Hypertension Questions
1. A client is scheduled for a cardiac catheterization using a radiopaque dye.
Which of the following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
2. A client with no history of cardiovascular disease comes into the ambulatory
clinic with flu-like symptoms. The client suddenly complains of chest pain. Which
of the following questions would best help a nurse to discriminate pain caused by
a non-cardiac problem?
1. “Have you ever had this pain before?”
2. “Can you describe the pain to me?”
3. “Does the pain get worse when you breathe in?”
4. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?”
3. A client with myocardial infarction has been transferred from a coronary care
unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans
to allow for which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
1
,3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored.
4. A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted two (2) days ago. The nurse would plan
to do which of the following next?
1. Review the intake and output records for the last two (2) days
2. Change the time of diuretic administration from morning to evening
3. Request a sodium restriction of one (1) g/day from the physician.
4. Order daily weight starting the following morning.
5. A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. A nurse sees no electrocardiogram complexes on the screen. The first
action of the nurse is to:
1. Check the client status and lead placement
2. Press the recorder button on the electrocardiogram console.
3. Call the physician
4. Call a code blue
6. A nurse is assessing the blood pressure of a client diagnosed with primary
hypertension. The nurse ensures accurate measurement by avoiding which of the
following?
1. Seating the client with arm bared, supported, and at heart level.
2
,2. Measuring the blood pressure after the client has been seated quietly for 5
minutes.
3. Using a cuff with a rubber bladder that encircles at least 80% of the limb.
4. Taking a blood pressure within 15 minutes after nicotine or caffeine
ingestion.
7. IV heparin therapy is ordered for a client. While implementing this order, a
nurse ensures that which of the following medications is available on the nursing
unit?
1. Vitamin K
2. Aminocaproic acid
3. Potassium chloride
4. Protamine sulfate
8. A client is at risk for pulmonary embolism and is on anticoagulant therapy with
warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control
of 11 seconds. The nurse assesses that this result is:
1. The same as the client’s own baseline level
2. Lower than the needed therapeutic level
3. Within the therapeutic range
4. Higher than the therapeutic range
9. A client who has been receiving heparin therapy also is started on warfarin.
The client asks a nurse why both medications are being administered. In
formulating a response, the nurse incorporates the understanding that warfarin:
3
, 1. Stimulates the breakdown of specific clotting factors by the liver, and it
takes two (2)- three (3) days for this to exert an anticoagulant effect.
2. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4
days for this medication to exert an anticoagulant effect.
3. Stimulates production of the body’s own thrombolytic substances, but
it takes 2-4 days for this to begin.
4. Has the same mechanism of action as Heparin, and the crossover time is
needed for the serum level of warfarin to be therapeutic.
10. A 60-year-old male client comes into the emergency department with
complaints of crushing chest pain that radiates to his shoulder and left arm. The
admitting diagnosis is acute myocardial infarction. Immediate admission orders
include oxygen by NC at 4L/minute, blood work, chest x-ray, an ECG, and two (2)
mg of morphine given intravenously. The nurse should first:
1. Administer the morphine
2. Obtain a 12-lead ECG
3. Obtain the lab work
4. Order the chest x-ray
11. When administered a thrombolytic drug to the client experiencing an MI, the
nurse explains to him that the purpose of this drug is to:
1. Help keep him well hydrated
2. Dissolve clots he may have
3. Prevent kidney failure
4
1. A client is scheduled for a cardiac catheterization using a radiopaque dye.
Which of the following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
2. A client with no history of cardiovascular disease comes into the ambulatory
clinic with flu-like symptoms. The client suddenly complains of chest pain. Which
of the following questions would best help a nurse to discriminate pain caused by
a non-cardiac problem?
1. “Have you ever had this pain before?”
2. “Can you describe the pain to me?”
3. “Does the pain get worse when you breathe in?”
4. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?”
3. A client with myocardial infarction has been transferred from a coronary care
unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans
to allow for which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
1
,3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored.
4. A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted two (2) days ago. The nurse would plan
to do which of the following next?
1. Review the intake and output records for the last two (2) days
2. Change the time of diuretic administration from morning to evening
3. Request a sodium restriction of one (1) g/day from the physician.
4. Order daily weight starting the following morning.
5. A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. A nurse sees no electrocardiogram complexes on the screen. The first
action of the nurse is to:
1. Check the client status and lead placement
2. Press the recorder button on the electrocardiogram console.
3. Call the physician
4. Call a code blue
6. A nurse is assessing the blood pressure of a client diagnosed with primary
hypertension. The nurse ensures accurate measurement by avoiding which of the
following?
1. Seating the client with arm bared, supported, and at heart level.
2
,2. Measuring the blood pressure after the client has been seated quietly for 5
minutes.
3. Using a cuff with a rubber bladder that encircles at least 80% of the limb.
4. Taking a blood pressure within 15 minutes after nicotine or caffeine
ingestion.
7. IV heparin therapy is ordered for a client. While implementing this order, a
nurse ensures that which of the following medications is available on the nursing
unit?
1. Vitamin K
2. Aminocaproic acid
3. Potassium chloride
4. Protamine sulfate
8. A client is at risk for pulmonary embolism and is on anticoagulant therapy with
warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control
of 11 seconds. The nurse assesses that this result is:
1. The same as the client’s own baseline level
2. Lower than the needed therapeutic level
3. Within the therapeutic range
4. Higher than the therapeutic range
9. A client who has been receiving heparin therapy also is started on warfarin.
The client asks a nurse why both medications are being administered. In
formulating a response, the nurse incorporates the understanding that warfarin:
3
, 1. Stimulates the breakdown of specific clotting factors by the liver, and it
takes two (2)- three (3) days for this to exert an anticoagulant effect.
2. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4
days for this medication to exert an anticoagulant effect.
3. Stimulates production of the body’s own thrombolytic substances, but
it takes 2-4 days for this to begin.
4. Has the same mechanism of action as Heparin, and the crossover time is
needed for the serum level of warfarin to be therapeutic.
10. A 60-year-old male client comes into the emergency department with
complaints of crushing chest pain that radiates to his shoulder and left arm. The
admitting diagnosis is acute myocardial infarction. Immediate admission orders
include oxygen by NC at 4L/minute, blood work, chest x-ray, an ECG, and two (2)
mg of morphine given intravenously. The nurse should first:
1. Administer the morphine
2. Obtain a 12-lead ECG
3. Obtain the lab work
4. Order the chest x-ray
11. When administered a thrombolytic drug to the client experiencing an MI, the
nurse explains to him that the purpose of this drug is to:
1. Help keep him well hydrated
2. Dissolve clots he may have
3. Prevent kidney failure
4
