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CARDIOVASCULAR POST TEST - Hypertension

Total questions: 64

Worksheet time: 35mins

Name
Class
Date
1.

Hypertension is considered as:

a)

Silent thief of sight

b)

Silent killer

c)

Silent thief of heart

d)

Silent depletion

2.

According to the American Heart Association new category 2025, the normal blood pressure is?

a)

<120/<80 mmHg

b)

>120/80 mmHg

c)

<130/80 mmHg

d)

120/80 mmHg

3.

According to the American Heart Association new category 2025, the target blood pressure for adults is?

a)

<120/<80 mmHg

b)

>120/80 mmHg

c)

<130/80 mmHg

d)

120/80 mmHg

4.

Student nurse Sophia obtained a bp reading of 150/90. She is CORRECT when she interprets this as what type of bp category?

a)

Normal

b)

Elevated

c)

Stage I

d)

Stage II

e)

Severe hypertension

5.

In managing the bp reading in number 4, the correct action is?

4 lines
6.

Nurse Micah is invited to conduct a seminar to group of student nurses in Cotabato Medical Center. She begins to discuss primary hypertension. She is correct when she defines it as?

a)

Primary hypertension is a type of hypertension with no medical cause.

b)

Primary hypertension is a type of hypertension with medical cause.

c)

Primary hypertension is a type of hypertension with rapid increase in bp and no organ damage involved.

d)

Primary hypertension is a type of hypertension with rapid increase in bp and with organ damage involved.

e)

Primary hypertension is a type of hypertension with a bp of 210/130 and it’s cause by non adherence to medications and abrupt withdrawal.

7.

Nurse Aleli is invited to conduct a seminar to group of student nurses in PLTCI Medical Center. She begins to discuss secondary hypertension. She is correct when she defines it as?

a)

Secondary hypertension is a type of hypertension with no medical cause.

b)

Secondary hypertension is a type of hypertension with medical cause.

c)

Secondary hypertension is a type of hypertension with rapid increase in bp and no organ damage involved.

d)

Secondary hypertension is a type of hypertension with rapid increase in bp and with organ damage involved.

e)

Secondary hypertension is a type of hypertension with a bp of 210/130 and it’s cause by non adherence to medications and abrupt withdrawal.

8.

Nurse Rhea is invited to conduct a seminar to group of student nurses in Urdaneta Medical Center. She begins to discuss Hypertensive Urgency. She is correct when she defines it as?

a)

Hypertensive Urgency hypertension is a type of hypertension with no medical cause.

b)

Hypertensive Urgency is a type of hypertension with medical cause.

c)

Hypertensive Urgency is a type of hypertension with rapid increase in bp and no organ damage involved.

9.

Nurse Martiery is invited to conduct a seminar to group of student nurses in Urdaneta Medical Center. She begins to discuss Hypertensive Emergency. She is correct when she defines it as?

a)

Hypertensive Emergency hypertension is a type of hypertension with no medical cause.

b)

Hypertensive Emergency is a type of hypertension with medical cause.

c)

Hypertensive Emergency is a type of hypertension with rapid increase in bp and no organ damage involved.

d)

Hypertensive Emergency is a type of hypertension with rapid increase in bp and with organ damage involved.

e)

Hypertensive Emergency is a type of hypertension with a bp of 210/130 and it’s cause by non adherence to medications and abrupt withdrawal.

10.

Nurse Girly is invited to conduct a seminar to group of student nurses in Aldersgate Medical Center. She begins to discuss Malignant hypertension. She is correct when she defines it as?

a)

Malignant hypertension is a type of hypertension with no medical cause.

b)

Malignant hypertension is a type of hypertension with medical cause.

c)

Malignant hypertension is a type of hypertension with rapid increase in bp and no organ damage involved.

d)

Malignant hypertension is a type of hypertension with rapid increase in bp and with organ damage involved.

e)

Hypertensive Emergency is a type of hypertension with a bp of 210/130 and it’s cause by non adherence to medications and abrupt withdrawal.

11.

Nurse Mariel is teaching Ana Marie a hypertensive client about managing and treating malignant hypertension. Which of the following is the treatment?

a)

Metropolol

b)

Diltiazide

c)

Losartan

d)

IV Labetalol

12.

Nurse May Louise is aware that the following systems of the body are affected by hypertension:

a)

Cardiovascular, renal, and nervous systems

b)

Digestive and reproductive systems only

c)

Skeletal and muscular systems only

d)

Integumentary and endocrine systems only

13.

Nurse Jaishia is formulating a nursing diagnosis to a hypertensive patient with no knowledge about the disease. The best nursing diagnosis is?

a)

Altered tissue perfusion

b)

Acute pain

c)

Ineffective health maintenance

d)

Knowledge deficit

14.

