NUR 215 - Exam 2 2025 Questions
and Answers 100% Pass
c) pt's adherence to drug therapy - ✔✔A pt's BP has not responded to the prescribed
rugs for HTN. Which of the following should the RN assess first?
a) progressive target organ dmg
b) potential for drug interactions
c) pt's adherence to drug therapy
d) possible use of recreational drugs
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself -
✔✔Which behavior indicates that a pt dx with borderline personality disorder is
improving?
a) the pt cries when her roommate refuses to go to the dining room with her
b) the pt yells at the group facilitator when he points out she is monopolizing the group
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself
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,d) the pt tells the evening staff that the day staff excused her from group to smoke when
she got upset
a, c, & e - ✔✔SATA: Which BP regulating mechanism(s) can result in the development
of HTN if defective?
a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the SNS
d. Stimulation of the PNS
e. Activation of the renin-angiotensin-aldosterone system
b. Excess etoh intake - ✔✔While obtaining subjective asmt data from a pt with HTN, the
RN recognizes that a modifiable risk fx for the dev. of HTN is
a. A low-calcium diet
b. Excess etoh intake
c. A family hx. of HTN
d. Consumption of a high-protein diet
d. Lifestyle modifications are needed for all pts with elevated BP - ✔✔In teaching a pt
with HTN about controlling the illness, the RN recognizes that
a. All pts with elevated BP need drug therapy
b. Obese pts must achieve a normal wt to lower BP
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,c. It's not necessary to limit salt in the diet if taking a diuretic
d. Lifestyle modifications are needed for all pts with elevated BP
d. Use precise technique in assess the BP of the pt bc of the possible presence of an
ausculatory gap - ✔✔A priority consideration in the mgmt of the older adult with HTN
is to
a. Prevent primary HTN from converting to secondary HTN
b. Recognize that the older adult is less likely to adhere to the drug therapy regimen
than a younger adult
c. Ensure that the pt receives larger initial doses of antihypertensive drugs r/t impaired
absorption
d. Use precise technique in assess the BP of the pt bc of the possible presence of an
ausculatory gap
a. Drug therapy will be needed bc the BP is still not at goal - ✔✔A pt with a newly
discovered high BP has an avg. reading of 158/98 mmHg after 3 mos of exercise & diet
modifications. Which mgmt. strategy will be a priority for this pt?
a. Drug therapy will be needed bc the BP is still not at goal
b. BP monitoring should continue for 3 mos to confirm a dx of HTN
c. Lifestyle changes are less important since they were not effective & drugs will be
started
d. More changes in the pt's lifestyle are needed for a longer time before starting drug
therapy
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, a, b, & e - ✔✔SATA: A pt is admitted to the hospital in a HTN emergency (BP 244/142
mmHg). Sodium nitroprusside is started to treat the elevated BP. Which mgmt.
strategies would be most appropriate for the pt?
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the 1st hour
d. Maintaining bed rest & giving tranquilizers to lower the BP
e. Assess the pts for s/s HF & changes in mental status
BP > 140/90 mmhg - ✔✔List the parameters of BP for a dx. of HTN
Primary HTN has no known cause; secondary HTN develops in response to an
identifiable mechanism - ✔✔What is the difference btwn primary & secondary HTN?
Explain how & when to take med, reason for med, necessity of compliance, need for
follow-up visits, need for some lab tests, VS parameters - ✔✔Develop a teaching plan
for a pt taking antihypertensive meds
Take at first sign of angina pain. Take no more than 3, 5min apart. Call 911 if no relief in
10 mins. - ✔✔Develop a teaching plan for a pt prescribed nitro
When they begin to occur more often than once in 10 beats, occur in 2s or 3s, land near
the T wave or take on multiple configurations - ✔✔When do PVCs present a grave
danger?
Administer O2 by NC at 2-5 L/min, ensure pt IV or start IV, take measures to alleviate
pain & anxiety, place the pt on immediate best rest to lower O2 demands on heart -
✔✔What immediate actions should the RN implement when a pt is having a MI?
