MDC 3 FINAL EXAM CARDIO & HEMO ACTUAL EXAM WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /A+
STUDY MATERIAL
A client with newly diagnosed hypertension asks what to do to decrease the risk
for related cardiovascular problems. Which risk factor is not modifiable by the
client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia - ANSWER-a.Age
A client with newly diagnosed hypertension asks how to decrease the risk for
related cardiovascular problems. What risk factor is modifiable by the client?
a.Age
b.Impaired renal function
c.Family history
d.Dyslipidemia - ANSWER-d.Dyslipidemia
Which of the following client scenarios would be correct for the nurse to identify
as a client with secondary hypertension?
a.A client experiencing depression
b.A client diagnosed with kidney disease
c.A client of advanced age
1
,d.A client with excessive alcohol intake - ANSWER-b.A client diagnosed with
kidney disease
A client is brought to the emergency department with reports of a bad headache
and an increase in blood pressure. The blood pressure reading obtained by the
nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean
blood pressure?
a.Reduce the blood pressure by 20% to 25% within the first hour of treatment.
b.Reduce the blood pressure to about 140/80 mm Hg.
c.Rapidly reduce the blood pressure so the client will not suffer a stroke.
d.Reduce the blood pressure by 50% within the first hour of treatment. -
ANSWER-a.Reduce the blood pressure by 20% to 25% within the first hour of
treatment.
An older adult client has newly diagnosed stage 2 hypertension. The health care
provider has prescribed Chlorothiazide and Benazepril. What will the nurse
monitor this client for?
a.Postural hypertension and resulting injury
b.Rebound hypertension
c.Sexual dysfunction
d.Postural hypotension and resulting injury - ANSWER-d.Postural hypotension
and resulting injury
The nurse is planning the care of a patient admitted to the hospital with
hypertension. What objective will help to meet the needs of this patient?
2
,a.Lowering and controlling the blood pressure without adverse effects and without
undue cost
b.Making sure that the patient adheres to the therapeutic medication regimen
c.Instructing the patient to enter a weight loss program and begin an exercise
regimen
d.Scheduling the patient for all follow-up visits and making phone calls to the
home to ensure adherence - ANSWER-a.Lowering and controlling the blood
pressure without adverse effects and without undue cost
Which describes a situation in which blood pressure is severely elevated and there
is evidence of actual or probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondary hypertension - ANSWER-a.Hypertensive emergency
The nurse is administering medications on a medical-surgical unit. A client is
ordered to receive 40 mg oral nadolol for the treatment of hypertension. Before
administering the medication, the nurse should
a.check the client's heart rate.
b.check the client's serum K+ level.
c.check the client's urine output.
d.weigh the client. - ANSWER-a.check the client's heart rate.
Which diagnostic method is recommended to determine whether left ventricular
hypertrophy has occurred?
3
, a.Echocardiography
b.Electrocardiography
c.Blood chemistry
d.Blood urea nitrogen - ANSWER-a.Echocardiography
A nurse is educating about lifestyle modifications for a group of clients with newly
diagnosed hypertension. While discussing dietary changes, which point would the
nurse emphasize?
a.It takes 2 to 3 months for the taste buds to adapt to decreased salt intake.
b.The taste buds never adapt to decreased salt intake.
c.There is usually no need to change alcohol consumption for clients with
hypertension.
d.A person with hypertension should never consume alcohol. - ANSWER-a.It
takes 2 to 3 months for the taste buds to adapt to decreased salt intake.
A client is admitted to the intensive care unit (ICU) with a diagnosis of
hypertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm
Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which
finding requires immediate intervention by the nurse?
a.Nausea and severe headache
b.Chest pain score of 3 (on a scale of 1 to 10)
c.Numbness and weakness in the left arm
d.Urine output of 40 mL over the past hour - ANSWER-c.Numbness and weakness
in the left arm
4
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /A+
STUDY MATERIAL
A client with newly diagnosed hypertension asks what to do to decrease the risk
for related cardiovascular problems. Which risk factor is not modifiable by the
client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia - ANSWER-a.Age
A client with newly diagnosed hypertension asks how to decrease the risk for
related cardiovascular problems. What risk factor is modifiable by the client?
a.Age
b.Impaired renal function
c.Family history
d.Dyslipidemia - ANSWER-d.Dyslipidemia
Which of the following client scenarios would be correct for the nurse to identify
as a client with secondary hypertension?
a.A client experiencing depression
b.A client diagnosed with kidney disease
c.A client of advanced age
1
,d.A client with excessive alcohol intake - ANSWER-b.A client diagnosed with
kidney disease
A client is brought to the emergency department with reports of a bad headache
and an increase in blood pressure. The blood pressure reading obtained by the
nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean
blood pressure?
a.Reduce the blood pressure by 20% to 25% within the first hour of treatment.
b.Reduce the blood pressure to about 140/80 mm Hg.
c.Rapidly reduce the blood pressure so the client will not suffer a stroke.
d.Reduce the blood pressure by 50% within the first hour of treatment. -
ANSWER-a.Reduce the blood pressure by 20% to 25% within the first hour of
treatment.
An older adult client has newly diagnosed stage 2 hypertension. The health care
provider has prescribed Chlorothiazide and Benazepril. What will the nurse
monitor this client for?
a.Postural hypertension and resulting injury
b.Rebound hypertension
c.Sexual dysfunction
d.Postural hypotension and resulting injury - ANSWER-d.Postural hypotension
and resulting injury
The nurse is planning the care of a patient admitted to the hospital with
hypertension. What objective will help to meet the needs of this patient?
2
,a.Lowering and controlling the blood pressure without adverse effects and without
undue cost
b.Making sure that the patient adheres to the therapeutic medication regimen
c.Instructing the patient to enter a weight loss program and begin an exercise
regimen
d.Scheduling the patient for all follow-up visits and making phone calls to the
home to ensure adherence - ANSWER-a.Lowering and controlling the blood
pressure without adverse effects and without undue cost
Which describes a situation in which blood pressure is severely elevated and there
is evidence of actual or probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondary hypertension - ANSWER-a.Hypertensive emergency
The nurse is administering medications on a medical-surgical unit. A client is
ordered to receive 40 mg oral nadolol for the treatment of hypertension. Before
administering the medication, the nurse should
a.check the client's heart rate.
b.check the client's serum K+ level.
c.check the client's urine output.
d.weigh the client. - ANSWER-a.check the client's heart rate.
Which diagnostic method is recommended to determine whether left ventricular
hypertrophy has occurred?
3
, a.Echocardiography
b.Electrocardiography
c.Blood chemistry
d.Blood urea nitrogen - ANSWER-a.Echocardiography
A nurse is educating about lifestyle modifications for a group of clients with newly
diagnosed hypertension. While discussing dietary changes, which point would the
nurse emphasize?
a.It takes 2 to 3 months for the taste buds to adapt to decreased salt intake.
b.The taste buds never adapt to decreased salt intake.
c.There is usually no need to change alcohol consumption for clients with
hypertension.
d.A person with hypertension should never consume alcohol. - ANSWER-a.It
takes 2 to 3 months for the taste buds to adapt to decreased salt intake.
A client is admitted to the intensive care unit (ICU) with a diagnosis of
hypertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm
Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which
finding requires immediate intervention by the nurse?
a.Nausea and severe headache
b.Chest pain score of 3 (on a scale of 1 to 10)
c.Numbness and weakness in the left arm
d.Urine output of 40 mL over the past hour - ANSWER-c.Numbness and weakness
in the left arm
4
