PNH301 Test #2 – Questions With Objective Solutions
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Which BP regulating mechanism(s) can a. release of norepinephrine
result in the development of hypertension if c. stimulation of the sympathetic nervous system
defective (select all that apply)? e. activation of the renin-angiotensin-aldosterone system
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of the sympathetic nervous
system
d. stimulation of the parasympathetic
nervous system
e. activation of the renin-angiotensin-
aldosterone system
While obtaining subjective assessment data b. Excessive alcohol intake
from a client with hypertension, the nurse
recognizes which of the following as a
modifiable risk factor for the development
of hypertension?
a. Hyperlipidemia
b. Excessive alcohol intake
c. A family history of hypertension
d. Consumption of a high-carbohydrate,
high-calcium diet
The nurse includes which of the following d. Lifestyle modifications are indicated for all people with
ideas in teaching a client with hypertension elevated BP.
about controlling the condition?
a. All clients with elevated BP require
medication.
b. It is not necessary to limit salt in the diet if
taking a diuretic.
c. Obese people must achieve a normal
weight in order to lower BP.
d. Lifestyle modifications are indicated for
all people with elevated BP.
,What is a major consideration in the d. Use careful technique in assessing the BP of the client
management of an older adult with because of the possible presence of an auscultatory gap.
hypertension?
a. Prevent pseudohypertension from
converting to true hypertension.
b. Recognize that older adults are less likely
to adhere to the drug therapy than younger
adults.
c. Ensure that the client receives larger initial
doses of antihypertensive drugs because of
impaired absorption.
d. Use careful technique in assessing the BP
of the client because of the possible
presence of an auscultatory gap.
A client with newly diagnosed hypertension a. Medication may be required because the BP is still not
has a blood pressure of 158/98 mm Hg after within the normal range
12 months of exercise and diet
modifications. How does the nurse advise
the client?
a. Medication may be required because the
BP is still not within the normal range.
b. Continued monitoring of the BP every 3
to 6 months is all that will be necessary for
treatment.
c. Because lifestyle modifications were not
effective, they do not need to be continued
and drugs will be used.
d. The client will have to make more
vigorous changes in lifestyle if the client
wants to stay off medication for
hypertension.
A patient is admitted to the hospital in a. Measuring hourly urine output.
hypertensive emergency (BP 244/142 mm c. Continuous BP monitoring with an intraarterial line
Hg). Sodium nitroprusside is started to treat e. Assessing the patient for signs and symptoms of heart
the elevated BP. Which management failure and changes in mental status.
strategy(ies) would be appropriate for this
patient? (Select all that apply)
a. Measuring hourly urine output.
b. Decreasing the MAP by 50% within the
first hour.
c. Continuous BP monitoring with an
intraarterial line.
d. Maintaining bed rest and providing
sedation to lower the BP.
e. Assessing the patient for signs and
symptoms of heart failure and changes in
mental status.
which of the following are teaching points b. avoid prolonged standing
for patients with orthostatic hypotension? d. avoid hot baths and showers
(select all that apply) e. rise slowly
a. eat a low sodium diet
b. avoid prolonged standing
c. avoid cholesterol in diet
d. avoid hot baths and showers
e. rise slowly
,what may occur if antihypertensive drugs c. rebound hypertension
are stopped abruptly?
a. hypotensive crisis
b. orthostatic hypotension
c. rebound hypertension
d. bradycardia
what is hypertension? sustained elevation of systemic arterial BP
what is coronary artery disease? type of blood vessel disorder that is included in the general
category of atherosclerosis.
affects heart's arteries and produces various pathological
effects, especially the reduced flow of oxygen and nutrients
to the myocardium.
How many people in Canada will c. 70 000
experience a myocardial infarction in a
given year?
a. 20 000
b. 50 000
c. 70 000
d. 100 000
A nurse is teaching a client about coronary b. Abnormal levels of cholesterol, especially low-density
artery disease. Which changes occur in this lipoproteins
disorder and should be included in the c. Accumulation of lipid plaques or calcification within the
explanation? (Select all that apply) coronary arteries
a. Diffuse involvement of plaque formation d. Development of angina due to a decreased blood supply
in coronary veins to the heart muscle
b. Abnormal levels of cholesterol, especially
low-density lipoproteins
c. Accumulation of lipid plaques or
calcification within the coronary arteries
d. Development of angina due to a
decreased blood supply to the heart muscle
e. Chronic vasoconstriction of coronary
arteries leading to permanent vasospasm
Which statement indicates that the client a. "I would like to add weightlifting to my exercise program."
requires additional instruction in reducing
cardiac risk factors?
a. "I would like to add weightlifting to my
exercise program."
b. "I can't keep my blood pressure normal
without medication."
c. "I can change my diet to decrease my
intake of saturated fats."
d. "I will change my lifestyle to reduce
activities that increase my stress."
