NURS5434/ NURS 5434 HTN Quiz – Family III (FNP 3) 2026/ 2027 | UTA Latest Update | Practice Questions & Verified Answers

NURS5434/ NURS 5434 Quiz – Family III (FNP 3) 2026/ 2027 | UTA Latest Update | Practice Questions & Verified Answers Q: African Americans have enhanced renal sodium reabsorption, True or False? Answer True Q: African American and Hispanic males are 3-5x more likely to have stroke/kidney disease compared to whites, True or False? Answer True Q: The prevalence of hypertension is higher in women until 45 years old, True or False? False Answer Prevelence if hypertension is high in MEN until 45 years old Q: Hypertension is high in (Men/Women) after age 65 years old. Answer Women Q: Before the age of 50, which of the following, if elevated, would indicate a high chance of cardiovascular risk? A. Systolic Blood pressure B. Diastolic Blood pressure Answer B. Diastolic Blood pressure One should be more concerned about a high diastolic blood pressure if the patient is less than age 50 Q: After age 50 which of the following becomes more critical if elevated? A. Systolic Blood pressure B. Diastolic Blood pressure Answer A. Systolic Blood pressure Q: What is a likely reason why African Americans have high rates of uncontrolled HTN? A. They exercise less than other groups B. They consume more caffeine C. They are less likely to seek medical care D. They have enhanced renal sodium absorption Answer D. They have enhanced renal sodium absorption Q: What is the name of the hormone that is secreted by the kidneys in response to low BP, low sodium or sympathetic stimulation? A. Testosterone B. Estrogen C. Angiotensin I D. Angiotensin II E. Renin Answer E. Renin Q: Which component of the RAAS system do ACE inhibitors primarily act on? A. Renin B. Angiotensin I C. Angiotensin-converting enzyme D. Aldosterone Answer C. Angiotensin-converting enzyme Q: Which of the following organ produce Angiotensinogen? A. Heart B. Kidney C. Liver D. Pancreas E. Lungs Answer C. Liver Q: Which of the following converts Angiotensin I to Angiotensin II? A. Renin B. ACE C. Aldosterone D. Angiotensinogen Answer B. ACE Q: Which of the following converts Angiotensinogen to Angiotensin I? A. Renin B. ACE C. Aldosterone D. Angiotensinogen Answer A. Renin Q: Which of the following is NOT the role of Angiotensin II? SATA A. Vasoconstriction B. Vasodilation C. Stimulation of Aldosterone from the adrenal glands D. Stimulation of Aldosterone from the liver E. Promotion of Sodium and Water in the kidneys Answer B. Vasodilation D. Stimulation of Aldosterone from the liver Q: What defines a 'non dipper' in blood pressure monitoring? A. BP rises 10% at night B. BP drops 10% at night C. BP stays the same all day D. BP drops 20% during sleep Answer B. BP drops 10% at night Patients who's nighttime BP does not drop by at least 10% compared to daytime readings Q: What is the expected nighttime BP decrease in a healthy individual? A. No change B. Less than 5% C. About 10-15% D. More than 25% Answer C. About 10-15% Q: Which risk factors for hypertension is considered non modifiable? A. Obesity B. Diet C. Family History D. Tobacco use Answer C. Family history Q: What is the preferred method of blood pressure measurement in the clinic? A. Wrist monitor B. Osillometric upper arm device C. Finger monitor D. Digital Smartphone app Answer B. Osillometric upper arm device Which of the following is true when it comes to proper blood pressure measurement techniques? A. Lower edge 5cm above anticubital space B. Center of the bladder over the brachial artery C. The bladder must encircle 60% of the arm's circumference D. Black supported and arm at waist level E. Rest for 1 minutes before reading Answer B. Center of the bladder over the brachial artery Corrected statements A. Lower edge 2.5cm above anticubital space B. Center of the bladder over the brachial artery C. The bladder must encircle 80% of the arm's circumference D. Black supported and arm at heart level E. Rest for 5 minutes before reading Which of the following home BP readings would be considered Hypertensive? A. 128/78 mmHg B. 133/84 mmHg C. 136/88 mmHg D. 130/82 mmHg Answer C. 136/88 mmHg A patient is considered hypertensive if the average home reading is greater than or equal to 135/85 mmHg What is term for elevated BP that occurs only in clinical settings but not at home? A. Masked hypertension B. White coat syndrome C. Secondary hypertension D. Isolated nocturnal hypertension B. White coat syndrome What defies isolated systolic hypertension in elderly adults? A. High DBP and low SBP B. Only low BP at night C. Elevated SBP with Normal DBP D. BP only rises with exertion C. Elevated SBP with Normal DBP Which of the following patients would best benefit from Ambulatory BP Monitoring (ABPM)? A. A normotensive patient B. A patient with suspected white coat hypertension C. A child with stable BP D. A patient with normal BP readings B. A patient with suspected white coat