Coronary Artery Disease (CAD) & Acute Coronary
Syndrome (ACS) - H&H IV Questions With Complete
Solutions
A client experienced sudden cardiac death (SCD) while
hospitalized and survived. Which intervention should the nurse
expect to be used as a preventative treatment for this client while
at home?
a) External pacemaker
b) An electrophysiological study (EPS)
c) Medications to prevent dysrhythmias
d) Implantable cardioverter-defibrillator (ICD) Correct Answers
D
A client has a history of angina and is being treated with nitrates
and beta blockers. Which important information should the
nurse give to the client regarding sexuality?
a) "You cannot have sexual intercourse while taking these
medicines"
b) "You cannot take medicines like Viagra"
c) "Stop taking beta blockers, because they can cause
impotence"
d) "Stop taking nitrates when planning to have sexual
intercourse" Correct Answers B
A client is scheduled a dose of metoprolol. The nurse should
withhold the dose and consult the health care provider after
noting which assessment finding?
a) Migraine headache
b) Pulse 112 beats/minute
c) Expiratory crackles
,d) Blood sugar 12 mmol/L Correct Answers C
A client is scheduled for gastrointestinal surgery. Upon checking
the client's history, it is found that the client is on long-term
anticoagulation therapy. Which action should the nurse take?
a) Provide verbal therapy to minimize the risk of postoperative
bleeding
b) Instruct the client to discontinue the anticoagulation therapy 1
week before the surgery
c) Instruct the client to discontinue the anticoagulation therapy
and expect to administer IV heparin during the perioperative
period
d) Provide the client with information to resume anticoagulation
therapy 1 month after surgery Correct Answers C
A client was admitted to the emergency department (ED) 24
hours earlier with complaints of chest pain that subsequently
were attributed to ST segment elevation myocardial infarction
(STEMI). Which complication of myocardial infarction (MI)
should the nurse anticipate?
a) Unstable angina
b) Cardiac tamponade
c) Sudden cardiac death
d) Cardiac dysrhythmias Correct Answers D
A client with angina asks the nurse about the cause of the pain.
The nurse should teach the client that which pathophysiological
change is the primary cause of the pain?
a) Atherosclerosis
b) Myocardial ischemia
c) Movement of a thromboembolus
, d) Coronary artery vasoconstriction Correct Answers B
A client with chronic stable angina has received a prescription
for nitroglycerin. The nurse tells the client that orthostatic
hypotension is an important side effect of this drug. To prevent
complications associated with the side effect, which information
should the nurse include in the client's teaching?
a) Use acetaminophen before taking nitroglycerin to prevent
headaches
b) Avoid sudden changes in position after taking nitroglycerin to
prevent falls
c) Use NSAIDs before taking nitroglycerin to prevent flushing
d) Do not use the nitroglycerin if it causes a tingling sensation
when administered Correct Answers B
A female client who has type 1 diabetes mellitus has chronic
stable angina that is controlled with rest. She states that over the
past few months she had required increasing amounts of insulin.
Which goal should the nurse use to plan care to help prevent
cardiovascular disease progression?
a) Exercise almost everyday
b) Avoid saturated fat intake
c) Limit calories to daily limit
d) Keep Hgb A1C less than 7% Correct Answers D
A teenage girl survived an episode of sudden cardiac death
(SCD) and is recovering in the intensive care unit (ICU). The
nurse anticipates which intervention to prevent a recurrence?
a) Drug therapy with beta-blocker
b) Coronary artery bypass graft (CABG)
c) Percutaneous coronary intervention (PCI)
Syndrome (ACS) - H&H IV Questions With Complete
Solutions
A client experienced sudden cardiac death (SCD) while
hospitalized and survived. Which intervention should the nurse
expect to be used as a preventative treatment for this client while
at home?
a) External pacemaker
b) An electrophysiological study (EPS)
c) Medications to prevent dysrhythmias
d) Implantable cardioverter-defibrillator (ICD) Correct Answers
D
A client has a history of angina and is being treated with nitrates
and beta blockers. Which important information should the
nurse give to the client regarding sexuality?
a) "You cannot have sexual intercourse while taking these
medicines"
b) "You cannot take medicines like Viagra"
c) "Stop taking beta blockers, because they can cause
impotence"
d) "Stop taking nitrates when planning to have sexual
intercourse" Correct Answers B
A client is scheduled a dose of metoprolol. The nurse should
withhold the dose and consult the health care provider after
noting which assessment finding?
a) Migraine headache
b) Pulse 112 beats/minute
c) Expiratory crackles
,d) Blood sugar 12 mmol/L Correct Answers C
A client is scheduled for gastrointestinal surgery. Upon checking
the client's history, it is found that the client is on long-term
anticoagulation therapy. Which action should the nurse take?
a) Provide verbal therapy to minimize the risk of postoperative
bleeding
b) Instruct the client to discontinue the anticoagulation therapy 1
week before the surgery
c) Instruct the client to discontinue the anticoagulation therapy
and expect to administer IV heparin during the perioperative
period
d) Provide the client with information to resume anticoagulation
therapy 1 month after surgery Correct Answers C
A client was admitted to the emergency department (ED) 24
hours earlier with complaints of chest pain that subsequently
were attributed to ST segment elevation myocardial infarction
(STEMI). Which complication of myocardial infarction (MI)
should the nurse anticipate?
a) Unstable angina
b) Cardiac tamponade
c) Sudden cardiac death
d) Cardiac dysrhythmias Correct Answers D
A client with angina asks the nurse about the cause of the pain.
The nurse should teach the client that which pathophysiological
change is the primary cause of the pain?
a) Atherosclerosis
b) Myocardial ischemia
c) Movement of a thromboembolus
, d) Coronary artery vasoconstriction Correct Answers B
A client with chronic stable angina has received a prescription
for nitroglycerin. The nurse tells the client that orthostatic
hypotension is an important side effect of this drug. To prevent
complications associated with the side effect, which information
should the nurse include in the client's teaching?
a) Use acetaminophen before taking nitroglycerin to prevent
headaches
b) Avoid sudden changes in position after taking nitroglycerin to
prevent falls
c) Use NSAIDs before taking nitroglycerin to prevent flushing
d) Do not use the nitroglycerin if it causes a tingling sensation
when administered Correct Answers B
A female client who has type 1 diabetes mellitus has chronic
stable angina that is controlled with rest. She states that over the
past few months she had required increasing amounts of insulin.
Which goal should the nurse use to plan care to help prevent
cardiovascular disease progression?
a) Exercise almost everyday
b) Avoid saturated fat intake
c) Limit calories to daily limit
d) Keep Hgb A1C less than 7% Correct Answers D
A teenage girl survived an episode of sudden cardiac death
(SCD) and is recovering in the intensive care unit (ICU). The
nurse anticipates which intervention to prevent a recurrence?
a) Drug therapy with beta-blocker
b) Coronary artery bypass graft (CABG)
c) Percutaneous coronary intervention (PCI)