, A hospitalized client with angina tells the a. It will be relieved by rest, nitroglycerin, or both.
nurse that she is having chest pain. What
best describes the nature of anginal pain?
a. It will be relieved by rest, nitroglycerin, or
both.
b. It is less severe than the pain of a
myocardial infarction.
c. It indicates that irreversible cellular
damage is occurring.
d. It is frequently associated with vomiting
and extreme fatigue.
What does the clinical spectrum of ACS d. Unstable angina, STEMI, and NSTEMI
include?
a. Unstable angina and STEMI
b. Unstable angina and NSTEMI
c. Stable angina and sudden cardiac death
d. Unstable angina, STEMI, and NSTEMI
In a client recovering from an MI, in which c. 10 to 14 days after the infarction
period is the heart most vulnerable to
stress?
a. 3 weeks after the infarction
b. 4 to 6 days after the infarction
c. 10 to 14 days after the infarction
d. When healing is complete, at 6 to 8 weeks
A client is admitted to the ED with chest pain b. Nitroglycerin spray
of 2 hours' duration, ECG findings consistent
with an acute MI, and occasional ventricular
dysrhythmias. With what pharmacological
therapy would the nurse expect the client to
be managed initially?
a. Diuretics
b. Nitroglycerin spray
c. β-Adrenergic blockers
d. Thrombolytic therapy with tissue
plasminogen activator
Five days after an MI, a client is restless and c. By allowing the client to participate in planning and
apprehensive. How can the nurse assist the carrying out activities
client?
a. By providing all care and doing
everything for the client
b. By structuring the environment and the
routine so that the client can rest
c. By allowing the client to participate in
planning and carrying out activities
d. By encouraging the family to provide for
the client's physical care and give emotional
support
What is the most common pathological c. Atherosclerotic heart disease
finding in individuals experiencing SCD?
a. Cardiomyopathies SCD=sudden cardiac death
b. Mitral valve disease
c. Atherosclerotic heart disease
d. Left ventricular hypertrophy
Save
Students also studied
WSC 2026: Are we there yet? Social Science Nationalism Vocab T... WSC 2026 Next Year
Teacher 156 terms 21 terms Teacher 50 terms
Amy_Woodall4 Preview Keiya_Raja Preview Sandywu1205
Terms in this set (152)
Which BP regulating mechanism(s) can a. release of norepinephrine
result in the development of hypertension if c. stimulation of the sympathetic nervous system
defective (select all that apply)? e. activation of the renin-angiotensin-aldosterone system
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of the sympathetic nervous
system
d. stimulation of the parasympathetic
nervous system
e. activation of the renin-angiotensin-
aldosterone system
While obtaining subjective assessment data b. Excessive alcohol intake
from a client with hypertension, the nurse
recognizes which of the following as a
modifiable risk factor for the development
of hypertension?
a. Hyperlipidemia
b. Excessive alcohol intake
c. A family history of hypertension
d. Consumption of a high-carbohydrate,
high-calcium diet
The nurse includes which of the following d. Lifestyle modifications are indicated for all people with
ideas in teaching a client with hypertension elevated BP.
about controlling the condition?
a. All clients with elevated BP require
medication.
b. It is not necessary to limit salt in the diet if
taking a diuretic.
c. Obese people must achieve a normal
weight in order to lower BP.
d. Lifestyle modifications are indicated for
all people with elevated BP.
,What is a major consideration in the d. Use careful technique in assessing the BP of the client
management of an older adult with because of the possible presence of an auscultatory gap.
hypertension?
a. Prevent pseudohypertension from
converting to true hypertension.
b. Recognize that older adults are less likely
to adhere to the drug therapy than younger
adults.
c. Ensure that the client receives larger initial
doses of antihypertensive drugs because of
impaired absorption.
d. Use careful technique in assessing the BP
of the client because of the possible
presence of an auscultatory gap.
A client with newly diagnosed hypertension a. Medication may be required because the BP is still not
has a blood pressure of 158/98 mm Hg after within the normal range
12 months of exercise and diet
modifications. How does the nurse advise
the client?
a. Medication may be required because the
BP is still not within the normal range.
b. Continued monitoring of the BP every 3
to 6 months is all that will be necessary for
treatment.
c. Because lifestyle modifications were not
effective, they do not need to be continued
and drugs will be used.
d. The client will have to make more
vigorous changes in lifestyle if the client
wants to stay off medication for
hypertension.
