Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client with hypertension asks the nurse if stress could be contributing to their condition. How should the nurse respond?
A. "Stress has no effect on blood pressure and does not contribute to hypertension."
This option is incorrect. Stress can have a significant impact on blood pressure, especially in individuals with hypertension.
B. "While stress can impact blood pressure temporarily, it is not a significant factor in developing hypertension."
This option is incorrect. Stress can be a significant factor in the development and worsening of hypertension, not just a temporary effect.
C. "Stress can lead to elevated blood pressure, contributing to the development and worsening of hypertension."
Correct answer. Stress can lead to elevated blood pressure, as it activates the sympathetic nervous system and increases the release of stress hormones like cortisol, contributing to hypertension.
D. "Stress only affects blood pressure in individuals who have a family history of hypertension."
This option is incorrect. Stress can affect blood pressure in all individuals, regardless of family history. It is a modifiable risk factor that can be managed through stress-reduction techniques.Questions
This question is an excerpt from Nurse Dive's nursing test bank - Hypertension. Take the full exam now
Full Explanation
A) This option is incorrect. Stress can have a significant impact on blood pressure, especially in individuals with hypertension.
B) This option is incorrect. Stress can be a significant factor in the development and worsening of hypertension, not just a temporary effect.
C) Correct answer. Stress can lead to elevated blood pressure, as it activates the sympathetic nervous system and increases the release of stress hormones like cortisol, contributing to hypertension.
D) This option is incorrect. Stress can affect blood pressure in all individuals, regardless of family history. It is a modifiable risk factor that can be managed through stress-reduction techniques.
Questions
Similar Questions
A client asks the nurse about common symptoms associated with hypertension. How should the nurse respond?
A. "Hypertension typically presents with severe headaches and visual disturbances."
This option is incorrect. While severe headaches and visual disturbances can occur in hypertensive crises, they are not typical symptoms of hypertension in its early stages.
B. "Most individuals with hypertension experience chest pain and shortness of breath."
This option is incorrect. Chest pain and shortness of breath are not common symptoms of hypertension.
C. "Hypertension is often asymptomatic in its early stages, but may cause occasional nosebleeds and fatigue."
Correct answer. Hypertension is often asymptomatic in its early stages, earning it the nickname "silent killer." Occasionally, clients may experience nosebleeds and fatigue, but many individuals with hypertension do not exhibit any noticeable symptoms.
D. "Clients with hypertension commonly report palpitations and increased heart rate."
This option is incorrect. Palpitations and increased heart rate are not typical symptoms of hypertension. These may be indicative of other cardiac conditions.
Full Explanation
A) This option is incorrect. While severe headaches and visual disturbances can occur in hypertensive crises, they are not typical symptoms of hypertension in its early stages.
B) This option is incorrect. Chest pain and shortness of breath are not common symptoms of hypertension.
C) Correct answer. Hypertension is often asymptomatic in its early stages, earning it the nickname "silent killer." Occasionally, clients may experience nosebleeds and fatigue, but many individuals with hypertension do not exhibit any noticeable symptoms.
D) This option is incorrect. Palpitations and increased heart rate are not typical symptoms of hypertension. These may be indicative of other cardiac conditions.
A nurse is assessing a client with hypertension. Which symptom should the nurse be particularly vigilant about, as it could indicate a hypertensive emergency?
A. Blurred vision
This option is incorrect. Blurred vision may be a symptom of hypertension, but it is not specific to hypertensive emergencies.
B. Severe headache
Correct answer. Severe headache is a concerning symptom that could indicate a hypertensive emergency, such as malignant hypertension or hypertensive encephalopathy.
C. Occasional dizziness
This option is incorrect. Occasional dizziness is not specific to hypertensive emergencies, although it may be associated with uncontrolled hypertension.
D. Mild chest discomfort
This option is incorrect. Mild chest discomfort is not a typical symptom of a hypertensive emergency. However, any chest pain should be evaluated promptly as it may be indicative of other cardiac issues.
Full Explanation
A) This option is incorrect. Blurred vision may be a symptom of hypertension, but it is not specific to hypertensive emergencies.
B) Correct answer. Severe headache is a concerning symptom that could indicate a hypertensive emergency, such as malignant hypertension or hypertensive encephalopathy.
C) This option is incorrect. Occasional dizziness is not specific to hypertensive emergencies, although it may be associated with uncontrolled hypertension.
D) This option is incorrect. Mild chest discomfort is not a typical symptom of a hypertensive emergency. However, any chest pain should be evaluated promptly as it may be indicative of other cardiac issues.
A nurse is assessing a client with long-standing uncontrolled hypertension. Which clinical manifestation should the nurse anticipate as a result of target organ damage?
A. Proteinuria and edema
Correct answer. Proteinuria (presence of protein in urine) and edema (swelling) are common signs of kidney damage (nephrosclerosis) resulting from long-standing uncontrolled hypertension.
B. Weight loss and increased appetite
This option is incorrect. Weight loss and increased appetite are not typical manifestations of target organ damage in hypertension.
C. Improved exercise tolerance
This option is incorrect. Improved exercise tolerance is not associated with target organ damage in hypertension.
D. Reduced urine output
This option is incorrect. Reduced urine output is not typically associated with target organ damage in hypertension. However, reduced urine output may occur in acute hypertensive emergencies, such as hypertensive nephropathy.
Full Explanation
A) Correct answer. Proteinuria (presence of protein in urine) and edema (swelling) are common signs of kidney damage (nephrosclerosis) resulting from long-standing uncontrolled hypertension.
B) This option is incorrect. Weight loss and increased appetite are not typical manifestations of target organ damage in hypertension.
C) This option is incorrect. Improved exercise tolerance is not associated with target organ damage in hypertension.
D) This option is incorrect. Reduced urine output is not typically associated with target organ damage in hypertension. However, reduced urine output may occur in acute hypertensive emergencies, such as hypertensive nephropathy.