Chapter 34: Nursing Management: Coronary Artery Disease and Acute Coronary
Syndrome
Test Bank
MULTIPLE CHOICE QUESTIONS WITH CORRECT ANSWERS.
1. When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
a. family history of coronary artery disease.
b. increased risk associated with the patient’s gender.
c. increased risk of cardiovascular disease as people age.
d. elevation of the patient’s low-density lipoprotein (LDL) level.
ANS: D
Because family history, gender, and age are nonmodifiable risk factors, the nurse should focus on
the patient’s LDL level. Decreases in LDL will help reduce the patient’s risk for developing
CAD.
DIF: Cognitive Level: Apply (application) REF: 736
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. Which nursing intervention will be most effective when assisting the patient with coronary
artery disease (CAD) to make appropriate dietary changes?
Give the patient a list of low-sodium, low-cholesterol foods that should be included in the
a. diet.
b. Emphasize the increased risk for heart problems unless the patient makes the dietary
, changes.
Help the patient modify favorite high-fat recipes by using monosaturated oils when
c. possible.
d. Inform the patient that a diet containing no saturated fat and minimal salt will be necessary.
ANS: C
Lifestyle changes are more likely to be successful when consideration is given to the patient’s
values and preferences. The highest percentage of calories from fat should come from
monosaturated fats. Although low-sodium and low-cholesterol foods are appropriate, providing
the patient with a list alone is not likely to be successful in making dietary changes. Completely
removing saturated fat from the diet is not a realistic expectation. Up to 7% of calories in the
therapeutic lifestyle changes (TLC) diet can come from saturated fat. Telling the patient about
the increased risk without assisting further with strategies for dietary change is unlikely to be
successful.
DIF: Cognitive Level: Apply (application) REF: 736-737
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
3. Which assessment data collected by the nurse who is admitting a patient with chest pain
suggest that the pain is caused by an acute myocardial infarction (AMI)?
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes.
c. The pain is relieved after the patient takes nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
, ANS: B
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in pain that occur
with raising the arms or with deep breathing are more typical of musculoskeletal pain or
pericarditis. Stable angina is usually relieved when the patient takes nitroglycerin.
DIF: Cognitive Level: Apply (application) REF: 748
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. Which information given by a patient admitted with chronic stable angina will help the nurse
confirm this diagnosis?
a. The patient states that the pain “wakes me up at night.”
b. The patient rates the pain at a level 3 to 5 (0 to 10 scale).
c. The patient states that the pain has increased in frequency over the last week.
d. The patient states that the pain “goes away” with one sublingual nitroglycerin tablet.
ANS: D
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The level of
pain is not a consistent indicator of the type of angina. Pain occurring at rest or with increased
frequency is typical of unstable angina.
DIF: Cognitive Level: Understand (comprehension) REF: 742
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. After the nurse has finished teaching a patient about the use of sublingual nitroglycerin
(Nitrostat), which patient statement indicates that the teaching has been effective?
a. “I can expect some nausea as a side effect of nitroglycerin.”
Syndrome
Test Bank
MULTIPLE CHOICE QUESTIONS WITH CORRECT ANSWERS.
1. When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
a. family history of coronary artery disease.
b. increased risk associated with the patient’s gender.
c. increased risk of cardiovascular disease as people age.
d. elevation of the patient’s low-density lipoprotein (LDL) level.
ANS: D
Because family history, gender, and age are nonmodifiable risk factors, the nurse should focus on
the patient’s LDL level. Decreases in LDL will help reduce the patient’s risk for developing
CAD.
DIF: Cognitive Level: Apply (application) REF: 736
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. Which nursing intervention will be most effective when assisting the patient with coronary
artery disease (CAD) to make appropriate dietary changes?
Give the patient a list of low-sodium, low-cholesterol foods that should be included in the
a. diet.
b. Emphasize the increased risk for heart problems unless the patient makes the dietary
, changes.
Help the patient modify favorite high-fat recipes by using monosaturated oils when
c. possible.
d. Inform the patient that a diet containing no saturated fat and minimal salt will be necessary.
ANS: C
Lifestyle changes are more likely to be successful when consideration is given to the patient’s
values and preferences. The highest percentage of calories from fat should come from
monosaturated fats. Although low-sodium and low-cholesterol foods are appropriate, providing
the patient with a list alone is not likely to be successful in making dietary changes. Completely
removing saturated fat from the diet is not a realistic expectation. Up to 7% of calories in the
therapeutic lifestyle changes (TLC) diet can come from saturated fat. Telling the patient about
the increased risk without assisting further with strategies for dietary change is unlikely to be
successful.
DIF: Cognitive Level: Apply (application) REF: 736-737
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
3. Which assessment data collected by the nurse who is admitting a patient with chest pain
suggest that the pain is caused by an acute myocardial infarction (AMI)?
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes.
c. The pain is relieved after the patient takes nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
, ANS: B
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in pain that occur
with raising the arms or with deep breathing are more typical of musculoskeletal pain or
pericarditis. Stable angina is usually relieved when the patient takes nitroglycerin.
DIF: Cognitive Level: Apply (application) REF: 748
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. Which information given by a patient admitted with chronic stable angina will help the nurse
confirm this diagnosis?
a. The patient states that the pain “wakes me up at night.”
b. The patient rates the pain at a level 3 to 5 (0 to 10 scale).
c. The patient states that the pain has increased in frequency over the last week.
d. The patient states that the pain “goes away” with one sublingual nitroglycerin tablet.
ANS: D
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The level of
pain is not a consistent indicator of the type of angina. Pain occurring at rest or with increased
frequency is typical of unstable angina.
DIF: Cognitive Level: Understand (comprehension) REF: 742
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. After the nurse has finished teaching a patient about the use of sublingual nitroglycerin
(Nitrostat), which patient statement indicates that the teaching has been effective?
a. “I can expect some nausea as a side effect of nitroglycerin.”
