nurs 406 test 5
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1. nclex-examination qs
(Vascular med surg bk ch 36): ---------------
2. 36-1
a client is prescribed lisinopril (zestril) for control of hypertension. what health
teaching will the nurse provide to this patient? SELECT ALL THAT APPLY
A. this medication can cause increased potassium levels
B. it's important to change positions slowly when you start this medication
C. this medication may cause you to develop a persistent, non productive
cough
D. to achieve maximum benefit of zestril, your diet should include foods high
in sodium
E. Be sure to monitor your BP regularly while taking this medication: ABCE
3. 36-2
a client diagnosed with atherosclerosis and hypertension has been newly pre-
scribed a combination drug of amlodipine and atorvastatin (caduet). which
statement by the client indicates a need for further teaching?
A. i'll continue to take my amlodipine with the new medication
B. i'll continue to follow up with my nurse practitioner on a regular basis
C. i need to quit smoking as soon as i possibly can
D. i shouldn't drink grapefruit juice while on this drug: A
4. 36-3
the nurse is caring for the client with intermittent claudication pain related to
peripheral arterial disease (PAD).
which statement made by the client indicates understanding of proper
self-management?
A. i need to reduce the number of cigarettes that i smoke each day
B. i'll elevate my legs above the level of my heart
, nurs 406 test 5
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C. i'll use a heating pad to promote circulation
D. i'll start to exercise gradually, stopping when i have pain: D
5. 36-4
a client is being discharged home following 5 days of acute care for treatment
of a deep vein thrombosis (DVT)
which statement made by the client indicates a need for further teaching?
A. i will be going home on oral heparin and warfarin
B. i have an appointment for followup care with my primary care provider
C. i will avoid dark green leafy vegetables while taking warfarin
D. i will report any signs of bleeding to my primary health care provider: A
6. 36-5
the nurse is admitting a client with an ulcer on the right foot.
which statement made by the client indicates venous insufficiency ? SELECT ALL
THAT APPLY:
A. my ankles swell up all the time
B. my leg hurts after i walk about a block
C. my feet are always cold
D. my veins really stick out in my legs
E. my ankles have been discolored for years: A D E
7. (1). A client has been diagnosed with hypertension but does not take the
antihypertensive medications because of a lack of symptoms. What response
by the nurse is best?
A. "Do you have trouble affording your medications?"
B. "Most people with hypertension do not have symptoms."
C. "You are lucky; most people get severe morning headaches."
D. "You need to take your medicine, or you will get kidney failure.": B. "Most people
with hypertension do not have symptoms."
htn is often a "silent killer"
, nurs 406 test 5
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8. (2). At the end of the visit, the provider prescribes hydrochlorothiazide (Hy-
droDIURIL) 25 mg PO each morning to manage the client's hypertension.
Which statement do you include when teaching the client about this drug?
A."This is a loop diuretic that decreases sodium reabsorption."
B."Eat foods rich in potassium, such as bananas and orange juice."
C."A potassium supplement will be prescribed along with this drug."
D."HydroDIURIL is a potassium-sparing diuretic that helps prevent the loss of
essential potassium.": B."Eat foods rich in potassium, such as bananas and orange juice."
Hydrochlorothiazide is a thiazide diuretic. The most frequent side effect is hypokalemia, so it's important to teach clients
the signs of low potassium, as well as which foods are rich in potassium. Some clients need a potassium supplement,
but this is prescribed based on the client's serum potassium level.
9. (3). The nurse is caring for four clients with a history of hypertension. Which
client would require intervention?
A.40-year-old with chronic kidney disease, BP 138/80.
B.58-year-old on diuretics, BP 160/80
C.28-year-old with LDL-C 140 mg/dL, BP 114/84
D.30-year-old with pre-eclampsia, BP 120/68: A.58-year-old on diuretics, BP 160/80
A client on diuretics that remains hypertensive requires intervention. The other options have a normal blood pressure.
10. (4). A client with hypertension is discussing the cause of hypertension. Which
statement by the nurse is appropriate?
A."Pregnancy can cause essential hypertension."
