Chapter 36:
HypertensionHarding: Lewis’s
Medical-Surgical Nursing, 12th
Edition Exam Questions with
Answers
User [Date] [Course title]
, Which action would the nurse in
the hypertension clinic take to obtain an accurate baseline
blood pressure (BP) for a new patient?
A. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
B. Have the patient sit in a chair with the feet flat on the floor.
C. Assist the patient to the supine position for BP measurement.
D. Obtain two BP readings in the dominant arm and average the results. - Correct Answer: ANS: B
The patient should be seated with the feet flat on the floor. The BP is obtained in both arms,
and the results of the two arms are not averaged. The patient does not need to be in the supine
position. The cuff should be deflated at 2 to 3 mm Hg per second.
DIF:CognitiveLevel: Understand (Comprehension)
TOP: NursingProcess: Assessment MSC:NCLEX: Health Promotion and Maintenance
Which information about a patient newly diagnosed with elevated blood pressure is most
important for the nurse to address with the patient?
a. Low dietary fiber intake
b. No regular physical exercise
c. Drinks a beer with dinner every night
d. Weight is 5 pounds above ideal weight - Correct Answer: ANS: B
The recommendations for preventing hypertension include exercising aerobically for 30
minutes most days of the week. A weight that is 5 pounds over the ideal body weight is not a
risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH) diet is
high in fiber but increasing fiber alone will not prevent hypertension from developing. The
patient's alcohol intake is within guidelines and does not increase the hypertension risk.
DIF:CognitiveLevel: Analyze (Analysis) MSC:NCLEX: Health Promotion and Maintenance
TOP: NursingProcess: Planning
HypertensionHarding: Lewis’s
Medical-Surgical Nursing, 12th
Edition Exam Questions with
Answers
User [Date] [Course title]
, Which action would the nurse in
the hypertension clinic take to obtain an accurate baseline
blood pressure (BP) for a new patient?
A. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
B. Have the patient sit in a chair with the feet flat on the floor.
C. Assist the patient to the supine position for BP measurement.
D. Obtain two BP readings in the dominant arm and average the results. - Correct Answer: ANS: B
The patient should be seated with the feet flat on the floor. The BP is obtained in both arms,
and the results of the two arms are not averaged. The patient does not need to be in the supine
position. The cuff should be deflated at 2 to 3 mm Hg per second.
DIF:CognitiveLevel: Understand (Comprehension)
TOP: NursingProcess: Assessment MSC:NCLEX: Health Promotion and Maintenance
Which information about a patient newly diagnosed with elevated blood pressure is most
important for the nurse to address with the patient?
a. Low dietary fiber intake
b. No regular physical exercise
c. Drinks a beer with dinner every night
d. Weight is 5 pounds above ideal weight - Correct Answer: ANS: B
The recommendations for preventing hypertension include exercising aerobically for 30
minutes most days of the week. A weight that is 5 pounds over the ideal body weight is not a
risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH) diet is
high in fiber but increasing fiber alone will not prevent hypertension from developing. The
patient's alcohol intake is within guidelines and does not increase the hypertension risk.
DIF:CognitiveLevel: Analyze (Analysis) MSC:NCLEX: Health Promotion and Maintenance
TOP: NursingProcess: Planning