A patient is admitted to the hospital in a. Measuring hourly urine output.
hypertensive emergency (BP 244/142 mm c. Continuous BP monitoring with an intraarterial line
Hg). Sodium nitroprusside is started to treat e. Assessing the patient for signs and symptoms of heart
the elevated BP. Which management failure and changes in mental status.
strategy(ies) would be appropriate for this
patient? (Select all that apply)
a. Measuring hourly urine output.
b. Decreasing the MAP by 50% within the
first hour.
c. Continuous BP monitoring with an
intraarterial line.
d. Maintaining bed rest and providing
sedation to lower the BP.
e. Assessing the patient for signs and
symptoms of heart failure and changes in
mental status.
which of the following are teaching points b. avoid prolonged standing
for patients with orthostatic hypotension? d. avoid hot baths and showers
(select all that apply) e. rise slowly
a. eat a low sodium diet
b. avoid prolonged standing
c. avoid cholesterol in diet
d. avoid hot baths and showers
e. rise slowly
,what may occur if antihypertensive drugs c. rebound hypertension
are stopped abruptly?
a. hypotensive crisis
b. orthostatic hypotension
c. rebound hypertension
d. bradycardia
what is hypertension? sustained elevation of systemic arterial BP
what is coronary artery disease? type of blood vessel disorder that is included in the general
category of atherosclerosis.
affects heart's arteries and produces various pathological
effects, especially the reduced flow of oxygen and nutrients
to the myocardium.
How many people in Canada will c. 70 000
experience a myocardial infarction in a
given year?
a. 20 000
b. 50 000
c. 70 000
d. 100 000
A nurse is teaching a client about coronary b. Abnormal levels of cholesterol, especially low-density
artery disease. Which changes occur in this lipoproteins
disorder and should be included in the c. Accumulation of lipid plaques or calcification within the
explanation? (Select all that apply) coronary arteries
a. Diffuse involvement of plaque formation d. Development of angina due to a decreased blood supply
in coronary veins to the heart muscle
b. Abnormal levels of cholesterol, especially
low-density lipoproteins
c. Accumulation of lipid plaques or
calcification within the coronary arteries
d. Development of angina due to a
decreased blood supply to the heart muscle
e. Chronic vasoconstriction of coronary
arteries leading to permanent vasospasm
Which statement indicates that the client a. "I would like to add weightlifting to my exercise program."
requires additional instruction in reducing
cardiac risk factors?
a. "I would like to add weightlifting to my
exercise program."
b. "I can't keep my blood pressure normal
without medication."
c. "I can change my diet to decrease my
intake of saturated fats."
d. "I will change my lifestyle to reduce
activities that increase my stress."
, A hospitalized client with angina tells the a. It will be relieved by rest, nitroglycerin, or both.
nurse that she is having chest pain. What
best describes the nature of anginal pain?
a. It will be relieved by rest, nitroglycerin, or
both.
b. It is less severe than the pain of a
myocardial infarction.
c. It indicates that irreversible cellular
damage is occurring.
d. It is frequently associated with vomiting
and extreme fatigue.
What does the clinical spectrum of ACS d. Unstable angina, STEMI, and NSTEMI
include?
a. Unstable angina and STEMI
b. Unstable angina and NSTEMI
c. Stable angina and sudden cardiac death
d. Unstable angina, STEMI, and NSTEMI
In a client recovering from an MI, in which c. 10 to 14 days after the infarction
period is the heart most vulnerable to
stress?
a. 3 weeks after the infarction
b. 4 to 6 days after the infarction
c. 10 to 14 days after the infarction
d. When healing is complete, at 6 to 8 weeks
A client is admitted to the ED with chest pain b. Nitroglycerin spray
of 2 hours' duration, ECG findings consistent
with an acute MI, and occasional ventricular
dysrhythmias. With what pharmacological
therapy would the nurse expect the client to
be managed initially?
a. Diuretics
b. Nitroglycerin spray
c. β-Adrenergic blockers
d. Thrombolytic therapy with tissue
plasminogen activator
Five days after an MI, a client is restless and c. By allowing the client to participate in planning and
apprehensive. How can the nurse assist the carrying out activities
client?
a. By providing all care and doing
everything for the client
b. By structuring the environment and the
routine so that the client can rest
c. By allowing the client to participate in
planning and carrying out activities
d. By encouraging the family to provide for
the client's physical care and give emotional
support
What is the most common pathological c. Atherosclerotic heart disease
finding in individuals experiencing SCD?
a. Cardiomyopathies SCD=sudden cardiac death
b. Mitral valve disease
c. Atherosclerotic heart disease
d. Left ventricular hypertrophy
