NSG 430 Exam 2 Questions and Answers | 2025/2026
n
1. The nurse is developing a teaching plan for a patient with
coronary artery disease (CAD).
Which factor would the nurse focus on during the teaching session?
a. Family history of coronary artery disease
b. Elevated low-density lipoprotein (LDL) level
c. Greater risk associated with the patient's gender
d. Increased risk of cardiovascular disease with aging: Elevated low-density
lipoprotein (LDL) level
Because family history, gender, and age are nonmodifiable risk factors, the nurse
should focus on the patient's LDL level. Decreases in LDL will help reduce the
patient's risk for
developing CAD.
2. Which nursing intervention is likely to be most effective when
assisting the patient with
coronary artery disease to make dietary changes?
a. Inform the patient about a diet containing no saturated fat and
minimal salt.
b. Emphasize the increased cardiac risk unless the patient
makes dietary changes.
c. Help the patient modify favorite high-fat recipes by using
monounsaturated oils.
d. Give the patient a list of low-sodium, low-cholesterol foods to
include in the diet.: Help the patient modify favorite high-fat recipes by using monounsaturated
oils.
Lifestyle changes are more likely to be successful when consideration is given to
the patient's values and preferences. The highest percentage of calories from fat
should come from monounsaturated or polyunsaturated fats. Although low-sodium
and low-cholesterol foods are appropriate, providing the patient with a list alone is
not likely to be successful in making dietary changes. Completely removing saturated
fat from the diet is not a realistic expectation. Up to 7% of calories in the therapeutic
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
lifestyle changes diet can come from saturated fat.
Telling the patient about the increased risk without assisting further with strategies for
dietary change is unlikely to be successful.
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
3. The nurse is admitting a patient who has chest pain. Which
assessment data suggest that the
pain may be from an acute myocardial infarction?
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes.
c. The pain is relieved after the patient takes nitroglycerin.
d. The pain is reproducible when the patient raises the arms.: The pain has
lasted longer than 30 minutes.
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in
pain that occur with raising the arms or with deep breathing are more typical of
musculoskeletal pain or pericarditis. Stable angina is usually relieved when the
patient takes nitroglycerin.
4. Which patient statement would help the nurse confirm the previous
diagnosis of chronic stable
angina?
a. ―The pain wakes me up at night.‖
b. ―The pain is level 3 to 5 (0 to 10 scale).‖
c. ―The pain has gotten worse over the last week.‖
d. ―The pain goes away with a nitroglycerin tablet.‖: ―The pain
goes away with a nitroglycerin tablet.
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The
level of pain is not a consistent indicator of the type of angina. Pain occurring at
rest or with increased frequency is typical of unstable angina.
5. Which patient statement indicates that the nurse's teaching about
sublingual nitroglycerin
(Nitrostat) has been effective?
a. ―I can expect nausea as a side effect of nitroglycerin.‖
b. ―I should only take nitroglycerin when I have chest pain.‖
c. ―Nitroglycerin helps prevent a clot from blocking blood flow to
my heart.‖
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
d. ―I will call an ambulance if I have pain 5 minutes after taking
nitroglycerin.‖-
: ―I will call an ambulance if I have pain 5 minutes after taking nitroglycerin.
n
1. The nurse is developing a teaching plan for a patient with
coronary artery disease (CAD).
Which factor would the nurse focus on during the teaching session?
a. Family history of coronary artery disease
b. Elevated low-density lipoprotein (LDL) level
c. Greater risk associated with the patient's gender
d. Increased risk of cardiovascular disease with aging: Elevated low-density
lipoprotein (LDL) level
Because family history, gender, and age are nonmodifiable risk factors, the nurse
should focus on the patient's LDL level. Decreases in LDL will help reduce the
patient's risk for
developing CAD.
2. Which nursing intervention is likely to be most effective when
assisting the patient with
coronary artery disease to make dietary changes?
a. Inform the patient about a diet containing no saturated fat and
minimal salt.
b. Emphasize the increased cardiac risk unless the patient
makes dietary changes.
c. Help the patient modify favorite high-fat recipes by using
monounsaturated oils.
d. Give the patient a list of low-sodium, low-cholesterol foods to
include in the diet.: Help the patient modify favorite high-fat recipes by using monounsaturated
oils.
Lifestyle changes are more likely to be successful when consideration is given to
the patient's values and preferences. The highest percentage of calories from fat
should come from monounsaturated or polyunsaturated fats. Although low-sodium
and low-cholesterol foods are appropriate, providing the patient with a list alone is
not likely to be successful in making dietary changes. Completely removing saturated
fat from the diet is not a realistic expectation. Up to 7% of calories in the therapeutic
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
lifestyle changes diet can come from saturated fat.
Telling the patient about the increased risk without assisting further with strategies for
dietary change is unlikely to be successful.
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
3. The nurse is admitting a patient who has chest pain. Which
assessment data suggest that the
pain may be from an acute myocardial infarction?
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes.
c. The pain is relieved after the patient takes nitroglycerin.
d. The pain is reproducible when the patient raises the arms.: The pain has
lasted longer than 30 minutes.
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in
pain that occur with raising the arms or with deep breathing are more typical of
musculoskeletal pain or pericarditis. Stable angina is usually relieved when the
patient takes nitroglycerin.
4. Which patient statement would help the nurse confirm the previous
diagnosis of chronic stable
angina?
a. ―The pain wakes me up at night.‖
b. ―The pain is level 3 to 5 (0 to 10 scale).‖
c. ―The pain has gotten worse over the last week.‖
d. ―The pain goes away with a nitroglycerin tablet.‖: ―The pain
goes away with a nitroglycerin tablet.
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The
level of pain is not a consistent indicator of the type of angina. Pain occurring at
rest or with increased frequency is typical of unstable angina.
5. Which patient statement indicates that the nurse's teaching about
sublingual nitroglycerin
(Nitrostat) has been effective?
a. ―I can expect nausea as a side effect of nitroglycerin.‖
b. ―I should only take nitroglycerin when I have chest pain.‖
c. ―Nitroglycerin helps prevent a clot from blocking blood flow to
my heart.‖
, NSG 430 Exam 2 Questions and Answers | 2025/2026
n
d. ―I will call an ambulance if I have pain 5 minutes after taking
nitroglycerin.‖-
: ―I will call an ambulance if I have pain 5 minutes after taking nitroglycerin.
