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 Making sure that the patient adheres to the therapeutic medication regimen
B Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence
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 Decreased low-density lipoprotein (LDL) levels
B Overweight/obesity
C Elevated high-density lipoprotein (HDL) cholesterol
D Age ≥65 in women
E Smoking
Question #3
A Maintain adequate dietary intake of fruits and vegetables
B Reduce smoking to no more than four cigarettes per day
C Limit aerobic physical activity to 15 minutes, three times per week
D Stop alcohol intake
Question #4
A Take the medicine on an empty stomach.
B There are no adverse effects from blood pressure medicine.
C A severe drop in blood pressure is possible.
D A possible adverse effect of blood pressure medicine is dizziness when you stand.
Question #5
A 150/90 or lower
B 140/90 or lower
C 135/80 or lower
D 135/85 or lower
Question #6
A Primary hypertension
B Hypertensive urgency
C Isolated systolic hypertension
D Secondary hypertension
Question #7
A parasympathetic nervous system
B limbic system
C kidneys
D lungs
Question #8
A Palpates the systolic pressure before auscultating blood pressure
B Positions the arm at waist level
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 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 “Clients with diabetes should have a lower blood pressure goal. You should strive for 130/80 mm Hg.”
C “Your blood pressure is fine. Just keep doing what you’re doing.”
D “The current recommendation is for everyone to have blood pressure of 140/90 mm Hg or lower.”
Question #11
A The client should sit quietly while BP is being measured.
B The client’s BP should be measured 1 hour before consuming alcohol.
C Using a BP cuff that is too small will give a higher BP measurement.
D Using a BP cuff that is too large will give a higher BP measurement.
E The client’s arm should be positioned at the level of the heart.
Question #12
A “Do you have a dry mouth or nasal congestion?”
B “Did you take any medication for your headache?”
C “Have you taken your prescribed clonidine today?”
D “Are you having chest pain or shortness of breath?”
Question #13
A ophthalmic examination.
B an MRI.
C laboratory tests
D using a sphygmomanometer.
Question #14
A Hypercalcemia
B Hyperkalemia
C Hypokalemia
D Hypocalcemia
Question #15
A Rebound hypertension
B Sexual dysfunction
C Postural hypertension and resulting injury
D Postural hypotension and resulting injury
Question #16
A Hypertensive emergency
B Hypertensive urgency
C Secondary hypertension
D Primary hypertension
Question #17
A help reduce the work required by the heart 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 provide time for the heart to increase the rate of contraction to resupply oxygen to the brain.
D help reduce the blood pressure to resupply oxygen to the brain.
Question #18
A pulmonary insufficiency
B right-sided heart failure
C stroke
D peripheral edema
Question #19
A Eat plenty of salty food to prevent hypotension.
B Do not become dependent on canes, walkers, or handrails.
C Change positions (lying or sitting to standing) slowly.
D Check blood pressure every day for signs of rebound hypertension.
Question #20
A Lung sounds
B Respiratory rate
C Heart rate
D Heart rhythm
E Character of apical and peripheral pulses
Question #21
A Pressures may vary 10 mm Hg or more between arms.
B Pressures should not differ more than 5 mm Hg between arms.
C Pressures must be equal in both arms.
D Pressures may vary, with the higher pressure found in the left arm.
Question #22
A Secondary
B Essential (primary)
C Malignant
D Pathologic
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 125/85 or lower
B 130/80 or lower
C 150/95 or lower
D 145/95 or lower
Question #25
A Musculoskeletal
B Integumentary
C Sensory
D Gastrointestinal
Question #26
A 2 or fewer
B 4 or 5
C 2 or 3
D 7 or 8
Question #27
A The adrenal gland
B The pituitary gland
C The thymus
D The thyroid gland
Question #28
A “Do you smoke?”
B “Do you have a friend accompanying you?”
C “Have you recently drunk a caffeinated beverage?”
D “Are you married and with children?”
E “Did you have a beer after work?”
Question #29
A Chest radiograph
B Fluorescein angiography
C Blood chemistry
D Multiple gated acquisition scan (MUGA)
Question #30
A Sit on the edge of the chair and rise slowly.
