ADULT I MODULE 4 PRACTICE
QUESTIONS UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mThemnursemteachesmam28-yr-
oldmmanmnewlymdiagnosedmwithmhypertensionmaboutmlifestylemmodificationsmtomreducemhismblood
mpressure.mWhichmpatientmstatementmrequiresmreinforcementmofmteaching?
a)m"Imwillmavoidmaddingmsaltmtommymfoodmduringmormaftermcooking."
b)m"IfmImlosemweight,mImmightmnotmneedmtomcontinuemtakingmmedications."
c)m"Imcanmlowermmymbloodmpressurembymswitchingmtomsmokelessmtobacco."
d)m"Dietmchangesmcanmbemasmeffectivemasmtakingmbloodmpressuremmedications."m-
mCORRECTmANSWERmC
Themnursemsupervisesmanmunlicensedmassistantmpersonnelm(UAP)mwhomismtakingmthembloodmpressu
remofm58-yr-
oldmobesemfemalempatientmadmittedmwithmheartmfailure.mWhichmactionmbymthemUAPmwillmrequiremt
hemnursemtomintervene?
a)mWaitingm2mminutesmaftermpositionmchangesmtomtakemorthostaticmpressures
b)mDeflatingmthembloodmpressuremcuffmatmamratemofm8-10mmHgmpermsecond
c)mTakingmthembloodmpressuremwithmthempatient'smarmmatmthemlevelmofmthemheart
d)mTakingmamforearmmbloodmpressurembecausemthemlargestmcuffmwillmnotmfitmthempatient'smupperma
rmm-mCORRECTmANSWERmB
Am44-yr-
oldmmanmismdiagnosedmwithmhypertensionmandmreceivesmamprescriptionmformbenazeprilm(Lotensin).
mAftermprovidingminstruction,mwhichmstatementmbymthempatientmindicatesmcorrectmunderstanding?
A."IfmImtakemthismmedication,mImwillmnotmneedmtomfollowmamspecialmdiet."
, B."Itmismnormalmtomhavemsomemswellingminmmymfacemwhilemtakingmthismmedication."
C."Imwillmneedmtomeatmfoodsmsuchmasmbananasmandmpotatoesmthatmaremhighminmpotassium."
D."IfmImdevelopmamdrymcoughmwhilemtakingmthismmedication,mImshouldmnotifymmymdoctor."m-
mCORRECTmANSWERmD
Am67-yr-
oldmwomanmwithmhypertensionmismadmittedmtomthememergencymdepartmentmwithmambloodmpressu
remofm234/148mmmmHgmandmwasmstartedmonmnitroprussidem(Nitropress).mAftermonemhourmofmtreat
ment,mthemmeanmarterialmbloodmpressurem(MAP)mism55mmmmHg.mWhichmnursingmactionmismapriorit
y?
A.Startmanminfusionmofm0.9%mnormalmsalinematm100mmL/hr.
B.Maintainmthemcurrentmadministrationmratemofmthemnitroprusside.
C.Requestminsertionmofmanmarterialmlinemformaccuratembloodmpressuremmonitoring.
D.Stopmthemnitroprussideminfusionmandmassessmthempatientmformpotentialmcomplications.m-
mCORRECTmANSWERmD
Themnursemadmitsmam73-yr-
oldmmalempatientmwithmdementiamformtreatmentmofmuncontrolledmhypertension.mThemnursemwillmcl
oselymmonitormformhypokalemiamifmthempatientmreceivesmwhichmmedication?
A)mClonidinem(Catapress)
B)mBumetanidem(Bumex)
C)mAmiloridem(Midamor)
D)mSpironalactonem(Aldactone)m-mCORRECTmANSWERmB
Themnursemteachesmampatientmwithmhypertensionmthatmuncontrolledmhypertensionmmaymdamagem
organsminmthembodymprimarilymbymwhichmmechanism?
A.Hypertensionmpromotesmatherosclerosismandmdamagemtomthemwallsmofmthemarteries.m
B.Hypertensionmcausesmdirectmpressuremonmorgans,mresultingminmnecrosismandmreplacementmofmce
llsmwithmscarmtissue.
