Antihypertensive Practice Questions With Explanations of Answers Latest Update 2024 - 2025

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Antihypertensive Practice

A 33-year-old woman has been on an ACE inhibitor to control her BP. She tells the
nurse that she is planning to get pregnant soon. What statement underlies the
nurse's response?

A. The woman will have to reduce the dosage of her ACE inhibitor because it can
cross the placenta
B. The woman can safely take her ACE inhibitor during pregnancy
C. ACE inhibitors will exacerbate the fluid overload that commonly accompanies
pregnancy

✅✅
D. ACE inhibitors are contraindicated during pregnancy because they are teratogenic
- -D. ACE inhibitors are contraindicated during pregnancy because they are
teratogenic

A middle aged patient has achieved adequate BP control through the use of captopril
and hydrochlorothiazide. Hydrochlorothiazide contributes to a reduction in this
patient's BP by:

A. Blocking the conversion of angiotensin I to angiotensin II


B. Increasing renal excretion of sodium and water

✅✅-B. Increasing
C. Dilating peripheral arteries and relaxing vascular muscle
D. Blocking the blood pressure-raising effects of angiotensin II -
renal excretion of sodium and water

A patient is taking a sustained release antihypertensive. The nurse should include


which patient teaching about this medication?

A. Take your blood pressure at night time when are are rested
B. Take the drug in the evening time so it has time to work

✅✅-D. Swallow the


C. Use OTC drugs to control side effects of HA
D. Swallow the drug whole and do not cut, crush, or chew it -
drug whole and do not cut, crush, or chew it

(sustained release)

A patient newly diagnosed with hypertension has just been given a prescription for
medication. What would be the most important short term outcome for this patient?

A. A blood pressure of 120/80


B. Having taken his first dose of medication

✅✅-B. Having taken his


C. A discussion with his insurance about the cost of the drug
D. Verbalization of why he should take his BP medication -
first dose of medication
ACEs participate in the renin-angiotensin-aldosterone system to have which of the
following physiologic effects?

A. Inhibit conversion of angiotensin II to angiotensin I


B. Vasoconstriction and sodium retention

✅✅
C. Promote sodium and water excretion
D. Stimulate vasodilation and inhibit depletion - -B. Vasoconstriction and
sodium retention

Primary hypertension comprises 90% to 96% of hypertensive cases. Which drug


group is not used in the management of primary hypertension?

A. Direct vasoconstrictors
B. ACE inhibitors

✅✅-A. Direct vasoconstrictors


C. Antiadrenergics
D. Angiotensin II receptor blockers -

Routine lab monitoring in clients taking beta blockers should include:

A. Sodium
B. Glucose

✅✅-B. Glucose
C. Troponin
D. Potassium -

(Masks signs of hypo/hyperglycemia)

When teaching about vasodilator administration, the nurse should instruct the client
to:

A. Change positions slowly


B. Take the pulse daily

✅✅-A. Change positions slowly


C. Reduce salt intake
D. Chew the sustained release tablets -

Which of the following adverse reactions from calcium channel blockers is found
more often in volume depleted elderly clients?

A. Bradycardia
B. Conduction defects

✅✅
C. Ankle edema
D. Hypotension - -D. Hypotension
Which of the following clients is more likely to experience adverse effects from
treatment with diuretics?

A. A 21-year-old client
B. A 40-year-old client

✅✅-D. A 75-year-old client


C. A 60-year-old client
D. A 75-year-old client -

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