Practice Questions from Kelly
1. D) Hypertension is usually asymptomatic until target organ damage oc-
curs.: 1. Which information should the nurse include when teaching a patient with
newly diagnosed hypertension?
A) Increasing physical activity will control blood pressure (BP) for most patients.
B) Most patients are able to control BP through dietary changes.
C) Annual BP checks are needed to monitor treatment effectiveness.
D) Hypertension is usually asymptomatic until target organ damage occurs.
2. A) 43-year-old with a (blood pressure (BP) of 160/92 who is complaining
of chest pain: 2. The nurse on the intermediate care unit received change-of-shift
report on four patients with hypertension. Which patient should the nurse assess
first?
A) 43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest
pain
B) 52-year-old with a BP of 212/90 who has intermittent claudication
C) 50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
D) 48-year-old with a BP of 172/98 whose urine shows microalbuminuria
3. A) Serum creatinine of 2.8 mg/dL: 3. The nurse is reviewing the laboratory test
results for a patient who has recently been diagnosed with hypertension. Which
result is most important to communicate to the health care provider?
A) Serum creatinine of 2.8 mg/dL
B) Serum potassium of 4.5 mEq/L
C) Serum hemoglobin of 14.7 g/dL
D) Blood glucose level of 96 mg/dL
4. B) "Have you been consistently taking your medications?": 4. A patient with
a history of hypertension treated with a diuretic and an angiotensin-converting
enzyme (ACE) inhibitor arrives in the emergency department complaining of a
severe headache and nausea and has a blood pressure (BP) of 238/118 mm Hg.
Which question should the nurse ask first?
A) "Did you take any acetaminophen (Tylenol) today?"
B) "Have you been consistently taking your medications?"
C) "Have there been any recent stressful events in your life?"
D) "Have you recently taken any antihistamine medications?"
5. B) The patient cannot move the left arm and leg when asked to do so.: 5.
The nurse is assessing a patient who has been admitted to the intensive care unit
(ICU) with a hypertensive emergency. Which finding is most important to report to
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, Practice Questions from Kelly
the health care provider?
A) Urine output over 8 hours is 250 mL less than the fluid intake.
B) The patient cannot move the left arm and leg when asked to do so.
C) Tremors are noted in the fingers when the patient extends the arms.
D) The patient complains of a headache with pain at level 8/10 (0 to 10 scale).
6. C) Set up the automatic blood pressure machine to take BP every 15
minutes.: 6. The registered nurse (RN) is caring for a patient with a hypertensive
crisis who is receiving sodium nitroprusside (Nipride). Which nursing action can the
nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A) Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
B) Evaluate effectiveness of nitroprusside therapy on blood pressure (BP).
C) Set up the automatic blood pressure machine to take BP every 15 minutes.
D) Assess the patient's environment for adverse stimuli that might increase BP.
7. D) elevation of the patient's low-density lipoprotein (LDL) level.: 7. When
developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the?
A) family history of coronary artery disease.
B) increased risk associated with the patient's gender.
C) increased risk of cardiovascular disease as people age.
D) elevation of the patient's low-density lipoprotein (LDL) level.
8. B) The pain has lasted longer than 30 minutes.: 8. Which assessment data
collected by the nurse who is admitting a patient with chest pain suggest that the
pain is caused by an acute myocardial infarction
(AMI)?
A) The pain increases with deep breathing.
B) The pain has lasted longer than 30 minutes.
C) The pain is relieved after the patient takes nitroglycerin.
D) The pain is reproducible when the patient raises the arms.
9. D) The patient states that the pain "goes away" with one sublingual nitro-
glycerin tablet.: 9. Which information given by a patient admitted with chronic stable
angina will help the nurse confirm this diagnosis?
A) The patient states that the pain "wakes me up at night."
B) The patient rates the pain at a level 3 to 5 (0 to 10 scale).
C) The patient states that the pain has increased in frequency over the last week.
