Coronary Artery Disease Test Questions and Answers Graded A+
If a patient has more than one risk factor, they you feel that you do not need to be involved in
are at an increase risk for cardiovascular disease your health care?"
(CAD). These risk factors are classified in two
categories: non-modifiable and modifiable. The
non-modifiable factors include family history,
age, gender, culture, and ethnicity. Modifiable Client Teaching: Hyperlipidemia
factors include smoking, hyperlipidemia, The client's lab results include:
hypertension, diabetes mellitus, obesity, Serum cholesterol 280 mg/dL (7.25 mmol/L).
sedentary lifestyle, stress, and psychosocial Low-density lipoproteins (LDL) 180 mg/dL (4.66.
factors. Smoking cigarettes has a two to three mmol/L).
times greater risk for developing cardiovascular High-density lipoproteins (HDL) 32 mg/dL (0.83
disease. mmol/L).
The client asks the nurse if these results are bad.
Which information in the client's history indicates
an increased risk for coronary artery disease Which nursing intervention best promotes
(CAD) and requires the nurse to provide disease effective communication? - ANSWER -HDL
management education? (Select all that apply. less than 50 mg/dL (1.29 mmol/L) for women
One, some, or all options may be correct.) - indicates an increased risk.
ANSWER --Family history of
hyperlipidemia.
-Consumption of a high fat diet.
-Smoking two packs of cigarettes per day After discussing these test results with the
healthcare provider (HCP) and the nurse, the
client expresses interest in learning how to lower
her cholesterol and lose weight. The HCP
Which intervention is most important for the prescribes the antihyperlipidemic agent lovastatin
nurse to reinforce when assisting the client in 20 mg PO daily. Which intervention is most
achieving their goal to quit smoking? - important for the nurse to include in the client's
ANSWER -Provide the client with a list of plan of care related to the use of an
local smoking cessation programs. antihyperlipidemic? - ANSWER -Healthy
lifestyle habits
Therapeutic Communication: Noncompliance
The client is post-menopausal and smokes two While taking the prescribed antihyperlipidemic,
packs of cigarettes a day. Her hypertension is which serum laboratory value requires
uncontrolled even with the prescribed ACE intervention? - ANSWER -ALT 60 U/L (1.0
inhibitor. The client took the clinic's online mckat/L).
learning course on reducing the risk for heart
disease. At the conclusion of the course, the
client tells the nurse that she does not need
classes because she knows she is going to be Angina
healed. Several months later, the client visits the clinic for
routine lab work. After walking into the clinic on a
Which nursing intervention best promotes very hot day, she reports to the nurse that she is
effective communication? - ANSWER -"Do experiencing chest pain. After resting for five
1/5
, Coronary Artery Disease Test Questions and Answers Graded A+
minutes, the pain is relieved. Following
assessment and ECG evaluation, the client is
diagnosed with stable angina and receives two ECG findings reveal ST segment elevation in
prescriptions:Nitroglycerin 0.2 mg/hour leads II and III, and a VF indicating that the client
transdermal patch. Apply every morning and is having an inferior acute myocardial infarction
remove at bedtime daily.Nitroglycerin 0.3 mg SL (AMI). Which intervention should the nurse
as needed for chest pain. implement first? - ANSWER -Have the
client chew four 81 mg chewable acetylsalicylic
Which intervention is most important for the acid.
nurse to include in the client's plan of care for the
self-administration of sublingual nitroglycerin? -
ANSWER -Put one tablet every 5 minutes
under tongue up to 3 tablets The healthcare provider (HCP) orders IV
nitroglycerin for the client. What changes in the
client's cardiac function should the nurse tell the
client to expect? - ANSWER -Improved
When providing education for the prescribed perfusion of oxygenated blood to the heart
transdermal nitroglycerin, which intervention is muscle.
most important for the nurse to include? -
ANSWER -Tell the healthcare provider
(HCP) of persistent dizziness when standing
In addition to nitroglycerin, the HCP orders
morphine sulfate 4mg IV. Which reaction requires
immediate intervention by the nurse? -
The HCP prescribes a stress echocardiogram. ANSWER -Respiratory rate slowing to 10
When preparing the client for the test, which breaths/min.
instruction is most important for the nurse to
provide? - ANSWER -Instruct the client not
to smoke on the day of the test.
Diagnostic Tests
With the client's presenting symptoms, physical
examination, electrocardiogram (ECG) findings,
Acute Myocardial Infarction (AMI) and elevated cardiac markers, the healthcare
The client's angina remains stable, and she provider (HCP) confirms the diagnosis of
undergoes a hysterectomy for dysmenorrhea myocardial infarction (MI).
related to uterine fibroids. The day after being
discharged from the hospital, the client comes to The client reports an increase in her chest pain
the ED with crushing substernal chest pain as 8 out of 10. The nurse immediately obtains
radiating down her left arm. She is dyspneic, another ECG. Which ECG assessment finding
pale, and diaphoretic. warrants immediate intervention by the nurse? -
ANSWER -ST segment elevation and the
Which nursing intervention should be development of Q waves.
implemented first? - ANSWER -IV access
and administer morphine sulfate as ordered by
the HCP
In addition to the ECG, the nurse sent blood to
2/5
If a patient has more than one risk factor, they you feel that you do not need to be involved in
are at an increase risk for cardiovascular disease your health care?"
