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Question 1

What should be positioned over the brachial artery during blood pressure measurement?

Answer 1

The bell of a stethoscope

The bell is used because Korotkoff sounds are low in pitch and are better detected with it.

Question 2

What is the method to identify the systolic blood pressure?

Answer 2

Inflate the cuff to the target level, then deflate slowly and note the level when at least two consecutive beats are heard

This indicates the systolic pressure.

Question 3

What indicates the diastolic blood pressure during measurement?

Answer 3

The point when sounds become muffled and disappear

Confirm by listening as the pressure falls another 10 to 20 mm Hg.

Question 4

What should you do after taking initial blood pressure readings?

Answer 4

Wait 2 or more minutes and repeat the measurements

Average the readings and take additional readings if the first two differ by more than 5 mm Hg.

Question 5

How should blood pressure be measured in both arms?

Answer 5

Measure in both arms at least once and use the arm with the higher pressure for subsequent readings

A normal difference can be up to 10 mm Hg.

Question 6

What is the blood pressure classification for adults under JNC 8 guidelines for prehypertension?

Answer 6

Systolic 120-139 mm Hg and Diastolic 80-89 mm Hg

Prehypertension indicates a risk for developing hypertension.

Question 7

What defines Stage 1 hypertension for ages >18 to <60 years?

Answer 7

Systolic 140-159 mm Hg and Diastolic 90-99 mm Hg

This classification indicates a need for lifestyle changes and possibly medication.

Question 8

What is the classification for Stage 2 hypertension for those aged >60 years and older?

Answer 8

Systolic 150 or higher and Diastolic 90 or higher

This stage requires more aggressive treatment.

Question 9

True or False: In isolated systolic hypertension, the diastolic blood pressure is ≥90 mm Hg.

Answer 9

False

In isolated systolic hypertension, systolic blood pressure is ≥140 mm Hg, and diastolic blood pressure is <90 mm Hg.

Question 10

What is the method to assess heart rate using the radial pulse?

Answer 10

Compress the radial artery until maximal pulsation is detected, then count for 30 seconds and multiply by 2

This method gives the heart rate.

Question 11

What are the key aspects to examine in arterial pulses?

Answer 11

Heart rate, rhythm, amplitude, and contour of the pulse wave

These aspects provide information on cardiovascular health.