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