NUR 243 Chapter 33 CAD & ACS Evolve
UPDATED ACTUAL Questions and
CORRECT Answers
When providing nutritional counseling for patients at risk for coronary artery disease (CAD), which foods
would the nurse encourage patients to include in their diet (select all that apply.)?
A. Tofu
B. Walnuts
C. Tuna fish
D. Whole milk
E. Orange juice - CORRECT ANSWER - Answer: A, B & C
Rational: Tuna fish, tofu, and walnuts are all rich in omega-3 fatty acids, which have been shown to
reduce the risks associated with CAD when consumed regularly.
Which patient is at greatest risk for sudden cardiac death (SCD)?
A. A 42-yr-old white woman with hypertension and dyslipidemia
B. A 52-yr-old African American man with left ventricular failure
C. A 62-yr-old obese man with diabetes mellitus and high cholesterol
D. A 72-yr-old Native American woman with a family history of heart disease - CORRECT
ANSWER - Answer: B
Rational: Patients with left ventricular dysfunction (ejection fraction <30%) and ventricular dysrhythmias
after myocardial infarction are at greatest risk for SCD. Other risk factors for SCD include (1) male
gender (especially African American men), (2) family history of premature atherosclerosis, (3) tobacco
use, (4) diabetes mellitus, (5) hypercholesterolemia, (6) hypertension, and (7) cardiomyopathy.
Which individuals would the nurse identify as having the highest risk for coronary artery disease (CAD)?
A. A 45-yr-old depressed man with a high-stress job
B. A 60-yr-old man with below normal homocysteine levels
, C. A 54-yr-old woman vegetarian with elevated high-density lipoprotein (HDL) levels
D. A 62-yr-old woman who has a sedentary lifestyle and body mass index (BMI) of 23 kg/m2 -
CORRECT ANSWER - Answer: A
Rational: The 45-yr-old depressed man with a high-stress job is at the highest risk for CAD. Studies
demonstrate that depression and stressful states can contribute to the development of CAD. Elevated HDL
levels and low homocysteine levels actually help to prevent CAD. Although a sedentary lifestyle is a risk
factor, a BMI of 23 kg/m2 depicts normal weight, and thus the patient with two risk factors is at greatest
risk for developing CAD.
The nurse instructs a 68-yr-old woman with hypercholesterolemia about natural lipid-lowering therapies.
The nurse determines further teaching is necessary if the patient makes which statement?
A. "Omega-3 fatty acids are helpful in reducing triglyceride levels."
B. "I should check with my physician before I start taking any herbal products."
C. "Herbal products do not go through as extensive testing as prescription drugs do."
D. "I will take garlic instead of my prescription medication to reduce my cholesterol." - CORRECT
ANSWER - Answer: D
Rational: Current evidence does not support using garlic in the treatment of elevated cholesterol. Strong
evidence supports the use of omega-3 fatty acids for reduction of triglyceride levels. Many herbal
products are not standardized and effects are not predictable. Patients should consult with their health care
provider before starting herbal or natural therapies.
The nurse is providing teaching to a patient recovering from a myocardial infarction. How should
resumption of sexual activity be discussed?
A. Delegated to the primary care provider
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material - CORRECT ANSWER - Answer:
B
Rational: Although some nurses may not feel comfortable discussing sexual activity with patients, it is a
necessary component of patient teaching. It is helpful to consider sex as a physical activity and to discuss
or explore feelings in this area when other physical activities are discussed. Although providing the
patient with written material is appropriate, it should not replace a verbal dialogue that can address the
individual patient's questions and concerns.
UPDATED ACTUAL Questions and
CORRECT Answers
When providing nutritional counseling for patients at risk for coronary artery disease (CAD), which foods
would the nurse encourage patients to include in their diet (select all that apply.)?
A. Tofu
B. Walnuts
C. Tuna fish
D. Whole milk
E. Orange juice - CORRECT ANSWER - Answer: A, B & C
Rational: Tuna fish, tofu, and walnuts are all rich in omega-3 fatty acids, which have been shown to
reduce the risks associated with CAD when consumed regularly.
Which patient is at greatest risk for sudden cardiac death (SCD)?
A. A 42-yr-old white woman with hypertension and dyslipidemia
B. A 52-yr-old African American man with left ventricular failure
C. A 62-yr-old obese man with diabetes mellitus and high cholesterol
D. A 72-yr-old Native American woman with a family history of heart disease - CORRECT
ANSWER - Answer: B
Rational: Patients with left ventricular dysfunction (ejection fraction <30%) and ventricular dysrhythmias
after myocardial infarction are at greatest risk for SCD. Other risk factors for SCD include (1) male
gender (especially African American men), (2) family history of premature atherosclerosis, (3) tobacco
use, (4) diabetes mellitus, (5) hypercholesterolemia, (6) hypertension, and (7) cardiomyopathy.
Which individuals would the nurse identify as having the highest risk for coronary artery disease (CAD)?
A. A 45-yr-old depressed man with a high-stress job
B. A 60-yr-old man with below normal homocysteine levels
, C. A 54-yr-old woman vegetarian with elevated high-density lipoprotein (HDL) levels
D. A 62-yr-old woman who has a sedentary lifestyle and body mass index (BMI) of 23 kg/m2 -
CORRECT ANSWER - Answer: A
Rational: The 45-yr-old depressed man with a high-stress job is at the highest risk for CAD. Studies
demonstrate that depression and stressful states can contribute to the development of CAD. Elevated HDL
levels and low homocysteine levels actually help to prevent CAD. Although a sedentary lifestyle is a risk
factor, a BMI of 23 kg/m2 depicts normal weight, and thus the patient with two risk factors is at greatest
risk for developing CAD.
The nurse instructs a 68-yr-old woman with hypercholesterolemia about natural lipid-lowering therapies.
The nurse determines further teaching is necessary if the patient makes which statement?
A. "Omega-3 fatty acids are helpful in reducing triglyceride levels."
B. "I should check with my physician before I start taking any herbal products."
C. "Herbal products do not go through as extensive testing as prescription drugs do."
D. "I will take garlic instead of my prescription medication to reduce my cholesterol." - CORRECT
ANSWER - Answer: D
Rational: Current evidence does not support using garlic in the treatment of elevated cholesterol. Strong
evidence supports the use of omega-3 fatty acids for reduction of triglyceride levels. Many herbal
products are not standardized and effects are not predictable. Patients should consult with their health care
provider before starting herbal or natural therapies.
The nurse is providing teaching to a patient recovering from a myocardial infarction. How should
resumption of sexual activity be discussed?
A. Delegated to the primary care provider
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material - CORRECT ANSWER - Answer:
B
Rational: Although some nurses may not feel comfortable discussing sexual activity with patients, it is a
necessary component of patient teaching. It is helpful to consider sex as a physical activity and to discuss
or explore feelings in this area when other physical activities are discussed. Although providing the
patient with written material is appropriate, it should not replace a verbal dialogue that can address the
individual patient's questions and concerns.
