iHUMAN CASE STUDY uy uy
Exam Solution uy
HESI Hypertension 2026 A+ GRADE ASSURED COMPLET
uy uy uy uy uy uy
E SOLUTIONS AND VERIFIED ANSWERS (E2F03)
uy uy uy uy uy
QUESTION 1 uy
1. Mr. Dunn's blood pressure reading is 189/110. His LDL cholesterol reading is 200 mg
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
/dl. He asks the student nurse if he should be concerned about his blood pressure. How
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
should the student respond? uy uy uy
ANSWER
Please sit here quietly for a few minutes. I need to recheck your blood pressure. Rationale: Mr. Dunn's
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
blood pressure is high but may be temporarily elevated due to activity or stress. The blood pressure s
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
hould be rechecked after the client rests for a few minutes.
uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
2. What significant risk factor for hypertension does the student nurse identify for Mr.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Dunn according to this health history?
uy uy uy uy uy
ANSWER
Alcohol consumption Rationale: Excessive alcohol intake is strongly associated with hypertension.
uy uy uy uy uy uy uy uy uy uy
QUESTION 3 uy
3. According to the assessment of this client, what recommendation is most important f
uy uy uy uy uy uy uy uy uy uy uy uy uy
or the student nurse to provide Mr. Dunn?
uy uy uy uy uy uy uy
ANSWER
See his healthcare provider within the next week for a BP recheck Rationale: Mr. Dunn's blood pressur
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e is significantly elevated. Since these BP readings were obtained on the same day, Mr. Dunn needs to
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
see his healthcare provider soon for a second BP measurement so that a diagnosis can be determined
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
and treatment initiated.
uy uy
QUESTION 4 uy
, 4. The student nurse continues to talk with Mr. Dunn about hypertension. Mr. Dunn stat
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
es he feels physically and does not see why he needs to see his healthcare provider. Ho
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
w should the student nurse respond?
uy uy uy uy uy
ANSWER
While often there are no symptoms, high blood pressure does cause damage to many organs
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 5 uy
5. What information obtained during the assessment supports this diagnosis (stage 2, pr
uy uy uy uy uy uy uy uy uy uy uy uy
imary [essential] hypertension)?
uy uy
ANSWER
Blood pressure of 184/98 Rationale: Stage 2 hypertension is described as a Systolic blood pressure of
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
greater than or equal to 160 mm Hg or a Diastolic blood pressure of greater than or equal to 100 mm
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Hg.
QUESTION 6 uy
6. He asks, "shouldn't the healthcare provider find out why I have hypertension?" How s
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
hould the nurse respond to Mark's question?
uy uy uy uy uy uy
ANSWER
90-
95% of all cases of hypertension are without an identified cause, so unless there is some indicator in y
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ou health history, the healthcare provider does not look for one Primary (essential) hypertension has n
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
o identifiable cause, even though there are several known contributing factors.
uy uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
7. In evaluating Mark's understanding, which statement(s) indicate that Mark understan
uy uy uy uy uy uy uy uy uy uy
ds the nurse's instructions about his medications?
uy uy uy uy uy uy
ANSWER
-
I will need to take Diuril early in the day (since it is a diuretic, take it early in the day since later in th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e day might disrupt client's sleep) -
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I may experience impotence with this drug regimen (common side effect of many antihypertensive me
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ds)
QUESTION 8 uy
8. In discussing these lifestyle modifications with Mark, what information is most impor
uy uy uy uy uy uy uy uy uy uy uy uy
tant for the nurse to share with him?
uy uy uy uy uy uy uy
Exam Solution uy
HESI Hypertension 2026 A+ GRADE ASSURED COMPLET
uy uy uy uy uy uy
E SOLUTIONS AND VERIFIED ANSWERS (E2F03)
uy uy uy uy uy
QUESTION 1 uy
1. Mr. Dunn's blood pressure reading is 189/110. His LDL cholesterol reading is 200 mg
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
/dl. He asks the student nurse if he should be concerned about his blood pressure. How
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
should the student respond? uy uy uy
ANSWER
Please sit here quietly for a few minutes. I need to recheck your blood pressure. Rationale: Mr. Dunn's
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
blood pressure is high but may be temporarily elevated due to activity or stress. The blood pressure s
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
hould be rechecked after the client rests for a few minutes.
uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
2. What significant risk factor for hypertension does the student nurse identify for Mr.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Dunn according to this health history?
uy uy uy uy uy
ANSWER
Alcohol consumption Rationale: Excessive alcohol intake is strongly associated with hypertension.
uy uy uy uy uy uy uy uy uy uy
QUESTION 3 uy
3. According to the assessment of this client, what recommendation is most important f
uy uy uy uy uy uy uy uy uy uy uy uy uy
or the student nurse to provide Mr. Dunn?
uy uy uy uy uy uy uy
ANSWER
See his healthcare provider within the next week for a BP recheck Rationale: Mr. Dunn's blood pressur
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e is significantly elevated. Since these BP readings were obtained on the same day, Mr. Dunn needs to
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
see his healthcare provider soon for a second BP measurement so that a diagnosis can be determined
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
and treatment initiated.
uy uy
QUESTION 4 uy
, 4. The student nurse continues to talk with Mr. Dunn about hypertension. Mr. Dunn stat
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
es he feels physically and does not see why he needs to see his healthcare provider. Ho
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
w should the student nurse respond?
uy uy uy uy uy
ANSWER
While often there are no symptoms, high blood pressure does cause damage to many organs
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 5 uy
5. What information obtained during the assessment supports this diagnosis (stage 2, pr
uy uy uy uy uy uy uy uy uy uy uy uy
imary [essential] hypertension)?
uy uy
ANSWER
Blood pressure of 184/98 Rationale: Stage 2 hypertension is described as a Systolic blood pressure of
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
greater than or equal to 160 mm Hg or a Diastolic blood pressure of greater than or equal to 100 mm
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Hg.
QUESTION 6 uy
6. He asks, "shouldn't the healthcare provider find out why I have hypertension?" How s
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
hould the nurse respond to Mark's question?
uy uy uy uy uy uy
ANSWER
90-
95% of all cases of hypertension are without an identified cause, so unless there is some indicator in y
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ou health history, the healthcare provider does not look for one Primary (essential) hypertension has n
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
o identifiable cause, even though there are several known contributing factors.
uy uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
7. In evaluating Mark's understanding, which statement(s) indicate that Mark understan
uy uy uy uy uy uy uy uy uy uy
ds the nurse's instructions about his medications?
uy uy uy uy uy uy
ANSWER
-
I will need to take Diuril early in the day (since it is a diuretic, take it early in the day since later in th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e day might disrupt client's sleep) -
uy uy uy uy uy uy
I may experience impotence with this drug regimen (common side effect of many antihypertensive me
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ds)
QUESTION 8 uy
8. In discussing these lifestyle modifications with Mark, what information is most impor
uy uy uy uy uy uy uy uy uy uy uy uy
tant for the nurse to share with him?
uy uy uy uy uy uy uy
