Share this article on:

Hypertension: The pressure's on

doi: 10.1097/01.NME.0000382952.60393.9b
CE Connection

For more than 58 additional continuing-education articles related to cardiovascular topics, go to

Earn CE credit online: Go to and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS Hypertension: The pressure's on



Back to Top | Article Outline


  • To take the test online, go to our secure Web site at
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 54. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
  • Registration deadline is August 31, 2012.
Back to Top | Article Outline


  • Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail and deduct $0.95 from the price of each test.
  • We also offer CE accounts for hospitals and other health care facilities on Call 1-800-787-8985 for details.
Back to Top | Article Outline


Lippincott Williams & Wilkins, publisher of Nursing made Incredibly Easy!, will award 2.0 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454.

Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Hypertension: The pressure's on

GENERAL PURPOSE: To provide the professional nurse with an update on hypertension and its management. LEARNING OBJECTIVES: After reading this article and taking this test, you'll be able to: 1. Discuss the pathophysiology, risk factors, and indicators of hypertension. 2. Describe the treatment goals and management of hypertensive patients.

1. One theory of hypertension development states that

a. changes in the arteriolar bed cause a decrease in TPR.

b. abnormally decreased tone in the sympathetic nervous system causes increased TPR.

c. increased arteriolar thickening caused by genetic factors leads to increased TPR.

2. Which statistic about hypertension is accurate?

a. 95% of hypertensive patients have primary hypertension.

b. 95% of patients with insulin-dependent diabetes have hypertension.

c. 60% of hypertensive patients with diabetes achieve BP control.

3. Risk factors for primary hypertension include

a. diabetes.

b. adrenal tumors.

c. arteriosclerosis.

4. Secondary hypertension may be caused by

a. smoking.

b. arteriosclerosis.

c. stress.

5. Which is least likely to be a sign or symptom of hypertension?

a. papilledema

b. nocturia

c. diminished peripheral pulses

6. Which statement about BP measurement is correct?

a. A cuff that's too large can register an artificially high reading.

b. Patients should rest at least 30 minutes before a BP reading.

c. A difference of greater than 20 mm Hg between arms may indicate subclavian vascular disease.

7. For a patient with diabetes, the goal of treatment is to maintain a BP of

a. 120/70 or lower.

b. 130/80 or lower.

c. 140/90 or lower.

8. Which is a recommended way to lower BP?

a. performing 15 minutes of aerobic exercise daily

b. reducing saturated fat intake

c. losing 3 to 4 pounds of excess weight/week

9. Which statement about the DASH diet is correct?

a. Dairy is the most essential part of this diet.

b. One month on the DASH diet usually lowers BP and LDL.

c. It recommends four servings of fresh fruits and vegetables daily.

10. Which statement about sodium intake is correct?

a. Most Americans consume between 2 and 3 g of sodium daily.

b. 10% of sodium intake comes from table and cooking salt.

c. A low-sodium food should contain less than 200 mg/serving.

11. Alcohol consumption recommendations indicate that

a. women may have up to 6 ounces of spirits daily.

b. men may consume 20 ounces of red wine daily.

c. 48 ounces of beer exceeds the daily limit for men.

12. Which drug class is usually a first-line therapy for hypertension?

a. thiazide diuretics

b. calcium channel blockers

c. ARBs

13. Calcium channel blockers are useful in hypertension for

a. causing arterial constriction.

b. increasing cardiac output.

c. patients unable to tolerate other drug types.

14. Which statement about the use of ACE inhibitors and ARBs is correct?

a. ARBs quickly reduce the vasoconstrictive action of angiotensin II.

b. Both stimulate the sympathetic and renin-angiotensin-aldosterone systems.

c. ACE inhibitors are contraindicated in patients with diabetes.

15. Education for hypertensive patients is critical because

a. about 75% stop their medications within 1 year.

b. BP control is achieved by only 50% of patients.

c. patients often believe their medications aren't working.

16. Which statement to your hypertensive patient will be most appropriate?

a. Following recommended lifestyle changes and medications can cure your hypertension.

b. It may take up to 2 to 3 months for your taste buds to acclimate to reduced salt intake.

c. Monitoring your BP at home is generally inaccurate and not advised.

17. Which statement about hypertensive patients with diabetes is correct?

a. Half of all patients with insulin-dependent diabetes have hypertension.

b. Only 25% of hypertensive patients with diabetes have their BP under control.

c. Left ventricular remodeling caused by hypertension is irreversible.

18. One major risk factor for cardiovascular problems in hypertensive patients is

a. a glomerular filtration rate of 60 mL/minute.

b. microalbuminuria.

c. a body mass index of greater than or equal to 25 kg/m2.





© 2010 Lippincott Williams & Wilkins, Inc.