answers 2026/27
Graded A+
A. Monosaturated fats
B. B complex Vitamins
C. Vitamin C
D. Calcium
A. Monosaturated fats are included in a healthy diet but have not been found to affect the
homocysteine levels.
B. Homocysteine interferes with the elasticity of the endothelial layer in blood vessels.
Foods rich in B-complex vitamins, especially folic acid, have been found to lower serum
homoeystelne levels.
C. Vitamin C is included in a healthy diet and enhances immune system functions but has
not been found to affect the homocysteine levels.
D. Calcium is important for bone health but has not been found to affect the homocysteinc
levels.
A. “My doctor told me my body mass index is 23 and my blood pressure is 118/70.”
B. “I usually have a glass of wine to unwind when I come home from work.”
C. “I plan to get my blood pressure checked more often, as I am African American.”
D. “I have colds during the winter, so I plan to get the influenza vaccine every year.”
A. A BMI of 25 or higher is considered a risk factor for hypertension. A BMI of 23 is normal.
A BP of 118/70 is within normal range for an adult.
B. Excessive alcohol intake is a risk factor for hypertension; consuming two glasses of
wine daily increases the risk for hypertension.
C. Being African American is a known risk factor for hypertension. Starting to have the BP
,taken more often demonstrates awareness of having a risk factor for hypertension.
,D. Having frequent colds and taking the influenza vaccine does not increase the risk for
hypertension. Medications for treating colds, if taken frequently, can increase the risk for
hypertension.
A. Hyperkalemia can occur as a side effect to lisinopril (Prinivil, Zestril), an ACE inhibitor.
The HCP should be notified prior to administration. The drug or dose may need to be
changed; 40 mg is the maximum daily dose for an elderly client.
B. Metoprolol (Lopressor), a beta adrenergic blocker, can increase serum creatinine and
BUN levels and cause hypoglycemia. There is no information in the stem about these
levels.
C. Atorvastatin (Lipitor), an antilipidemic agent, lowers LDL levels; it has no effect on serum
potassium levels.
D. Sertraline (Zoloft), an SSRI, is used in treating anxiety or depression. 15 has no effect on
serum potassium levels. It may produce hyponatremia in older adults.
, A. “I will limit my intake of potassium by eating bananas only once a week.”
B. “1 will start a rigorous exercise program to lose this excess weight.”
C. “I will call my doctor immediately if I have sudden vision changes.”
D. “I will strive to maintain my body mass index (BMI) at 32.”
A. Reduced intake of dietary potassium is a contributory factor associated with malignant
hypertension and should not be limited unless serum potassium levels are elevated.
Sodium, not potassium, should be limited with hypertension.
B. Clients with hypertension are advised to gradually increase to regular physical activity,
and should avoid sudden rigorous exercise programs.
C. Teaching is effective if the client states to call the HCP immediately if experiencing
vision changes. Sudden vision changes may be associated with stroke, a complication
of hypertension.
D. A BMI of 32 is obese. Obesity is a contributing factor of hypertension and is defined as a
BMI greater than 30.
A. 94/60 mm Hg
B. 98/36 mm Hg
C. 110/50 mm Hg
D. 140/78 mm Hg