Rasmussen College– MDC 3 Final Exam (Cardiovascular &
Hematology)– Complete Practice Questions with Correct Answers
A clientwith newly diagnosedhypertensionasks whatto do to decreasethe riskfor related
cardiovascular problems. Which risk factor is not modifiable by the client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia- a.Age
A clientwith newly diagnosedhypertensionasks how to decreasetherisk for related cardiovascular
problems. What risk factor is modifiable by the client?
a. Age
b. Impairedrenalfunction
c. Family history
d. Dyslipidemia- d.Dyslipidemia
Which of thefollowingclient scenarioswouldbecorrect forthenurseto identifyas a client with
secondary hypertension?
a.A clientexperiencingdepression
b.A clientdiagnosedwithkidneydisease
c.A clientof advancedage
d.A clientwith excessivealcoholintake- b.A client diagnosedwith kidney disease
A client is brought to the emergency department with reports of a bad headache and an in
increase
bloodpressure.The bloodpressurereadingobtainedby thenurseis 260/180mm Hg. What is the
therapeutic goal for reduction of the mean blood pressure?
a. Reducethebloodpressureby 20% to 25% withinthefirst hour of treatment.
b. Reducethebloodpressureto about140/80mm Hg.
c. Rapidly reducethebloodpressureso theclient willnot suffera stroke.
d. Reducethebloodpressureby 50% within thefirst hour of treatment.- a.Reduce theblood pressure
by 20% to 25% within the first hour of treatment.
An olderadultclient hasnewlydiagnosedstage2 hypertension.The healthcare providerhas prescribed
Chlorothiazide and Benazepril. What will the nurse monitor this client for?
,a. Posturalhypertensionand resultinginjury
b. Reboundhypertension
c. Sexualdysfunction
,d. Posturalhypotensionand resultinginjury - d.Posturalhypotensionand resultinginjury
The nurseis planning thecare ofa patientadmittedto thehospitalwith hypertension.What objective
will help to meet the needs of this patient?
a. Loweringand controllingthebloodpressurewithoutadverseeffectsand withoutunduecost
b. Making sure that the patient adheres to the therapeutic medication regimen c.Instructing
thepatientto entera weightloss programand beginan exerciseregimen
d.Scheduling the patient for all follow
-up visits and making phone calls to the home to ensure adherence
- a.Loweringand controllingthebloodpressurewithoutadverseeffectsand without undue cost
Which describesa situationin which bloodpressureis severelyelevatedand thereis evidence of actual
or probable target organ damage?
a.Hypertensiveemergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondaryhypertension- a.Hypertensiveemergency
The nurse is administering medications on medical
a - surgical unit. A client is ordered to receive 40
mg
oral nadololfor thetreatmentof hypertension.Beforeadministeringthemedication,the nurse should
a.check the client's heart rate.
b.checktheclient'sserumK+ level.
c.check the client's urine output.
d.weightheclient.- a.checktheclient'sheartrate.
Which diagnosticmethodis recommendedto determinewhetherleftventricularhypertrophy has
occurred?
a. Echocardiography
b. Electrocardiography
c. Blood chemistry
d. Blood ureanitrogen- a.Echocardiography
A nurseis educatingaboutlifestylemodificationsfor a group of clientswith newlydiagnosed
hypertension. While discussing dietary changes, which point would the nurse emphasize?
a. It takes2 to 3 monthsfor thetastebudsto adaptto decreasedsalt intake.
b. The tastebuds neveradaptto decreasedsalt intake.
c. Thereis usuallyno needto changealcoholconsumptionfor clientswith hypertension.
, d. A personwith hypertensionshouldneverconsumealcohol.- a.It takes2 to 3 monthsfor the taste
buds to adapt to decreased salt intake.
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis.
The client'sbloodpressure(BP) is 200/130mm Hg. The nurseis preparingto administer IV
nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?
a. Nauseaand severeheadache
b. Chest pain scoreof 3 (on a scaleof 1 to 10)
c. Numbnessand weaknessin theleft arm
d. Urine outputof 40 mL overthepasthour - c.Numbnessand weaknessin theleftarm
It is appropriate forthenurseto recommendsmoking cessationfor clientswith hypertension because
nicotine
a.increasestheheartrate,constrictsarterioles,and reducestheheart'sabilityto ejectblood.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 abilityeject
to blood. d.decreases circulating blood
volume.- a.increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
According to theDASH diet,how many servingsof vegetablesshoulda personconsumeeachday?
a.2or fewer
b.2or 3
c.4 or 5
d.7 or 8 - c.4 or5
The nurseis performingan assessmenton a patientto determinetheeffectsof hypertension on the
heart and blood vessels. What specific assessment data will assist in determining this complication?
