NU372 HESI Case Study: Hypertension
questions and answers 2025\2026 A+
Grade
Meet the Client
- correct answer A group of nursing students is conducting blood pressure and cholesterol screenings
outside a local home improvement store on Saturday morning for its community service project. An
adult client stops by the booth to have their blood pressure and cholesterol checked. They tell the
students that they are a construction foreman.
Assessment
- correct answer The client's blood pressure reading is 189/110 mmHg. Their LDL cholesterol reading is
200 mg/dL. They ask the student nurse if they should be concerned about their blood pressure.
How should the student nurse respond?
a) Your blood pressure is very high. You need to see your healthcare provider (HCP) today.
b) You have hypertension. You need to start making some lifestyle changes.
c) Please sit here quietly for a few minutes. I need to recheck your blood pressure.
d) I need you to remain seated. I am going to call 911/EMS.
- correct answer c) Please sit here quietly for a few minutes. I need to recheck your blood pressure.
-
The client's blood pressure is high but may be temporarily elevated due to activity or stress. The blood
pressure should be rechecked after the client rests for a few minutes.
The student nurse asks the client about their health history. They are 6 ft (182.88 cm) tall and their
weight is 190 lbs (86.18 kgs). They state that they have lost a lot of weight recently. They also reports
experiencing a lot of stress at work and that they often goes out with the crew after work to have
several beers. They report that their mother, who had diabetes mellitus, has passed away. They believe
that she also had hypertension. They smoke 1½ packs of cigarettes a day and drinks 4 to 5 cups of coffee
, a day.
- correct answer -
What significant risk factors for hypertension does the student nurse identify for the client, according to
this health history? (Select all that apply. One, some, or all options may be correct.)
a) Family history of diabetes.
b) Alcohol consumption.
c) Smoking
d) Stress
e) Caffeine intake.
- correct answer b) Alcohol consumption.
c) Smoking
d) Stress
Client Teaching
- correct answer The student nurse rechecks the client's blood pressure now that they have been sitting
quietly for a few minutes. Their blood pressure is 180/106 mmHg.
According to the assessment of this client, which recommendation is most important for the student
nurse to provide to them?
a) See their HCP as soon as possible within the next week for a BP recheck.
b) Limit salt intake and start a weight loss program.
c) Attend a stress reduction seminar offered in his community.
d) Learn about high fiber foods and add more fiber to his diet.
- correct answer a) See their HCP as soon as possible within the next week for a BP recheck.
-
The client's blood pressure is significantly elevated. Since these BP readings were obtained on the same
day, the client needs to see their health care provider (HCP) soon for a second BP measurement so that
a diagnosis can be determined and treatment initiated.
The student nurse continues to talk with the client about their blood pressure results. The client states
that they feel great physically and does not see why they need to see their HCP.
- correct answer -
questions and answers 2025\2026 A+
Grade
Meet the Client
- correct answer A group of nursing students is conducting blood pressure and cholesterol screenings
outside a local home improvement store on Saturday morning for its community service project. An
adult client stops by the booth to have their blood pressure and cholesterol checked. They tell the
students that they are a construction foreman.
Assessment
- correct answer The client's blood pressure reading is 189/110 mmHg. Their LDL cholesterol reading is
200 mg/dL. They ask the student nurse if they should be concerned about their blood pressure.
How should the student nurse respond?
a) Your blood pressure is very high. You need to see your healthcare provider (HCP) today.
b) You have hypertension. You need to start making some lifestyle changes.
c) Please sit here quietly for a few minutes. I need to recheck your blood pressure.
d) I need you to remain seated. I am going to call 911/EMS.
- correct answer c) Please sit here quietly for a few minutes. I need to recheck your blood pressure.
-
The client's blood pressure is high but may be temporarily elevated due to activity or stress. The blood
pressure should be rechecked after the client rests for a few minutes.
The student nurse asks the client about their health history. They are 6 ft (182.88 cm) tall and their
weight is 190 lbs (86.18 kgs). They state that they have lost a lot of weight recently. They also reports
experiencing a lot of stress at work and that they often goes out with the crew after work to have
several beers. They report that their mother, who had diabetes mellitus, has passed away. They believe
that she also had hypertension. They smoke 1½ packs of cigarettes a day and drinks 4 to 5 cups of coffee
, a day.
- correct answer -
What significant risk factors for hypertension does the student nurse identify for the client, according to
this health history? (Select all that apply. One, some, or all options may be correct.)
a) Family history of diabetes.
b) Alcohol consumption.
c) Smoking
d) Stress
e) Caffeine intake.
- correct answer b) Alcohol consumption.
c) Smoking
d) Stress
Client Teaching
- correct answer The student nurse rechecks the client's blood pressure now that they have been sitting
quietly for a few minutes. Their blood pressure is 180/106 mmHg.
According to the assessment of this client, which recommendation is most important for the student
nurse to provide to them?
a) See their HCP as soon as possible within the next week for a BP recheck.
b) Limit salt intake and start a weight loss program.
c) Attend a stress reduction seminar offered in his community.
d) Learn about high fiber foods and add more fiber to his diet.
- correct answer a) See their HCP as soon as possible within the next week for a BP recheck.
-
The client's blood pressure is significantly elevated. Since these BP readings were obtained on the same
day, the client needs to see their health care provider (HCP) soon for a second BP measurement so that
a diagnosis can be determined and treatment initiated.
The student nurse continues to talk with the client about their blood pressure results. The client states
that they feel great physically and does not see why they need to see their HCP.
- correct answer -