Nurse Sebastian is teaching group of hypertensive client. Which of the following is the goal intervention?

a)

To reduce blood pressure and to prevent or lessen extent of organ damage.

b)

Exercise

c)

DASH diet

d)

Medication

15.

Nurse Risha and Melissa emphasize about the diet to hypertensive client. Studies show that diets high in fruits, vegetables and low fat dairy products can prevent the development of hypertension and can lower elevated pressures. The recommended amount per serving is delineated by:

a)

Acid Ash Diet

b)

DASH Diet

c)

Ketogenic Diet

d)

Halal Diet

16.

Nurse Geri Ross asks Nurse Paula May about the mode of action of Ace Inhibitor. Nurse Paula is correct when she answers that?

a)

It blocks conversion of Angiotensin 1 to Angiotensin 2.

b)

It blocks binding of Angiotensin 2 to Angiotensin 1.

c)

It inhibits response to B adrenergic stimulation

d)

It blocks calcium influx into the cells

17.

Student nurse Herbee Joy is taking their preboard examination in Holy Angel University. She is correct when asks about which of the following is an Ace inhibitor?

a)

Enalapril

b)

Atenolol

18.

Group of friends (Mary Grace, Charline, Josh, Melchor, Shahani, Jamaica, Abegaile, Jasper and Luisita) are having their brainstorming at SOGO cafe in preparation for the finals. Jasper asks Jamaica about signs and symptoms to watch out when receiving ACE inhibitor. Jamaica is correct when she answers?

a)

nausea and vomiting

b)

headache and dizziness

c)

decrease bp

d)

persistent cough that did not subside for few weeks

19.

Nurse Roshiena Mae asks Nurse Delight about the mode of action of Angiotensin Receptor Blocker. Nurse Delight is correct when she answers that ARB?

a)

It blocks conversion of Angiotensin 1 to Angiotensin 2.

b)

It blocks binding of Angiotensin 2 to Angiotensin 1.

c)

It inhibits response to B adrenergic stimulation

d)

It blocks calcium influx into the cells

20.

Nurse Sali is administering Losartan to patient Mira. Mira asks, “Losartan is what medication?”

a)

Ace inhibitor

b)

Angiotensin Receptor blocker

c)

Beta blockers

d)

Calcium channel blockers

21.

Jenny Ross has been taking Telmisartan (Micardis). When the patient asks for the action of this drug, Nurse Jayson is correct if he says that:

a)

It inhibits calcium influx to cells

b)

It blocks angiotensin receptors

c)

It prevents conversion of angiotensin 1 to angiotensin 2

d)

It produces direct peripheral vasodilation

22.

Cheska has been taking Propanolol. When the patient asks for the action of this drug, Nurse Creole Kaye is correct if he says that:

a)

It inhibits calcium influx to cells

b)

It blocks angiotensin receptors

c)

It prevents conversion of angiotensin 1 to angiotensin 2

d)

It inhibit response to B adrenergic stimulation

e)

It produces direct peripheral vasodilation

23.

Jicel Vinzon has been taking Propanolol. When the patient asks for the drug type, Nurse Queen Paula is correct if he says that it is?

a)

Non selective beta blockers

b)

Cardio selective

c)

Directing acting

d)

Peripheral vasodilators

24.

Nurse Allennisce is assigned to patient Marie, an asthmatic patient. She will question which of the following medication?

a)

Non selective Propanolol

b)

Selective Metoprolol

c)

Selective Atenolol

d)

Selective Nebivolol

25.

Nurse Amriya is correct that the rationale for questioning the drug in item number 24 is because it:

a)

promotes vasodilation

b)

it causes bronchoconstriction

c)

it targets bi receptor

d)

it decreases cardiac workload

26.

B adrenergic drug is used for, except.

a)

Angina

b)

Dysrhythmias

c)

hypertension

d)

Glaucoma

e)

Asthma and COPD

27.

Reena Mae has been taking Diltiazem. When the patient asks for the action of this drug, Nurse Bea is correct if he says that:

a)

It inhibits calcium influx to cells

b)

It blocks angiotensin receptors

c)

It prevents conversion of angiotensin 1 to angiotensin 2

d)

It inhibit response to B adrenergic stimulation

e)

It produces direct peripheral vasodilation

28.

Karl Luis has been taking Nifedipine. Nurse Nadine is aware that this drug is?

a)

ACE inhibitor

b)

ARBs

c)

Calcium Channel Blockers

d)

Peripheral Vasodilators

e)

Direct Acting Vasodilators

29.

