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NURS 5434 HTN Quiz (2025) – Full Exam Original Practice Questions
with Correct Answers & Rationales| GAURANTEED PASS WITH 70+
TEST BANK QUESTIONS 2026 CARRICULUM VERRIFIED TEST
INSTANT PDF DOWNLOAD
Case 1: Mr. Jones, 58, BMI 32, presents for a routine physical. Three separate readings
today: 138/88, 136/90, 140/86.
1. According to the 2017 ACC/AHA guideline, what is his BP category?
A) Normal
B) Elevated
C) Stage 1 HTN
D) Stage 2 HTN
E) Hypertensive crisis
Correct Answer: C
Rationale: Stage 1 HTN is SBP 130-139 OR DBP 80-89 mm Hg. His average (~138/88)
meets criteria.
2. What is the most appropriate next step?
A) Start amlodipine 5 mg daily
B) Recheck in 1 month with lifestyle modification
C) Order renal ultrasound
D) Start dual therapy with lisinopril and HCTZ
E) Admit for hypertensive emergency
Correct Answer: B
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Rationale: For Stage 1 HTN with low ASCVD risk, first-line is lifestyle changes and
reassess in 30 days.
3. Which lab is NOT routinely recommended for initial HTN evaluation?
A) Serum creatinine/eGFR
B) Fasting lipid panel
C) Urine metanephrines
D) Serum potassium
E) Fasting glucose
Correct Answer: C
Rationale: Urine metanephrines for pheochromocytoma is only if clinical suspicion
exists (paroxysmal HTN, headache, palpitations).
Case 2: Mrs. Chen, 67, with diabetes, SBP 148, DBP 82.
4. What is her goal BP per ACC/AHA 2017?
A) <150/90
B) <140/90
C) <130/80
D) <120/80
E) <125/75
Correct Answer: C
Rationale: Goal BP for high-risk patients (diabetes, CKD, CAD) is <130/80.
5. Which BP measurement method is most accurate?
A) Single reading in the exam room
B) Automated office BP (AOBP) without clinician present
C) Patient self-report from pharmacy kiosk
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D) Supine reading only
E) One arm reading higher than the other
Correct Answer: B
Rationale: AOBP with patient alone reduces white coat effect and is preferred.
6. Ankle-brachial index (ABI) <0.90 suggests:
A) Pseudohypertension
B) Aortic stenosis
C) Peripheral artery disease
D) Autonomic failure
E) Hyperaldosteronism
Correct Answer: C
Rationale: ABI <0.90 indicates lower extremity PAD, which is common with long-
standing HTN.
Section 2: Lifestyle Modifications (Questions 7-20)
Case 3: Mr. Rodriguez, 45, BP 135/85, no comorbidities.
7. First-line lifestyle recommendation for BP reduction:
A) Low-carbohydrate diet
B) DASH diet (Dietary Approaches to Stop Hypertension)
C) Intermittent fasting
D) Keto diet
E) High-protein diet
Correct Answer: B
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Rationale: DASH diet reduces SBP by ~11 mm Hg, rich in fruits, vegetables, low-fat
dairy.
8. Sodium reduction to what level is most beneficial?
A) <4 g/day
B) <3.5 g/day
C) <2.4 g/day (ideal <1.5 g/day)
D) <5 g/day
E) No restriction if on medication
Correct Answer: C
Rationale: ACC/AHA recommends <2.4 g sodium/day; <1.5 g/d achieves greater
reduction in African Americans, elderly, or with CKD.
9. Aerobic exercise prescription for HTN:
A) 30 min/day, 5-7 days/week, moderate intensity
B) 60 min/day, 3 days/week, high intensity
C) 15 min/day, 2 days/week
D) Resistance training only
E) No exercise if BP >140/90
Correct Answer: A
Rationale: 150 min/week moderate aerobic exercise lowers BP by 5-8 mm Hg.
