Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 31 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Lowering and controlling the blood pressure without adverse effects and without undue cost
B Instructing the patient to enter a weight loss program and begin an exercise regimen
C Making sure that the patient adheres to the therapeutic medication regimen
D Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence
Question #2
A Age ≥65 in women
B Overweight/obesity
C Elevated high-density lipoprotein (HDL) cholesterol
D Decreased low-density lipoprotein (LDL) levels
E Smoking
Question #3
A Limit aerobic physical activity to 15 minutes, three times per week
B Maintain adequate dietary intake of fruits and vegetables
C Reduce smoking to no more than four cigarettes per day
D Stop alcohol intake
Question #4
A A possible adverse effect of blood pressure medicine is dizziness when you stand.
B There are no adverse effects from blood pressure medicine.
C A severe drop in blood pressure is possible.
D Take the medicine on an empty stomach.
Question #5
A 135/80 or lower
B 140/90 or lower
C 150/90 or lower
D 135/85 or lower
Question #6
A Hypertensive urgency
B Isolated systolic hypertension
C Secondary hypertension
D Primary hypertension
Question #7
A lungs
B kidneys
C limbic system
D parasympathetic nervous system
Question #8
A Wraps the blood pressure cuff firmly around the arm
B Positions the arm at waist level
C Palpates the systolic pressure before auscultating blood pressure
D Centers the blood pressure cuff bladder directly over the brachial artery
Question #9
A Hyperkalemia
B Hyponatremia
C Hypernatremia
D Hypokalemia
Question #10
A “The lower the better. Blood pressure of 120/80 mm Hg is best for everyone.”
B “Your blood pressure is fine. Just keep doing what you’re doing.”
C “The current recommendation is for everyone to have blood pressure of 140/90 mm Hg or lower.”
D “Clients with diabetes should have a lower blood pressure goal. You should strive for 130/80 mm Hg.”
Question #11
A The client should sit quietly while BP is being measured.
B Using a BP cuff that is too small will give a higher BP measurement.
C Using a BP cuff that is too large will give a higher BP measurement.
D The client’s BP should be measured 1 hour before consuming alcohol.
E The client’s arm should be positioned at the level of the heart.
Question #12
A “Did you take any medication for your headache?”
B “Have you taken your prescribed clonidine today?”
C “Are you having chest pain or shortness of breath?”
D “Do you have a dry mouth or nasal congestion?”
Question #13
A laboratory tests
B ophthalmic examination.
C using a sphygmomanometer.
D an MRI.
Question #14
A Hyperkalemia
B Hypokalemia
C Hypocalcemia
D Hypercalcemia
Question #15
A Rebound hypertension
B Postural hypertension and resulting injury
C Postural hypotension and resulting injury
D Sexual dysfunction
Question #16
A Hypertensive urgency
B Primary hypertension
C Hypertensive emergency
D Secondary hypertension
Question #17
A help reduce the blood pressure to resupply oxygen to the brain.
B provide time for the heart to increase the rate of contraction to resupply oxygen to the brain.
C help reduce the work required by the heart to resupply oxygen to the brain.
D provide time for the heart to reduce the rate of contraction to resupply oxygen to the brain.
Question #18
A pulmonary insufficiency
B peripheral edema
C stroke
D right-sided heart failure
Question #19
A Do not become dependent on canes, walkers, or handrails.
B Change positions (lying or sitting to standing) slowly.
C Check blood pressure every day for signs of rebound hypertension.
D Eat plenty of salty food to prevent hypotension.
Question #20
A Respiratory rate
B Lung sounds
C Heart rhythm
D Heart rate
E Character of apical and peripheral pulses
Question #21
A Pressures must be equal in both arms.
B Pressures may vary, with the higher pressure found in the left arm.
C Pressures should not differ more than 5 mm Hg between arms.
D Pressures may vary 10 mm Hg or more between arms.
Question #22
A Malignant
B Essential (primary)
C Secondary
D Pathologic
Question #23
A Loss of arterial elasticity
B Decrease in cardiac output
C Increase in calcium intake
D Decrease in blood volume
Question #24
A 150/95 or lower
B 145/95 or lower
C 130/80 or lower
D 125/85 or lower
Question #25
A Musculoskeletal
B Sensory
C Integumentary
D Gastrointestinal
Question #26
A 2 or 3
B 2 or fewer
C 4 or 5
D 7 or 8
Question #27
A The adrenal gland
B The pituitary gland
C The thyroid gland
D The thymus
Question #28
A “Did you have a beer after work?”
B “Do you smoke?”
C “Are you married and with children?”
D “Have you recently drunk a caffeinated beverage?”
E “Do you have a friend accompanying you?”
Question #29
A Fluorescein angiography
B Chest radiograph
C Blood chemistry
D Multiple gated acquisition scan (MUGA)
Question #30
A Sit on the edge of the chair and rise slowly.
