RAMUSSEN COLLEGE MDC 3 FINAL EXAM- CARDIOVASCUL
AND HEMATOLOGY 2024 100% CORRECT GUARANTEED
GRADE A+
A patient with newly diagnosed hypertension asks what to do to decrease the risk for relatedcardiovascular
problems. Which risk factor is not modifiable by the patient?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia - a.Age
A patient with newly diagnosed hypertension asks how to decrease the risk for relatedcardiovascular proble
What risk factor is modifiable by the patient?
• Age
• Impaired renal function
• c.Family history
d.Dyslipidemia - d.Dyslipidemia
Which of the following patient scenarios would be correct for the nurse to identify as a patientwith seconda
hypertension?
a.A patient experiencing depression
b.A patient diagnosed with kidney disease
c.A patient of advanced age
d.A patient with excessive alcohol intake - b.A patient diagnosed with kidney disease
A patient 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 mmHg. What is the therapeutic goal
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 patient will not suffer a stroke.
d.Reduce the blood pressure by 50% within the first hour of treatment. - a.Reduce the bloodpressure by 20%
25% within the first hour of treatment.
An older adult patient has newly diagnosed stage 2 hypertension. The health care provider hasprescribed
Chlorothiazide and Benazepril. What will the nurse monitor this patient for?
,a.Postural hypertension and resulting injury
b.Rebound hypertension
c.Sexual dysfunction
d.Postural hypotension and resulting injury - d.Postural hypotension and resulting injury
The nurse is planning the care of a patient admitted to the hospital with hypertension. Whatobjective will he
meet the needs of this patient?
a.Lowering and controlling the blood pressure without adverse effects and without unduecost
b.Making sure that the patient adheres to the therapeutic medication regimen c.Instructing the patient to e
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 -
a.Lowering and controlling the blood pressure without adverse effects and withoutundue cost
Which describes a situation in which blood pressure is severely elevated and there is evidenceof actual or
probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondary hypertension - a.Hypertensive emergency
The nurse is administering medications on a medical-surgical unit. A patient is ordered to receive 40 m
nadolol for the treatment of hypertension. Before administering the medication, thenurse should
a.check the patient's heart rate.
b.check the patient's serum K+ level.
c.check the patient's urine output.
d.weigh the patient. - a.check the patient's heart rate.
Which diagnostic method is recommended to determine whether left ventricular hypertrophyhas occurred?
a.Echocardiography
b.Electrocardiography
c.Blood chemistry
d.Blood urea nitrogen - a.Echocardiography
A nurse is educating about lifestyle modifications for a group of patients with newly diagnosedhypertension.
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 patients with hypertension.
,d.A person with hypertension should never consume alcohol. - a.It takes 2 to 3 months for thetaste buds to a
to decreased salt intake.
A patient is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The
patient's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing toadminister 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 - c.Numbness and weakness in the left arm
It is appropriate for the nurse to recommend smoking cessation for patients with hypertensionbecause nicot
• increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
• b.decreases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
• c.increases the heart rate, constricts arterioles, and increases the heart's ability to eject blood.
• d.decreases circulating blood volume. - a.increases the heart rate, constricts arterioles, and reduces
heart's ability to eject blood.
According to the DASH diet, how many servings of vegetables should a person consume eachday?
a.2 or fewer
b.2 or 3
c.4 or 5
d.7 or 8 - c.4 or 5
The nurse is performing an assessment on a patient to determine the effects of hypertensionon the heart an
blood vessels. What specific assessment data will assist in determining this complication? (Select all that app
a.Heart rate
b.Respiratory rate
c.Heart rhythm
d.Character of apical and peripheral pulses
e.Lung sounds - a.Heart ratec.Heart rhythm
d.Character of apical and peripheral pulses
Primary or essential hypertension accounts for about 95% of all hypertension diagnoses with anunknown eti
Secondary hypertension accompanies specific conditions that create hypertension as a result of tissue dama
Which condition contributes to secondaryhypertension?
a.arterial vasoconstriction
b.hepatic function
, c.calcium deficit
d.acid-base imbalance - a.arterial vasoconstriction
Which condition(s) indicates target organ damage from untreated/undertreated hypertension?Select all tha
apply.
a.Heart failure
b.Retinal damage
c.Diabetes
d.Hyperlipidemia
e.Stroke - a.Heart failureb.Retinal damage e.Stroke
A 35-year-old patient has been diagnosed with hypertension. The patient is a stock broker, smokesdaily, and
diabetes. During a follow-up appointment, the patient states that regular visits to the doctor just to check b
pressure (BP) are cumbersome and time consuming. As the nurse, which aspect of patient teaching would y
recommend?
a.Purchasing a self-monitoring BP cuff
b.Discussing methods for stress reduction
c.Advising smoking cessation
d.Administering glycemic control - a.Purchasing a self-monitoring BP cuff
The nurse is teaching a patient about chronic untreated hypertension. What complication will thenurse expla
the patient?
a.peripheral edema
b.right-sided heart failure
c.stroke
d.pulmonary insufficiency - c.stroke
A nurse provides morning care for a patient in the intensive care unit (ICU). Suddenly, the bedside monitor s
ventricular fibrillation and the patient becomes unresponsive. Aftercalling for assistance, what action should
nurse take next?
a.Begin cardiopulmonary resuscitation
b.Prepare for endotracheal intubation
c.Provide electrical cardioversion
d.Administer intravenous epinephrine - a.Begin cardiopulmonary resuscitation
The nurse witnesses a patient experiencing ventricular fibrillation. What is the nurse's priorityaction?
a.cardioversion
• IV bolus of atropine
AND HEMATOLOGY 2024 100% CORRECT GUARANTEED
GRADE A+
A patient with newly diagnosed hypertension asks what to do to decrease the risk for relatedcardiovascular
problems. Which risk factor is not modifiable by the patient?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia - a.Age
A patient with newly diagnosed hypertension asks how to decrease the risk for relatedcardiovascular proble
What risk factor is modifiable by the patient?
