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Antihypertensive Nursing Quiz

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

A patient on hydrochlorothiazide complains of muscle weakness and cramps. The nurse suspects:

a)

Hypernatremia

b)

Hyperkalemia

c)

Hypokalemia

d)

Hypercalcemia

2.

The most important nursing instruction for a patient taking antihypertensives is to:

a)

Stop the drug once BP is normal

b)

Take the drug only when BP is high

c)

Take the drug consistently as prescribed

d)

Double the dose if BP rises

3.

Which antihypertensive drug group is most likely to cause postural hypotension?

a)

Beta blockers

b)

ACE inhibitors

c)

Diuretics

d)

Alpha blockers

4.

A patient taking ACE inhibitors should be monitored closely for:

a)

Bradycardia

b)

Persistent dry cough

c)

Hypoglycemia

d)

Constipation

5.

The priority nursing action before administering any antihypertensive drug is to:

a)

Check blood glucose

b)

Check pulse rate only

c)

Measure blood pressure

d)

Ask about last meal

6.

Which instruction is most appropriate for a patient on beta blockers?

a)

Stop drug if tired

b)

Avoid sudden withdrawal

c)

Take with alcohol

d)

Increase salt intake

7.

A patient on furosemide is at highest risk of:

a)

Fluid overload

b)

Hyperkalemia

c)

Electrolyte imbalance

d)

Hypertension crisis

8.

The nurse knows antihypertensives are effective when the patient:

a)

Complains less of headache

b)

Has BP within target range

c)

Sleeps better

d)

Has increased appetite

9.

Which nursing diagnosis is most appropriate for a patient newly placed on antihypertensives?

a)

Risk for fluid volume excess

b)

Risk for injury related to hypotension

c)

Impaired skin integrity

d)

Ineffective airway clearance

10.

A patient on antihypertensives feels dizzy when standing. The best nursing advice is to:

a)

Sit and stand up slowly

b)

Increase drug dose

c)

Skip next dose

d)

Lie flat immediately

11.

Which food should a patient on ACE inhibitors be cautious with?

a)

Low-fat milk

b)

Citrus fruits

c)

Potassium-rich foods

d)

Whole grains

12.

The main goal of antihypertensive therapy is to:

a)

Cure hypertension

b)

Reduce BP fluctuations

c)

Prevent target organ damage

d)

Increase heart rate

13.

Which assessment finding requires immediate reporting in a patient on antihypertensives?

a)

Mild fatigue

b)

BP 120/80 mmHg

c)

Severe dizziness and fainting

d)

Increased urine output

14.

When caring for a patient with hypertension, the nurse should advise:

a)

High-salt diet

b)

Regular BP monitoring

c)

Avoid physical activity

d)

Increase alcohol intake

15.

Which drug class reduces blood pressure by reducing blood volume?

a)

Calcium channel blockers

b)

Beta blockers

c)

Diuretics

d)

ACE inhibitors

16.

A patient taking calcium channel blockers should be monitored for:

a)

Dry cough

b)

Constipation and edema

c)

Hypoglycemia

d)

Increased urination

17.

Which nursing role is most important in managing hypertension?

a)

Drug prescription

b)

Health education and lifestyle modification

c)

Laboratory diagnosis

d)

Surgical intervention

18.

The nurse explains that antihypertensives should be taken:

a)

Only when symptoms appear

b)

Only in the morning

c)

Lifelong in most cases

d)

Until BP normalizes

19.

Which complication can result from poor adherence to antihypertensive therapy?

a)

Hypotension only

b)

Kidney failure and stroke

c)

Increased appetite

d)

Weight loss

20.

During health education, the nurse emphasizes that hypertension is:

a)

Always symptomatic

b)

A short-term illness

c)

A silent killer

d)

Caused only by stress

21.

Which phase of disaster management focuses on reducing the impact before a disaster occurs?

a)

Response

b)

Recovery

c)

Mitigation

d)

Preparedness

22.

The first nursing action at the scene of a mass casualty incident is to:

a)

Treat the most injured

b)

Triage victims

c)

Provide health education

d)

Document findings

23.

A victim with airway obstruction and severe bleeding should be tagged:

a)

Green

b)

Yellow

c)

Red

d)

Black

24.

Which patient should receive a green tag during disaster triage?

a)

Unconscious patient

b)

Open chest wound

c)

Minor abrasion, walking wounded

d)

Severe head injury

25.

Which task can be delegated to a nursing assistant?

a)

Administer IV medications

b)

Assess chest pain

c)

Measure and record vital signs

d)

Provide patient discharge teaching

26.

The nurse is delegating care for a stable patient. Which task should NOT be delegated?

a)

Bed making

b)

Bathing the patient

c)

Assessment of breath sounds

d)

Assisting with ambulation

27.

The pacemaker of the heart is the:

a)

AV node

b)

Bundle of His

c)

SA node

d)

Purkinje fibers

28.

The correct sequence of electrical conduction in the heart is:

a)

AV node → SA node → Purkinje fibers → Bundle of His

b)

SA node → AV node → Bundle of His → Purkinje fibers

c)

Purkinje fibers → SA node → AV node → Bundle of His

d)

SA node → Bundle of His → AV node → Purkinje fibers

29.

The main function of the left ventricle is to:

a)

Receive deoxygenated blood

b)

Pump blood to the lungs

c)

Pump oxygenated blood to the body

d)

Regulate heart rhythm

30.

A patient presents with chest pain, sweating, and shortness of breath. What is the priority nursing action?

a)

Take full history

b)

Administer oxygen

c)

Give oral fluids

d)

Reassure the patient

31.

The functional unit of the kidney is the:

a)

Calyx

b)

Nephron

c)

Pelvis

d)

Ureter

32.

Which structure is responsible for filtration of blood in the kidney?

a)

Loop of Henle

b)

Collecting duct

c)

Glomerulus

d)

Renal pelvis

33.

The primary function of the kidney is to:

a)

Produce hormones only

b)

Regulate body temperature

c)

Maintain fluid and electrolyte balance

d)

Digest food

34.

A patient with acute kidney injury has no urine output for 8 hours. What is the nurse’s priority action?

a)

Encourage oral fluids

b)

Document and observe

c)

Notify the physician immediately

d)

Check blood pressure next shift

35.

In disaster situations, care is provided based on:

a)

Age

b)

Social status

c)

Severity of injury and survival chance

d)

Time of arrival

36.

When delegating tasks, the nurse retains responsibility for:

a)

Completing the task

b)

Supervision and evaluation

c)

Documentation only

d)

Patient cooperation

37.

A dead victim at a disaster scene should be tagged:

a)

Red

b)

Yellow

c)

Green

d)

Black

38.

Which patient should the nurse attend to FIRST?

a)

Patient with fracture and stable vitals

b)

Patient with severe bleeding

c)

Patient with mild headache

d)

Patient waiting for lab results

39.

A patient suddenly becomes unconscious and pulseless. The priority nursing action is to:

a)

Call relatives

b)

Start CPR

c)

Take blood pressure

d)

Document the event

40.

The nurse uses which principle to determine priority of care?

a)

FIFO

b)

Maslow’s hierarchy of needs

c)

Nursing process only

d)

Medical diagnosis