hypertension Which of the following is Diagnostic Criteria for Nighttime BP average? A. 135/85 B. 140/90 C. 125/75 C. 125/75 mmHg Which of the following is Diagnostic Criteria for 24 hrs BP average? A. 135/85 B. 140/90 C. 125/75 A. 135/85 Which of the following is Diagnostic Criteria for Daytime BP average? A. 135/85 B. 140/90 C. 125/75 B. 140/90 What term describes tailoring medication timing to improve nighttime BP control? A. Chronotherapy B. Biofeedback C. Pulse Monitoring D. Sleep-phase dosing A. Chronotherapy Which organ is affected by hypertensive retinopathy? A. Kidney B. Liver C. Heart D. Eyes D. Eyes Which is a clinical sign of hypertensive retinopathy? A. Cotton wool spots B. Cherry red Macula C. Red Reflex D. Yellow Sclera A. Cotton wool spots Which of the following lab values indicates early chronic kidney disease due to hypertension? A. Creatinine 0.5 B. GFR 60 C. GFR 90 D. BUN 10 B. GFR 60 At what point would you refer the patient to Nephrology? A. GFR 90 B. GFR 75 C. GFR 60 D. GFR 40 D. GFR 40 Patient come in with elevated blood pressure, they have shortness of breath, fatigue, dizziness, and some heart palpitations. These symptoms are a result of Left Ventricular hypertrophy. Which of the following medications are most effective in reducing LVH? A. Metoprolol B. Amlodipine C. Hydrochlorothiazide D. Lisinopril D. Lisinopril Ace inhibitors are most effective in reducing left ventricular hypertrophy most antihypertensives, except direct vasodilators reduce left ventricular mass What is a common underreported symptom indicating early cardiovascular disease in Men? A. Fatigue B. Syncope C. Erectile dysfunction D. Palpitations C. Erectile dysfunction What defines hypertension Stage I? A. SBP 140 or DBP 90 B. SBP 120-129 and DBP 80 C. SBP 120 and DBP 80 D. SBP 130-139 or DBP 80-89 D. SBP 130-139 or DBP 80-89 Which readings is a diagnosis's for hypertension made? A. Initial elevated reading B. After two and/or more elevated readings C. After the four elevated reading B. After two and/or more elevated readings What defines a Hypertensive Emergency? A. Blood pressure of 170/100 B. Blood pressure of 160/100 with fatigue C. Blood pressure of 150/80 with bradycardia D. Blood pressure of 180/121 with dizziness D. Blood pressure of 180/121 with dizziness HTN Stage 1 A. SBP 120 and DBP 80 B. SBP 120-129 and DBP 80 C. SBP 130-139 and DBP 80-89 D. SBP Greater than or equal to 140 and DBP greater than or equal to 90 C. SBP 130-139 and DBP 80-89 Normal BP A. SBP 120 and DBP 80 B. SBP 120-129 and DBP 80 C. SBP 130-139 and DBP 80-89 D. SBP Greater than or equal to 140 and DBP greater than or equal to 90 A. SBP 120 and DBP 80 Elevated HTN A. SBP 120 and DBP 80 B. SBP 120-129 and DBP 80 C. SBP 130-139 and DBP 80-89 D. SBP Greater than or equal to 140 and DBP greater than or equal to 90 B. SBP 120-129 and DBP 80 HTN Stage 2 A. SBP 120 and DBP 80 B. SBP 120-129 and DBP 80 C. SBP 130-139 and DBP 80-89 D. SBP Greater than or equal to 140 and DBP greater than or equal to 90 D. SBP Greater than or equal to 140 and DBP greater than or equal to 90 How is hypertensive Urgency different from hypertensive emergency? A. Urgency requires hospitalization B. Urgency has a lower BP C. Emergency has symptoms of TOD, and urgency does not D. Emergency is self resolving C. Emergency has symptoms of TOD, and urgency does not What is the goal BP in hypertensive urgency within the next few days? A. 160/100 B. 120/80 C. 130/85 D. 140/90 A. 160/100 What is the MOST COMMON cause of Secondary Hypertension? Sleep apnea Which diagnostic tool is most accurate for confirming pseudo-hypertension? A. Chest x-ray B. Arterial line measurement C. Ambulatory BP monitor D. Pulse oximetry B. Arterial line measurement Which of the following symptom is associated with hypertensive encephalopathy? A. Visual Aura B. Cerebral edema C. Muscle cramps D. Hearing loss B. Cerebral edema A patient come in with episodes of tachycardia, palpitations, sweating, and severe headaches. She says that her hypertension has never been controlled despite taking her meds on a regular basis. Which of the following test would you anticipate the specialist would order after the Echocardiogram comes back normal? A. Chest x ray B. Stress test C. PT/INR D. 24 hour catecholamines D. 24 hour catecholamines What imaging is used to diagnose Cortication of aorta? SATA A. Abdominal CT B. Chest X ray C. MRI Brain D. Renal Ultrasounds E. Echocardiogram F. Aortic MRI B. Chest X ray E. Echocardiogram F. Aortic MRI Which of the following substances can falsely elevate BP? A. Acetaminophen B. Nicotine C. Penicillin D. Vitamin D B. Nicotine Which condition presents with sudden back pain and possible pulsating abdominal mass? A. Renal artery stenosis B. Aortic dissection C. Abdominal Aortic Aneurysm D. Pulmonary embolism C. Abdominal Aortic Aneurysm Which value confirms hypertensive crisis without symptoms? A. BP 140/90 B. BP 160/100 C. BP 180/120 D. BP 130/80 C. BP 180/120 