1|Page
NUR 304 – EXAM LATEST UPDATE 2025 | COMPLETE
QUESTIONS WITH CORRECT ANSWERS, EXAMS OF NURSING
A 52-year old woman whose blood pressure is consistently 130-135/82-86 mmHg who is
otherwise well is considered to have:
Select one:
a. stage 2 hypertension
b. normal blood pressure
c. stage 1 hypertension
d. prehypertension - ANSWER-b. normal blood pressure
The nurse is taking the initial history of a patient admitted to the hospital for hypertension. The
physician has ordered a beta-adrenergic blocker. Which statement by the patient does the nurse
recognize as most significant?
Select one:
a. When I have a migraine headache, I need to have the room darkened."
b. "I don't handle stress well; I have a lot of diarrhea."
c. "My father died of a heart attack when he was 48-years-old."
d. "I have always had problems with my asthma, but my inhaler helps." - ANSWER-d. "I have
always had problems with my asthma, but my inhaler helps."
A patient with hypertensive crisis has been admitted into the ICU. A vasodilator nitroprusside
(Nipride) drip is started. Adverse reactions of nitroprusside include:
Select one:
a. Heart failure
b. Metabolic acidosis
c. Cyanide poisoning
d. Bradycardia - ANSWER-c. Cyanide poisoning
,2|Page
The icteric phase of hepatitis is characterized by which of the following clinical manifestations?
Select one:
a. Resolution of jaundice, liver function returns to normal
b. Jaundice, dark urine, enlarged liver
c. Fulminant liver failure, hepatorenal syndrome
d. Fatigue, malaise, vomiting - ANSWER-b. Jaundice, dark urine, enlarged liver
A blood pressure of 160/100 mmHg is classified as:
Select one:
a. Stage 1 hypertension
b. Stage 2 hypertension
c. Prehypertension
d. Stage 3 hypertension - ANSWER-b. Stage 2 hypertension
A primary goal of treatment in hypertension is:
Select one:
a. retention of peripheral arterial disease
b. prevention of organ damage
c. prevention of lipid abnormalities
d. normalization of blood volume - ANSWER-b. prevention of organ damage
The patient with hypertension is receiving the calcium channel blocker nifedipine (Procardia).
The nurse determines that the patient needs additional medication education when the patient
selects which menu for breakfast?
Select one:
a. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice
,3|Page
b. Cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice
c. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice
d. Eggs, whole-wheat toast with butter, milk, and grapefruit juice - ANSWER-d. Eggs, whole-
wheat toast with butter, milk, and grapefruit juice
The cardinal sign of pyloric stenosis is:
Select one:
a. Diarrhea
b. Heartburn
c. Constipation
d. Vomiting - ANSWER-d. Vomiting
Regarding the pathophysiology of primary hypertension, damage to blood vessel walls that
results from the release of inflammatory substances and the process of arteriolar remodeling
results in:
Select one:
a. insulin resistance
b. an increased cardiac output
c. increased peripheral resistance
d. a defect in renal sodium excretion - ANSWER-c. increased peripheral resistance
The proton pump inhibitor omeprazole (Prilosec) may affect the absorption of:
Select one:
a. Iron salts (FerInSol)
b. Ranitidine (Zantac)
c. Propranolol (Inderal)
d. acetaminophen (Tylenol) - ANSWER-a. Iron salts (FerInSol)
, 4|Page
An adult patient has general symptoms of gallstones but is also jaundiced. IV cholangiography
would most likely reveal that the gallstones are obstructing the:
Select one:
a. Gallbladder
b. Common bile duct
c. Intrahepatic bile canaliculi
d. Cystic duct - ANSWER-b. Common bile duct
Delta is taking the calcium channel blocker nifedipine (Procardia) for hypertension. She
expresses concern that her feet are swollen. What education should she receive?
Select one:
a. She may need to increase her dose of nifedipine so she should call her provider
b. Peripheral edema is a known adverse effect of nifedipine
c. She should elevate her feet as much as possible to prevent dependent edema
d. This is most likely a sign of heart failure and she should call her provider - ANSWER-b.
