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