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NCLEX Question of the Day

July 12, 2026 Physiological Adaptation

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Physiological Adaptation QID 68

A patient with a history of chronic hypertension is diagnosed with hypertensive retinopathy. Which of the following is the most accurate description of how chronic hypertension leads to hypertensive retinopathy?

  1. Hypertension causes increased intraocular pressure leading to retinal damage.

  2. Correct answer Chronic hypertension causes damage to the retinal arterioles, leading to retinal ischemia and hemorrhage.

  3. Chronic hypertension induces autoimmune reactions against retinal tissue.

  4. Hypertension causes a hypercoagulable state leading to retinal vein thrombosis.

Rationale

Hypertensive retinopathy is a complication of chronic hypertension where the persistently elevated blood pressure causes damage to the retinal arterioles. This damage can result in retinal ischemia (lack of blood flow) and hemorrhage, which can adversely affect vision. It's not primarily associated with increased intraocular pressure, a hypercoagulable state, or autoimmune reactions against retinal tissue.

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