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 4
and Answers 100% Pass
c) pt's adherence to drug therapy - ✔✔A pt's BP has not responded to the prescribed
rugs for HTN. Which of the following should the RN assess first?
a) progressive target organ dmg
b) potential for drug interactions
c) pt's adherence to drug therapy
d) possible use of recreational drugs
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself -
✔✔Which behavior indicates that a pt dx with borderline personality disorder is
improving?
a) the pt cries when her roommate refuses to go to the dining room with her
b) the pt yells at the group facilitator when he points out she is monopolizing the group
c) the pt informs staff that she feels unsafe & is having thoughts of harming herself
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,d) the pt tells the evening staff that the day staff excused her from group to smoke when
she got upset
a, c, & e - ✔✔SATA: Which BP regulating mechanism(s) can result in the development
of HTN if defective?
a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the SNS
d. Stimulation of the PNS
e. Activation of the renin-angiotensin-aldosterone system
b. Excess etoh intake - ✔✔While obtaining subjective asmt data from a pt with HTN, the
RN recognizes that a modifiable risk fx for the dev. of HTN is
a. A low-calcium diet
b. Excess etoh intake
c. A family hx. of HTN
d. Consumption of a high-protein diet
d. Lifestyle modifications are needed for all pts with elevated BP - ✔✔In teaching a pt
with HTN about controlling the illness, the RN recognizes that
a. All pts with elevated BP need drug therapy
b. Obese pts must achieve a normal wt to lower BP
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
,c. It's not necessary to limit salt in the diet if taking a diuretic
d. Lifestyle modifications are needed for all pts with elevated BP
d. Use precise technique in assess the BP of the pt bc of the possible presence of an
ausculatory gap - ✔✔A priority consideration in the mgmt of the older adult with HTN
is to
a. Prevent primary HTN from converting to secondary HTN
b. Recognize that the older adult is less likely to adhere to the drug therapy regimen
than a younger adult
c. Ensure that the pt receives larger initial doses of antihypertensive drugs r/t impaired
absorption
d. Use precise technique in assess the BP of the pt bc of the possible presence of an
ausculatory gap
a. Drug therapy will be needed bc the BP is still not at goal - ✔✔A pt with a newly
discovered high BP has an avg. reading of 158/98 mmHg after 3 mos of exercise & diet
modifications. Which mgmt. strategy will be a priority for this pt?
a. Drug therapy will be needed bc the BP is still not at goal
b. BP monitoring should continue for 3 mos to confirm a dx of HTN
c. Lifestyle changes are less important since they were not effective & drugs will be
started
d. More changes in the pt's lifestyle are needed for a longer time before starting drug
therapy
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
, a, b, & e - ✔✔SATA: A pt is admitted to the hospital in a HTN emergency (BP 244/142
mmHg). Sodium nitroprusside is started to treat the elevated BP. Which mgmt.
strategies would be most appropriate for the pt?
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the 1st hour
d. Maintaining bed rest & giving tranquilizers to lower the BP
e. Assess the pts for s/s HF & changes in mental status
BP > 140/90 mmhg - ✔✔List the parameters of BP for a dx. of HTN
Primary HTN has no known cause; secondary HTN develops in response to an
identifiable mechanism - ✔✔What is the difference btwn primary & secondary HTN?
Explain how & when to take med, reason for med, necessity of compliance, need for
follow-up visits, need for some lab tests, VS parameters - ✔✔Develop a teaching plan
for a pt taking antihypertensive meds
Take at first sign of angina pain. Take no more than 3, 5min apart. Call 911 if no relief in
10 mins. - ✔✔Develop a teaching plan for a pt prescribed nitro
When they begin to occur more often than once in 10 beats, occur in 2s or 3s, land near
the T wave or take on multiple configurations - ✔✔When do PVCs present a grave
danger?
Administer O2 by NC at 2-5 L/min, ensure pt IV or start IV, take measures to alleviate
pain & anxiety, place the pt on immediate best rest to lower O2 demands on heart -
✔✔What immediate actions should the RN implement when a pt is having a MI?
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 4
