ASSIGNMENT 10.2 SHADOW HEALTH-
FOCUSED EXAM HYPERTENSION
COMPREHENSIVE SCRIPT 2026 QUESTIONS
AND SOLUTION
◉ A 56-year-old male client at a screening event has a blood
pressure reading of 146/96 mm Hg. Upon hearing the reading, the
client states, "My pressure has never been this high. Do you think my
doctor will prescribe medication to reduce it?" What is the nurse's
best response?
"Yes. Hypertension is prevalent among men; it is fortunate we
caught this during your routine examination."
"We will need to reevaluate your blood pressure because your age
places you at high risk for hypertension."
"A single elevated blood pressure does not confirm hypertension.
You will need to have your blood pressure reassessed several times
before a diagnosis can be made."
"You have no need to worry. Your pressure is probably elevated
because you are being tested." Answer: "A single elevated blood
pressure does not confirm hypertension. You will need to have your
blood pressure reassessed several times before a diagnosis can be
made."
,◉ A client with secondary hypertension has come into the clinic for
a routine check-up. When comparing this client's diagnosis to
primary hypertension, the nurse recognizes that secondary
hypertension:
has a specific cause.
has a more gradual onset than primary hypertension.
does not normally cause target organ damage.
does not normally respond to antihypertensive drug therapy.
TAKE ANOTHER QUIZ Answer: Has a specific cause
◉ A client has come to the clinic for a follow-up assessment that will
include a BP reading. To ensure an accurate reading, the nurse
should confirm that the client has done which of the following?
Tried to rest quietly for 5 minutes before the reading is taken
Refrained from smoking for at least 8 hours
Drank adequate fluids during the day prior
Avoided drinking coffee for 12 hours before the visit Answer: Tried o
rest quietly for 5 minutes before the reading is taken
◉ The nurse is developing a nursing care plan for a client who is
being treated for hypertension. What is a measurable client outcome
that the nurse should include?
Client will reduce Na+ intake to no more than 2.4 g daily.
Client will have a stable BUN and serum creatinine levels.
, Client will abstain from fat intake and reduce calorie intake.
Client will maintain a normal body weight. Answer: Client will
reduce Na+ intake to no more than 2.4 g daily.
◉ A client is taking amiloride and lisinopril for the treatment of
hypertension. What laboratory studies should the nurse monitor
while the client is taking these two medications together?
Magnesium level
Potassium level
Calcium level
Sodium level Answer: Potassium level
◉ A client is brought to the emergency department with reports of a
bad headache and an increase in blood pressure. The blood pressure
reading obtained by the nurse is 260/180 mm Hg. What is the
therapeutic goal for reduction of the mean blood pressure?
Reduce the blood pressure by 20% to 25% within the first hour of
treatment.
Reduce the blood pressure to about 140/80 mm Hg.
Rapidly reduce the blood pressure so the client will not suffer a
stroke.
Reduce the blood pressure by 50% within the first hour of
treatment. Answer: Reduce the blood pressure by 20% to 25%
within the first hour of treatment.
FOCUSED EXAM HYPERTENSION
COMPREHENSIVE SCRIPT 2026 QUESTIONS
AND SOLUTION
◉ A 56-year-old male client at a screening event has a blood
pressure reading of 146/96 mm Hg. Upon hearing the reading, the
client states, "My pressure has never been this high. Do you think my
doctor will prescribe medication to reduce it?" What is the nurse's
best response?
"Yes. Hypertension is prevalent among men; it is fortunate we
caught this during your routine examination."
"We will need to reevaluate your blood pressure because your age
places you at high risk for hypertension."
"A single elevated blood pressure does not confirm hypertension.
You will need to have your blood pressure reassessed several times
before a diagnosis can be made."
"You have no need to worry. Your pressure is probably elevated
because you are being tested." Answer: "A single elevated blood
pressure does not confirm hypertension. You will need to have your
blood pressure reassessed several times before a diagnosis can be
made."
,◉ A client with secondary hypertension has come into the clinic for
a routine check-up. When comparing this client's diagnosis to
primary hypertension, the nurse recognizes that secondary
hypertension:
has a specific cause.
has a more gradual onset than primary hypertension.
does not normally cause target organ damage.
does not normally respond to antihypertensive drug therapy.
TAKE ANOTHER QUIZ Answer: Has a specific cause
◉ A client has come to the clinic for a follow-up assessment that will
include a BP reading. To ensure an accurate reading, the nurse
should confirm that the client has done which of the following?
Tried to rest quietly for 5 minutes before the reading is taken
Refrained from smoking for at least 8 hours
Drank adequate fluids during the day prior
Avoided drinking coffee for 12 hours before the visit Answer: Tried o
rest quietly for 5 minutes before the reading is taken
◉ The nurse is developing a nursing care plan for a client who is
being treated for hypertension. What is a measurable client outcome
that the nurse should include?
Client will reduce Na+ intake to no more than 2.4 g daily.
Client will have a stable BUN and serum creatinine levels.
, Client will abstain from fat intake and reduce calorie intake.
Client will maintain a normal body weight. Answer: Client will
reduce Na+ intake to no more than 2.4 g daily.
◉ A client is taking amiloride and lisinopril for the treatment of
hypertension. What laboratory studies should the nurse monitor
while the client is taking these two medications together?
Magnesium level
Potassium level
Calcium level
Sodium level Answer: Potassium level
◉ A client is brought to the emergency department with reports of a
bad headache and an increase in blood pressure. The blood pressure
reading obtained by the nurse is 260/180 mm Hg. What is the
therapeutic goal for reduction of the mean blood pressure?
Reduce the blood pressure by 20% to 25% within the first hour of
treatment.
Reduce the blood pressure to about 140/80 mm Hg.
Rapidly reduce the blood pressure so the client will not suffer a
stroke.
Reduce the blood pressure by 50% within the first hour of
treatment. Answer: Reduce the blood pressure by 20% to 25%
within the first hour of treatment.
