Med-Surg Cardiovascular – CAD & ACS
Review Questions 2026/2027 Latest
Update
A patient that is being discharged from the hospital after acute coronary
syndrome will be participating in cardiac rehabilitation. What information should
the nurse provide about the early recovery phase of rehabilitation?
Therapeutic lifestyle changes should become lifelong habits.
Physical activity always begins in the hospital and continued at home.
Activity level is increased gradually with supervision by the rehabilitation team
and with ECG monitoring.
The focus of rehabilitation will be on management of chest pain, anxiety,
dysrhythmias, and other complications. - correct answer-Activity level is
increased gradually with supervision by the rehabilitation team and with ECG
monitoring.
Rationale
,In the early recovery phase after the patient is dismissed from the hospital, the
activity level is increased gradually under supervision and with ECG monitoring.
The late recovery phase includes therapeutic lifestyle changes that become
lifelong habits. In the first phase of recovery, activity is dependent on the severity
of the angina or myocardial infarction (MI), and attention is focused on the
management of chest pain, anxiety, dysrhythmias, and other complications. With
early recovery phase, the cardiac rehabilitation team may suggest that physical
activity be initiated at home, but this is not always done.
Lipid levels (therapeutic)
Cholesterol
HDL
Men
Women
LDL
Fasting triglycerides - correct answer-Cholesterol < 200
HDL
men > 40
Women > 50
LDL < 160
,men < 100
Triglycerides < 150
Which drug acts by direct inhibition of the clotting factor thrombin?
Heparin
Felodipine
Enoxaparin
Argatroban - correct answer-Argatroban is a direct thrombin inhibitor, which
directly inhibits the clotting factor thrombin. Heparin is an anticoagulant, which
acts by preventing conversion of fibrinogen to fibrin and prothrombin to
thrombin. Felodipine is a calcium channel blocker, which prevents the entry of
calcium into vascular smooth muscles and myocytes. Enoxaparin is a low-
molecular-weight heparin, which binds to antithrombin III and enhances its
effects.
p. 715
The nurse assesses an older patient for risk factors for coronary artery disease
(CAD). What question should the nurse ask the patient?
What is your BMI number?
, Did you receive a pneumococcal vaccine?
When did you last have a bowel movement?
Did you travel abroad within the last 12 months? - correct answer-What is your
BMI number?
Risk for CAD increases with obesity, which is defined as a BMI more than 30 kg/m
2. Constipation is not a risk factor for CAD. Traveling abroad to underdeveloped
countries is a risk factor for infectious disease, but not for CAD. Pneumococcal
vaccine protects the elderly patient from pneumonia, but not from CAD.
p. 706
Which factor leads to total occlusion of the coronary artery?
Thrombus formation in the coronary artery
Transport of cholesterol into the arterial intima
Smooth muscle proliferation of the arterial wall
Lipid-filled smooth muscle cells in the coronary artery - correct answer-Thrombus
formation in the coronary artery
Review Questions 2026/2027 Latest
Update
A patient that is being discharged from the hospital after acute coronary
syndrome will be participating in cardiac rehabilitation. What information should
the nurse provide about the early recovery phase of rehabilitation?
Therapeutic lifestyle changes should become lifelong habits.
Physical activity always begins in the hospital and continued at home.
Activity level is increased gradually with supervision by the rehabilitation team
and with ECG monitoring.
The focus of rehabilitation will be on management of chest pain, anxiety,
dysrhythmias, and other complications. - correct answer-Activity level is
increased gradually with supervision by the rehabilitation team and with ECG
monitoring.
Rationale
,In the early recovery phase after the patient is dismissed from the hospital, the
activity level is increased gradually under supervision and with ECG monitoring.
The late recovery phase includes therapeutic lifestyle changes that become
lifelong habits. In the first phase of recovery, activity is dependent on the severity
of the angina or myocardial infarction (MI), and attention is focused on the
management of chest pain, anxiety, dysrhythmias, and other complications. With
early recovery phase, the cardiac rehabilitation team may suggest that physical
activity be initiated at home, but this is not always done.
Lipid levels (therapeutic)
Cholesterol
HDL
Men
Women
LDL
Fasting triglycerides - correct answer-Cholesterol < 200
HDL
men > 40
Women > 50
LDL < 160
,men < 100
Triglycerides < 150
Which drug acts by direct inhibition of the clotting factor thrombin?
Heparin
Felodipine
Enoxaparin
Argatroban - correct answer-Argatroban is a direct thrombin inhibitor, which
directly inhibits the clotting factor thrombin. Heparin is an anticoagulant, which
acts by preventing conversion of fibrinogen to fibrin and prothrombin to
thrombin. Felodipine is a calcium channel blocker, which prevents the entry of
calcium into vascular smooth muscles and myocytes. Enoxaparin is a low-
molecular-weight heparin, which binds to antithrombin III and enhances its
effects.
p. 715
The nurse assesses an older patient for risk factors for coronary artery disease
(CAD). What question should the nurse ask the patient?
What is your BMI number?
, Did you receive a pneumococcal vaccine?
When did you last have a bowel movement?
Did you travel abroad within the last 12 months? - correct answer-What is your
BMI number?
Risk for CAD increases with obesity, which is defined as a BMI more than 30 kg/m
2. Constipation is not a risk factor for CAD. Traveling abroad to underdeveloped
countries is a risk factor for infectious disease, but not for CAD. Pneumococcal
vaccine protects the elderly patient from pneumonia, but not from CAD.
p. 706
Which factor leads to total occlusion of the coronary artery?
Thrombus formation in the coronary artery
Transport of cholesterol into the arterial intima
Smooth muscle proliferation of the arterial wall
Lipid-filled smooth muscle cells in the coronary artery - correct answer-Thrombus
formation in the coronary artery
