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