Test Bank for Brunner & Suddarth's
Canadian Medical-Surgical Nursing 4th Edition
El Hussein & Osuji Chapters 1-74 A+ Grades
2. A patient presents to the walk-in clinic complaining of intermittent chest pain on
exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most
often attributable to what cause?
A) Decreased cardiac output
B) Decreased cardiac contractility
C) Infarction of the myocardium
D) Coronary arteriosclerosis - answer- Ans: D
Feedback:
In most cases, angina pectoris is due to arteriosclerosis. The disease is not a result of
impaired cardiac output or contractility. Infarction may result from untreated angina, but it is not
a cause of the disease.
3. The nurse is caring for an adult patient who had symptoms of unstable angina upon
admission to the
, hospital. What nursing diagnosis underlies the discomfort associated with angina?
Test Bank - Brunner & Suddarth - answer-
s Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 528
A) Ineffective breathing pattern related to decreased cardiac output
B) Anxiety related to fear of death
C) Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
D) Impaired skin integrity related to CAD - answer- Ans: C
Feedback:
Ineffective cardiopulmonary tissue perfusion directly results in the symptoms of
discomfort associated with angina. Anxiety and ineffective breathing may result from angina
chest pain, but they are not the causes. Skin integrity is not impaired by the effects of angina.
4. The triage nurse in the ED assesses a 66-year-old male patient who presents to the ED
with complaints
of midsternal chest pain that has lasted for the last 5 hours. If the patients symptoms are
due to an MI, what will have happened to the myocardium?
A) It may have developed an increased area of infarction during the time without
treatment.
, B) It will probably not have more damage than if he came in immediately.
C) It may be responsive to restoration of the area of dead cells with proper treatment.
D) It has been irreparably damaged, so immediate treatment is no longer necessary. -
answer- Ans: A
Feedback:
When the patient experiences lack of oxygen to myocardium cells during an MI, the
sooner treatment is initiated, the more likely the treatment will prevent or minimize myocardial
tissue necrosis. Delays in treatment equate with increased myocardial damage. Despite the length
of time the symptoms have been present, treatment needs to be initiated immediately to minimize
further damage. Dead cells cannot be restored by any means.
5. Family members bring a patient to the ED with pale cool skin, sudden midsternal chest
pain unrelieved
with rest, and a history of CAD. How should the nurse best interpret these initial data?
A) The symptoms indicate angina and should be treated as such.
B) The symptoms indicate a pulmonary etiology rather than a cardiac etiology.
Test Bank - Brunner & Suddarth - answer-
s Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 529
C) The symptoms indicate an acute coronary episode and should be treated as such.
, D) Treatment should be determined pending the results of an exercise stress test. -
answer- Ans: C
Feedback:
Angina and MI have similar symptoms and are considered the same process, but are on
different points along a continuum. That the patients symptoms are unrelieved by rest suggests
an acute coronary episode rather than angina. Pale cool skin and sudden onset are inconsistent
with a pulmonary etiology. Treatment should be initiated immediately regardless of diagnosis.
6. An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The
OR nurse knows
that the vessel most commonly used as source for a CABG is what?
A) Brachial artery
B) Brachial vein
C) Femoral artery
D) Greater saphenous vein - answer- Ans: D
Feedback:
The greater saphenous vein is the most commonly used graft site for CABG. The right
and left internal mammary arteries, radial arteries, and gastroepiploic artery are other graft sites
used, though not as frequently. The femoral artery, brachial artery, and brachial vein are never
harvested.
Canadian Medical-Surgical Nursing 4th Edition
El Hussein & Osuji Chapters 1-74 A+ Grades
2. A patient presents to the walk-in clinic complaining of intermittent chest pain on
exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most
often attributable to what cause?
A) Decreased cardiac output
B) Decreased cardiac contractility
C) Infarction of the myocardium
D) Coronary arteriosclerosis - answer- Ans: D
Feedback:
In most cases, angina pectoris is due to arteriosclerosis. The disease is not a result of
impaired cardiac output or contractility. Infarction may result from untreated angina, but it is not
a cause of the disease.
3. The nurse is caring for an adult patient who had symptoms of unstable angina upon
admission to the
, hospital. What nursing diagnosis underlies the discomfort associated with angina?
Test Bank - Brunner & Suddarth - answer-
s Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 528
A) Ineffective breathing pattern related to decreased cardiac output
B) Anxiety related to fear of death
C) Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
D) Impaired skin integrity related to CAD - answer- Ans: C
Feedback:
Ineffective cardiopulmonary tissue perfusion directly results in the symptoms of
discomfort associated with angina. Anxiety and ineffective breathing may result from angina
chest pain, but they are not the causes. Skin integrity is not impaired by the effects of angina.
4. The triage nurse in the ED assesses a 66-year-old male patient who presents to the ED
with complaints
of midsternal chest pain that has lasted for the last 5 hours. If the patients symptoms are
due to an MI, what will have happened to the myocardium?
A) It may have developed an increased area of infarction during the time without
treatment.
, B) It will probably not have more damage than if he came in immediately.
C) It may be responsive to restoration of the area of dead cells with proper treatment.
D) It has been irreparably damaged, so immediate treatment is no longer necessary. -
answer- Ans: A
Feedback:
When the patient experiences lack of oxygen to myocardium cells during an MI, the
sooner treatment is initiated, the more likely the treatment will prevent or minimize myocardial
tissue necrosis. Delays in treatment equate with increased myocardial damage. Despite the length
of time the symptoms have been present, treatment needs to be initiated immediately to minimize
further damage. Dead cells cannot be restored by any means.
5. Family members bring a patient to the ED with pale cool skin, sudden midsternal chest
pain unrelieved
with rest, and a history of CAD. How should the nurse best interpret these initial data?
A) The symptoms indicate angina and should be treated as such.
B) The symptoms indicate a pulmonary etiology rather than a cardiac etiology.
Test Bank - Brunner & Suddarth - answer-
s Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 529
C) The symptoms indicate an acute coronary episode and should be treated as such.
, D) Treatment should be determined pending the results of an exercise stress test. -
answer- Ans: C
Feedback:
Angina and MI have similar symptoms and are considered the same process, but are on
different points along a continuum. That the patients symptoms are unrelieved by rest suggests
an acute coronary episode rather than angina. Pale cool skin and sudden onset are inconsistent
with a pulmonary etiology. Treatment should be initiated immediately regardless of diagnosis.
6. An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The
OR nurse knows
that the vessel most commonly used as source for a CABG is what?
A) Brachial artery
B) Brachial vein
C) Femoral artery
D) Greater saphenous vein - answer- Ans: D
Feedback:
The greater saphenous vein is the most commonly used graft site for CABG. The right
and left internal mammary arteries, radial arteries, and gastroepiploic artery are other graft sites
used, though not as frequently. The femoral artery, brachial artery, and brachial vein are never
harvested.
