Chapter 38: Hypertension

Chapter 38: Hypertension

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient inquires if his blood pressure is normal. What is the nurse’s most accurate response regarding the definition of normal blood pressure?

ANS:  D

Normal blood pressure is defined as a systolic pressure of less than 120 mm Hg and a diastolic blood pressure of less than 80 mm Hg.

DIF:    Cognitive Level: Knowledge            REF:   p. 770             OBJ:   1

TOP:   Normal Blood Pressure                    KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. An obese African American man reports that he smokes. How should the nurse stage this patient’s hypertension?

ANS:  B

Criteria for grade B are that the patient has more than one risk factor (African American, obese, smoker), with no target organ damage and no clinical cardiovascular problems. Criteria for grade A indicate that no risks have been assessed, and the criteria for grade C include target organ damage and clinical cardiovascular disease or diabetes mellitus.

DIF:    Cognitive Level: Application           REF:   p. 770             OBJ:   3

TOP:   Staging of Hypertension                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. Which is true regarding hypertension in older adults?

ANS:  D

Older adults with hypertension have good results with aggressive therapy, although the age-related changes cannot be avoided.

DIF:    Cognitive Level: Comprehension     REF:   p. 771             OBJ:   3

TOP:   Hypertension and Older Adults        KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. A patient is being evaluated every week for possible hypertension and is classified as prehypertensive. Which assessment would support this conclusion?

ANS:  A

Prehypertension is diagnosed after two readings of over 120/80 mm Hg. The readings of 135/85 mm Hg for 2 months is longer than the diagnostic criteria require. Blood pressures consistently over 140/90 mm Hg are classified as hypertension.

DIF:    Cognitive Level: Comprehension     REF:   p. 770             OBJ:   3

TOP:   Risk Factors for Hypertension          KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease