Chapter 22 Medical Surgical Test Bank 2023

Chapter 22 Medical Surgical Test Bank
2023
A patient on antihypertensive medication has no insurance, three children, and reports
feeling great and exercising daily. What should the nurse include in this patients
teaching plan to promote compliance?
a. Encourage increased rest periods.
b. Provide names of support groups.
c. Refer the patient for financial assistance.
d. Schedule an annual physical examination. - CORRECT ANSWERS C
A patients current blood pressure reading is 144/94 mm Hg. A reading of 150/96 mm Hg
was obtained on a prior occasion. Which type of hypertension should the nurse
recognize that this patient is experiencing?
a. Prehypertension
b. Stage 1
c. Stage 2
d. Hypertensive emergency - CORRECT ANSWERS B
The nurse is caring for a patient who is prescribed a thiazide diuretic. What instructions
should the nurse provide this patient who reports fatigue due to sleep deprivation?
a. Make position changes quickly.
b. Take your medication early in the day.
c. Take your medication before bedtime.
d. Empty your bladder after the first dose. - CORRECT ANSWERS B
The nurse is measuring blood pressures during a screening clinic. Which participant
statement indicates that teaching about blood pressure has been effective?
a. My blood pressure is 118/68, which is normal.
b. I need to keep my blood pressure around 130/90.
c. Since my blood pressure is 148/94, Im considered to have prehypertension.
d. My blood pressure is 158/88, so I should have it checked at least twice a year. -
CORRECT ANSWERS A
The nurse is measuring blood pressures during a screening clinic. For which blood
pressure reading should the nurse instruct a patient to have follow-up in one year?
a. 108/80 mm Hg
b. 132/88 mm Hg
c. 148/94 mm Hg
d. 159/88 mm Hg - CORRECT ANSWERS B
The nurse is measuring blood pressures during a screening clinic. Which recommended
follow-up time frame should the nurse suggest to a patient for a blood pressure reading
of 118/72 mm Hg?
a. 1 month
b. 2 months
c. l year
d. 2 years - CORRECT ANSWERS D
The nurse measures a blood pressure of 166/100 mm Hg on a participant of a
screening clinic. Which follow-up should the nurse recommend to this participant?
a. 1 month
b. 2 months
c. 12 months
d. 24 months - CORRECT ANSWERS A
The nurse is planning care for patients with hypertension. Which ethnic group should
the nurse understand is most sensitive to the effects of the beta blocker propranolol
(Inderal)?
a. Chinese
b. Koreans
c. African Americans
d. Japanese Americans - CORRECT ANSWERS C
The nurse is planning care for a group of patients. Which individual should the nurse
identify as being at the highest risk for developing hypertension?
a. A 60-year-old Japanese American man
b. A 56-year-old African American woman
c. A 45-year-old female tourist from China
d. A 51-year-old man who recently emigrated from Korea - CORRECT ANSWERS B
A patient asks the nurse what the doctor meant by the phrase, hypertensive emergency.
Which explanation should the nurse provide?
a. It means that youve had a small stroke.
b. It refers to an episode of very high blood pressure.
c. Its when the heart is failing to pump blood effectively.
d. It means the heart has become hyperactive and is beating too fast. - CORRECT
ANSWERS B
The nurse is monitoring a patient with a hypertensive urgency. Which manifestation
should the nurse expect to find?
a. Muscle weakness
b. Urinary retention
c. Severe headaches
d. Irregular heartbeats - CORRECT ANSWERS C