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 Lowering and controlling the blood pressure without adverse effects and without undue cost
C Making sure that the patient adheres to the therapeutic medication regimen
D Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence
Question #2
A Age ≥65 in women
B Decreased low-density lipoprotein (LDL) levels
C Smoking
D Elevated high-density lipoprotein (HDL) cholesterol
E Overweight/obesity
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 A severe drop in blood pressure is possible.
B A possible adverse effect of blood pressure medicine is dizziness when you stand.
C There are no adverse effects from blood pressure medicine.
D Take the medicine on an empty stomach.
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 Hypertensive urgency
D Isolated systolic hypertension
Question #7
A limbic system
B lungs
C kidneys
D parasympathetic nervous system
Question #8
A Centers the blood pressure cuff bladder directly over the brachial artery
B Palpates the systolic pressure before auscultating blood pressure
C Positions the arm at waist level
D Wraps the blood pressure cuff firmly around the arm
Question #9
A Hypernatremia
B Hypokalemia
C Hyperkalemia
D Hyponatremia
Question #10
A “The lower the better. Blood pressure of 120/80 mm Hg is best for everyone.”
B “Your blood pressure is fine. Just keep doing what you’re doing.”
C “Clients with diabetes should have a lower blood pressure goal. You should strive for 130/80 mm Hg.”
D “The current recommendation is for everyone to have blood pressure of 140/90 mm Hg or lower.”
Question #11
A Using a BP cuff that is too large will give a higher BP measurement.
B The client’s BP should be measured 1 hour before consuming alcohol.
C The client should sit quietly while BP is being measured.
D The client’s arm should be positioned at the level of the heart.
E Using a BP cuff that is too small will give a higher BP measurement.
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 using a sphygmomanometer.
B ophthalmic examination.
C an MRI.
D laboratory tests
Question #14
A Hypocalcemia
B Hypercalcemia
C Hypokalemia
D Hyperkalemia
Question #15
A Postural hypotension and resulting injury
B Sexual dysfunction
C Postural hypertension and resulting injury
D Rebound hypertension
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 blood pressure 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 work required by the heart to resupply oxygen to the brain.
Question #18
A right-sided heart failure
B stroke
C pulmonary insufficiency
D peripheral edema
Question #19
A Check blood pressure every day for signs of rebound hypertension.
B Eat plenty of salty food to prevent hypotension.
C Do not become dependent on canes, walkers, or handrails.
D Change positions (lying or sitting to standing) slowly.
Question #20
A Lung sounds
B Character of apical and peripheral pulses
C Heart rhythm
D Respiratory rate
E Heart rate
Question #21
A Pressures may vary, with the higher pressure found in the left arm.
B Pressures should not differ more than 5 mm Hg between arms.
C Pressures may vary 10 mm Hg or more between arms.
D Pressures must be equal in both arms.
Question #22
A Secondary
B Malignant
C Essential (primary)
D Pathologic
Question #23
A Decrease in blood volume
B Increase in calcium intake
C Loss of arterial elasticity
D Decrease in cardiac output
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 Gastrointestinal
D Sensory
Question #26
A 7 or 8
B 2 or fewer
C 4 or 5
D 2 or 3
Question #27
A The pituitary gland
B The adrenal gland
C The thymus
D The thyroid gland
Question #28
A “Do you have a friend accompanying you?”
B “Are you married and with children?”
C “Did you have a beer after work?”
D “Do you smoke?”
E “Have you recently drunk a caffeinated beverage?”
Question #29
A Blood chemistry
B Multiple gated acquisition scan (MUGA)
C Chest radiograph
D Fluorescein angiography
Question #30
A Use a pillbox to store daily medication.
B Do not operate a motor vehicle.
C Sit on the edge of the chair and rise slowly.
D Take the medication at the same time daily.
Question #31
A Brain and sympathetic nervous system
B Lung and arteries
C Kidneys and autonomic nervous system
D Heart and blood vessels
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 decreases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood.
B increases the heart rate, constricts arterioles, and reduces the heart’s ability to eject blood
C decreases circulating blood volume.
D increases the heart rate, constricts arterioles, and increases the heart’s ability to eject blood.
Question #34
A increases the production of neurotransmitters that constrict peripheral arterioles.
B increases the resistance that the heart must overcome to eject blood.
C increases blood volume and improves the potential for greater cardiac output.
D decreases the production of neurotransmitters that constrict peripheral arterioles.
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 “Do you eat three meals per day?”
B “Who eats meals with you?”
C “Do you snack in the evening?”
D “How do you prepare your food?”
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 tremor
B dizziness
C persistent cough
D blurred vision
Question #39
A Primary
B Essential
C Secondary
D Malignant
Question #40
A Pancreatitis
B Stroke
C Tension pneumothorax
D Coronary artery disease
E Myocardial infarction
Question #41
A Smoking
B Gallbladder disease
C Physical inactivity
D Diabetes mellitus
E Gallbladder disease
Question #42
A Limit alcohol consumption to no more that 3 drinks per day.
B Maintain a waist circumference of 45 inches (114 cm) (men) and 40 inches (102 cm) (women) or less.
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 Spironolactone
B Chlorthalidone
C Furosemide
D Chlorothiazide
Question #44
A “I’m glad I can still have chicken bouillon.”
B “I can still eat a ham-and-cheese sandwich with potato chips for lunch.”
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 Reduce the blood pressure to about 140/80 mm Hg.
B Reduce the blood pressure by 50% within the first hour of treatment.
C Reduce the blood pressure by 20% to 25% within the first hour of treatment.
D Rapidly reduce the blood pressure so the client will not suffer a stroke.
Question #47
A Isolated systolic hypertension
B Rebound hypertension
C Left ventricular hypertrophy
D Angina
Question #48
A Chest pain score of 3 (on a scale of 1 to 10)
B Nausea and severe headache
C Numbness and weakness in the left arm
D Urine output of 40 mL over the past hour
Question #49
A Stress reduction to lower prehypertensive state
B Diagnostic testing for determining cardiac functioning
C Use of beta-blockers for treatment of hypertension
D Increasing fluids for low blood pressure
Question #50
A Hypertensive emergency
B Hypertensive urgency
C Secondary hypertension
D Primary hypertension
Question #51
A 30
B 10
C 20
D 25
Question #52
A Blood urea nitrogen
B Electrocardiography
C Blood chemistry
D Echocardiography
Question #53
A normal.
B stage 2 hypertension.
C prehypertension.
D stage 1 hypertension.
Question #54
A “Limiting my salt intake to 2 grams per day will improve my blood pressure.”
B “If I include less fat in my diet, I’ll lower 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 Calcium level
D Potassium level
Question #56
A Chest x-ray showing pneumonia
B Retinal blood vessel damage
C Urine output of 60 mL over 2 hours
D Blood urea nitrogen concentration of 12 mg/dL
Question #57
A isolated systolic hypertension.
B primary hypertension.
C secondary hypertension.
D essential hypertension.
Question #58
A Vasodilator
B Angiotensin-converting enzyme (ACE) inhibitor
C Diuretic
D Beta blocker
Question #59
A 110, 60
B 120, 70
C 140, 90
D 130, 80