QUESTIONS UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mThemnursemteachesmam28-yr-
oldmmanmnewlymdiagnosedmwithmhypertensionmaboutmlifestylemmodificationsmtomreducemhismblood
mpressure.mWhichmpatientmstatementmrequiresmreinforcementmofmteaching?
a)m"Imwillmavoidmaddingmsaltmtommymfoodmduringmormaftermcooking."
b)m"IfmImlosemweight,mImmightmnotmneedmtomcontinuemtakingmmedications."
c)m"Imcanmlowermmymbloodmpressurembymswitchingmtomsmokelessmtobacco."
d)m"Dietmchangesmcanmbemasmeffectivemasmtakingmbloodmpressuremmedications."m-
mCORRECTmANSWERmC
Themnursemsupervisesmanmunlicensedmassistantmpersonnelm(UAP)mwhomismtakingmthembloodmpressu
remofm58-yr-
oldmobesemfemalempatientmadmittedmwithmheartmfailure.mWhichmactionmbymthemUAPmwillmrequiremt
hemnursemtomintervene?
a)mWaitingm2mminutesmaftermpositionmchangesmtomtakemorthostaticmpressures
b)mDeflatingmthembloodmpressuremcuffmatmamratemofm8-10mmHgmpermsecond
c)mTakingmthembloodmpressuremwithmthempatient'smarmmatmthemlevelmofmthemheart
d)mTakingmamforearmmbloodmpressurembecausemthemlargestmcuffmwillmnotmfitmthempatient'smupperma
rmm-mCORRECTmANSWERmB
Am44-yr-
oldmmanmismdiagnosedmwithmhypertensionmandmreceivesmamprescriptionmformbenazeprilm(Lotensin).
mAftermprovidingminstruction,mwhichmstatementmbymthempatientmindicatesmcorrectmunderstanding?
A."IfmImtakemthismmedication,mImwillmnotmneedmtomfollowmamspecialmdiet."
, B."Itmismnormalmtomhavemsomemswellingminmmymfacemwhilemtakingmthismmedication."
C."Imwillmneedmtomeatmfoodsmsuchmasmbananasmandmpotatoesmthatmaremhighminmpotassium."
D."IfmImdevelopmamdrymcoughmwhilemtakingmthismmedication,mImshouldmnotifymmymdoctor."m-
mCORRECTmANSWERmD
Am67-yr-
oldmwomanmwithmhypertensionmismadmittedmtomthememergencymdepartmentmwithmambloodmpressu
remofm234/148mmmmHgmandmwasmstartedmonmnitroprussidem(Nitropress).mAftermonemhourmofmtreat
ment,mthemmeanmarterialmbloodmpressurem(MAP)mism55mmmmHg.mWhichmnursingmactionmismapriorit
y?
A.Startmanminfusionmofm0.9%mnormalmsalinematm100mmL/hr.
B.Maintainmthemcurrentmadministrationmratemofmthemnitroprusside.
C.Requestminsertionmofmanmarterialmlinemformaccuratembloodmpressuremmonitoring.
D.Stopmthemnitroprussideminfusionmandmassessmthempatientmformpotentialmcomplications.m-
mCORRECTmANSWERmD
Themnursemadmitsmam73-yr-
oldmmalempatientmwithmdementiamformtreatmentmofmuncontrolledmhypertension.mThemnursemwillmcl
oselymmonitormformhypokalemiamifmthempatientmreceivesmwhichmmedication?
A)mClonidinem(Catapress)
B)mBumetanidem(Bumex)
C)mAmiloridem(Midamor)
D)mSpironalactonem(Aldactone)m-mCORRECTmANSWERmB
Themnursemteachesmampatientmwithmhypertensionmthatmuncontrolledmhypertensionmmaymdamagem
organsminmthembodymprimarilymbymwhichmmechanism?
A.Hypertensionmpromotesmatherosclerosismandmdamagemtomthemwallsmofmthemarteries.m
B.Hypertensionmcausesmdirectmpressuremonmorgans,mresultingminmnecrosismandmreplacementmofmce
llsmwithmscarmtissue.
