NUR 215 - Exam 2 QUESTIONS AND
VERIFIED ANSWERS/SOLUTIONS
|MULTIPLE CHOICES |SOLVED!!
A pt's BP has not responded to the prescribed rugs for HTN. Which of the following should the RN assess
first?
a) progressive target organ dmg
b) potential for drug interactions
c) pt's adherence to drug therapy
d) possible use of recreational drugs - CORRECT ANSWERS c) pt's adherence to drug therapy
Which behavior indicates that a pt dx with borderline personality disorder is improving?
a) the pt cries when her roommate refuses to go to the dining room with her
b) the pt yells at the group facilitator when he points out she is monopolizing the group
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself
d) the pt tells the evening staff that the day staff excused her from group to smoke when she got upset -
CORRECT ANSWERS c) the pt informs staff that she feels unsafe & is having thoughts of harming
herself
SATA: Which BP regulating mechanism(s) can result in the development of HTN if defective?
a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the SNS
,d. Stimulation of the PNS
e. Activation of the renin-angiotensin-aldosterone system - CORRECT ANSWERS a, c, & e
While obtaining subjective asmt data from a pt with HTN, the RN recognizes that a modifiable risk fx for
the dev. of HTN is
a. A low-calcium diet
b. Excess etoh intake
c. A family hx. of HTN
d. Consumption of a high-protein diet - CORRECT ANSWERS b. Excess etoh intake
In teaching a pt with HTN about controlling the illness, the RN recognizes that
a. All pts with elevated BP need drug therapy
b. Obese pts must achieve a normal wt to lower BP
c. It's not necessary to limit salt in the diet if taking a diuretic
d. Lifestyle modifications are needed for all pts with elevated BP - CORRECT ANSWERS d.
Lifestyle modifications are needed for all pts with elevated BP
A priority consideration in the mgmt of the older adult with HTN is to
a. Prevent primary HTN from converting to secondary HTN
b. Recognize that the older adult is less likely to adhere to the drug therapy regimen than a younger
adult
c. Ensure that the pt receives larger initial doses of antihypertensive drugs r/t impaired absorption
,d. Use precise technique in assess the BP of the pt bc of the possible presence of an ausculatory gap -
CORRECT ANSWERS d. Use precise technique in assess the BP of the pt bc of the possible
presence of an ausculatory gap
A pt with a newly discovered high BP has an avg. reading of 158/98 mmHg after 3 mos of exercise & diet
modifications. Which mgmt. strategy will be a priority for this pt?
a. Drug therapy will be needed bc the BP is still not at goal
b. BP monitoring should continue for 3 mos to confirm a dx of HTN
c. Lifestyle changes are less important since they were not effective & drugs will be started
d. More changes in the pt's lifestyle are needed for a longer time before starting drug therapy -
CORRECT ANSWERS a. Drug therapy will be needed bc the BP is still not at goal
SATA: A pt is admitted to the hospital in a HTN emergency (BP 244/142 mmHg). Sodium nitroprusside is
started to treat the elevated BP. Which mgmt. strategies would be most appropriate for the pt?
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the 1st hour
d. Maintaining bed rest & giving tranquilizers to lower the BP
e. Assess the pts for s/s HF & changes in mental status - CORRECT ANSWERS a, b, & e
List the parameters of BP for a dx. of HTN - CORRECT ANSWERS BP > 140/90 mmhg
What is the difference btwn primary & secondary HTN? - CORRECT ANSWERS Primary HTN has
no known cause; secondary HTN develops in response to an identifiable mechanism
, Develop a teaching plan for a pt taking antihypertensive meds - CORRECT ANSWERS Explain
how & when to take med, reason for med, necessity of compliance, need for follow-up visits, need for
some lab tests, VS parameters
Develop a teaching plan for a pt prescribed nitro - CORRECT ANSWERS Take at first sign of
angina pain. Take no more than 3, 5min apart. Call 911 if no relief in 10 mins.
When do PVCs present a grave danger? - CORRECT ANSWERS When they begin to occur more
often than once in 10 beats, occur in 2s or 3s, land near the T wave or take on multiple configurations
What immediate actions should the RN implement when a pt is having a MI? - CORRECT ANSWERS
Administer O2 by NC at 2-5 L/min, ensure pt IV or start IV, take measures to alleviate pain & anxiety,
place the pt on immediate best rest to lower O2 demands on heart
State the dx that should be made based on these behaviors or s/s: orderly, rigid - CORRECT ANSWERS
Borderline personality disorder
State the dx that should be made based on these behaviors or s/s: unable to conform to social norms -
CORRECT ANSWERS Obsessive-compulsive personality disorder
Described the s/s anorexia nervosa - CORRECT ANSWERS Wt loss of 15% +, hair loss, dry skin,
irregular HR, decreased pulse & BP, amenorrhea, dehydration, electrolyte imbalance
A pt with anorexia has a friend bring her cookbooks so she can have a party after discharge. What is an
appropriate RN intervention for this behavior? - CORRECT ANSWERS Discuss activities that don't
involve food. Discuss cookbooks with tx team & take books from pt if indicated.
Describe the RN's discharge instructions to a pt with PVD. - CORRECT ANSWERS Keep
extremities elevated when sitting, rest at first sign of pain, keep extremities warm, change position
often, avoid crossing legs, wear unrestrictive clothing
VERIFIED ANSWERS/SOLUTIONS
|MULTIPLE CHOICES |SOLVED!!
