PHARM 201 Test Questions with Correct Solutions
A client is experiencing orthostatic hypotension that is due to antihypertensive therapy.
Which nursing diagnosis would be most appropriate?
Risk for injury
A nurse is educating a group of nursing students on the adverse effects of antihypertensive
drugs. The nurse explains that orthostatic hypotension occurs initially in the therapy.
Which of the following pressure changes in an upright position would indicate orthostatic
hypotension?
A fall in the systolic pressure by 10 mm Hg
A nurse is educating a group of nursing students about the uses of hawthorn, a natural
agent used in the treatment of hypertension. Which conditions should the nurse explain as
the other indications for hawthorn use? Select all that apply.
Angina
Arrhythmia
Heart failure
A client taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up
appointment. What adverse effects would the nurse assess the client for?
Peripheral edema and bradycardia
The health care provider prescribes captopril (Capoten) for a client, and the nurse
provides the client with the appropriate client education. What statement by the client tells
the nurse that teaching has been effective?
,"I will make sure that I rise slowly from a supine position."
How is hypertension defined with regard to blood pressure readings?
systolic pressure above 140 mm Hg or diastolic pressure above 90 mm Hg
A client is prescribed captopril. What adverse effect should the client be instructed on that
can occur with angiotensin-converting enzyme (ACE) inhibitors?
persistent cough
A 46-year-old client with a high body-mass index and a sedentary lifestyle has been
diagnosed with hypertension after serial blood pressure readings. The clinician has opted
to begin the client on captopril (Capoten). The nurse should recognize that the therapeutic
effect of this drug is achieved in what way?
By inhibiting the transformation of angiotensin I to angiotensin II
The client has been diagnosed as having hypertension. The nurse is responsible for
teaching the client about managing the condition with his newly prescribed medication
(lisinopril) and nonpharmacologic methods. What statement by the client suggests that
teaching has been effective?
"I will make sure that I rise to a standing position slowly."
A 71-year-old male client has recently been diagnosed with hypertension. Which
measurement is a partial indication of effective treatment and management?
Diastolic blood pressure below 90 mm Hg
, A 54-year-old client with CHF is admitted to the unit. The nurse knows that what
physiologic changes will affect a client's stroke volume?
Changes in heart contraction
A provider chooses to treat an African American client with hypertension with a beta
blocker and diuretic instead of an ACE inhibitor. The nurse knows that the provider did
this for what reason?
Research has shown beta blockers, in combination with diuretics, treat hypertension in African
Americans better than ACE inhibitors.
The client taking antihypertensive medications is taught to notify the healthcare provider
when which findings occur?
Weight gain of five pounds over a 2-day period
The female client states that her father has had high blood pressure all of his life and he is
healthy. She does not understand why the care provider has prescribed medication for her
blood pressure. What is the nurse's best response?
"With high blood pressure, blood vessels may be damaged and that can cause heart and kidney
disease."
The client is diagnosed with pulmonary hypertension. The health care provider orders
ambrisentan (Letairis). What assessment would be the nurse's priority in monitoring the
effectiveness of this medication?
Assess the client's exercise tolerance
A client is experiencing orthostatic hypotension that is due to antihypertensive therapy.
Which nursing diagnosis would be most appropriate?
Risk for injury
A nurse is educating a group of nursing students on the adverse effects of antihypertensive
drugs. The nurse explains that orthostatic hypotension occurs initially in the therapy.
Which of the following pressure changes in an upright position would indicate orthostatic
hypotension?
A fall in the systolic pressure by 10 mm Hg
A nurse is educating a group of nursing students about the uses of hawthorn, a natural
agent used in the treatment of hypertension. Which conditions should the nurse explain as
the other indications for hawthorn use? Select all that apply.
Angina
Arrhythmia
Heart failure
A client taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up
appointment. What adverse effects would the nurse assess the client for?
Peripheral edema and bradycardia
The health care provider prescribes captopril (Capoten) for a client, and the nurse
provides the client with the appropriate client education. What statement by the client tells
the nurse that teaching has been effective?
,"I will make sure that I rise slowly from a supine position."
How is hypertension defined with regard to blood pressure readings?
systolic pressure above 140 mm Hg or diastolic pressure above 90 mm Hg
A client is prescribed captopril. What adverse effect should the client be instructed on that
can occur with angiotensin-converting enzyme (ACE) inhibitors?
persistent cough
A 46-year-old client with a high body-mass index and a sedentary lifestyle has been
diagnosed with hypertension after serial blood pressure readings. The clinician has opted
to begin the client on captopril (Capoten). The nurse should recognize that the therapeutic
effect of this drug is achieved in what way?
By inhibiting the transformation of angiotensin I to angiotensin II
The client has been diagnosed as having hypertension. The nurse is responsible for
teaching the client about managing the condition with his newly prescribed medication
(lisinopril) and nonpharmacologic methods. What statement by the client suggests that
teaching has been effective?
"I will make sure that I rise to a standing position slowly."
A 71-year-old male client has recently been diagnosed with hypertension. Which
measurement is a partial indication of effective treatment and management?
Diastolic blood pressure below 90 mm Hg
, A 54-year-old client with CHF is admitted to the unit. The nurse knows that what
physiologic changes will affect a client's stroke volume?
Changes in heart contraction
A provider chooses to treat an African American client with hypertension with a beta
blocker and diuretic instead of an ACE inhibitor. The nurse knows that the provider did
this for what reason?
Research has shown beta blockers, in combination with diuretics, treat hypertension in African
Americans better than ACE inhibitors.
The client taking antihypertensive medications is taught to notify the healthcare provider
when which findings occur?
Weight gain of five pounds over a 2-day period
The female client states that her father has had high blood pressure all of his life and he is
healthy. She does not understand why the care provider has prescribed medication for her
blood pressure. What is the nurse's best response?
"With high blood pressure, blood vessels may be damaged and that can cause heart and kidney
disease."
The client is diagnosed with pulmonary hypertension. The health care provider orders
ambrisentan (Letairis). What assessment would be the nurse's priority in monitoring the
effectiveness of this medication?
Assess the client's exercise tolerance