B."High cholesterol can be a big factor in the development of essential hyper-
tension."
C."Stopping intake of caffeine can cause hypertension to go away."
D.Race is associated with secondary hypertension.: B."High cholesterol can be a big factor
in the development of essential hypertension."
, nurs 406 test 5
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11. (5). What is the most common symptom when a client is diagnosed with
hypertension?
A.Headache
B.Hypertension is often asymptomatic
C.Fainting and dizziness
D.Slurred speech: B.Hypertension is often asymptomatic
Hypertension is often asymptomatic and has become known as the "silent killer" due to the lack of symptoms.
Headaches may occur but not always. Hypertension does not cause slurred speech or fainting.
12. A pt diagnosed with bipolar disorder is dressed in a red leotard & bright
scarves. The pt twirls & shadow boxes. The pt says gaily, "Do you like my
scarves? Here; they are my gift to you."
How should you document the pt's mood?
A. Euphoric B. Irritable C. Suspicious D. Confident: A --> The pt has demonstrated clang
associations & pleasant, happy behavior. Excessive happiness indicates euphoria. I
rritability, belligerence, excessive happiness, & confidence are not the best terms for the pt's mood. Suspiciousness is
not evident
13. A pt diagnosed with bipolar disorder becomes hyperactive after discontinu-
ing lithium. The pt threatens to hit another pt. Which comment by the nurse is
appropriate?
A. "Stop that! No one did anything to provoke you."
B. "If you do that one more time, you will be secluded immediately." C. "Do not
hit anyone. If you are unable to control yourself, we will help you."
D. "You know we will not let you hit anyone. Why do you continue this behav-
ior?": C --> When the pt is unable to control his or her behavior & violates or threatens to violate the rights of others,
limits must be set in an effort to de-escalate the situation. Limits should be set in simple, concrete terms. The incorrect
responses do not offer appropriate assistance to the pt, threaten the pt with seclusion as punishment & ask a rhetorica
question
Study online at https://quizlet.com/_hmbq0g
1. nclex-examination qs
(Vascular med surg bk ch 36): ---------------
2. 36-1
a client is prescribed lisinopril (zestril) for control of hypertension. what health
teaching will the nurse provide to this patient? SELECT ALL THAT APPLY
A. this medication can cause increased potassium levels
B. it's important to change positions slowly when you start this medication
C. this medication may cause you to develop a persistent, non productive
cough
D. to achieve maximum benefit of zestril, your diet should include foods high
in sodium
E. Be sure to monitor your BP regularly while taking this medication: ABCE
3. 36-2
a client diagnosed with atherosclerosis and hypertension has been newly pre-
scribed a combination drug of amlodipine and atorvastatin (caduet). which
statement by the client indicates a need for further teaching?
A. i'll continue to take my amlodipine with the new medication
B. i'll continue to follow up with my nurse practitioner on a regular basis
C. i need to quit smoking as soon as i possibly can
D. i shouldn't drink grapefruit juice while on this drug: A
4. 36-3
the nurse is caring for the client with intermittent claudication pain related to
peripheral arterial disease (PAD).
which statement made by the client indicates understanding of proper
self-management?
A. i need to reduce the number of cigarettes that i smoke each day
B. i'll elevate my legs above the level of my heart
, nurs 406 test 5
Study online at https://quizlet.com/_hmbq0g
C. i'll use a heating pad to promote circulation
D. i'll start to exercise gradually, stopping when i have pain: D
5. 36-4
a client is being discharged home following 5 days of acute care for treatment
of a deep vein thrombosis (DVT)
which statement made by the client indicates a need for further teaching?
A. i will be going home on oral heparin and warfarin
B. i have an appointment for followup care with my primary care provider
C. i will avoid dark green leafy vegetables while taking warfarin
D. i will report any signs of bleeding to my primary health care provider: A
6. 36-5
the nurse is admitting a client with an ulcer on the right foot.
which statement made by the client indicates venous insufficiency ? SELECT ALL
THAT APPLY:
A. my ankles swell up all the time
B. my leg hurts after i walk about a block
C. my feet are always cold
D. my veins really stick out in my legs
E. my ankles have been discolored for years: A D E
7. (1). A client has been diagnosed with hypertension but does not take the
antihypertensive medications because of a lack of symptoms. What response
by the nurse is best?
