NUR 3225 - Exam 2 Review Ques ons and answers |
Updated RATED A+ |2026
A pa ent's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?
A. Normal
B. Prehypertension
C. Hypertension, stage 1
D. Hypertension, stage 2
D.
A pa ent with hypertension receives a prescrip on for lisinopril. Which mechanism of ac on
would the nurse expect from this medica on?
A. Blocks α-adrenergic effects
B. Relaxes arterial and venous smooth muscle
C. Inhibits conversion of angiotensin I to angiotensin II
D. Reduces sympathe c ou2low from the central nervous system (CNS)
C.
As treatment for hypertensive crisis, a pa ent has received sodium nitroprusside for 3 days. For
which reason would the nurse plan to monitor the pa ent's thiocyanate levels?
A. The medica on has a long half-life.
B. The medica on is metabolized to cyanide and then thiocyanate.
C. An increased level indicates interac ons with other drugs the pa ent is taking.
D. An increased level indicates adverse effects on target organs caused by the medica on.
B.
The nurse is preparing to measure the blood pressure (BP) of a pa ent who is lying down on a
bed. Which technique should the nurse use?
A. Place the BP cuff on the forearm when measuring the BP.
B. Measure the BP in both arms and record the lowest reading.
C. Rest the pa ent's arm on a pillow during the BP measurement.
D. Measure the BP twice in quick succession and average the readings.
,C.
Which instruc on is important for the nurse to provide to a pa ent about the management of
stage 1 hypertension?
A. Restrict all caffeine.
B. Restrict sodium intake.
C. Increase protein intake.
D. Use calcium supplements.
B.
The nurse provides discharge teaching to a female pa ent who was newly diagnosed with
primary hypertension. Which instruc on would be included?
A. Decrease the intake of omega-3 fa;y acids.
B. Restrict sodium to less than or equal to 2300 mg/day.
C. Limit the intake of alcohol to no more than one drink per day.
D. Begin taking a calcium supplement to help lower blood pressure (BP).
C.
A pa ent is diagnosed with primary hypertension and asks the nurse what caused the condi on.
Which response would the nurse give?
A. "There is no iden fied cause."
B. "A decrease in plasma renin levels."
C. "Too much plaque in the blood vessels."
D. "Kidney disease is the most common cause."
A.
The nurse is teaching an older pa ent with hypertension about developing an exercise program.
Which instruc ons would the nurse include?
A. Perform balance exercises daily.
B. Perform flexibility exercises twice each day.
C. Perform muscle-strengthening ac vi es twice a week.
D. Perform high-intensity ac vity for 30 minutes on most days.
C.
, Which systolic blood pressure (SBP) measurement correlates with stage 1 hypertension?
A. 118 mm Hg
B. 129 mm Hg
C. 132 mm Hg
D. 142 mm Hg
C.
Which changes in vital signs indicate that a pa ent who has just stood up is experiencing
postural hypotension?
A. Increases systolic blood pressure (BP) and/or decreased heart rate (HR)
B. Increased diastolic BP and/or decreased HR
C. Decreased systolic BP, decreased diastolic BP, and/or increased HR
D. Decreased systolic BP, increased diastolic BP, and no change in HR
C.
Which informa on would the nurse teach to a pa ent who has a new prescrip on for
doxazosin?
A. "Monitor yourself for a fast heart rate, which is a common side effect."
B. "Make posi on changes slowly, especially from lying down to standing."
C. "The medica on also improves breathing by decreasing chest conges on."
D. "It is common for pa ents who take this medica on to experience nausea."
B.
A pa ent with hypertension has been prescribed an an hypertensive medica on. During a
follow-up visit, the pa ent asks whether the medica on can be stopped because the blood
pressure (BP) is now within the normal range. Which response would the nurse provide?
A. "You may stop the medica on now because your BP is normal."
B. "Begin taking half-doses of the medica on because the BP has decreased."
C. "You may stop taking the medica on only if you maintain a healthy lifestyle."
D. "Con nue the medica on unless your health care provider advises discon nuing it."
D.
Which medica on should be used with cau on in pa ents with diabetes because the drug may
depress the tachycardia associated with hypoglycemia?