10. Mr. Rodriguez drinks 3 beers daily. Reducing to moderate intake (≤2 drinks/day in
men) reduces SBP by approximately:
A) 1-2 mm Hg
B) 3-4 mm Hg
C) 5-6 mm Hg
NURS 5434 HTN Quiz (2025) – Full Exam Original Practice Questions
with Correct Answers & Rationales| GAURANTEED PASS WITH 70+
TEST BANK QUESTIONS 2026 CARRICULUM VERRIFIED TEST
INSTANT PDF DOWNLOAD
Case 1: Mr. Jones, 58, BMI 32, presents for a routine physical. Three separate readings
today: 138/88, 136/90, 140/86.
1. According to the 2017 ACC/AHA guideline, what is his BP category?
A) Normal
B) Elevated
C) Stage 1 HTN
D) Stage 2 HTN
E) Hypertensive crisis
Correct Answer: C
Rationale: Stage 1 HTN is SBP 130-139 OR DBP 80-89 mm Hg. His average (~138/88)
meets criteria.
2. What is the most appropriate next step?
A) Start amlodipine 5 mg daily
B) Recheck in 1 month with lifestyle modification
C) Order renal ultrasound
D) Start dual therapy with lisinopril and HCTZ
E) Admit for hypertensive emergency
Correct Answer: B
,2|Page
Rationale: For Stage 1 HTN with low ASCVD risk, first-line is lifestyle changes and
reassess in 30 days.
3. Which lab is NOT routinely recommended for initial HTN evaluation?
A) Serum creatinine/eGFR
B) Fasting lipid panel
C) Urine metanephrines
D) Serum potassium
E) Fasting glucose
Correct Answer: C
Rationale: Urine metanephrines for pheochromocytoma is only if clinical suspicion
exists (paroxysmal HTN, headache, palpitations).
Case 2: Mrs. Chen, 67, with diabetes, SBP 148, DBP 82.
4. What is her goal BP per ACC/AHA 2017?
A) <150/90
B) <140/90
C) <130/80
D) <120/80
E) <125/75
Correct Answer: C
Rationale: Goal BP for high-risk patients (diabetes, CKD, CAD) is <130/80.
5. Which BP measurement method is most accurate?
A) Single reading in the exam room
B) Automated office BP (AOBP) without clinician present
C) Patient self-report from pharmacy kiosk
,3|Page
D) Supine reading only
E) One arm reading higher than the other
Correct Answer: B
Rationale: AOBP with patient alone reduces white coat effect and is preferred.
6. Ankle-brachial index (ABI) <0.90 suggests:
A) Pseudohypertension
B) Aortic stenosis
C) Peripheral artery disease
D) Autonomic failure
E) Hyperaldosteronism
Correct Answer: C
Rationale: ABI <0.90 indicates lower extremity PAD, which is common with long-
standing HTN.
Section 2: Lifestyle Modifications (Questions 7-20)
Case 3: Mr. Rodriguez, 45, BP 135/85, no comorbidities.
7. First-line lifestyle recommendation for BP reduction:
A) Low-carbohydrate diet
B) DASH diet (Dietary Approaches to Stop Hypertension)
C) Intermittent fasting
D) Keto diet
E) High-protein diet
Correct Answer: B
, 4|Page
Rationale: DASH diet reduces SBP by ~11 mm Hg, rich in fruits, vegetables, low-fat
dairy.
8. Sodium reduction to what level is most beneficial?
A) <4 g/day
B) <3.5 g/day
C) <2.4 g/day (ideal <1.5 g/day)
D) <5 g/day
E) No restriction if on medication
Correct Answer: C
Rationale: ACC/AHA recommends <2.4 g sodium/day; <1.5 g/d achieves greater
reduction in African Americans, elderly, or with CKD.
9. Aerobic exercise prescription for HTN:
A) 30 min/day, 5-7 days/week, moderate intensity
B) 60 min/day, 3 days/week, high intensity
C) 15 min/day, 2 days/week
D) Resistance training only
E) No exercise if BP >140/90
Correct Answer: A
Rationale: 150 min/week moderate aerobic exercise lowers BP by 5-8 mm Hg.
10. Mr. Rodriguez drinks 3 beers daily. Reducing to moderate intake (≤2 drinks/day in
men) reduces SBP by approximately:
A) 1-2 mm Hg
B) 3-4 mm Hg
C) 5-6 mm Hg