Nurpa Sawari has been taking Terazosin. When the patient asks for the action of this drug, Nurse Analyn is correct if he says that:

a)

It decreases peripheral resistance by exerting action on arteries and veins

b)

It blocks angiotensin receptors

c)

It prevents conversion of angiotensin 1 to angiotensin 2

d)

It inhibit response to B adrenergic stimulation

e)

It produces direct peripheral vasodilation

30.

Luiesaa has been taking NTG. When the patient asks for the action of this drug, Nurse Ana Marie is correct if he says that:

a)

It decreases peripheral resistance by exerting action on arteries and veins

b)

It blocks angiotensin receptors

c)

It prevents conversion of angiotensin 1 to angiotensin 2

d)

It inhibit response to B adrenergic stimulation

e)

It produces direct peripheral vasodilation

31.

Nurse Queen Lomarie asks Nurse Russell. What is the exact cause of AAA?

a)

unknown

b)

Age (60 and above)

c)

DM

d)

HPN

32.

Nurse Alessandra identifies _____ as the most common risk factor for rupture.

a)

Uncontrolled hypertension

b)

Smoking

c)

Stress

d)

Sedentary lifestyle

33.

Clinical Instructor Vilma asks student Nurse Myra about the normal diameter of aorta. It should be?

a)

< 3 cm

b)

4.4 cm

c)

5.5 cm

d)

6.5 cm

34.

Mr. Garcia has an abdominal aortic aneurysm (AAA). Which assessment finding is most concerning?

(a)  

35.

The triad of AAA is:

a)

abdominal pain radiating to back, groin, pulsatile mass and hypotension

b)

abdominal pain radiating to back, groin, pulsatile mass and hypotension, icp

c)

abdominal pain radiating to back, groin, pulsatile mass and hypertension

d)

abdominal pain radiating to back, groin, pulsatile mass and rupture

36.

Fiel Justine came into the clinic complaining of sharp pain and that worsens during exercise. Nurse Joetrey further assessed and noticed of a pale, cool to touch and pulse is very poor. Nurse Joetry interprets this as:

a)

Arterial insufficiency

b)

Venous Insufficiency

c)

DVT

d)

Varicose veins

37.

Nurse Ainah Mae will manage these problem by:

a)

Dangling the foot to allow blood flow to the extremities

b)

Elevate the legs

c)

Elevate legs to allow arterial flow

d)

Alternating method of dangling and elevating

38.

Kimberly came into the clinic complaining of a dull, aching, heavy pain and that worsens when sitting and standing. Nurse Lovely Joyce further assessed and noticed of a brown to reddish, warm to touch but pulse is present. Nurse Lovely Joyce interprets this as:

a)

Arterial insufficiency

b)

Venous Insufficiency

c)

DVT

d)

Varicose veins

39.

Nurse Vilma will manage these problem by:

a)

Dangling the foot to allow blood flow to the extremities

b)

Elevate the legs to allow venous return

c)

Elevate legs to allow arterial flow

d)

Alternating method of dangling and elevating

40.

Nurse Elydia should teach a client with chronic venous insufficiency to do all of the following except:

a)

Avoid constricting garments.

b)

Elevate the legs above the heart level.

c)

Sit as much as possible to rest the valves in the legs.

d)

Avoid prolonged standing and crossing of legs.

41.

Clinical manifestations of deep vein obstruction of the leg include all of the following except:

a)

A. Edema

b)

B. Leg pain

c)

C. Ulcerations

d)

D. Cold extremities

42.

Which of the following is the most significant characteristic of DVT?

a)

Increasing leg circumference.

b)

Leg pain.

c)

Homan’s sign.

d)

Pallor and cyanosis.

43.

Which of the following predisposes a client to thrombus formation?

a)

Charcot’s Triad.

b)

Cushing’s Triad.

c)

Virchow’s Triad.

d)

Chinese Triad

e)

Beck’s triad

44.

Clinical manifestations of arterial obstruction of the leg include which of the following?

a)

Edema, dull aching pain worsens during sitting,

b)

pulse is present

c)

Ulcerations with irregular borders, granulation tissues surrounded by dark skin

d)

pale, cool to touch

45.

Nurse Aj is assigned to patient Danilo, a 67 year old, smoker, alcoholic. He complains of sharp leg pain worsening during exercise and its pale, cool to touch and thinning of the hair is manifested. This is?

a)

Raynauds Disease

b)

Raynauds phenomena

c)

Buergers Disease

d)

Scleroderma

46.

Danica, a 39 year old stunner, smoker and working in the factory of frozen foods in Pampanga. She complains of numbness, TINGLING SENSATION OF THE UPPER EXTREMITIES. Based on the given scenario this is?

a)

Raynauds Disease

b)

Raynauds phenomena

c)

Buergers Disease

d)

Scleroderma

47.