(CAD). These risk factors are classified in two
categories: non-modifiable and modifiable. The
non-modifiable factors include family history,
age, gender, culture, and ethnicity. Modifiable Client Teaching: Hyperlipidemia
factors include smoking, hyperlipidemia, The client's lab results include:
hypertension, diabetes mellitus, obesity, Serum cholesterol 280 mg/dL (7.25 mmol/L).
sedentary lifestyle, stress, and psychosocial Low-density lipoproteins (LDL) 180 mg/dL (4.66.
factors. Smoking cigarettes has a two to three mmol/L).
times greater risk for developing cardiovascular High-density lipoproteins (HDL) 32 mg/dL (0.83
disease. mmol/L).
The client asks the nurse if these results are bad.
Which information in the client's history indicates
an increased risk for coronary artery disease Which nursing intervention best promotes
(CAD) and requires the nurse to provide disease effective communication? - ANSWER -HDL
management education? (Select all that apply. less than 50 mg/dL (1.29 mmol/L) for women
One, some, or all options may be correct.) - indicates an increased risk.
ANSWER --Family history of
hyperlipidemia.
-Consumption of a high fat diet.
-Smoking two packs of cigarettes per day After discussing these test results with the
healthcare provider (HCP) and the nurse, the
client expresses interest in learning how to lower
her cholesterol and lose weight. The HCP
Which intervention is most important for the prescribes the antihyperlipidemic agent lovastatin
nurse to reinforce when assisting the client in 20 mg PO daily. Which intervention is most
achieving their goal to quit smoking? - important for the nurse to include in the client's
ANSWER -Provide the client with a list of plan of care related to the use of an
local smoking cessation programs. antihyperlipidemic? - ANSWER -Healthy
lifestyle habits
Therapeutic Communication: Noncompliance
The client is post-menopausal and smokes two While taking the prescribed antihyperlipidemic,
packs of cigarettes a day. Her hypertension is which serum laboratory value requires
uncontrolled even with the prescribed ACE intervention? - ANSWER -ALT 60 U/L (1.0
inhibitor. The client took the clinic's online mckat/L).
learning course on reducing the risk for heart
disease. At the conclusion of the course, the
client tells the nurse that she does not need
classes because she knows she is going to be Angina
healed. Several months later, the client visits the clinic for
routine lab work. After walking into the clinic on a
Which nursing intervention best promotes very hot day, she reports to the nurse that she is
effective communication? - ANSWER -"Do experiencing chest pain. After resting for five
1/5
, Coronary Artery Disease Test Questions and Answers Graded A+
minutes, the pain is relieved. Following
assessment and ECG evaluation, the client is
diagnosed with stable angina and receives two ECG findings reveal ST segment elevation in
prescriptions:Nitroglycerin 0.2 mg/hour leads II and III, and a VF indicating that the client
transdermal patch. Apply every morning and is having an inferior acute myocardial infarction
remove at bedtime daily.Nitroglycerin 0.3 mg SL (AMI). Which intervention should the nurse
as needed for chest pain. implement first? - ANSWER -Have the
client chew four 81 mg chewable acetylsalicylic
Which intervention is most important for the acid.
nurse to include in the client's plan of care for the
self-administration of sublingual nitroglycerin? -
ANSWER -Put one tablet every 5 minutes
under tongue up to 3 tablets The healthcare provider (HCP) orders IV
nitroglycerin for the client. What changes in the
client's cardiac function should the nurse tell the
client to expect? - ANSWER -Improved
When providing education for the prescribed perfusion of oxygenated blood to the heart
transdermal nitroglycerin, which intervention is muscle.
most important for the nurse to include? -
ANSWER -Tell the healthcare provider
(HCP) of persistent dizziness when standing
In addition to nitroglycerin, the HCP orders
morphine sulfate 4mg IV. Which reaction requires
immediate intervention by the nurse? -
The HCP prescribes a stress echocardiogram. ANSWER -Respiratory rate slowing to 10
When preparing the client for the test, which breaths/min.
instruction is most important for the nurse to
provide? - ANSWER -Instruct the client not
to smoke on the day of the test.
Diagnostic Tests
With the client's presenting symptoms, physical
examination, electrocardiogram (ECG) findings,
Acute Myocardial Infarction (AMI) and elevated cardiac markers, the healthcare
The client's angina remains stable, and she provider (HCP) confirms the diagnosis of
undergoes a hysterectomy for dysmenorrhea myocardial infarction (MI).
related to uterine fibroids. The day after being
discharged from the hospital, the client comes to The client reports an increase in her chest pain
the ED with crushing substernal chest pain as 8 out of 10. The nurse immediately obtains
radiating down her left arm. She is dyspneic, another ECG. Which ECG assessment finding
pale, and diaphoretic. warrants immediate intervention by the nurse? -
ANSWER -ST segment elevation and the
Which nursing intervention should be development of Q waves.
implemented first? - ANSWER -IV access
and administer morphine sulfate as ordered by
the HCP
In addition to the ECG, the nurse sent blood to
2/5