Updated RATED A+ |2026
A pa ent's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?
A. Normal
B. Prehypertension
C. Hypertension, stage 1
D. Hypertension, stage 2
D.
A pa ent with hypertension receives a prescrip on for lisinopril. Which mechanism of ac on
would the nurse expect from this medica on?
A. Blocks α-adrenergic effects
B. Relaxes arterial and venous smooth muscle
C. Inhibits conversion of angiotensin I to angiotensin II
D. Reduces sympathe c ou2low from the central nervous system (CNS)
C.
As treatment for hypertensive crisis, a pa ent has received sodium nitroprusside for 3 days. For
which reason would the nurse plan to monitor the pa ent's thiocyanate levels?
A. The medica on has a long half-life.
B. The medica on is metabolized to cyanide and then thiocyanate.
C. An increased level indicates interac ons with other drugs the pa ent is taking.
D. An increased level indicates adverse effects on target organs caused by the medica on.
B.
The nurse is preparing to measure the blood pressure (BP) of a pa ent who is lying down on a
bed. Which technique should the nurse use?
A. Place the BP cuff on the forearm when measuring the BP.
B. Measure the BP in both arms and record the lowest reading.
C. Rest the pa ent's arm on a pillow during the BP measurement.
D. Measure the BP twice in quick succession and average the readings.
,C.
Which instruc on is important for the nurse to provide to a pa ent about the management of
stage 1 hypertension?
A. Restrict all caffeine.
B. Restrict sodium intake.
C. Increase protein intake.
D. Use calcium supplements.
B.
The nurse provides discharge teaching to a female pa ent who was newly diagnosed with
primary hypertension. Which instruc on would be included?
A. Decrease the intake of omega-3 fa;y acids.
B. Restrict sodium to less than or equal to 2300 mg/day.
C. Limit the intake of alcohol to no more than one drink per day.
D. Begin taking a calcium supplement to help lower blood pressure (BP).
C.
A pa ent is diagnosed with primary hypertension and asks the nurse what caused the condi on.
Which response would the nurse give?
A. "There is no iden fied cause."
B. "A decrease in plasma renin levels."
C. "Too much plaque in the blood vessels."
D. "Kidney disease is the most common cause."
A.
The nurse is teaching an older pa ent with hypertension about developing an exercise program.
Which instruc ons would the nurse include?
A. Perform balance exercises daily.
B. Perform flexibility exercises twice each day.
C. Perform muscle-strengthening ac vi es twice a week.
D. Perform high-intensity ac vity for 30 minutes on most days.
C.
, Which systolic blood pressure (SBP) measurement correlates with stage 1 hypertension?
A. 118 mm Hg
B. 129 mm Hg
C. 132 mm Hg
D. 142 mm Hg
C.
Which changes in vital signs indicate that a pa ent who has just stood up is experiencing
postural hypotension?
A. Increases systolic blood pressure (BP) and/or decreased heart rate (HR)
B. Increased diastolic BP and/or decreased HR
C. Decreased systolic BP, decreased diastolic BP, and/or increased HR
D. Decreased systolic BP, increased diastolic BP, and no change in HR
C.
Which informa on would the nurse teach to a pa ent who has a new prescrip on for
doxazosin?
A. "Monitor yourself for a fast heart rate, which is a common side effect."
B. "Make posi on changes slowly, especially from lying down to standing."
C. "The medica on also improves breathing by decreasing chest conges on."
D. "It is common for pa ents who take this medica on to experience nausea."
B.
A pa ent with hypertension has been prescribed an an hypertensive medica on. During a
follow-up visit, the pa ent asks whether the medica on can be stopped because the blood
pressure (BP) is now within the normal range. Which response would the nurse provide?
A. "You may stop the medica on now because your BP is normal."
B. "Begin taking half-doses of the medica on because the BP has decreased."
C. "You may stop taking the medica on only if you maintain a healthy lifestyle."
D. "Con nue the medica on unless your health care provider advises discon nuing it."
D.
Which medica on should be used with cau on in pa ents with diabetes because the drug may
depress the tachycardia associated with hypoglycemia?
