NUR 235 Test #2 – Questions And Accurate Answers
The nurse determines that teaching about implementing dietary changes to
decrease the risk of CAD has been effective when the patient says:
A. "I should not eat any red meat such as beef, pork, or lamb"
B. "I should have some type of fish 3 times a week"
C. "Most of my fat intake should be from olive oil or oils in nuts"
D. "If I reduce my fat in my diet to about 5% of my calories, I will be much
healthier" Right Ans - "Most of my fat intake should be from olive oil or oils
in nuts"
Two risk factors for coronary artery disease that increase the workload of the
heart and increase myocardial oxygen demand are:
A. Obesity and smokeless tobacco use
B. Hypertension and cigarette smoking
C. Elevated serum lipids and diabetes mellitus
D. Physical inactivity and elevated homocysteine levels. Right Ans -
Hypertension and cigarette smoking
Which patient is most at risk for developing coronary artery disease?
A. A patient with hypertension who smokes
B. An overweight person who uses smokeless tobacco
C. A patient with diabetes who uses methamphetamines
D. Sedentary patient with elevated homocysteine levels Right Ans - A
patient with hypertension who smokes
A patient is admitted to the coronary care unit following a cardiac arrest and
successful cardiopulmonary resuscitation. When reviewing the health care
provider's admission orders, which order should the nurse question?
A. Oxygen at 4 L/ min per nasal cannula
B. Morphine sulfate 2 mg IV every 10 min until the pain is relieved
C. Tissue plasminogen activator (t-PA) 100 mg IV infused over 3 hours
D. IV nitroglycerin at 5 mcg/minute and increase 5 mcg/minute every 3 to 5
min. Right Ans - Tissue plasminogen activator (t-PA) 100 mg IV infused
over 3 hours
,The most significant factor in long-term survival of a patient with sudden
cardiac death is:
A. Absence of underlying heart disease
B. Rapid institution of emergency services and procedures
C. Performance of perfect technique in resuscitation procedures
D. Maintenance of 50 % of normal cardiac output during resuscitation efforts.
Right Ans - Rapid institution of emergency services and procedures
The nurse is caring for a patient who survived a sudden cardiac death. what
should the nurse include in the discharge instructions?
A. "Because you responded well to CPR, you will not need an implanted
defibrillator"
B. "Your family members should learn how to perform CPR and practice these
skills regularly"
C. "The most common way to prevent another arrest is to take your
prescribed drugs"
D. "Since there was no evidence of a heart attack, you do not need to worry
about another episode" Right Ans - "Your family members should learn
how to perform CPR and practice these skills regularly"
A hospitalized pt with a history of chronic stable angina tells the nurse that
she is having chest pain. The nurse bases his actions on the knowledge that
ischemia:
A. Will always progress to myocardial infarction
B. Can be relieved by NGT, rest, or both
C. Is often associated with vomiting and extreme fatigue
D. Indicates that irreversible myocardial damage is occurring Right Ans -
Can be relieved by NGT, rest, or both
After teaching about ways to decrease risk factors for CAD, the nurse
recognizes that further instruction is needed when the patient says:
A. I can keep my blood pressure normal with medication
B. I would like to add weightlifting to my exercise program
C. I can change my diet to decrease my intake of saturated fats
, D. I will change my lifestyle to reduce activities that increase my stress
Right Ans - I would like to add weightlifting to my exercise program
In teaching a pt about CAD, the nurse explains that the changes that occur in
this disorder include (SATA):
A. Diffuse involvement of plaque formation in the coronary veins
B. Abnormal levels of cholesterol, especially low-density Lipoproteins
C. Accumulation of lipid and fibrous tissue within the coronary arteries
D. Development of angina due to a decreased blood supply to the heart muscle
E. Chronic vasoconstriction of coronary arteries leading to permanent
vasospasm Right Ans - Abnormal levels of cholesterol, especially low-
density Lipoproteins
Accumulation of lipid and fibrous tissue within the coronary arteries
Development of angina due to a decreased blood supply to the heart muscle
A pt is admitted to the ICU with a diagnosis of NSTEMI. Which drugs would the
nurse expect the pt to receive? (SATA)
A. Oral statin therapy
B. Antiplatelet therapy
C. Thrombolytic therapy
D. Prophylactic antibiotics
E. Intravenous nitroglycerin Right Ans - Oral statin therapy
Antiplatelet therapy
Intravenous nitroglycerin
A pt is recovering from an uncomplicated MI. Which rehabilitation guideline is
a priority to include in the teaching plan?