A. "Do you have trouble affording your medications?"
B. "Most people with hypertension do not have symptoms."
C. "You are lucky; most people get severe morning headaches."
D. "You need to take your medicine, or you will get kidney failure.": B. "Most people
with hypertension do not have symptoms."
htn is often a "silent killer"
, nurs 406 test 5
Study online at https://quizlet.com/_hmbq0g
8. (2). At the end of the visit, the provider prescribes hydrochlorothiazide (Hy-
droDIURIL) 25 mg PO each morning to manage the client's hypertension.
Which statement do you include when teaching the client about this drug?
A."This is a loop diuretic that decreases sodium reabsorption."
B."Eat foods rich in potassium, such as bananas and orange juice."
C."A potassium supplement will be prescribed along with this drug."
D."HydroDIURIL is a potassium-sparing diuretic that helps prevent the loss of
essential potassium.": B."Eat foods rich in potassium, such as bananas and orange juice."
Hydrochlorothiazide is a thiazide diuretic. The most frequent side effect is hypokalemia, so it's important to teach clients
the signs of low potassium, as well as which foods are rich in potassium. Some clients need a potassium supplement,
but this is prescribed based on the client's serum potassium level.
9. (3). The nurse is caring for four clients with a history of hypertension. Which
client would require intervention?
A.40-year-old with chronic kidney disease, BP 138/80.
B.58-year-old on diuretics, BP 160/80
C.28-year-old with LDL-C 140 mg/dL, BP 114/84
D.30-year-old with pre-eclampsia, BP 120/68: A.58-year-old on diuretics, BP 160/80
A client on diuretics that remains hypertensive requires intervention. The other options have a normal blood pressure.
10. (4). A client with hypertension is discussing the cause of hypertension. Which
statement by the nurse is appropriate?
A."Pregnancy can cause essential hypertension."
B."High cholesterol can be a big factor in the development of essential hyper-
tension."
C."Stopping intake of caffeine can cause hypertension to go away."
D.Race is associated with secondary hypertension.: B."High cholesterol can be a big factor
in the development of essential hypertension."
, nurs 406 test 5
Study online at https://quizlet.com/_hmbq0g
11. (5). What is the most common symptom when a client is diagnosed with
hypertension?
A.Headache
B.Hypertension is often asymptomatic
C.Fainting and dizziness
D.Slurred speech: B.Hypertension is often asymptomatic
Hypertension is often asymptomatic and has become known as the "silent killer" due to the lack of symptoms.
Headaches may occur but not always. Hypertension does not cause slurred speech or fainting.
12. A pt diagnosed with bipolar disorder is dressed in a red leotard & bright
scarves. The pt twirls & shadow boxes. The pt says gaily, "Do you like my
scarves? Here; they are my gift to you."
How should you document the pt's mood?
A. Euphoric B. Irritable C. Suspicious D. Confident: A --> The pt has demonstrated clang
associations & pleasant, happy behavior. Excessive happiness indicates euphoria. I
rritability, belligerence, excessive happiness, & confidence are not the best terms for the pt's mood. Suspiciousness is
not evident
13. A pt diagnosed with bipolar disorder becomes hyperactive after discontinu-
ing lithium. The pt threatens to hit another pt. Which comment by the nurse is
appropriate?
A. "Stop that! No one did anything to provoke you."
B. "If you do that one more time, you will be secluded immediately." C. "Do not
hit anyone. If you are unable to control yourself, we will help you."
D. "You know we will not let you hit anyone. Why do you continue this behav-
ior?": C --> When the pt is unable to control his or her behavior & violates or threatens to violate the rights of others,
limits must be set in an effort to de-escalate the situation. Limits should be set in simple, concrete terms. The incorrect
responses do not offer appropriate assistance to the pt, threaten the pt with seclusion as punishment & ask a rhetorica
question
