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NUR 209 Ch 18

Total questions: 35

Worksheet time: 22mins

Name
Class
Date
1.

What reading of high blood pressure?

a)

systolic ≤130 mmHg

b)

diastolic <60 mmHg

c)

systolic ≥140 mmHg

d)

systolic >140 mmHg

2.

Food that contain high amount of sodium, except ..

a)

Fastfood

b)

Twisties

c)

Mango

d)

Canned Tuna

3.

Excessive salt intake can lead to

a)

Low blood pressure

b)

Diabetes

c)

Stroke

d)

Tooth Decay

4.

Sign and symptom of high blood pressure

a)

Blurred vision

b)

Nausea and vomiting

c)

Nosebleed

d)

All

5.

How to reduce salt intake?

a)

Limit sugar intake

b)

Add sause and ketchup intake

c)

Use natural flavor and raw ingredient

d)

All

6.

Those with stage 2 hypertension should be started on antihypertensive medications, implement lifestyle changes, and be reassessed in 1 month.

a)

T

b)

F

7.

Hypertensive emergency is a severe type of hypertension. Elevations in systolic BP higher than 180 mm Hg or diastolic BP higher than 120 mm Hg occur

a)

T

b)

F

8.

Patients with hypertension are often first diagnosed when seeking health care for reasons unrelated to hypertension.

a)

T

b)

F

9.

At a follow-up visit, which of the following data would best indicate to the nurse that the patient’s blood pressure therapy has been successful?

a)

Weight decreased by 3 pounds.

b)

Diary of dietary intake is within suggested diet.

c)

Blood pressure is 118/74 mm Hg.

d)

Patient reports walking 30 to 40 minutes daily.

10.

During a health screening, a patient’s blood pressure is confirmed by two nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

a)

“Return to work and have your blood pressure rechecked in 2 days.”

b)

“Take two doses of blood pressure medication right now.”

c)

“Sit quietly while we call 911 to request an ambulance.”

d)

“Take off work for the rest of the day and rest.”

11.

The nurse is participating in a teaching session on diet for a patient with hypertension. Which of the following statements if made by the patient would indicate understanding of the teaching? Select all that apply.

a)

“Canned fruit and vegetables are best to eat.”

b)

“Add salt to food during cooking.”

c)

“Increase foods high in saturated fat.”

d)

“Choose fresh or frozen fruits and vegetables.”

e)

“Read food labels.”

12.

The nurse is obtaining blood pressure readings for people aged 18 to 39 during a community health fair. For which of the following blood pressure readings would 3- to 5-year screenings be recommended? Select all that apply.

a)

108/92 mm Hg

b)

110/88 mm Hg

c)

112/78 mm Hg

d)

118/74 mm Hg

e)

142/90 mm Hg

13.

The nurse provides a teaching session for a newly diagnosed patient with primary hypertension. Which of the following statements about the cause of primary hypertension if stated by the patient would indicate the need for further teaching? Select all that apply.

a)

“It is caused by a tumor of the adrenal gland.”

b)

“There are no tests to identify the cause.”

c)

“An arteriogram will show why the hypertension is occurring.”

d)

“The cause is unknown.”

e)

“The cause can be identified with magnetic resonance imaging.”

14.

Highest pressure against blood vessels. Represented by first heat sound

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hyperstension

15.

High blood pressure

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hypertension

16.

lowest pressure against the blood vessels of the body. Measures between contractions

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hypertension

17.

A device used to measure the pressure against the arteries of the body.

a)

apparatus

b)

gauge

c)

sphygmomanometer

d)

millimeter

18.

Which artery normally do we take blood pressure?

a)

femoral

b)

brachial

c)

coronal

d)

radial

19.

Pulse is defined as the pressure of blood pushing against the wall of the vein as the heart beats and rests

a)

True

b)

False

20.

Cuff that is too small will give a ______reading

a)

higher

b)

lower

21.

What is hypertension?

a)

When the force of the blood pushing on the blood vessel walls is too low

b)

When the blood vessels dilate

c)

When blood flows easily through the vessels

d)

When the force of the blood pushing on the blood vessel walls is too high

22.

Blood vessels become narrow due to fatty deposits therefore your heart must work harder to pump blood around the body, decreasing blood pressure

a)

True

b)

False

23.

Physical activity reduces the risk of hypertension by

a)

not being able to run

b)

decreasing the blood flow through them

c)

going to sleep

d)

expanding the blood vessels

24.

Normal systolic blood pressure is:

a)

<120 mmHg

b)

<160 mmHg

c)

<80 mmHg

d)

<110 mmHg

25.

Why is hypertension called the “silent killer”?

a)

no signs or symptoms

b)

strikes in your sleep

c)

people die quietly

d)

none of the above

26.

The long term consequences of “uncontrolled” high blood pressure targets which of the following organs:

a)

Eyes

b)

Heart

c)

Kidneys

d)

All of the above

27.

Hypertension most directly affects:

a)

obese

b)

tiny blood vessels

c)

alcoholics

d)

none of the above

28.

Persons with “prehypertension” many times can control their blood pressure with:

a)

Stress management class

b)

listening to jazz

c)

Diet an lifestyle changes

d)

Yoga

29.

Effective strategies to manage blood pressure include:

a)

exercise regularly

b)

reduce sodium intake

c)

Lose weight if needed

d)

All of the above

30.

How can doctors manage a patient’s blood pressure if all other strategies fail?

a)

refer to a nutritionist

b)

surgery

c)

Prescribe medication

d)

None of the above

31.

“Essential Hypertension” accounts for 90-95% of all cases and is caused by:

a)

Physically inactive

b)

Overweight or obesity

c)

too much salt in diet

d)

Cause is unknown

32.

Which of the following factors increase the risk for developing hypertension?

a)

heredity

b)

race

c)

male gender

d)

All of the above

33.

The complications of hypertension are...? (more than 1 answer)

a)

A. Kidney failure (reduced in kidney function)

b)

B. Type 2 diabetes mellitus (high blood sugar level in blood plasma)

c)

C. Heart attack or stroke

d)

D. Hypercholesterolemia (high blood cholesterol level)

34.

Which lifestyle can improve hypertension?

a)

A. Eating fast food more than 5 times a week

b)

B. Weight reduction

c)

C. Adding soy sauce every meal

d)

D. Sitting all day

35.

A 52-year-old male had a long history of hypertension. He presented to the emergency care physician with complaints of an acute, persisted for a few hours rise of blood pressure. What is the most likely alteration of the arterioles‟ walls due to the hypertonic crisis?

a)

Fibrinous necrosis

b)

Hyalinosis

c)

Sclerosis

d)

Amyloidosis