WorksheetsDefining Hypertension and Blood Pressure Categories
Total questions: 15
Worksheet time: 8mins
Which criterion best defines hypertension under ACC/AHA guidance when confirmed on at least two separate days?
Resting SBP 120–129 mm Hg with DBP <80 mm Hg
Resting SBP ≥140 mm Hg and DBP ≥90 mm Hg
Resting SBP ≥120 mm Hg and DBP ≥80 mm Hg
Resting SBP ≥130 mm Hg or DBP ≥80 mm Hg
Which description most accurately distinguishes primary from secondary hypertension?
Primary has no identifiable cause and develops gradually
Secondary is genetic only and never appears suddenly
Primary is due to kidney disease and appears suddenly
Secondary accounts for 90–95% and develops slowly
A patient’s resting BP averages 128/78 mm Hg over two visits. Into which blood pressure category does this reading best fit?
Stage 2 hypertension category
Elevated blood pressure category
Normal blood pressure category
Stage 1 hypertension category
Which nonpharmacologic change is specifically recommended to reduce blood pressure in hypertensive patients?
Nicotine cessation with ongoing stimulant use
Weight loss for underweight young athletes
Sodium restriction with potassium-rich foods
Eliminating all dietary fats indefinitely
A clinician selects a first-line antihypertensive. Which drug class matches the naming pattern ending in “pril”?
Beta blockers for slowing cardiac output
ARBs for blocking aldosterone receptors
ACE inhibitors for vasodilation via RAAS
Diuretics for increasing renal sodium loss
A 52-year-old with stage 1 hypertension prefers lifestyle therapy first. Build the most effective initial plan using the DASH framework.
Increase vegetables and whole grains, limit sodium intake
Adopt high-protein ketogenic diet, avoid fruits
Eliminate all dairy and nuts, add processed meats
Emphasize sugary beverages, restrict lean poultry
Which factor most directly influences whether a person with hypertension requires medical clearance before an exercise test?
Hydration status and sleep the prior night
Preferred exercise mode and facility type
Resting BP level and CVD risk profile
Recent diet changes and caffeine intake
You are designing an exercise test to create an exercise prescription for a client with hypertension. What is the best approach regarding their antihypertensive medications on test day?
Switch to short-acting agents temporarily
Double the morning dose for stability
Hold all medications for clearer hemodynamics
Continue usual medications as recommended
Which aerobic frequency aligns with FITT for hypertension management?
At least 2–3 days per week
Exactly 1 day per week
Only weekends per month
Every other month sessions
During resistance training for hypertension, what initial intensity is most appropriate for older or novice individuals?
Begin with 40%–50% 1-RM
Immediately use 80%–90% 1-RM
Always lift to momentary failure
Avoid resistance beyond bodyweight
A client with hypertension plans weekly exercise. Which plan best meets FITT across modes?
Aerobic twice daily 5 min; resistance 1 day; flexibility 1 day
Aerobic daily 10 min; resistance monthly; flexibility weekends
Aerobic once weekly 60 min; resistance daily; flexibility never
Aerobic most days 20–30 min; resistance 2–3 days; flexibility most days
Which blood pressure limit indicates stopping or modifying exercise for safety in hypertension?
Any pulse pressure above 30 mm Hg
Systolic above 220 mm Hg or diastolic above 105 mm Hg
Systolic below 90 mm Hg or diastolic 60 mm Hg
Systolic 140 mm Hg or diastolic 90 mm Hg
Which statement best describes a common beta-blocker effect relevant to exercise programming?
Eliminates heart rate variability during rest
Lowers submax and maximal exercise capacity
Raises peak aerobic power during intervals
Increases ventilatory threshold in most athletes
A client on an alpha-blocker becomes dizzy after cooldown. What is the most appropriate immediate action for safety?
Resume exercise at a lighter intensity immediately
Have them sit or supine with legs elevated
Provide cold fluids and continue standing still
Administer a carbohydrate snack for hypoglycemia
Which statement best describes a documented cardiac adaptation to regular aerobic exercise in individuals with hypertension or prehypertension?
Increased left ventricular mass and thicker cardiac walls
Reduced left ventricular mass and decreased wall thickness
Unchanged ventricular mass with thicker cardiac walls
Reduced wall thickness with increased ventricular chamber mass
