NCSBN Exam with Questions and Answers

NCSBN Exam with Questions and Answers Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher ANSWER C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline to ask for advice. She states, "I have had the worst headache for the past two days. It pounds and by the middle of the afternoon everything I look at looks wavy. Nothing I have taken helps." What should the nurse do next? A. Advise the client to have someone bring her to the emergency room as soon as possible B. Ask the client to explain what she has taken and how often, and then evaluate other specific complaints C. Advise the client that the swings in her hormones may be the problem; suggest that she call her health care provider D. Ask the client to stay on the line, get the address, and send an ambulance to the home ANSWER D The woman is at risk for seizure activity. The ambulance needs to bring the woman to the hospital for evaluation and treatment. For at-risk clients, PIH may progress to preeclampsia and eclampsia prior to, during, or after delivery; this may occur up to 10 days after delivery.