B Do not operate a motor vehicle.
C Take the medication at the same time daily.
D Use a pillbox to store daily medication.
Question #31
A Lung and arteries
B Kidneys and autonomic nervous system
C Heart and blood vessels
D Brain and sympathetic nervous system
Question #32
A “Sit quietly for 5 minutes prior to taking blood pressure.”
B “Sit with legs crossed when taking your blood pressure.”
C “Be sure the forearm is well supported above heart level while taking blood pressure.”
D “Avoid smoking cigarettes for 8 hours prior to taking blood pressure.”
Question #33
A increases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood
B decreases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood.
C increases the heart rate, constricts arterioles, and increases the heart’s ability to eject blood.
D decreases circulating blood volume.
Question #34
A increases the resistance that the heart must overcome to eject blood.
B decreases the production of neurotransmitters that constrict peripheral arterioles.
C increases the production of neurotransmitters that constrict peripheral arterioles.
D increases blood volume and improves the potential for greater cardiac output.
Question #35
A Administering glycemic control
B Purchasing a self-monitoring BP cuff
C Discussing methods for stress reduction
D Advising smoking cessation
Question #36
A “Who eats meals with you?”
B “Do you snack in the evening?”
C “How do you prepare your food?”
D “Do you eat three meals per day?”
Question #37
A Emphysema related to poor gas exchange
B Anemia resulting from bone marrow suppression
C Renal dysfunction resulting from atherosclerosis
D Hyperglycemia resulting from insulin receptor resistance
Question #38
A dizziness
B blurred vision
C persistent cough
D tremor
Question #39
A Secondary
B Primary
C Malignant
D Essential
Question #40
A Myocardial infarction
B Coronary artery disease
C Pancreatitis
D Stroke
E Tension pneumothorax
Question #41
A Physical inactivity
B Smoking
C Diabetes mellitus
D Gallbladder disease
E Gallbladder disease
Question #42
A Limit alcohol consumption to no more that 3 drinks per day.
B Maintain a body mass index between 30 and 35.
C Maintain a waist circumference of 45 inches (114 cm) (men) and 40 inches (102 cm) (women) or less.
D Engage in aerobic activity at least 30 minutes/day most days of the week.
Question #43
A Spironolactone
B Chlorthalidone
C Chlorothiazide
D Furosemide
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 a tossed salad with sardines and oil and vinegar dressing for lunch.”
D “I chose broiled chicken with a baked potato for dinner.”
Question #45
A oral
B continuous IV infusion
C sublingual
D intramuscular
Question #46
A Rapidly reduce the blood pressure so the client will not suffer a stroke.
B Reduce the blood pressure by 20% to 25% within the first hour of treatment.
C Reduce the blood pressure by 50% within the first hour of treatment.
D Reduce the blood pressure to about 140/80 mm Hg.
Question #47
A Rebound hypertension
B Angina
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 Use of beta-blockers for treatment of hypertension
B Stress reduction to lower prehypertensive state
C Diagnostic testing for determining cardiac functioning
D Increasing fluids for low blood pressure
Question #50
A Hypertensive urgency
B Primary hypertension
C Secondary hypertension
D Hypertensive emergency
Question #51
A 30
B 25
C 20
D 10
Question #52
A Echocardiography
B Electrocardiography
C Blood chemistry
D Blood urea nitrogen
Question #53
A prehypertension.
B stage 1 hypertension.
C normal.
D stage 2 hypertension.
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 “I should eliminate caffeine from my diet to lower my blood pressure.”
D “A glass of red wine each day will lower my blood pressure.”
Question #55
A Magnesium level
B Potassium level
C Sodium level
D Calcium level
Question #56
A Urine output of 60 mL over 2 hours
B Blood urea nitrogen concentration of 12 mg/dL
C Chest x-ray showing pneumonia
D Retinal blood vessel damage
Question #57
A primary hypertension.
B secondary hypertension.
C isolated systolic hypertension.
D essential hypertension.
Question #58
A Diuretic
B Beta blocker
C Vasodilator
D Angiotensin-converting enzyme (ACE) inhibitor
Question #59
A 130, 80
B 140, 90
C 120, 70
D 110, 60