Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 38: Hypertension
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Less than 144/90 mm Hg |
| b. | Less than 138/86 mm Hg |
| c. | Less than126/82 mm Hg |
| d. | Less than 120/80mm Hg |
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
| a. | Grade A |
| b. | Grade B |
| c. | Grade C |
| d. | Grade D |
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
| a. | It is age related. |
| b. | It is unavoidable. |
| c. | It is progressively disabling. |
| d. | It improves with treatment. |
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
| a. | Blood pressure reading over 120/80 mm Hg for two consecutive visits |
| b. | Blood pressure reading over 130/85 mm Hg for over 2 months |
| c. | Blood pressure reading over 140/95 mm Hg for 2 months |
| d. | Blood pressure reading over 144/100 mm Hg at one visit |
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
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