• Age
• Impaired renal function
• c.Family history
d.Dyslipidemia - d.Dyslipidemia
Which of the following patient scenarios would be correct for the nurse to identify as a patientwith seconda
hypertension?
a.A patient experiencing depression
b.A patient diagnosed with kidney disease
c.A patient of advanced age
d.A patient with excessive alcohol intake - b.A patient diagnosed with kidney disease
A patient 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 mmHg. What is the therapeutic goal
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 patient will not suffer a stroke.
d.Reduce the blood pressure by 50% within the first hour of treatment. - a.Reduce the bloodpressure by 20%
25% within the first hour of treatment.
An older adult patient has newly diagnosed stage 2 hypertension. The health care provider hasprescribed
Chlorothiazide and Benazepril. What will the nurse monitor this patient for?
,a.Postural hypertension and resulting injury
b.Rebound hypertension
c.Sexual dysfunction
d.Postural hypotension and resulting injury - d.Postural hypotension and resulting injury
The nurse is planning the care of a patient admitted to the hospital with hypertension. Whatobjective will he
meet the needs of this patient?
a.Lowering and controlling the blood pressure without adverse effects and without unduecost
b.Making sure that the patient adheres to the therapeutic medication regimen c.Instructing the patient to e
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 -
a.Lowering and controlling the blood pressure without adverse effects and withoutundue cost
Which describes a situation in which blood pressure is severely elevated and there is evidenceof actual or
probable target organ damage?
a.Hypertensive emergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondary hypertension - a.Hypertensive emergency
The nurse is administering medications on a medical-surgical unit. A patient is ordered to receive 40 m
nadolol for the treatment of hypertension. Before administering the medication, thenurse should
a.check the patient's heart rate.
b.check the patient's serum K+ level.
c.check the patient's urine output.
d.weigh the patient. - a.check the patient's heart rate.
Which diagnostic method is recommended to determine whether left ventricular hypertrophyhas occurred?
a.Echocardiography
b.Electrocardiography
c.Blood chemistry
d.Blood urea nitrogen - a.Echocardiography
A nurse is educating about lifestyle modifications for a group of patients with newly diagnosedhypertension.
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 patients with hypertension.
,d.A person with hypertension should never consume alcohol. - a.It takes 2 to 3 months for thetaste buds to a
to decreased salt intake.
A patient is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The
patient's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing toadminister 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 - c.Numbness and weakness in the left arm
It is appropriate for the nurse to recommend smoking cessation for patients with hypertensionbecause nicot
• increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
• b.decreases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
• c.increases the heart rate, constricts arterioles, and increases the heart's ability to eject blood.
• d.decreases circulating blood volume. - a.increases the heart rate, constricts arterioles, and reduces
heart's ability to eject blood.
According to the DASH diet, how many servings of vegetables should a person consume eachday?
a.2 or fewer
b.2 or 3
c.4 or 5
d.7 or 8 - c.4 or 5
The nurse is performing an assessment on a patient to determine the effects of hypertensionon the heart an
blood vessels. What specific assessment data will assist in determining this complication? (Select all that app
a.Heart rate
b.Respiratory rate
c.Heart rhythm
d.Character of apical and peripheral pulses
e.Lung sounds - a.Heart ratec.Heart rhythm
d.Character of apical and peripheral pulses
Primary or essential hypertension accounts for about 95% of all hypertension diagnoses with anunknown eti
Secondary hypertension accompanies specific conditions that create hypertension as a result of tissue dama
Which condition contributes to secondaryhypertension?
a.arterial vasoconstriction
b.hepatic function
, c.calcium deficit
d.acid-base imbalance - a.arterial vasoconstriction
Which condition(s) indicates target organ damage from untreated/undertreated hypertension?Select all tha
apply.
a.Heart failure
b.Retinal damage
c.Diabetes
d.Hyperlipidemia
e.Stroke - a.Heart failureb.Retinal damage e.Stroke
A 35-year-old patient has been diagnosed with hypertension. The patient is a stock broker, smokesdaily, and
diabetes. During a follow-up appointment, the patient states that regular visits to the doctor just to check b
pressure (BP) are cumbersome and time consuming. As the nurse, which aspect of patient teaching would y
recommend?
a.Purchasing a self-monitoring BP cuff
b.Discussing methods for stress reduction
c.Advising smoking cessation
d.Administering glycemic control - a.Purchasing a self-monitoring BP cuff
The nurse is teaching a patient about chronic untreated hypertension. What complication will thenurse expla
the patient?
a.peripheral edema
b.right-sided heart failure
c.stroke
d.pulmonary insufficiency - c.stroke
A nurse provides morning care for a patient in the intensive care unit (ICU). Suddenly, the bedside monitor s
ventricular fibrillation and the patient becomes unresponsive. Aftercalling for assistance, what action should
nurse take next?
a.Begin cardiopulmonary resuscitation
b.Prepare for endotracheal intubation
c.Provide electrical cardioversion
d.Administer intravenous epinephrine - a.Begin cardiopulmonary resuscitation
The nurse witnesses a patient experiencing ventricular fibrillation. What is the nurse's priorityaction?
a.cardioversion
• IV bolus of atropine
