C HAPTER 20: I NTRODUCTION TO
C ARDIOVASCULAR D ISEASE AND M ETABOLIC
S YNDROME
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Ed ition
MULTIPLE CHOICE
1. Which ethnic group or gender is at greatest risk for developing metabolic
s yndrome?
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. 331 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Nutrition | Health Promotion
2. Which incidence is the correct representation of metabolic syndrome in the
United States?
, a. 1 in 3000
b. 1 in 300
c. 1 in 30
d. 1 in 3
ANS: D
The incidence of metabolic s yndrome in the United S tates is 1 in 3, or about
50 million adults. One in 3000, one in 300, and one in 30 are each less than
the incidence of metabolic syndrome in the United States.
DIF: Cognitive Level: Comprehension REF: p. 331 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Nutrition | Health Promotion
3. Which mechanism of action is demonstrated by exercise in managing blood
glucose levels?
a. Exercise causes release of glucose and promotes a red uced 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 glu cose uptake in the
contracting skeletal muscles. Exercise on a regular basis prevents reduction
C ARDIOVASCULAR D ISEASE AND M ETABOLIC
S YNDROME
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Ed ition
MULTIPLE CHOICE
1. Which ethnic group or gender is at greatest risk for developing metabolic
s yndrome?
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. 331 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Nutrition | Health Promotion
2. Which incidence is the correct representation of metabolic syndrome in the
United States?
, a. 1 in 3000
b. 1 in 300
c. 1 in 30
d. 1 in 3
ANS: D
The incidence of metabolic s yndrome in the United S tates is 1 in 3, or about
50 million adults. One in 3000, one in 300, and one in 30 are each less than
the incidence of metabolic syndrome in the United States.
DIF: Cognitive Level: Comprehension REF: p. 331 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Nutrition | Health Promotion
3. Which mechanism of action is demonstrated by exercise in managing blood
glucose levels?
a. Exercise causes release of glucose and promotes a red uced 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 glu cose uptake in the
contracting skeletal muscles. Exercise on a regular basis prevents reduction