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1. D) Hypertension is usually asymptomatic until target organ damage oc-
curs.: 1. Which information should the nurse include when teaching a patient with
newly diagnosed hypertension?
A) Increasing physical activity will control blood pressure (BP) for most patients.
B) Most patients are able to control BP through dietary changes.
C) Annual BP checks are needed to monitor treatment effectiveness.
D) Hypertension is usually asymptomatic until target organ damage occurs.
2. A) 43-year-old with a (blood pressure (BP) of 160/92 who is complaining
of chest pain: 2. The nurse on the intermediate care unit received change-of-shift
report on four patients with hypertension. Which patient should the nurse assess
first?
A) 43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest
pain
B) 52-year-old with a BP of 212/90 who has intermittent claudication
C) 50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
D) 48-year-old with a BP of 172/98 whose urine shows microalbuminuria
3. A) Serum creatinine of 2.8 mg/dL: 3. The nurse is reviewing the laboratory test
results for a patient who has recently been diagnosed with hypertension. Which
result is most important to communicate to the health care provider?
A) Serum creatinine of 2.8 mg/dL
B) Serum potassium of 4.5 mEq/L
C) Serum hemoglobin of 14.7 g/dL
D) Blood glucose level of 96 mg/dL
4. B) "Have you been consistently taking your medications?": 4. A patient with
a history of hypertension treated with a diuretic and an angiotensin-converting
enzyme (ACE) inhibitor arrives in the emergency department complaining of a
severe headache and nausea and has a blood pressure (BP) of 238/118 mm Hg.
Which question should the nurse ask first?
A) "Did you take any acetaminophen (Tylenol) today?"
B) "Have you been consistently taking your medications?"
C) "Have there been any recent stressful events in your life?"
D) "Have you recently taken any antihistamine medications?"
5. B) The patient cannot move the left arm and leg when asked to do so.: 5.
The nurse is assessing a patient who has been admitted to the intensive care unit
(ICU) with a hypertensive emergency. Which finding is most important to report to
1/6
, Practice Questions from Kelly
the health care provider?
A) Urine output over 8 hours is 250 mL less than the fluid intake.
B) The patient cannot move the left arm and leg when asked to do so.
C) Tremors are noted in the fingers when the patient extends the arms.
D) The patient complains of a headache with pain at level 8/10 (0 to 10 scale).
6. C) Set up the automatic blood pressure machine to take BP every 15
minutes.: 6. The registered nurse (RN) is caring for a patient with a hypertensive
crisis who is receiving sodium nitroprusside (Nipride). Which nursing action can the
nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A) Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
B) Evaluate effectiveness of nitroprusside therapy on blood pressure (BP).
C) Set up the automatic blood pressure machine to take BP every 15 minutes.
D) Assess the patient's environment for adverse stimuli that might increase BP.
7. D) elevation of the patient's low-density lipoprotein (LDL) level.: 7. When
developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the?
A) family history of coronary artery disease.
B) increased risk associated with the patient's gender.
C) increased risk of cardiovascular disease as people age.
D) elevation of the patient's low-density lipoprotein (LDL) level.
8. B) The pain has lasted longer than 30 minutes.: 8. Which assessment data
collected by the nurse who is admitting a patient with chest pain suggest that the
pain is caused by an acute myocardial infarction
(AMI)?
A) The pain increases with deep breathing.
B) The pain has lasted longer than 30 minutes.
C) The pain is relieved after the patient takes nitroglycerin.
D) The pain is reproducible when the patient raises the arms.
9. D) The patient states that the pain "goes away" with one sublingual nitro-
glycerin tablet.: 9. Which information given by a patient admitted with chronic stable
angina will help the nurse confirm this diagnosis?
A) The patient states that the pain "wakes me up at night."
B) The patient rates the pain at a level 3 to 5 (0 to 10 scale).
C) The patient states that the pain has increased in frequency over the last week.
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