This is a phenomena with known cause like rheumatoid arthritis, SLE, Scleroderma. This phenomena is?

a)

Raynauds Disease

b)

Raynauds phenomena

c)

Buergers Disease

d)

Scleroderma

48.

Nurse Sarah is working in a public hospital. Due to demands at work, she used to stand for a long period of time. When going home she experience a dull leg pain, feeling of fullness in the leg and ankle edema. This is cause by vein walls weaken, dilate and valve becomes incompetent. This is:

a)

Varicose veins

b)

DVT

c)

Pulmonary embolism

d)

Valve stenosis

49.

The surgeon suggested a medical treatment to patient Sarah due to the size of the vein. The vein appears into clusters and it is 5 mm in diameter. Medical mngt includes?

a)

Sclerotherapy

b)

Avoid sitting

c)

Arterial Stripping

d)

Vein stripping

50.

Poldo, 53 year old stroke patient and bedridden. History reveals DM, and HPN. Upon assessment, Nurse Ej noted positive homan’s sign and increasing leg circumference. This is cause by a blot clot formation into the deep vein.

a)

Varicose veins

b)

DVT

c)

Pulmonary embolism

d)

Valve stenosis

51.

A client is being instructed on the use of anti-embolism stockings. The nurse should teach the client that the stocking should be:

a)

Alternately kept for 2 hours and off 2 hours

b)

Worn only at night when activity is lessened

c)

Put on before getting out of bed in the morning

d)

Left in place until affected leg becomes arctic

52.

Most common complication of DVT to watch out is?

a)

DVT stenosis

b)

Pulmonary embolism

c)

Pericardial effusion

d)

Cardiac tamponade

53.

Nurse Hanah is providing education to a client who has been diagnosed with a pulmonary embolism. The client asks “What is pulmonary embolism”. How should the nurse respond?

a)

A. A pulmonary embolism is a blockage in one of the arteries that supply blood to the heart.

b)

B. It’s a condition where the lungs become inflamed and lose their ability to exchange oxygen and carbon dioxide

c)

C. A pulmonary embolism occurs when a blood clot travels to the lungs and blocks the pulmonary artery.

d)

D. It’s a disorder where the airways in the lungs become narrowed, making it difficult to breathe.

54.

David sustained leg injury due to accident. When Nurse Ali assessed the patient he noticed of sudden dyspnea, shortness of breath, pleuritic chest pain and tachycardia. David is experiencing?

a)

DVT stenosis

b)

Pulmonary embolism

c)

Pericardial effusion

d)

Cardiac tamponade

55.

Kip complains of pain in the anterior chest that radiates to left side of the neck, shoulder and back. It is aggravated during inspiration, coughing and swallowing. This is:

a)

Myocarditis

b)

Pericarditis

c)

Endocarditis

d)

Cardiomyopathy

56.

Rosanov is admitted in the hospital. He complains of fever, weakness and body malaise. History reveals, IV drug users, had dental procedure for 3-6 months. Laboratory shows increase ESR. The nurse suspects that this is?

a)

Myocarditis

b)

Pericarditis

c)

Endocarditis

d)

Cardiomyopathy

57.

Sub acute or chronic disorder of the heart muscle. The only management is heart transplant.

a)

Myocarditis

b)

Pericarditis

c)

Endocarditis

d)

Cardiomyopathy

58.

Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis. Nurse James deals with pedia complications. Which of the following would be the possible disorder?

a)

Tetanus

b)

Rheumatic fever

c)

Valvular stenosis

d)

Influenza

59.

A patient with endocarditis is experiencing a painless macules on palms and soles. This is:

(a)  

60.

The most dreaded complication of pericarditis which prevents the heart from filling properly and unable to pump blood effectively.

a)

Pleural effusion

b)

Pericardial effusion

c)

Cardiac tamponade

d)

becks triad

61.

The triad in cardiac tamponade includes the following:

a)

Distended neck vein, distant sound and decrease blood pressure

b)

Distended neck vein, distant sound and increase blood pressure

c)

Distended neck vein, distant sound and normal blood pressure

d)

flat neck vein, distant sound and decrease blood pressure

62.

Inability of the valve to close completely causing regurgitation.

a)

Valvular sufficiency

b)

Valvular stenosis

c)

Mitral valve prolapse

d)

Valvular insufficiency

63.

Inability of the valves to open completely causing narrowing.

a)

Valvular sufficiency

b)

Valvular stenosis

c)

Mitral valve prolapse

d)

Rheumatic fever

64.

It is the bulging or ballooning of mitral valve into the left atrium.

a)

Valvular sufficiency

b)

Valvular stenosis

c)

Mitral valve prolapse

d)

Rheumatic fever