NUR 209 Exam 2: Questions & Answers
(Cardiovascular)
The nurse is reviewing the medical record of a client who has returned to the clinic for a follow-up visit. On several previous visits, the client's blood
pressure readings were as follows: 124/80 mm Hg; 132/86 mm Hg; 130/88
mm Hg. The client's blood pressure today is 128/82 mm Hg. Which statement by the nurse best reflects appropriate education for this client?
"Your blood pressure is normal. Keep up the good work!"
"Your blood pressure is moderately elevated. This is known as hypertension."
"Your blood pressure is significantly elevated. This is known as a hypertensive crisis."
"Your blood pressure is slightly elevated. This is known as prehypertension." (Ans- "Your blood pressure is slightly elevated. This is known as prehypertension."
Rationale: The patient's blood pressure readings fall within the
prehypertension category, with a systolic blood pressure between 120 to 139 mm Hg and a diastolic blood pressure between 80 to 89 mm Hg.
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Prep U A 45-year-old client with a history of hypertension asks the nurse about starting an exercise program. When counseling this client, which suggestion would be most appropriate?
"Try using one of those energy drinks to help you get through the exercise program."
"Be sure to have a physical exam before you start any intensive exercise program."
"Check out the local fitness center for some help in getting really active."
"It is also a good idea to visit a dietitian if you are starting an exercise program." (Ans- "Be sure to have a physical exam before you start any intensive exercise program."
Prep U
The nurse is assessing a client who comes to the urgent care clinic with the general report, "I just do not feel good." Which action should the nurse prioritize when noting the client's blood pressure is 198/130 mm Hg?
Notify the health care provider immediately Document reading in the medical record Attach a blood pressure monitor to the client Recheck the blood pressure after 5 minutes (Ans- Notify the health care provider immediately
Prep U
The nurse is assessing a 54-year-old client with a history of alcohol use disorder, who presents with a strong odor of alcohol on the breath, slurred 2 / 3
speech, and poor coordination. Which finding on the assessment will the nurse anticipate?
Slightly elevated temperature
Elevated blood pressure
No bowel sounds
Hyperactivity (Ans- Elevated blood pressure
Prep U
The nurse is caring for several clients on the unit. Which client should the nurse prioritize interventions because of possible formation of thrombi?
A 32-year-old client preparing for discharge after surgery for a fractured fibula
An unconscious 29-year-old client who suffered a head injury in an accident
A 58-year-old client who underwent an emergent appendectomy
A 28-year-old client who is in traction for a fractured right femur (Ans- An unconscious 29-year-old client who suffered a head injury in an accident
Rationale: The immobile and unconscious client has the highest risk for
developing a thrombi due to lack of movement and the nurse will need to ensure the client is provided proper care to help eliminate this potential risk.
Prep U
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