Try Naxlex NCLEX-RN (Free-Trial)

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension?
(Select All that Apply.)

Frequent headaches

Blood pressure consistently at goal

Normal renal function tests

Steady weight with no recent gain

Proteinuria on urinalysis

Left ventricular hypertrophy on echocardiogram

Absence of retinal changes on fundoscopic exam

Answer and Explanation

Correct Answer : E,F

A.   Frequent headaches can be a symptom of hypertension but are not specific to poorly managed hypertension.
B.   Blood pressure consistently at goal indicates good management of hypertension.
C.   Normal renal function tests suggest that there has been no damage to the kidneys, a common consequence of poorly controlled hypertension.
D.   Steady weight with no recent gain suggests good management of overall health, which can contribute to better blood pressure control.
E.   Proteinuria indicates kidney damage, often a result of uncontrolled hypertension.
F.   Left ventricular hypertrophy (LVH) is a sign of chronic hypertension and indicates poor management, as it results from the heart working harder to pump blood against increased pressure.
G.   Absence of retinal changes on fundoscopic exam indicates that there is no evidence of hypertensive retinopathy, suggesting good hypertension management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C","E","F"]

Explanation

A. A diet rich in fruits and vegetables is generally protective against colorectal cancer due to the high fiber content and antioxidants, reducing cancer risk.
B. Moderate alcohol consumption can increase the risk of colorectal cancer, as alcohol has been linked to inflammation and changes in gut microbiota, which may contribute to carcinogenesis.
C. A diet high in red and processed meats has been strongly associated with an increased risk of colorectal cancer due to the presence of carcinogenic substances like nitrates and heterocyclic amines in processed meats.

D. A low body mass index (BMI) is actually protective against cancer in general, as obesity is a significant risk factor for colorectal cancer due to its association with increased inflammation and insulin resistance.
E. Genetic factors such as having a family history of colorectal cancer increase the risk significantly. Inherited syndromes like familial adenomatous polyposis or Lynch syndrome increase the likelihood of developing this cancer.
F. Chronic inflammatory bowel diseases such as Crohn's disease or ulcerative colitis increase the risk of colorectal cancer due to the prolonged inflammation and cellular damage they cause in the colon.
G. Regular physical activity has a protective effect against colorectal cancer by reducing inflammation, improving immune function, and regulating bowel movement.

Correct Answer is ["320"]

Explanation

Net fluid balance = Total intake - Total output

Rationale:

Total intake:

IV fluids: 1,000 mL

Antibiotic infusion: 250 mL

Oral intake: 3 cups x 240 mL = 720 mL

Total intake = 1,000 + 250 + 720 = 1,970 mL Total output:

Urine: 1,200 mL

Vomiting: 300 mL Wound drainage: 150 mL

Total output = 1,200 + 300 + 150 = 1,650 mL

Net fluid balance = 1,970 mL - 1,650 mL = +320 mL

The patient has a positive fluid balance of 320 mL.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 55-year-old patient is diagnosed with colorectal cancer. Which factors are associated with an increased risk of developing this type of cancer? (Select All that Apply.)

Correct Answer is ["C","E","F"]

Explanation

Correct Answer is ["320"]

Explanation

Rationale:

A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition? (Select All that Apply.)

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

A 45-year-old patient with a history of chronic alcohol use presents to the emergency department with epigastric pain, nausea, and vomiting. Which of the following findings would best support a diagnosis of acute gastritis?

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension?
(Select All that Apply.)