NUR 2502 MDC 3 FINAL EXAM
Comprehensive Questions (Frequently
Tested) and Complete Solutions Graded A+
1. A client with newly diagnosed hypertension asks what to do to decrease the risk
for related cardiovascular problems. Which risk factor is not modifiable by the client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia: Ans- a.Age
2. A client with newly diagnosed hypertension asks how to decrease the risk for
related cardiovascular problems. What risk factor is modifiable by the client?
a.Age
b.Impaired renal function
,c.Family history
d.Dyslipidemia: Ans- d.
Dyslipidemia
3. Which of the following client scenarios would be correct for the nurse to
identify as a client with secondary hypertension?
a.A client experiencing depression
b.A client diagnosed with kidney disease
c.A client of advanced age
d.A client with excessive alcohol intake: Ans- b.A client diagnosed with kidney disease
4. 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?
a.Reduce the blood pressure by 20% to 25% within the first hour of treatment.
b.Reduce the blood pressure to about 140/80 mm Hg.
c.Rapidly reduce the blood pressure so the client will not suffer a stroke.
,d.Reduce the blood pressure by 50% within the first hour of treatment.: Ans-
a.Re- duce the blood pressure by 20% to 25% within the first hour of treatment. 5. An
older adult client has newly diagnosed stage 2 hypertension. The health care provider
has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client
for?
a.Postural hypertension and resulting injury
b.Rebound hypertension
, c.Sexual dysfunction
d.Postural hypotension and resulting injury: d.Postural hypotension and result- ing
injury
6. The nurse is planning the care of a patient admitted to the hospital with
hypertension. What objective will help to meet the needs of this patient?
a.Lowering and controlling the blood pressure without adverse effects and without
undue cost
b.Making sure that the patient adheres to the therapeutic medication regimen
c.Instructing the patient to enter a weight loss program and begin an exercise regimen
d.Scheduling the patient for all follow-up visits and making phone calls to the home to
ensure adherence: a.Lowering and controlling the blood pressure without adverse effects
and without undue cost
7. Which describes a situation in which blood pressure is severely elevated and there
is evidence of actual or probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
Comprehensive Questions (Frequently
Tested) and Complete Solutions Graded A+
1. A client with newly diagnosed hypertension asks what to do to decrease the risk
for related cardiovascular problems. Which risk factor is not modifiable by the client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia: Ans- a.Age
2. A client with newly diagnosed hypertension asks how to decrease the risk for
related cardiovascular problems. What risk factor is modifiable by the client?
a.Age
b.Impaired renal function
,c.Family history
d.Dyslipidemia: Ans- d.
Dyslipidemia
3. Which of the following client scenarios would be correct for the nurse to
identify as a client with secondary hypertension?
a.A client experiencing depression
b.A client diagnosed with kidney disease
c.A client of advanced age
d.A client with excessive alcohol intake: Ans- b.A client diagnosed with kidney disease
4. 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?
a.Reduce the blood pressure by 20% to 25% within the first hour of treatment.
b.Reduce the blood pressure to about 140/80 mm Hg.
c.Rapidly reduce the blood pressure so the client will not suffer a stroke.
,d.Reduce the blood pressure by 50% within the first hour of treatment.: Ans-
a.Re- duce the blood pressure by 20% to 25% within the first hour of treatment. 5. An
older adult client has newly diagnosed stage 2 hypertension. The health care provider
has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client
for?
a.Postural hypertension and resulting injury
b.Rebound hypertension
, c.Sexual dysfunction
d.Postural hypotension and resulting injury: d.Postural hypotension and result- ing
injury
6. The nurse is planning the care of a patient admitted to the hospital with
hypertension. What objective will help to meet the needs of this patient?
a.Lowering and controlling the blood pressure without adverse effects and without
undue cost
b.Making sure that the patient adheres to the therapeutic medication regimen
c.Instructing the patient to enter a weight loss program and begin an exercise regimen
d.Scheduling the patient for all follow-up visits and making phone calls to the home to
ensure adherence: a.Lowering and controlling the blood pressure without adverse effects
and without undue cost
7. Which describes a situation in which blood pressure is severely elevated and there
is evidence of actual or probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
