NURS 5434 Final Exam: Questions & Answers
Which of the following is the most common cause of Secondary
Hypertension?
A. Elevated blood sugar
B. Polycystic kidney disease
C. Alcohol and drug use
D. Pheochromocytoma
E. Obstructive sleep apnea
(Ans- E. Obstructive sleep apnea
Which of the following would quality as a Hypertensive Emergency?
A. Blood pressure of 200/100
B. Blood pressure of 170/80
C. Blood pressure of 182/121 with blurry vision
D. Blood pressure of 166/65 with dizziness
(Ans- C. Blood pressure of 182/121 with blurry vision
Hypertensive Emergency
BP of greater than or equal to 180/120 WITH Target organ damage
,How many high readings do you need to diagnose someone with
hypertension?
(Ans- Two or more
High potassium is due to
A. Renal disease
B. Heart condition
C. Asthma
D. Aldosterone excess
(Ans- A. Renal disease
Low potassium is due to
A. Renal disease
B. Heart condition
C. Asthma
D. Aldosterone excess
(Ans- D. Aldosterone excess
,A patient has come into the office. Her systolic BP has been between
158-162 for the last several weeks. The patient has been on Lisinopril
and a CCB for 3 weeks now. What is the best course of action?
A. Implement diet modifications
B. Try yoga for 30 minutes a day
C. Add HCTZ
D. Stop the current medication
(Ans- C. Add HCTZ
A patient comes into the office with a BP of 190/120. He admits that he
has not been taking this blood pressure medication for several weeks.
What is the FIRST thing you want to do with this patient?
A. Call the emergency services to take the patient to the ER
B. Assess the patient for target organ damage
C. Send him home and tell him to take his meds
D. Start Clonidine in the office
(Ans- B. Assess the patient for target organ damage
What is the sodium limit for a hypertensive patient?
(Ans- 1,500 mg/day
, Alcohol recommendations for men?
(Ans- 2 drinks or less per day
Alcohol recommendations for women?
(Ans- 1 drink or less per day
A male patient comes into to the office with no past medical history. He
has only taking Advil cold and sinus daily. He is having elevated blood
pressure. What do you recommend?
A. Stop the Advil cold and sinus for a week and log BP
B. Start BP medication
C. Send the patient home since it's White Coat HTN
D. Replace the sinus medication with another
(Ans- A. Stop the Advil cold and sinus for a week and log BP
You exam a 79 year old woman with along standing poorly controlled
hypertension, when evaluating her for hypertensive target organ
damage you look for evidence of:
A. High blood glucose
Which of the following is the most common cause of Secondary
Hypertension?
A. Elevated blood sugar
B. Polycystic kidney disease
C. Alcohol and drug use
D. Pheochromocytoma
E. Obstructive sleep apnea
(Ans- E. Obstructive sleep apnea
Which of the following would quality as a Hypertensive Emergency?
A. Blood pressure of 200/100
B. Blood pressure of 170/80
C. Blood pressure of 182/121 with blurry vision
D. Blood pressure of 166/65 with dizziness
(Ans- C. Blood pressure of 182/121 with blurry vision
Hypertensive Emergency
BP of greater than or equal to 180/120 WITH Target organ damage
,How many high readings do you need to diagnose someone with
hypertension?
(Ans- Two or more
High potassium is due to
A. Renal disease
B. Heart condition
C. Asthma
D. Aldosterone excess
(Ans- A. Renal disease
Low potassium is due to
A. Renal disease
B. Heart condition
C. Asthma
D. Aldosterone excess
(Ans- D. Aldosterone excess
,A patient has come into the office. Her systolic BP has been between
158-162 for the last several weeks. The patient has been on Lisinopril
and a CCB for 3 weeks now. What is the best course of action?
A. Implement diet modifications
B. Try yoga for 30 minutes a day
C. Add HCTZ
D. Stop the current medication
(Ans- C. Add HCTZ
A patient comes into the office with a BP of 190/120. He admits that he
has not been taking this blood pressure medication for several weeks.
What is the FIRST thing you want to do with this patient?
A. Call the emergency services to take the patient to the ER
B. Assess the patient for target organ damage
C. Send him home and tell him to take his meds
D. Start Clonidine in the office
(Ans- B. Assess the patient for target organ damage
What is the sodium limit for a hypertensive patient?
(Ans- 1,500 mg/day
, Alcohol recommendations for men?
(Ans- 2 drinks or less per day
Alcohol recommendations for women?
(Ans- 1 drink or less per day
A male patient comes into to the office with no past medical history. He
has only taking Advil cold and sinus daily. He is having elevated blood
pressure. What do you recommend?
A. Stop the Advil cold and sinus for a week and log BP
B. Start BP medication
C. Send the patient home since it's White Coat HTN
D. Replace the sinus medication with another
(Ans- A. Stop the Advil cold and sinus for a week and log BP
You exam a 79 year old woman with along standing poorly controlled
hypertension, when evaluating her for hypertensive target organ
damage you look for evidence of:
A. High blood glucose