(Select all that apply.)
a.Heart rate
b.Respiratoryrate
c.Heart rhythm
d.Characterof apicaland peripheralpulses
e.Lungsounds- a.Heartrate c.Heart
rhythm
d.Characterof apicaland peripheralpulses
Primary or essentialhypertensionaccountsfor about95% ofall hypertensiondiagnoseswith an
unknown etiology. Secondary hypertension accompanies specific conditions that create
Hematology)– Complete Practice Questions with Correct Answers
A clientwith newly diagnosedhypertensionasks whatto do to decreasethe riskfor related
cardiovascular problems. Which risk factor is not modifiable by the client?
a.Age
b.Obesity
c.Inactivity
d.Dyslipidemia- a.Age
A clientwith newly diagnosedhypertensionasks how to decreasetherisk for related cardiovascular
problems. What risk factor is modifiable by the client?
a. Age
b. Impairedrenalfunction
c. Family history
d. Dyslipidemia- d.Dyslipidemia
Which of thefollowingclient scenarioswouldbecorrect forthenurseto identifyas a client with
secondary hypertension?
a.A clientexperiencingdepression
b.A clientdiagnosedwithkidneydisease
c.A clientof advancedage
d.A clientwith excessivealcoholintake- b.A client diagnosedwith kidney disease
A client is brought to the emergency department with reports of a bad headache and an in
increase
bloodpressure.The bloodpressurereadingobtainedby thenurseis 260/180mm Hg. What is the
therapeutic goal for reduction of the mean blood pressure?
a. Reducethebloodpressureby 20% to 25% withinthefirst hour of treatment.
b. Reducethebloodpressureto about140/80mm Hg.
c. Rapidly reducethebloodpressureso theclient willnot suffera stroke.
d. Reducethebloodpressureby 50% within thefirst hour of treatment.- a.Reduce theblood pressure
by 20% to 25% within the first hour of treatment.
An olderadultclient hasnewlydiagnosedstage2 hypertension.The healthcare providerhas prescribed
Chlorothiazide and Benazepril. What will the nurse monitor this client for?
,a. Posturalhypertensionand resultinginjury
b. Reboundhypertension
c. Sexualdysfunction
,d. Posturalhypotensionand resultinginjury - d.Posturalhypotensionand resultinginjury
The nurseis planning thecare ofa patientadmittedto thehospitalwith hypertension.What objective
will help to meet the needs of this patient?
a. Loweringand controllingthebloodpressurewithoutadverseeffectsand withoutunduecost
b. Making sure that the patient adheres to the therapeutic medication regimen c.Instructing
thepatientto entera weightloss programand beginan exerciseregimen
d.Scheduling the patient for all follow
-up visits and making phone calls to the home to ensure adherence
- a.Loweringand controllingthebloodpressurewithoutadverseeffectsand without undue cost
Which describesa situationin which bloodpressureis severelyelevatedand thereis evidence of actual
or probable target organ damage?
a.Hypertensiveemergency
b.Hypertensive urgency
c.Primary hypertension
d.Secondaryhypertension- a.Hypertensiveemergency
The nurse is administering medications on medical
a - surgical unit. A client is ordered to receive 40
mg
oral nadololfor thetreatmentof hypertension.Beforeadministeringthemedication,the nurse should
a.check the client's heart rate.
b.checktheclient'sserumK+ level.
c.check the client's urine output.
d.weightheclient.- a.checktheclient'sheartrate.
Which diagnosticmethodis recommendedto determinewhetherleftventricularhypertrophy has
occurred?
a. Echocardiography
b. Electrocardiography
c. Blood chemistry
d. Blood ureanitrogen- a.Echocardiography
A nurseis educatingaboutlifestylemodificationsfor a group of clientswith newlydiagnosed
hypertension. While discussing dietary changes, which point would the nurse emphasize?
a. It takes2 to 3 monthsfor thetastebudsto adaptto decreasedsalt intake.
b. The tastebuds neveradaptto decreasedsalt intake.
c. Thereis usuallyno needto changealcoholconsumptionfor clientswith hypertension.
, d. A personwith hypertensionshouldneverconsumealcohol.- a.It takes2 to 3 monthsfor the taste
buds to adapt to decreased salt intake.
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis.
The client'sbloodpressure(BP) is 200/130mm Hg. The nurseis preparingto administer IV
nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?
a. Nauseaand severeheadache
b. Chest pain scoreof 3 (on a scaleof 1 to 10)
c. Numbnessand weaknessin theleft arm
d. Urine outputof 40 mL overthepasthour - c.Numbnessand weaknessin theleftarm
It is appropriate forthenurseto recommendsmoking cessationfor clientswith hypertension because
nicotine
a.increasestheheartrate,constrictsarterioles,and reducestheheart'sabilityto ejectblood.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 abilityeject
to blood. d.decreases circulating blood
volume.- a.increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
According to theDASH diet,how many servingsof vegetablesshoulda personconsumeeachday?
a.2or fewer
b.2or 3
c.4 or 5
d.7 or 8 - c.4 or5
The nurseis performingan assessmenton a patientto determinetheeffectsof hypertension on the
heart and blood vessels. What specific assessment data will assist in determining this complication?
(Select all that apply.)
a.Heart rate
b.Respiratoryrate
c.Heart rhythm
d.Characterof apicaland peripheralpulses
e.Lungsounds- a.Heartrate c.Heart
rhythm
d.Characterof apicaland peripheralpulses
Primary or essentialhypertensionaccountsfor about95% ofall hypertensiondiagnoseswith an
unknown etiology. Secondary hypertension accompanies specific conditions that create