A. Refrain from sexual activity for a minimum of 3 wks
B. Plan a diet program that aims for 1-2 lb weight loss per week
C. Begin an exercise program that aims for at least five 30 min sessions per
week
D. Consider the use of erectile agents and prophylactic NTG before engaging in
sexual activity Right Ans - Begin an exercise program that aims for at least
five 30 min sessions per week
The nurse determines that teaching about implementing dietary changes to
decrease the risk of CAD has been effective when the patient says:
A. "I should not eat any red meat such as beef, pork, or lamb"
B. "I should have some type of fish 3 times a week"
C. "Most of my fat intake should be from olive oil or oils in nuts"
D. "If I reduce my fat in my diet to about 5% of my calories, I will be much
healthier" Right Ans - "Most of my fat intake should be from olive oil or oils
in nuts"
Two risk factors for coronary artery disease that increase the workload of the
heart and increase myocardial oxygen demand are:
A. Obesity and smokeless tobacco use
B. Hypertension and cigarette smoking
C. Elevated serum lipids and diabetes mellitus
D. Physical inactivity and elevated homocysteine levels. Right Ans -
Hypertension and cigarette smoking
Which patient is most at risk for developing coronary artery disease?
A. A patient with hypertension who smokes
B. An overweight person who uses smokeless tobacco
C. A patient with diabetes who uses methamphetamines
D. Sedentary patient with elevated homocysteine levels Right Ans - A
patient with hypertension who smokes
A patient is admitted to the coronary care unit following a cardiac arrest and
successful cardiopulmonary resuscitation. When reviewing the health care
provider's admission orders, which order should the nurse question?
A. Oxygen at 4 L/ min per nasal cannula
B. Morphine sulfate 2 mg IV every 10 min until the pain is relieved
C. Tissue plasminogen activator (t-PA) 100 mg IV infused over 3 hours
D. IV nitroglycerin at 5 mcg/minute and increase 5 mcg/minute every 3 to 5
min. Right Ans - Tissue plasminogen activator (t-PA) 100 mg IV infused
over 3 hours
,The most significant factor in long-term survival of a patient with sudden
cardiac death is:
A. Absence of underlying heart disease
B. Rapid institution of emergency services and procedures
C. Performance of perfect technique in resuscitation procedures
D. Maintenance of 50 % of normal cardiac output during resuscitation efforts.
Right Ans - Rapid institution of emergency services and procedures
The nurse is caring for a patient who survived a sudden cardiac death. what
should the nurse include in the discharge instructions?
A. "Because you responded well to CPR, you will not need an implanted
defibrillator"
B. "Your family members should learn how to perform CPR and practice these
skills regularly"
C. "The most common way to prevent another arrest is to take your
prescribed drugs"
D. "Since there was no evidence of a heart attack, you do not need to worry
about another episode" Right Ans - "Your family members should learn
how to perform CPR and practice these skills regularly"
A hospitalized pt with a history of chronic stable angina tells the nurse that
she is having chest pain. The nurse bases his actions on the knowledge that
ischemia:
A. Will always progress to myocardial infarction
B. Can be relieved by NGT, rest, or both
C. Is often associated with vomiting and extreme fatigue
D. Indicates that irreversible myocardial damage is occurring Right Ans -
Can be relieved by NGT, rest, or both
After teaching about ways to decrease risk factors for CAD, the nurse
recognizes that further instruction is needed when the patient says:
A. I can keep my blood pressure normal with medication
B. I would like to add weightlifting to my exercise program
C. I can change my diet to decrease my intake of saturated fats
, D. I will change my lifestyle to reduce activities that increase my stress
Right Ans - I would like to add weightlifting to my exercise program
In teaching a pt about CAD, the nurse explains that the changes that occur in
this disorder include (SATA):
A. Diffuse involvement of plaque formation in the coronary veins
B. Abnormal levels of cholesterol, especially low-density Lipoproteins
C. Accumulation of lipid and fibrous tissue within the coronary arteries
D. Development of angina due to a decreased blood supply to the heart muscle
E. Chronic vasoconstriction of coronary arteries leading to permanent
vasospasm Right Ans - Abnormal levels of cholesterol, especially low-
density Lipoproteins
Accumulation of lipid and fibrous tissue within the coronary arteries
Development of angina due to a decreased blood supply to the heart muscle
A pt is admitted to the ICU with a diagnosis of NSTEMI. Which drugs would the
nurse expect the pt to receive? (SATA)
A. Oral statin therapy
B. Antiplatelet therapy
C. Thrombolytic therapy
D. Prophylactic antibiotics
E. Intravenous nitroglycerin Right Ans - Oral statin therapy
Antiplatelet therapy
Intravenous nitroglycerin
A pt is recovering from an uncomplicated MI. Which rehabilitation guideline is
a priority to include in the teaching plan?
A. Refrain from sexual activity for a minimum of 3 wks
B. Plan a diet program that aims for 1-2 lb weight loss per week
C. Begin an exercise program that aims for at least five 30 min sessions per
week
D. Consider the use of erectile agents and prophylactic NTG before engaging in
sexual activity Right Ans - Begin an exercise program that aims for at least
five 30 min sessions per week