What is the recommended first action for a hypertensive emergency in clinic? A. Send home with medication B. Start IV meds immediately C. Call EMS for transport D. Ask patient to take home meds E. Ask patient to relax C. Call EMS for transport Which diet is specifically designed to lower blood pressure? A. Keto Diet B. Mediterranean Diet C. Atkins Diet D. DASH Diet D. DASH Diet What does the DASH diet stand for? Dietary Approaches to Stop Hypertension What is the current sodium intake recommendation for hypertensive patients? A. 2300 mg/day B. 2000 mg/day C. 1500 mg/day D. 1000 mg/day C. 1500 mg/day Low potassium level can indicate? A. Aldosterone excess B. Not enough Aldosterone C. Renal disease D. Cardiac disease A. Aldosterone excess How much alcohol is considered acceptable for women with hypertension? A. Up to 2 drinks a day B. 1 drink a day or less C. No alcohol at all D. Unlimited red wine B. 1 drink a day or less A patient come in this is her third Blood pressure reasoning and her blood pressure is 136/87. She doesn't have any symptoms of high blood pressure and is motivated to do what she need to reduce it. Which of the following is recommended for this patient? A. Start DASH diet and walking for 60 minutes a day B. Start medication and lifestyle modification C. Start medication only D. Refer to Cardiologist A. Start DASH diet and walking for 60 minutes a day A patient come in this is her third Blood pressure reasoning and her blood pressure is 136/87. She complains of headaches that's are severe once a week. Which of the following is recommended for this patient? A. Start DASH diet and walking for 60 minutes a day B. Start medication and lifestyle modification C. Start medication only D. Refer to Cardiologist B. Start medication and lifestyle modification What does a high sodium diet do to potassium levels? A. Increases it B. Has no effect C. Lowers it D. Stabilizes it C. Lowers it Which nonpharmacologic intervention has the highest SBP reduction? A. Yoga B. Low sodium diet C. Weight loss D. Stress reduction C. Weight loss How long should lifestyle changes be trialed in a Stage I HTN patient without TOD or risk factors? A. 1-2 weeks B. 6-12 months C. 3 days D. Indefinitely B. 6-12 months When should HTN drug therapy be started immediately? A. Stage I HTN with no TOD B. Stage II HTN C. White coat HTN D. Pre hypertension B. Stage II HTN What lab value indicates possible hyperaldosteronism? A. Low potassium B. High sodium C. Low creatine D. Low calcium A. Low potassium What approach is the best when patients want to reduce meds that maintain BP control? A. Stop all meds immediately B. Reduce Potassium C. Add another drug D. Add alternative approaches as adjuncts D. Add alternative approaches as adjuncts Which of the following medications are not recommended as a first time drug for hypertension? A. ACE inhibitors B. Angiotensin II receptor blockers C. Calcium channel blockers D. Beta blockers D. Beta blockers Which of the following patients would you not recommend the use of Hydrochlorothiazide? A. A patient with diabetes B. A patient with erectile dysfunction C. A patient with gout D. A patient that's overweight C. A patient with gout You can have a patient on an ACEi and and ARB if they need it, True or False? False Which of the following drug categories are known for causing Pedal Edema? A. ACEi B. ARBS C. Beta blockers D. Calcium channel blockers E. Thiazide diuretics D. Calcium channel blockers Which of the following drug categories are known for causing constipation in the elderly? A. ACEi B. ARBS C. Beta blockers D. Calcium channel blockers E. Thiazide diuretics D. Calcium channel blockers Secondary HTN is common cause of HTN and should be ruled out for most patients. All HTN drug categories can lower BP, and that is most important thing to accomplish. However, if someone has known renal function issue, it's best to start with? A. ACEi B. ARBS C. Beta blockers D. Calcium channel blockers E. Thiazide diuretics F. Loop diuretics F. Loop diuretics In hypertensive urgency, it is important to lower the BP level quickly to prevent a stroke, True or False? False Sleep apnea is considered a _____ cause of HTN? A. Primary B. Secondary B. Secondary Abnormal BP for patient under 60 years old is 140/90 and over, True or False? True We know that it's easier for the patient and better to increase the doses of the first HTN drug a patient is taking if she is not at goal instead of adding a second, True or False? True Start one drug if adequate control is not achieved within one month titrate to maximum dosage before adding an additional agent If a child labs confirmed hypertension, the which of the following labs are NOT recommended? A. CBC B. BUN/Creatinine C. Renal ultrasound D. EKG E. Fasting lipids F. Fasting glucose D. EKG A patient with which of the following Stages of HTN should be restricted from playing sports? A. Pre hypertension B. Stage I HTN C. Stage II HTN C. Stage II HTN