowly
|| ||
b. avoid prolonged standing
|| || ||
d. avoid hot baths and showers
|| || || || ||
e. rise slowly
|| ||
what may occur if antihypertensive drugs are stopped abruptly?
|| || || || || || || ||
a. hypotensive crisis
|| ||
b. orthostatic hypotension
|| ||
c. rebound hypertension
|| ||
d. bradycardia
||
c. rebound hypertension
|| ||
what is hypertension?
|| ||
sustained elevation of systemic arterial BP|| || || || ||
what is coronary artery disease?
|| || || ||
type of blood vessel disorder that is included in the general category of atherosclerosis.
|| || || || || || || || || || || || ||
affects heart's arteries and produces various pathological effects, especially the reduced flow
|| || || || || || || || || || || ||
of oxygen and nutrients to the myocardium.
|| || || || || ||
PNH301 test 2 questions with precise detailed answers || || || || || || ||
Which BP regulating mechanism(s) can result in the development of hypertension if
|| || || || || || || || || || || ||
defective (select all that apply)?
|| || || ||
a. release of norepinephrine
|| || ||
b. secretion of prostaglandins
|| || ||
c. stimulation of the sympathetic nervous system
|| || || || || ||
d. stimulation of the parasympathetic nervous system
|| || || || || ||
e. activation of the renin-angiotensin-aldosterone system
|| || || || ||
a. release of norepinephrine
|| || ||
c. stimulation of the sympathetic nervous system
|| || || || || ||
e. activation of the renin-angiotensin-aldosterone system
|| || || || ||
While obtaining subjective assessment data from a client with hypertension, the nurse
|| || || || || || || || || || || ||
recognizes which of the following as a modifiable risk factor for the development of
|| || || || || || || || || || || || || ||
hypertension?
a. Hyperlipidemia
||
b. Excessive alcohol intake
|| || ||
c. A family history of hypertension
|| || || || ||
d. Consumption of a high-carbohydrate, high-calcium diet
|| || || || || ||
b. Excessive alcohol intake
|| || ||
The nurse includes which of the following ideas in teaching a client with hypertension
|| || || || || || || || || || || || || ||
about controlling the condition?
|| || ||
,2
a. All clients with elevated BP require medication.
|| || || || || || ||
b. It is not necessary to limit salt in the diet if taking a diuretic.
|| || || || || || || || || || || || || ||
c. Obese people must achieve a normal weight in order to lower BP.
|| || || || || || || || || || || ||
d. Lifestyle modifications are indicated for all people with elevated BP.
|| || || || || || || || || ||
d. Lifestyle modifications are indicated for all people with elevated BP.
|| || || || || || || || || ||
What is a major consideration in the management of an older adult with hypertension?
|| || || || || || || || || || || || ||
a. Prevent pseudohypertension from converting to true hypertension.
|| || || || || || ||
b. Recognize that older adults are less likely to adhere to the drug therapy than younger
|| || || || || || || || || || || || || || || ||
adults.
c. Ensure that the client receives larger initial doses of antihypertensive drugs because of
|| || || || || || || || || || || || || ||
impaired absorption. ||
d. Use careful technique in assessing the BP of the client because of the possible presence of
|| || || || || || || || || || || || || || || ||
an auscultatory gap.
|| || ||
d. Use careful technique in assessing the BP of the client because of the possible presence of
|| || || || || || || || || || || || || || || ||
an auscultatory gap.
|| || ||
A client with newly diagnosed hypertension has a blood pressure of 158/98 mm Hg after 12
|| || || || || || || || || || || || || || || ||
months of exercise and diet modifications. How does the nurse advise the client?
|| || || || || || || || || || || ||
a. Medication may be required because the BP is still not within the normal range.
|| || || || || || || || || || || || || ||
b. Continued monitoring of the BP every 3 to 6 months is all that will be necessary for
|| || || || || || || || || || || || || || || || || ||
treatment.
c. Because lifestyle modifications were not effective, they do not need to be continued and
|| || || || || || || || || || || || || || ||
drugs will be used. || || ||
,2
d. The client will have to make more vigorous changes in lifestyle if the client wants to stay
|| || || || || || || || || || || || || || || || || ||
off medication for hypertension.
|| || ||
a. Medication may be required because the BP is still not within the normal range
|| || || || || || || || || || || || || ||
A patient is admitted to the hospital in hypertensive emergency (BP 244/142 mm Hg).
|| || || || || || || || || || || || || ||
Sodium nitroprusside is started to treat the elevated BP. Which management strategy(ies)
|| || || || || || || || || || || ||
would be appropriate for this patient? (Select all that apply)
|| || || || || || || || ||
a. Measuring hourly urine output.
|| || || ||
b. Decreasing the MAP by 50% within the first hour.
|| || || || || || || || ||
c. Continuous BP monitoring with an intraarterial line.
|| || || || || || ||
d. Maintaining bed rest and providing sedation to lower the BP.
|| || || || || || || || || ||
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
|| || || || || || || || || || || || || || ||
status.
a. Measuring hourly urine output.
|| || || ||
c. Continuous BP monitoring with an intraarterial line
|| || || || || || ||
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
|| || || || || || || || || || || || || || ||
status.
which of the following are teaching points for patients with orthostatic hypotension? (select
|| || || || || || || || || || || || ||
all that apply)
|| ||
a. eat a low sodium diet
|| || || || ||
b. avoid prolonged standing
|| || ||
c. avoid cholesterol in diet
|| || || ||
, 2
d. avoid hot baths and showers
|| || || || ||
e. rise slowly
|| ||
b. avoid prolonged standing
|| || ||
d. avoid hot baths and showers
|| || || || ||
e. rise slowly
|| ||
what may occur if antihypertensive drugs are stopped abruptly?
|| || || || || || || ||
a. hypotensive crisis
|| ||
b. orthostatic hypotension
|| ||
c. rebound hypertension
|| ||
d. bradycardia
||
c. rebound hypertension
|| ||
what is hypertension?
|| ||
sustained elevation of systemic arterial BP|| || || || ||
what is coronary artery disease?
|| || || ||
type of blood vessel disorder that is included in the general category of atherosclerosis.
|| || || || || || || || || || || || ||
affects heart's arteries and produces various pathological effects, especially the reduced flow
|| || || || || || || || || || || ||
of oxygen and nutrients to the myocardium.
|| || || || || ||
