Med-surg chapter 24 test bank
Exam Questions and Correct
Solutions
The nurse is caring for a group of patients. Which patient is at highest risk for having atherosclerosis
because of nonmodifiable risk factors? - Correct Answers: A 65-year-old male who smokes socially and
has a brother with heart disease
A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-
purple in color. What action should the nurse to take? - Correct Answers: Evaluate the distal pulses.
The nurse is teaching a patient about coronary artery disease and explains atherosclerosis. Which
statement made by the patient indicates an understanding of the teaching? - Correct Answers: I have
plaque in my arteries that can lead to a heart attack.
The nurse is preparing to deliver nitroglycerin to a client with chest pain that is a 4 on a 0-10 scale. How
should the nurse deliver the medication? - Correct Answers: One tablet every 5 minutes for 3 doses until
pain is relieved
The nurse is collecting data on a patient having severe chest pain who may be a candidate for receiving
tissue plasminogen activator [t-PA]. Which question is most important for the nurse to ask? - Correct
Answers: How long ago did the chest pain begin?
The nurse is teaching a patient about dietary changes for a new diagnosis of atherosclerosis. What
should the nurse include? - Correct Answers: Low-fat food options
The nurse is assessing a patient who is receiving rosuvastatin (Crestor) to reduce cholesterol. Which
finding is most concerning? - Correct Answers: The patient has elevated liver function studies.
The nurse is caring for a group of patients. Which patient is the priority? - Correct Answers: A patient
with an aneurysm reporting sudden back pain
, The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which
statement made by the patient indicates an understanding of the teaching? - Correct Answers: I will
walk 20 minutes every other day.
A patient who develops chest pain says the pain is a 9 on a scale of 0-10. Which action should the nurse
take? - Correct Answers: Notify RN
The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take? - Correct
Answers: Apply compression socks
The nurse is caring for a patient who underwent a cardiac catheterization with a right femoral approach.
During a neurovascular check, the nurse notes the extremity is cool to touch and dusky. Which action
should the nurse take? - Correct Answers: Notify the HCP
A patient who is being treated for severe chest pressure says it feels "as if someone is standing on my
chest." What action should the nurse take first? - Correct Answers: Obtain vital signs
The nurse is reviewing laboratory values for a patient with chest pain. Which finding is most concerning?
- Correct Answers: elevated troponin
The nurse is reinforcing teaching a patient about resuming sexual activity following an MI 5 days ago.
Which statement indicates patient understanding? - Correct Answers: I should be able to resume sexual
activity in 1-2 months.
The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the
nurse include to prevent an attack? - Correct Answers: Avoid stimulation that causes vasoconstriction.
The nurse is caring for a patient with early symptoms of an AAA. What symptoms should the nurse
anticipate? - Correct Answers: Abdominal fullness & nausea
The nurse is collecting data on a patient with minor chronic venous disease. What findings are
anticipated? - Correct Answers: Telangiectasias
Exam Questions and Correct
Solutions
The nurse is caring for a group of patients. Which patient is at highest risk for having atherosclerosis
because of nonmodifiable risk factors? - Correct Answers: A 65-year-old male who smokes socially and
has a brother with heart disease
A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-
purple in color. What action should the nurse to take? - Correct Answers: Evaluate the distal pulses.
The nurse is teaching a patient about coronary artery disease and explains atherosclerosis. Which
statement made by the patient indicates an understanding of the teaching? - Correct Answers: I have
plaque in my arteries that can lead to a heart attack.
The nurse is preparing to deliver nitroglycerin to a client with chest pain that is a 4 on a 0-10 scale. How
should the nurse deliver the medication? - Correct Answers: One tablet every 5 minutes for 3 doses until
pain is relieved
The nurse is collecting data on a patient having severe chest pain who may be a candidate for receiving
tissue plasminogen activator [t-PA]. Which question is most important for the nurse to ask? - Correct
Answers: How long ago did the chest pain begin?
The nurse is teaching a patient about dietary changes for a new diagnosis of atherosclerosis. What
should the nurse include? - Correct Answers: Low-fat food options
The nurse is assessing a patient who is receiving rosuvastatin (Crestor) to reduce cholesterol. Which
finding is most concerning? - Correct Answers: The patient has elevated liver function studies.
The nurse is caring for a group of patients. Which patient is the priority? - Correct Answers: A patient
with an aneurysm reporting sudden back pain
, The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which
statement made by the patient indicates an understanding of the teaching? - Correct Answers: I will
walk 20 minutes every other day.
A patient who develops chest pain says the pain is a 9 on a scale of 0-10. Which action should the nurse
take? - Correct Answers: Notify RN
The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take? - Correct
Answers: Apply compression socks
The nurse is caring for a patient who underwent a cardiac catheterization with a right femoral approach.
During a neurovascular check, the nurse notes the extremity is cool to touch and dusky. Which action
should the nurse take? - Correct Answers: Notify the HCP
A patient who is being treated for severe chest pressure says it feels "as if someone is standing on my
chest." What action should the nurse take first? - Correct Answers: Obtain vital signs
The nurse is reviewing laboratory values for a patient with chest pain. Which finding is most concerning?
- Correct Answers: elevated troponin
The nurse is reinforcing teaching a patient about resuming sexual activity following an MI 5 days ago.
Which statement indicates patient understanding? - Correct Answers: I should be able to resume sexual
activity in 1-2 months.
The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the
nurse include to prevent an attack? - Correct Answers: Avoid stimulation that causes vasoconstriction.
The nurse is caring for a patient with early symptoms of an AAA. What symptoms should the nurse
anticipate? - Correct Answers: Abdominal fullness & nausea
The nurse is collecting data on a patient with minor chronic venous disease. What findings are
anticipated? - Correct Answers: Telangiectasias
