PNH301 - TEST 2 | QUESTIONS AND
ANSWERS | WITH COMPLETE SOLUTION
Which BP regulating mechanism(s) can result in the development of hypertension if defective
(select all that apply)?
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
a. release of norepinephrine
c. stimulation of the sympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system
While obtaining subjective assessment data 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
b. Excessive alcohol intake
,The nurse includes which of the following ideas in teaching a client with hypertension 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.
d. Lifestyle modifications are indicated for all people with elevated BP.
What is a major consideration in the management of an older adult with 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.
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 has a blood pressure of 158/98 mm Hg after 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. Medication may be required because the BP is still not within the normal range
A patient is admitted to the hospital in hypertensive emergency (BP 244/142 mm Hg). Sodium
nitroprusside is started to treat the elevated BP. Which management 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.
a. Measuring hourly urine output.
c. Continuous BP monitoring with an intraarterial line
e. Assessing the patient for signs and symptoms of heart failure and changes in mental status.
which of the following are teaching points for patients with orthostatic hypotension? (select all
that apply)
a. eat a low sodium diet
b. avoid prolonged standing
c. avoid cholesterol in diet
d. avoid hot baths and showers
e. rise slowly
, b. avoid prolonged standing
d. avoid hot baths and showers
e. rise slowly
what may occur if antihypertensive drugs are stopped abruptly?
a. hypotensive crisis
b. orthostatic hypotension
c. rebound hypertension
d. bradycardia
c. rebound hypertension
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 experience a myocardial infarction in a given year?
a. 20 000
ANSWERS | WITH COMPLETE SOLUTION
Which BP regulating mechanism(s) can result in the development of hypertension if defective
(select all that apply)?
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
a. release of norepinephrine
c. stimulation of the sympathetic nervous system
e. activation of the renin-angiotensin-aldosterone system
While obtaining subjective assessment data 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
b. Excessive alcohol intake
,The nurse includes which of the following ideas in teaching a client with hypertension 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.
d. Lifestyle modifications are indicated for all people with elevated BP.
What is a major consideration in the management of an older adult with 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.
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 has a blood pressure of 158/98 mm Hg after 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. Medication may be required because the BP is still not within the normal range
A patient is admitted to the hospital in hypertensive emergency (BP 244/142 mm Hg). Sodium
nitroprusside is started to treat the elevated BP. Which management 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.
a. Measuring hourly urine output.
c. Continuous BP monitoring with an intraarterial line
e. Assessing the patient for signs and symptoms of heart failure and changes in mental status.
which of the following are teaching points for patients with orthostatic hypotension? (select all
that apply)
a. eat a low sodium diet
b. avoid prolonged standing
c. avoid cholesterol in diet
d. avoid hot baths and showers
e. rise slowly
, b. avoid prolonged standing
d. avoid hot baths and showers
e. rise slowly
what may occur if antihypertensive drugs are stopped abruptly?
a. hypotensive crisis
b. orthostatic hypotension
c. rebound hypertension
d. bradycardia
c. rebound hypertension
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 experience a myocardial infarction in a given year?
a. 20 000
