Hypertension Latest Exam with
Answers Scored A+ 2025\2026
Version.
Meet the Client - Answer A group of nursing students is conducting blood pressure and
cholesterol screenings outside a local home improvement store on Saturday morning for its
community service project. An adult client stops by the booth to have their blood pressure and
cholesterol checked. They tell the students that they are a construction foreman.
Assessment - Answer The client's blood pressure reading is 189/110 mmHg. Their LDL
cholesterol reading is 200 mg/dL. They ask the student nurse if they should be concerned about
their blood pressure.
How should the student nurse respond?
a) Your blood pressure is very high. You need to see your healthcare provider (HCP) today.
b) You have hypertension. You need to start making some lifestyle changes.
c) Please sit here quietly for a few minutes. I need to recheck your blood pressure.
d) I need you to remain seated. I am going to call 911/EMS. - Answer c) Please sit here quietly
for a few minutes. I need to recheck your blood pressure.
-
The client's blood pressure is high but may be temporarily elevated due to activity or stress. The
blood pressure should be rechecked after the client rests for a few minutes.
The student nurse asks the client about their health history. They are 6 ft (182.88 cm) tall and
their weight is 190 lbs (86.18 kgs). They state that they have lost a lot of weight recently. They
also reports experiencing a lot of stress at work and that they often goes out with the crew after
work to have several beers. They report that their mother, who had diabetes mellitus, has
passed away. They believe that she also had hypertension. They smoke 1½ packs of cigarettes a
day and drinks 4 to 5 cups of coffee a day. - Answer -
What significant risk factors for hypertension does the student nurse identify for the client,
according to this health history? (Select all that apply. One, some, or all options may be correct.)
a) Family history of diabetes.
, c) Smoking
d) Stress
Client Teaching - Answer The student nurse rechecks the client's blood pressure now that they
have been sitting quietly for a few minutes. Their blood pressure is 180/106 mmHg.
According to the assessment of this client, which recommendation is most important for the
student nurse to provide to them?
a) See their HCP as soon as possible within the next week for a BP recheck.
b) Limit salt intake and start a weight loss program.
c) Attend a stress reduction seminar offered in his community.
d) Learn about high fiber foods and add more fiber to his diet. - Answer a) See their HCP as
soon as possible within the next week for a BP recheck.
-
The client's blood pressure is significantly elevated. Since these BP readings were obtained on
the same day, the client needs to see their health care provider (HCP) soon for a second BP
measurement so that a diagnosis can be determined and treatment initiated.
The student nurse continues to talk with the client about their blood pressure results. The client
states that they feel great physically and does not see why they need to see their HCP. - Answer
-
Which is the best response the student nurse can give to the client about the urgent need to
see their HCP?
a) Reiterate how dangerously high the blood pressure is and that it could lead to a heart attack
or stroke at any time.
b) Tell the client while often there are no symptoms, high blood pressure does cause damage to
many organs.
c) Explain how hypertension is called the silent killer and understand that you could die at a
young age.
d) Inform the client that it is always better to treat high blood pressure before you start having
symptoms. - Answer b) Tell the client while often there are no symptoms, high blood pressure
does cause damage to many organs.
-
Often clients with hypertension have no symptoms, and organ damage may occur before the
client becomes symptomatic.