B Take the medication at the same time daily.
C Use a pillbox to store daily medication.
D Do not operate a motor vehicle.
Question #31
A Lung and arteries
B Kidneys and autonomic nervous system
C Brain and sympathetic nervous system
D Heart and blood vessels
Question #32
A “Be sure the forearm is well supported above heart level while taking blood pressure.”
B “Sit quietly for 5 minutes prior to taking blood pressure.”
C “Avoid smoking cigarettes for 8 hours prior to taking blood pressure.”
D “Sit with legs crossed when taking your blood pressure.”
Question #33
A decreases circulating blood volume.
B increases the heart rate, constricts arterioles, and increases the heart’s ability to eject blood.
C increases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood
D decreases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood.
Question #34
A increases blood volume and improves the potential for greater cardiac output.
B decreases the production of neurotransmitters that constrict peripheral arterioles.
C increases the resistance that the heart must overcome to eject blood.
D increases the production of neurotransmitters that constrict peripheral arterioles.
Question #35
A Advising smoking cessation
B Purchasing a self-monitoring BP cuff
C Administering glycemic control
D Discussing methods for stress reduction
Question #36
A “Who eats meals with you?”
B “How do you prepare your food?”
C “Do you eat three meals per day?”
D “Do you snack in the evening?”
Question #37
A Emphysema related to poor gas exchange
B Anemia resulting from bone marrow suppression
C Hyperglycemia resulting from insulin receptor resistance
D Renal dysfunction resulting from atherosclerosis
Question #38
A persistent cough
B tremor
C dizziness
D blurred vision
Question #39
A Primary
B Secondary
C Malignant
D Essential
Question #40
A Coronary artery disease
B Pancreatitis
C Stroke
D Myocardial infarction
E Tension pneumothorax
Question #41
A Gallbladder disease
B Smoking
C Diabetes mellitus
D Physical inactivity
E Gallbladder disease
Question #42
A Engage in aerobic activity at least 30 minutes/day most days of the week.
B Maintain a body mass index between 30 and 35.
C Limit alcohol consumption to no more that 3 drinks per day.
D Maintain a waist circumference of 45 inches (114 cm) (men) and 40 inches (102 cm) (women) or less.
Question #43
A Chlorothiazide
B Furosemide
C Spironolactone
D Chlorthalidone
Question #44
A “I can still eat a ham-and-cheese sandwich with potato chips for lunch.”
B “I’m glad I can still have chicken bouillon.”
C “I chose broiled chicken with a baked potato for dinner.”
D “I chose a tossed salad with sardines and oil and vinegar dressing for lunch.”
Question #45
A continuous IV infusion
B sublingual
C oral
D intramuscular
Question #46
A Reduce the blood pressure by 50% within the first hour of treatment.
B Reduce the blood pressure by 20% to 25% within the first hour of treatment.
C Rapidly reduce the blood pressure so the client will not suffer a stroke.
D Reduce the blood pressure to about 140/80 mm Hg.
Question #47
A Isolated systolic hypertension
B Left ventricular hypertrophy
C Rebound hypertension
D Angina
Question #48
A Nausea and severe headache
B Numbness and weakness in the left arm
C Chest pain score of 3 (on a scale of 1 to 10)
D Urine output of 40 mL over the past hour
Question #49
A Stress reduction to lower prehypertensive state
B Diagnostic testing for determining cardiac functioning
C Increasing fluids for low blood pressure
D Use of beta-blockers for treatment of hypertension
Question #50
A Hypertensive urgency
B Secondary hypertension
C Hypertensive emergency
D Primary hypertension
Question #51
A 25
B 20
C 30
D 10
Question #52
A Echocardiography
B Electrocardiography
C Blood chemistry
D Blood urea nitrogen
Question #53
A stage 2 hypertension.
B stage 1 hypertension.
C prehypertension.
D normal.
Question #54
A “If I include less fat in my diet, I’ll lower my blood pressure.”
B “I should eliminate caffeine from my diet to lower my blood pressure.”
C “Limiting my salt intake to 2 grams per day will improve my blood pressure.”
D “A glass of red wine each day will lower my blood pressure.”
Question #55
A Potassium level
B Magnesium level
C Calcium level
D Sodium level
Question #56
A Blood urea nitrogen concentration of 12 mg/dL
B Urine output of 60 mL over 2 hours
C Chest x-ray showing pneumonia
D Retinal blood vessel damage
Question #57
A isolated systolic hypertension.
B essential hypertension.
C primary hypertension.
D secondary hypertension.
Question #58
A Angiotensin-converting enzyme (ACE) inhibitor
B Vasodilator
C Beta blocker
D Diuretic
Question #59
A 140, 90
B 120, 70
C 110, 60
D 130, 80