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