NR293 Exam 2 Practice Questions And Verified
Answers
1. During a follow-up visit, the health care provider examines the fundus of the
patient's eye. Afterward, the patient asks the nurse, "Why is he looking at my
eyes when I have high blood pressure? It does not make sense to me!" What is
the best response by the nurse?
a. "We need to monitor for drug toxicity."
b. "We must watch for increased intraocular pressure."
c. "The provider is assessing for visual changes that may occur with drug
therapy."
d. "The provider is making sure the treatment is effective over the long term.": d.
"The provider is making sure the treatment is ettective over the long term."
The physician would examine the fundus of a patient's eyes during antihypertensive therapy because it is a more reliable
indicator than blood pressure readings of the long-term ettectiveness of treatment.
2. The nurse is preparing for a community education program on hypertension.
Which of these parameters determine the regulation of arterial blood pres-
sure?
a. Cardiac output and systemic vascular resistance
b. Heart rate and peripheral resistance
c. Blood volume and renal blood flow
d. Myocardial contractility and arteriolar constriction: a. Cardiac output and systemic
vascular resistance
Blood pressure is determined by the product of cardiac output and systemic vascular resistance. The other options are
incorrect.
3. When counseling a male patient about the possible adverse effects of antihy-
pertensive drugs, the nurse will discuss which potential problem?
a. Impotence
b. Bradycardia
c. Increased libido
d. Weight gain: a. Impotence
, NR293 Exam 2 Practice Questions And Verified
Answers
Sexual dysfunction is a common complication of antihypertensive medications and may be manifested in men as
decreased libido or impotence. The other options are incorrect.
4. The nurse is reviewing drug therapy for hypertension. According to the JNC-8
guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive
African-American patient would most likely include which drug or drug classes?
a. Vasodilators alone
b. ACE inhibitors alone
c. Calcium channel blockers with thiazide diuretics
d. Beta blockers with thiazide diuretics: c. Calcium channel blockers with thiazide diuretics
According to the JNC-8 guidelines, calcium channel blockers and diuretics are recommended as first-line therapy for
management of hypertension in African-American patients. The other drugs are not recommended as first-line drugs
for this group.
5. The nurse is creating a plan of care for a patient with a new diagnosis of
hypertension. Which is a potential nursing diagnosis for the patient taking
antihypertensive medications?
a. Diarrhea
b. Sexual dysfunction
c. Urge urinary incontinence
d. Impaired memory: b. Sexual dysfunction
Sexual dysfunction is a potential nursing diagnosis related to possible adverse ettects of antihypertensive drug therapy.
The other nursing diagnoses are not appropriate.
6. A patient's blood pressure elevates to 270/150 mm Hg, and a hypertensive
emergency is obvious. He is transferred to the intensive care unit and started
on a sodium nitroprusside (Nipride) drip to be titrated per his response. With
this medication, the nurse knows that the maximum dose of this drug should
be infused for how long?
a. 10 minutes
b. 30 minutes
c. 1 hour
, NR293 Exam 2 Practice Questions And Verified
Answers
d. 24 hours: a. 10 minutes
, Sodium nitroprusside is a potent vasodilator and may lead to extreme decreases in the patient's blood pressure. For
this reason, it is never infused at the maximum dose for more than 10 minutes. If this drug does not control a patient's
blood pressure after 10 minutes, it will most likely be ordered to be discontinued. The other times listed are incorrect.
7. A patient with primary hypertension is prescribed drug therapy for the first
time. The patient asks how long drug therapy will be needed. Which answer by
the nurse is the correct response?
a. "This therapy will take about 3 months."
b. "This therapy will take about a year."
c. "This therapy will go on until your symptoms disappear."
d. "Therapy for high blood pressure is usually lifelong.": d. "Therapy for high blood pressure
is usually lifelong."
There is no cure for the disease, and treatment will be lifelong.
8. A patient who has been taking antihypertensive drugs for a few months
complains of having a persistent dry cough. The nurse knows that this cough
is an adverse effect of which class of antihypertensive drugs?
a. Beta blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
c. Angiotensin II receptor blockers (ARBs)
d. Calcium channel blockers: b. Angiotensin-converting enzyme (ACE) inhibitors
ACE inhibitors cause a characteristic dry, nonproductive cough that reverses when therapy is stopped. The other drug
classes do not cause this cough.