Peripheral edema is a known adverse effect of nifedipine
A patient is started on a cyclic antidepressant amitriptyline (Elavil) for depression. Patient
education for taking a cyclic antidepressant include:
a. Monitor blood glucose for hyperglycemia
b. Report any irregular heart rate as it may be a sign of toxicity
c. Report abnormal muscle spasms
d. Metallic taste is an expected adverse effect - ANSWER-b. Report any irregular heart rate as it
may be a sign of toxicity
NUR 304 – EXAM LATEST UPDATE 2025 | COMPLETE
QUESTIONS WITH CORRECT ANSWERS, EXAMS OF NURSING
A 52-year old woman whose blood pressure is consistently 130-135/82-86 mmHg who is
otherwise well is considered to have:
Select one:
a. stage 2 hypertension
b. normal blood pressure
c. stage 1 hypertension
d. prehypertension - ANSWER-b. normal blood pressure
The nurse is taking the initial history of a patient admitted to the hospital for hypertension. The
physician has ordered a beta-adrenergic blocker. Which statement by the patient does the nurse
recognize as most significant?
Select one:
a. When I have a migraine headache, I need to have the room darkened."
b. "I don't handle stress well; I have a lot of diarrhea."
c. "My father died of a heart attack when he was 48-years-old."
d. "I have always had problems with my asthma, but my inhaler helps." - ANSWER-d. "I have
always had problems with my asthma, but my inhaler helps."
A patient with hypertensive crisis has been admitted into the ICU. A vasodilator nitroprusside
(Nipride) drip is started. Adverse reactions of nitroprusside include:
Select one:
a. Heart failure
b. Metabolic acidosis
c. Cyanide poisoning
d. Bradycardia - ANSWER-c. Cyanide poisoning
,2|Page
The icteric phase of hepatitis is characterized by which of the following clinical manifestations?
Select one:
a. Resolution of jaundice, liver function returns to normal
b. Jaundice, dark urine, enlarged liver
c. Fulminant liver failure, hepatorenal syndrome
d. Fatigue, malaise, vomiting - ANSWER-b. Jaundice, dark urine, enlarged liver
A blood pressure of 160/100 mmHg is classified as:
Select one:
a. Stage 1 hypertension
b. Stage 2 hypertension
c. Prehypertension
d. Stage 3 hypertension - ANSWER-b. Stage 2 hypertension
A primary goal of treatment in hypertension is:
Select one:
a. retention of peripheral arterial disease
b. prevention of organ damage
c. prevention of lipid abnormalities
d. normalization of blood volume - ANSWER-b. prevention of organ damage
The patient with hypertension is receiving the calcium channel blocker nifedipine (Procardia).
The nurse determines that the patient needs additional medication education when the patient
selects which menu for breakfast?
Select one:
a. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice
,3|Page
b. Cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice
c. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice
d. Eggs, whole-wheat toast with butter, milk, and grapefruit juice - ANSWER-d. Eggs, whole-
wheat toast with butter, milk, and grapefruit juice
The cardinal sign of pyloric stenosis is:
Select one:
a. Diarrhea
b. Heartburn
c. Constipation
d. Vomiting - ANSWER-d. Vomiting
Regarding the pathophysiology of primary hypertension, damage to blood vessel walls that
results from the release of inflammatory substances and the process of arteriolar remodeling
results in:
Select one:
a. insulin resistance
b. an increased cardiac output
c. increased peripheral resistance
d. a defect in renal sodium excretion - ANSWER-c. increased peripheral resistance
The proton pump inhibitor omeprazole (Prilosec) may affect the absorption of:
Select one:
a. Iron salts (FerInSol)
b. Ranitidine (Zantac)
c. Propranolol (Inderal)
d. acetaminophen (Tylenol) - ANSWER-a. Iron salts (FerInSol)
, 4|Page
An adult patient has general symptoms of gallstones but is also jaundiced. IV cholangiography
would most likely reveal that the gallstones are obstructing the:
Select one:
a. Gallbladder
b. Common bile duct
c. Intrahepatic bile canaliculi
d. Cystic duct - ANSWER-b. Common bile duct
Delta is taking the calcium channel blocker nifedipine (Procardia) for hypertension. She
expresses concern that her feet are swollen. What education should she receive?
Select one:
a. She may need to increase her dose of nifedipine so she should call her provider
b. Peripheral edema is a known adverse effect of nifedipine
c. She should elevate her feet as much as possible to prevent dependent edema
d. This is most likely a sign of heart failure and she should call her provider - ANSWER-b.
Peripheral edema is a known adverse effect of nifedipine
A patient is started on a cyclic antidepressant amitriptyline (Elavil) for depression. Patient
education for taking a cyclic antidepressant include:
a. Monitor blood glucose for hyperglycemia
b. Report any irregular heart rate as it may be a sign of toxicity
c. Report abnormal muscle spasms
d. Metallic taste is an expected adverse effect - ANSWER-b. Report any irregular heart rate as it
may be a sign of toxicity
