NUR HEALTH ASSESSMENT EXAM 2 2026
COMPREHENSIVE REVIEW GUIDE MODULE 3-5
CORRECT RESPONSES A+
◉ A client who is taking an ACE inhibitor informs the nurse that she is
considering having a child. What information should the nurse provide
to the client related to this new information? Answer: ACE inhibitors are
contraindicated during pregnancy because they are teratogenic.
◉ A client has not responded normally to rescue inhaler therapy. When
subcutaneous epinephrine is prescribed, the nurse should anticipate what
reaction to occur? Answer: Instant bronchodilation
◉ A client is receiving fosinopril. Which adverse effect would the nurse
caution the client about to help to promote compliance? Answer: Cough
◉ A nurse is providing care to a client diagnosed with stage 2
hypertension. The nurse understands that most clients with stage 2
hypertension will require how many antihypertensives to lower blood
pressure to goal initially? Answer: 2
◉ 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? Answer: "With high blood pressure, blood vessels
may be damaged and that can cause heart and kidney disease."
,◉ A client, newly diagnosed with hypertension is started on captopril, an
ACE inhibitor. The client should be informed of the possibility of what
adverse effect? Answer: Persistent cough
◉ When describing the adverse effects associated with ACE inhibitors,
which would the nurse include? (Select all that apply.) Answer:
Constipation
Proteinuria
Photosensitivity
Cough
◉ When preparing a plan of care for a client in hypovolemic shock,
which partial nursing diagnosis might be relevant to the patient's
condition? Answer: Ineffective Tissue Perfusion
◉ A client develops primary hypertension and asks the nurse, "How long
will I need to receive therapy?" The nurse responds based on the
understanding that therapy would be required for how long? Answer:
Lifelong
◉ A 48-year-old client with a blood pressure of 198/112 mm Hg reports
severe headache and drowsiness. The nurse notes that the client is
disoriented and has begun to vomit. What is the primary nursing goal for
, this client experiencing a hypertensive emergency? Answer: Implement
interventions to lower blood pressure.
◉ A client is prescribed aliskiren. The nurse would monitor the
laboratory test results of which electrolyte closely? Answer: Potassium
◉ How can the home care nurse assist the client or the client's family
members who have hypertension? (Select all that apply.) Answer:
Monitoring for drug effects
Promoting compliance with the prescribed pharmacologic modifications
Promoting compliance with the prescribed lifestyle modifications
◉ Losartan focuses on what aspect of the cardiac process to address the
pathophysiology of heart failure? Answer: lowering blood pressure
◉ A client with primary hypertension asks the nurse why the prescriber
added another medication to assist with lowering the blood pressure.
What is the nurse's best response? Answer: "Many clients require two or
more drugs for high blood pressure."
◉ The patient has been placed on a nitroprusside drip for the treatment
of a hypertensive crisis. Which mechanism of action does the nurse
know is true for nitroprusside? Answer: It directly relaxes vascular
smooth muscle, allowing dilation of peripheral arteries and veins.
COMPREHENSIVE REVIEW GUIDE MODULE 3-5
CORRECT RESPONSES A+
◉ A client who is taking an ACE inhibitor informs the nurse that she is
considering having a child. What information should the nurse provide
to the client related to this new information? Answer: ACE inhibitors are
contraindicated during pregnancy because they are teratogenic.
◉ A client has not responded normally to rescue inhaler therapy. When
subcutaneous epinephrine is prescribed, the nurse should anticipate what
reaction to occur? Answer: Instant bronchodilation
◉ A client is receiving fosinopril. Which adverse effect would the nurse
caution the client about to help to promote compliance? Answer: Cough
◉ A nurse is providing care to a client diagnosed with stage 2
hypertension. The nurse understands that most clients with stage 2
hypertension will require how many antihypertensives to lower blood
pressure to goal initially? Answer: 2
◉ 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? Answer: "With high blood pressure, blood vessels
may be damaged and that can cause heart and kidney disease."
,◉ A client, newly diagnosed with hypertension is started on captopril, an
ACE inhibitor. The client should be informed of the possibility of what
adverse effect? Answer: Persistent cough
◉ When describing the adverse effects associated with ACE inhibitors,
which would the nurse include? (Select all that apply.) Answer:
Constipation
Proteinuria
Photosensitivity
Cough
◉ When preparing a plan of care for a client in hypovolemic shock,
which partial nursing diagnosis might be relevant to the patient's
condition? Answer: Ineffective Tissue Perfusion
◉ A client develops primary hypertension and asks the nurse, "How long
will I need to receive therapy?" The nurse responds based on the
understanding that therapy would be required for how long? Answer:
Lifelong
◉ A 48-year-old client with a blood pressure of 198/112 mm Hg reports
severe headache and drowsiness. The nurse notes that the client is
disoriented and has begun to vomit. What is the primary nursing goal for
, this client experiencing a hypertensive emergency? Answer: Implement
interventions to lower blood pressure.
◉ A client is prescribed aliskiren. The nurse would monitor the
laboratory test results of which electrolyte closely? Answer: Potassium
◉ How can the home care nurse assist the client or the client's family
members who have hypertension? (Select all that apply.) Answer:
Monitoring for drug effects
Promoting compliance with the prescribed pharmacologic modifications
Promoting compliance with the prescribed lifestyle modifications
◉ Losartan focuses on what aspect of the cardiac process to address the
pathophysiology of heart failure? Answer: lowering blood pressure
◉ A client with primary hypertension asks the nurse why the prescriber
added another medication to assist with lowering the blood pressure.
What is the nurse's best response? Answer: "Many clients require two or
more drugs for high blood pressure."
◉ The patient has been placed on a nitroprusside drip for the treatment
of a hypertensive crisis. Which mechanism of action does the nurse
know is true for nitroprusside? Answer: It directly relaxes vascular
smooth muscle, allowing dilation of peripheral arteries and veins.