9. A pregnant woman is experiencing hypertension. The nurse knows that which
drug is commonly used for a pregnant patient who is experiencing hyperten-
sion?
a. Mannitol (Osmitrol)
b. Enalapril (Vasotec)
c. Hydrochlorothiazide (HydroDIURIL)
d. Methyldopa (Aldomet): d. Methyldopa (Aldomet)
Answers
1. During a follow-up visit, the health care provider examines the fundus of the
patient's eye. Afterward, the patient asks the nurse, "Why is he looking at my
eyes when I have high blood pressure? It does not make sense to me!" What is
the best response by the nurse?
a. "We need to monitor for drug toxicity."
b. "We must watch for increased intraocular pressure."
c. "The provider is assessing for visual changes that may occur with drug
therapy."
d. "The provider is making sure the treatment is effective over the long term.": d.
"The provider is making sure the treatment is ettective over the long term."
The physician would examine the fundus of a patient's eyes during antihypertensive therapy because it is a more reliable
indicator than blood pressure readings of the long-term ettectiveness of treatment.
2. The nurse is preparing for a community education program on hypertension.
Which of these parameters determine the regulation of arterial blood pres-
sure?
a. Cardiac output and systemic vascular resistance
b. Heart rate and peripheral resistance
c. Blood volume and renal blood flow
d. Myocardial contractility and arteriolar constriction: a. Cardiac output and systemic
vascular resistance
Blood pressure is determined by the product of cardiac output and systemic vascular resistance. The other options are
incorrect.
3. When counseling a male patient about the possible adverse effects of antihy-
pertensive drugs, the nurse will discuss which potential problem?
a. Impotence
b. Bradycardia
c. Increased libido
d. Weight gain: a. Impotence
, NR293 Exam 2 Practice Questions And Verified
Answers
Sexual dysfunction is a common complication of antihypertensive medications and may be manifested in men as
decreased libido or impotence. The other options are incorrect.
4. The nurse is reviewing drug therapy for hypertension. According to the JNC-8
guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive
African-American patient would most likely include which drug or drug classes?
a. Vasodilators alone
b. ACE inhibitors alone
c. Calcium channel blockers with thiazide diuretics
d. Beta blockers with thiazide diuretics: c. Calcium channel blockers with thiazide diuretics
According to the JNC-8 guidelines, calcium channel blockers and diuretics are recommended as first-line therapy for
management of hypertension in African-American patients. The other drugs are not recommended as first-line drugs
for this group.
5. The nurse is creating a plan of care for a patient with a new diagnosis of
hypertension. Which is a potential nursing diagnosis for the patient taking
antihypertensive medications?
a. Diarrhea
b. Sexual dysfunction
c. Urge urinary incontinence
d. Impaired memory: b. Sexual dysfunction
Sexual dysfunction is a potential nursing diagnosis related to possible adverse ettects of antihypertensive drug therapy.
The other nursing diagnoses are not appropriate.
6. A patient's blood pressure elevates to 270/150 mm Hg, and a hypertensive
emergency is obvious. He is transferred to the intensive care unit and started
on a sodium nitroprusside (Nipride) drip to be titrated per his response. With
this medication, the nurse knows that the maximum dose of this drug should
be infused for how long?
a. 10 minutes
b. 30 minutes
c. 1 hour
, NR293 Exam 2 Practice Questions And Verified
Answers
d. 24 hours: a. 10 minutes
, Sodium nitroprusside is a potent vasodilator and may lead to extreme decreases in the patient's blood pressure. For
this reason, it is never infused at the maximum dose for more than 10 minutes. If this drug does not control a patient's
blood pressure after 10 minutes, it will most likely be ordered to be discontinued. The other times listed are incorrect.
7. A patient with primary hypertension is prescribed drug therapy for the first
time. The patient asks how long drug therapy will be needed. Which answer by
the nurse is the correct response?
a. "This therapy will take about 3 months."
b. "This therapy will take about a year."
c. "This therapy will go on until your symptoms disappear."
d. "Therapy for high blood pressure is usually lifelong.": d. "Therapy for high blood pressure
is usually lifelong."
There is no cure for the disease, and treatment will be lifelong.
8. A patient who has been taking antihypertensive drugs for a few months
complains of having a persistent dry cough. The nurse knows that this cough
is an adverse effect of which class of antihypertensive drugs?
a. Beta blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
c. Angiotensin II receptor blockers (ARBs)
d. Calcium channel blockers: b. Angiotensin-converting enzyme (ACE) inhibitors
ACE inhibitors cause a characteristic dry, nonproductive cough that reverses when therapy is stopped. The other drug
classes do not cause this cough.
9. A pregnant woman is experiencing hypertension. The nurse knows that which
drug is commonly used for a pregnant patient who is experiencing hyperten-
sion?
a. Mannitol (Osmitrol)
b. Enalapril (Vasotec)
c. Hydrochlorothiazide (HydroDIURIL)
d. Methyldopa (Aldomet): d. Methyldopa (Aldomet)