A pt's BP has not responded to the prescribed rugs for HTN. Which of the following should the RN assess
first?
a) progressive target organ dmg
b) potential for drug interactions
c) pt's adherence to drug therapy
d) possible use of recreational drugs - CORRECT ANSWERS c) pt's adherence to drug therapy
Which behavior indicates that a pt dx with borderline personality disorder is improving?
a) the pt cries when her roommate refuses to go to the dining room with her
b) the pt yells at the group facilitator when he points out she is monopolizing the group
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself
d) the pt tells the evening staff that the day staff excused her from group to smoke when she got upset -
CORRECT ANSWERS c) the pt informs staff that she feels unsafe & is having thoughts of harming
herself
SATA: Which BP regulating mechanism(s) can result in the development of HTN if defective?
a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the SNS
,d. Stimulation of the PNS
e. Activation of the renin-angiotensin-aldosterone system - CORRECT ANSWERS a, c, & e
While obtaining subjective asmt data from a pt with HTN, the RN recognizes that a modifiable risk fx for
the dev. of HTN is
a. A low-calcium diet
b. Excess etoh intake
c. A family hx. of HTN
d. Consumption of a high-protein diet - CORRECT ANSWERS b. Excess etoh intake
In teaching a pt with HTN about controlling the illness, the RN recognizes that
a. All pts with elevated BP need drug therapy
b. Obese pts must achieve a normal wt to lower BP
c. It's not necessary to limit salt in the diet if taking a diuretic
d. Lifestyle modifications are needed for all pts with elevated BP - CORRECT ANSWERS d.
Lifestyle modifications are needed for all pts with elevated BP
A priority consideration in the mgmt of the older adult with HTN is to
a. Prevent primary HTN from converting to secondary HTN
b. Recognize that the older adult is less likely to adhere to the drug therapy regimen than a younger
adult
c. Ensure that the pt receives larger initial doses of antihypertensive drugs r/t impaired absorption
,d. Use precise technique in assess the BP of the pt bc of the possible presence of an ausculatory gap -
CORRECT ANSWERS d. Use precise technique in assess the BP of the pt bc of the possible
presence of an ausculatory gap
A pt with a newly discovered high BP has an avg. reading of 158/98 mmHg after 3 mos of exercise & diet
modifications. Which mgmt. strategy will be a priority for this pt?
a. Drug therapy will be needed bc the BP is still not at goal
b. BP monitoring should continue for 3 mos to confirm a dx of HTN
c. Lifestyle changes are less important since they were not effective & drugs will be started
d. More changes in the pt's lifestyle are needed for a longer time before starting drug therapy -
CORRECT ANSWERS a. Drug therapy will be needed bc the BP is still not at goal
SATA: A pt is admitted to the hospital in a HTN emergency (BP 244/142 mmHg). Sodium nitroprusside is
started to treat the elevated BP. Which mgmt. strategies would be most appropriate for the pt?
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the 1st hour
d. Maintaining bed rest & giving tranquilizers to lower the BP
e. Assess the pts for s/s HF & changes in mental status - CORRECT ANSWERS a, b, & e
List the parameters of BP for a dx. of HTN - CORRECT ANSWERS BP > 140/90 mmhg
What is the difference btwn primary & secondary HTN? - CORRECT ANSWERS Primary HTN has
no known cause; secondary HTN develops in response to an identifiable mechanism
, Develop a teaching plan for a pt taking antihypertensive meds - CORRECT ANSWERS Explain
how & when to take med, reason for med, necessity of compliance, need for follow-up visits, need for
some lab tests, VS parameters
Develop a teaching plan for a pt prescribed nitro - CORRECT ANSWERS Take at first sign of
angina pain. Take no more than 3, 5min apart. Call 911 if no relief in 10 mins.
When do PVCs present a grave danger? - CORRECT ANSWERS When they begin to occur more
often than once in 10 beats, occur in 2s or 3s, land near the T wave or take on multiple configurations
What immediate actions should the RN implement when a pt is having a MI? - CORRECT ANSWERS
Administer O2 by NC at 2-5 L/min, ensure pt IV or start IV, take measures to alleviate pain & anxiety,
place the pt on immediate best rest to lower O2 demands on heart
State the dx that should be made based on these behaviors or s/s: orderly, rigid - CORRECT ANSWERS
Borderline personality disorder
State the dx that should be made based on these behaviors or s/s: unable to conform to social norms -
CORRECT ANSWERS Obsessive-compulsive personality disorder
Described the s/s anorexia nervosa - CORRECT ANSWERS Wt loss of 15% +, hair loss, dry skin,
irregular HR, decreased pulse & BP, amenorrhea, dehydration, electrolyte imbalance
A pt with anorexia has a friend bring her cookbooks so she can have a party after discharge. What is an
appropriate RN intervention for this behavior? - CORRECT ANSWERS Discuss activities that don't
involve food. Discuss cookbooks with tx team & take books from pt if indicated.
Describe the RN's discharge instructions to a pt with PVD. - CORRECT ANSWERS Keep
extremities elevated when sitting, rest at first sign of pain, keep extremities warm, change position
often, avoid crossing legs, wear unrestrictive clothing
