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Chapter 20 Introduction to Cardiovascular Disease and Metabolic Syndrome

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Chapter 20 Introduction to Cardiovascular Disease and Metabolic Syndrome

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Chapter 20: Introduction to Cardiovascular Disease and Metabolic Syndrome
Test Bank


MULTIPLE CHOICE

1. A patient with a body mass index (BMI) of 25 would be considered to be in which weight
category?
a. Underweight
b. Normal weight
c. Overweight
d. Obese
ANS: C
A BMI of less than 18.5 is considered underweight. A BMI of 18.5 to 24.9 is considered
normal weight. A BMI of 25 to 29.9 is considered overweight. A BMI of 30 to 34.9 is
considered obesity, class I; 35 to 39.9 is considered obesity, class II; and more than 40 is
considered extreme obesity.

DIF: Cognitive Level: Knowledge REF: p. 340 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

2. What is the most critical approach to the treatment of metabolic syndrome?
a. Psychotherapy
b. Pharmacotherapy
c. Lifestyle management
d. Patient education
ANS: C
Lifestyle management is critical for managing metabolic syndrome; other approaches will not
be effective without it. Psychotherapy, pharmacotherapy, and patient education are not the
most critical approaches to treating metabolic syndrome.

DIF: Cognitive Level: Comprehension REF: p. 338 OBJ: 2
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Healthy diets should include no more than which percentage of saturated fat based on total
calories?
a. 30%
b. 10%
c. 7%
d. 2%
ANS: C
A healthy diet should have no more than 7% of calories from saturated fat. A diet with 30% or
10% saturated fat would not be considered a healthy diet. A diet can have up to 7% saturated
fat before it is considered unhealthy.

DIF: Cognitive Level: Knowledge REF: p. 342 OBJ: 3
TOP: Nursing Process Step: Assessment


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MSC: NCLEX Client Needs Category: Physiological Integrity

4. Which ethnic group or gender is at greatest risk for developing metabolic syndrome?
a.Hispanic women
b.Asian men
c.African American men
d.White women
ANS: A
Hispanic women have the highest incidence rate of metabolic syndrome at 27%. Asian men,
African American men, and white women are not at the highest risk for metabolic syndrome.

DIF: Cognitive Level: Knowledge REF: p. 339 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

5. What is the incidence of metabolic syndrome in the United States?
a.1 in 4000
b.1 in 400
c.1 in 40
d.1 in 4
ANS: D
The incidence of metabolic syndrome in the United States is 1 in 4, or about 50 million adults.
One in 4000, one in 400, and one in 40 are each less than the incidence of metabolic
syndrome in the United States.

DIF: Cognitive Level: ComprehensionREF: p. 339 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

6. Which is the mechanism of action demonstrated by exercise in managing blood glucose
levels?
a. Exercise causes release of glucose and promotes a reduced blood glucose level.
b. Exercise on a regular basis causes a reduction in lean body mass, which helps regulate
blood glucose levels.
c. Increased muscle mass and less fat tends to normalize blood glucose levels because
glucose is used by muscle cells when exercising.
d. Exercise stimulates the liver, the primary storage and utilization site of glucose, to release
glucose.
ANS: C
Exercise leads to more muscle and less fat, so blood glucose levels tend to return to normal.
Exercise increases the rate of glucose uptake in the contracting skeletal muscles. Exercise on
a regular basis prevents reduction in lean body mass and protein wasting. The liver is not the
primary storage and utilization site of glucose.

DIF: Cognitive Level: ComprehensionREF: p. 342 OBJ: 3
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity



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https://www.coursehero.com/file/19255128/ch21/


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