MDC 3 {CARDIO&HEMO} FINAL EXAM 170
QUESTIONS AND CORRECT ANSWERS 2024-2025
LATEST VERSION//ALREADY GRADED A+
A client with newly diagnosed hypertension asks what to do to decrease the risk for related
cardiovascular problems. Which risk factor is not modifiable by the client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia - CORRECT ANSWER-a.Age
A client with newly diagnosed hypertension asks how to decrease the risk for related cardiovascular
problems. What risk factor is modifiable by the client?
a.Age
b.Impaired renal function
c.Family history
d.Dyslipidemia - CORRECT ANSWER-d.Dyslipidemia
Which of the following client scenarios would be correct for the nurse to identify as a client with
secondary hypertension?
a.A client experiencing depression
b.A client diagnosed with kidney disease
c.A client of advanced age
d.A client with excessive alcohol intake - CORRECT ANSWER-b.A client diagnosed with kidney disease
A client is brought to the emergency department with reports of a bad headache and an increase in
blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm Hg. What is the
therapeutic goal for reduction of the mean blood pressure?
a.Reduce the blood pressure by 20% to 25% 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 50% within the first hour of treatment. - CORRECT ANSWER-a.Reduce
the blood pressure by 20% to 25% within the first hour of treatment.
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed
Chlorothiazide and Benazepril. What will the nurse monitor this client for?
a.Postural hypertension and resulting injury
b.Rebound hypertension
c.Sexual dysfunction
d.Postural hypotension and resulting injury - CORRECT ANSWER-d.Postural hypotension and resulting
injury
The nurse is planning the care of a patient admitted to the hospital with hypertension. What objective
will help to meet the needs of this patient?
a.Lowering and controlling the blood pressure without adverse effects and without undue cost
b.Making sure that the patient adheres to the therapeutic medication regimen
c.Instructing the patient to enter a weight loss program and begin an exercise regimen
d.Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence
- CORRECT ANSWER-a.Lowering and controlling the blood pressure without adverse effects and without
undue cost
Which describes a situation in which blood pressure is severely elevated and there is evidence of actual
or probable target organ damage?
The nurse is administering medications on a medical-surgical unit. A client is ordered to receive 40 mg
oral nadolol for the treatment of hypertension. Before administering the medication, the nurse should
a.check the client's heart rate.
b.check the client's serum K+ level.
,c.check the client's urine output.
d.weigh the client. - CORRECT ANSWER-a.check the client's heart rate.
Which diagnostic method is recommended to determine whether left ventricular hypertrophy has
occurred?
A nurse is educating about lifestyle modifications for a group of clients with newly diagnosed
hypertension. While discussing dietary changes, which point would the nurse emphasize?
a.It takes 2 to 3 months for the taste buds to adapt to decreased salt intake.
b.The taste buds never adapt to decreased salt intake.
c.There is usually no need to change alcohol consumption for clients with hypertension.
d.A person with hypertension should never consume alcohol. - CORRECT ANSWER-a.It takes 2 to 3
months for the taste buds to adapt to decreased salt intake.
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis.
The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV
nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?
a.Nausea and severe headache
b.Chest pain score of 3 (on a scale of 1 to 10)
c.Numbness and weakness in the left arm
d.Urine output of 40 mL over the past hour - CORRECT ANSWER-c.Numbness and weakness in the left
arm
It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because
nicotine
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. - CORRECT ANSWER-a.increases the heart rate, constricts
arterioles, and reduces the heart's ability to eject blood.
According to the DASH diet, how many servings of vegetables should a person consume each day?
a.2 or fewer
b.2 or 3
c.4 or 5
d.7 or 8 - CORRECT ANSWER-c.4 or 5
The nurse is performing an assessment on a patient to determine the effects of hypertension on the
heart and blood vessels. What specific assessment data will assist in determining this complication?
(Select all that apply.)
a.Heart rate
b.Respiratory rate
c.Heart rhythm
d.Character of apical and peripheral pulses
e.Lung sounds - CORRECT ANSWER-a.Heart rate
c.Heart rhythm
d.Character of apical and peripheral pulses
Primary or essential hypertension accounts for about 95% of all hypertension diagnoses with an
unknown etiology. Secondary hypertension accompanies specific conditions that create hypertension as
a result of tissue damage. Which condition contributes to secondary hypertension?
Which condition(s) indicates target organ damage from untreated/undertreated hypertension? Select all
that apply.
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