NURS 535 Practice –Module 6-Exam
with Verified Answers
A patient had a blood pressures of 150/95 mm Hg and 148/90 mm Hg on two separate office
visits. This is consistent with a blood pressure of 145/92 mm Hg taken in an ambulatory setting.
The patient's diagnostic tests are all normal. What will the patient's provider order to best
manage the patient's hypertension?
a- thiazide diuretic
b-loop diuretic and spironolactone
c- a1 blocker
d- B blocker - ✔✔A, This patient has primary, or essential, hypertension as evidenced by systolic
pressure greater than 140 and diastolic pressure greater than 90, along with normal tests ruling
out another primary cause. Thiazide diuretics are first-line drugs for hypertension. β blockers
are effective but are most often used to counter reflex tachycardia associated with reduced
blood pressure caused by therapeutic agents. Loop diuretics cause greater diuresis than is
usually needed and so are not first-line drugs. α1 blockers are not drugs of first choice.
A patient with diabetes develops hypertension. Which type of medication will the provider
prescribe to treat hypertension in this patient?
a- ACE inhibitors
b- thiazide diuretics
c- B blockers
d- direct-acting vasodilators - ✔✔A, ACE inhibitors slow the progression of kidney injury in
diabetic patients with renal damage. β blockers can mask signs of hypoglycemia and must be
used with caution in diabetics. Direct-acting vasodilators are third-line drugs for chronic
hypertension. Thiazide diuretics promote hyperglycemia.
A patient reports a family history of hypertension and cardiovascular disease but has no other
risk factors. Current blood pressure is 126/82 mm Hg and the patient has a normal weight and
body mass index for height and age. What will be the provider's focus when providing patient
education?
a- the DASH diet, sodium restriction, and exercise
with Verified Answers
A patient had a blood pressures of 150/95 mm Hg and 148/90 mm Hg on two separate office
visits. This is consistent with a blood pressure of 145/92 mm Hg taken in an ambulatory setting.
The patient's diagnostic tests are all normal. What will the patient's provider order to best
manage the patient's hypertension?
a- thiazide diuretic
b-loop diuretic and spironolactone
c- a1 blocker
d- B blocker - ✔✔A, This patient has primary, or essential, hypertension as evidenced by systolic
pressure greater than 140 and diastolic pressure greater than 90, along with normal tests ruling
out another primary cause. Thiazide diuretics are first-line drugs for hypertension. β blockers
are effective but are most often used to counter reflex tachycardia associated with reduced
blood pressure caused by therapeutic agents. Loop diuretics cause greater diuresis than is
usually needed and so are not first-line drugs. α1 blockers are not drugs of first choice.
A patient with diabetes develops hypertension. Which type of medication will the provider
prescribe to treat hypertension in this patient?
a- ACE inhibitors
b- thiazide diuretics
c- B blockers
d- direct-acting vasodilators - ✔✔A, ACE inhibitors slow the progression of kidney injury in
diabetic patients with renal damage. β blockers can mask signs of hypoglycemia and must be
used with caution in diabetics. Direct-acting vasodilators are third-line drugs for chronic
hypertension. Thiazide diuretics promote hyperglycemia.
A patient reports a family history of hypertension and cardiovascular disease but has no other
risk factors. Current blood pressure is 126/82 mm Hg and the patient has a normal weight and
body mass index for height and age. What will be the provider's focus when providing patient
education?
a- the DASH diet, sodium restriction, and exercise
