MEDICAL SURGICAL NURSING IN CANADA
4TH EDITION LEWIS TEST BANK ACTUAL
EXAM 2026 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A+
⩥ The nurse assesses the risk factors for hypertension in a patient with
high normal BP. Which risk factor would the nurse identify from the
health history and advise the patient to change, in order to prevent
hypertension?
a. Little or no regular exercise
b. No use of relaxation techniques
c. High dietary intake of simple sugars
d. Drinking wine with dinner once a week. Answer: ANS: A
The recommendations for preventing hypertension include exercising
aerobically for 30 minutes most days of the week.
REF: page 873, Table 35-3
⩥ The nurse measures the BP of a 78-year-old patient and finds it to be
168/86 mm Hg in both arms. What will the nurse include in the teaching
plan for this patient?
a. Increased BP is a normal finding in older adults.
b. Prehypertension indicates the need for lifestyle changes.
c. It is important to address the increased BP.
, d. A high probability of kidney and heart disease exists.. Answer: ANS:
C
Although an increase in systolic BP (SBP) is a common finding in older
adults, the recommendations for treating elevated BP are unchanged. An
SBP of >140 mm Hg is a more important cardiovascular risk factor than
diastolic BP (DBP) in individuals older than 50. The diagnosis of
prehypertension indicates a systolic BP between 120 and 139 mm Hg
and a DBP between 80 and 89 mm Hg.
REF: page 884, Table 35-11
⩥ Why should the nurse teach a patient who is taking labetalol
(Normodyne) for treatment of hypertension to change position slowly?
a. The medication blocks the vasoconstrictive and sodium-retaining
properties initiated by the presence of angiotensin.
b. The medication paralyzes the smooth muscle of blood vessels, and
they cannot constrict in response to sympathetic stimulation.
c. The medication blocks the normal sympathetic nervous system
response to position changes in vasoconstriction and increased heart
rate.
d. The medication blocks the movement of calcium into the cardiac
cells, and cardiac output cannot increase in response to decreased BP..
Answer: ANS: C
Labetalol decreases sympathetic nervous system activity by blocking
both - and -adrenergic receptors, leading to vasodilation and a decrease
in heart rate, which lower BP.
REF: page 881, Table 35-8
4TH EDITION LEWIS TEST BANK ACTUAL
EXAM 2026 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A+
⩥ The nurse assesses the risk factors for hypertension in a patient with
high normal BP. Which risk factor would the nurse identify from the
health history and advise the patient to change, in order to prevent
hypertension?
a. Little or no regular exercise
b. No use of relaxation techniques
c. High dietary intake of simple sugars
d. Drinking wine with dinner once a week. Answer: ANS: A
The recommendations for preventing hypertension include exercising
aerobically for 30 minutes most days of the week.
REF: page 873, Table 35-3
⩥ The nurse measures the BP of a 78-year-old patient and finds it to be
168/86 mm Hg in both arms. What will the nurse include in the teaching
plan for this patient?
a. Increased BP is a normal finding in older adults.
b. Prehypertension indicates the need for lifestyle changes.
c. It is important to address the increased BP.
, d. A high probability of kidney and heart disease exists.. Answer: ANS:
C
Although an increase in systolic BP (SBP) is a common finding in older
adults, the recommendations for treating elevated BP are unchanged. An
SBP of >140 mm Hg is a more important cardiovascular risk factor than
diastolic BP (DBP) in individuals older than 50. The diagnosis of
prehypertension indicates a systolic BP between 120 and 139 mm Hg
and a DBP between 80 and 89 mm Hg.
REF: page 884, Table 35-11
⩥ Why should the nurse teach a patient who is taking labetalol
(Normodyne) for treatment of hypertension to change position slowly?
a. The medication blocks the vasoconstrictive and sodium-retaining
properties initiated by the presence of angiotensin.
b. The medication paralyzes the smooth muscle of blood vessels, and
they cannot constrict in response to sympathetic stimulation.
c. The medication blocks the normal sympathetic nervous system
response to position changes in vasoconstriction and increased heart
rate.
d. The medication blocks the movement of calcium into the cardiac
cells, and cardiac output cannot increase in response to decreased BP..
Answer: ANS: C
Labetalol decreases sympathetic nervous system activity by blocking
both - and -adrenergic receptors, leading to vasodilation and a decrease
in heart rate, which lower BP.
REF: page 881, Table 35-8
