Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 344
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular
Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient
statement indicates correct understanding of discharge instructions?
a. I will lie down frequently.
b. I will use a reclining chair.
c. I will sit with my legs down.
d. I will do knee flexion exercises.
____ 2. A patient is brought to the emergency room by a daughter who reports that the patient has had multiple
episodes of chest pain in the past few days and has refused to seek care. The patient states, I feel fine and the
pain has only lasted for brief periods. The nurse recognizes that the patient is most likely using which coping
technique?
a. Anger
b. Denial
c. Projection
d. Regression
____ 3. The nurse is providing discharge instructions to a patient with brown, leathery, edematous ankles and
increased pain when sitting. Which patient statement indicates that teaching has been effective?
a. I should elevate my legs on pillows.
b. I should keep my legs lower than my heart.
c. Elastic bandages should be wrapped from the knee down.
d. I should increase my intake of red meat and dairy products.
____ 4. A patient with peripheral venous disease (PVD) is sitting in a chair and has edematous and purple feet.
What action should the nurse to take?
a. Notify the physician.
b. Cover the patient with a blanket.
c. Place the patients legs on a tall footstool.
d. Have the patient lie in bed with pillow under knees.
____ 5. The nurse has reinforced teaching about symptoms of an MI and the importance of seeking medical
treatment promptly to a patient who has angina. What should the nurse explain as a common reason prompt
treatment is not sought?
,Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 345
a. Lack of insurance
b. Denial of symptoms
c. Lack of transportation
d. Not aware of symptoms
____ 6. The nurse reviews the importance of seeking medical treatment with a patient at risk for an MI. Which
patient statement indicates that teaching has been effective?
a. Angina is prevented.
b. Risk factors are decreased.
c. Less heart muscle is damaged.
d. Coronary artery disease is cured.
____ 7. The nurse is contributing to the teaching plan for a patient who is taking nitroglycerin. Which action
should be included if chest pain occurs?
a. Take 2 tablets every 3 hours for four doses until pain is relieved.
b. Take 3 tablets every 3 minutes for four doses until pain is relieved.
c. Take 1 tablet every 5 minutes for three doses until pain is relieved.
d. Take 2 tablets every 2 minutes for three doses until pain is relieved.
____ 8. A patient who is apprehensive, gray, cold, and clammy reports pain that is as if an elephant is standing
on my chest. The nurse should recognize that these manifestations indicate which health problem?
a. Heartburn
b. Pericarditis
c. An anginal attack
d. Acute MI
____ 9. The nurse is helping prepare a teaching plan to modify risk factors for a patient with coronary artery
disease. Which risk factor should the nurse include in this patients teaching plan?
a. Age and gender
b. Gender and ethnicity
c. Heredity and ethnicity
d. Smoking and high fat intake
____ 10. A patient who develops chest pain that radiates down the left arm has all of these measures
prescribed. Which one should the nurse do first?
a. Repeat vital signs.
b. Apply oxygen at 2 L/min.
, Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 346
c. Administer nitroglycerin SL.
d. Obtain an electrocardiogram (ECG).
____ 11. A patient has chronic peripheral arterial disease. During neurovascular checks, the nurse finds an
absent left pedal pulse and a cyanotic leg. What should the nurse do?
a. Notify the registered nurse (RN) immediately.
b. Massage the patients left foot.
c. Reassess the pulse in 30 minutes.
d. Encourage patient to flex the leg 10 times.
____ 12. A patient is recovering from a cardiac catheterization that was completed through the right femoral
site. Which information is most essential for the nurse to collect immediately after the procedure?
a. Left pedal pulse
b. Right pedal pulse
c. Left brachial pulse
d. Right brachial pulse
____ 13. The nurse receives a telephone call from a relative who was diagnosed with angina last year. The
relative reports taking 5 nitroglycerin (NTG) tablets but still has chest pain. What would be the best advice for
the nurse to give this relative?
a. Take two more NTG tablets and lie down.
b. I will call an ambulance and report your chest pain.
c. Drive yourself to the emergency department immediately.
d. Have someone drive you to the emergency department now.
____ 14. The nurse is caring for a patient recovering from an MI. In which position should the nurse place the
patient to decrease preload and the hearts workload?
a. Prone
b. Supine
c. Sims position
d. Semi-Fowlers position
____ 15. The nurse is caring for a patient suspected of having an MI. What laboratory tests should the nurse
review to determine if this patient did experience an MI?
a. Troponin I and myoglobin
b. Bleeding time and total cholesterol
c. Urinalysis and complete blood count
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular
Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient
statement indicates correct understanding of discharge instructions?
a. I will lie down frequently.
b. I will use a reclining chair.
c. I will sit with my legs down.
d. I will do knee flexion exercises.
____ 2. A patient is brought to the emergency room by a daughter who reports that the patient has had multiple
episodes of chest pain in the past few days and has refused to seek care. The patient states, I feel fine and the
pain has only lasted for brief periods. The nurse recognizes that the patient is most likely using which coping
technique?
a. Anger
b. Denial
c. Projection
d. Regression
____ 3. The nurse is providing discharge instructions to a patient with brown, leathery, edematous ankles and
increased pain when sitting. Which patient statement indicates that teaching has been effective?
a. I should elevate my legs on pillows.
b. I should keep my legs lower than my heart.
c. Elastic bandages should be wrapped from the knee down.
d. I should increase my intake of red meat and dairy products.
____ 4. A patient with peripheral venous disease (PVD) is sitting in a chair and has edematous and purple feet.
What action should the nurse to take?
a. Notify the physician.
b. Cover the patient with a blanket.
c. Place the patients legs on a tall footstool.
d. Have the patient lie in bed with pillow under knees.
____ 5. The nurse has reinforced teaching about symptoms of an MI and the importance of seeking medical
treatment promptly to a patient who has angina. What should the nurse explain as a common reason prompt
treatment is not sought?
,Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 345
a. Lack of insurance
b. Denial of symptoms
c. Lack of transportation
d. Not aware of symptoms
____ 6. The nurse reviews the importance of seeking medical treatment with a patient at risk for an MI. Which
patient statement indicates that teaching has been effective?
a. Angina is prevented.
b. Risk factors are decreased.
c. Less heart muscle is damaged.
d. Coronary artery disease is cured.
____ 7. The nurse is contributing to the teaching plan for a patient who is taking nitroglycerin. Which action
should be included if chest pain occurs?
a. Take 2 tablets every 3 hours for four doses until pain is relieved.
b. Take 3 tablets every 3 minutes for four doses until pain is relieved.
c. Take 1 tablet every 5 minutes for three doses until pain is relieved.
d. Take 2 tablets every 2 minutes for three doses until pain is relieved.
____ 8. A patient who is apprehensive, gray, cold, and clammy reports pain that is as if an elephant is standing
on my chest. The nurse should recognize that these manifestations indicate which health problem?
a. Heartburn
b. Pericarditis
c. An anginal attack
d. Acute MI
____ 9. The nurse is helping prepare a teaching plan to modify risk factors for a patient with coronary artery
disease. Which risk factor should the nurse include in this patients teaching plan?
a. Age and gender
b. Gender and ethnicity
c. Heredity and ethnicity
d. Smoking and high fat intake
____ 10. A patient who develops chest pain that radiates down the left arm has all of these measures
prescribed. Which one should the nurse do first?
a. Repeat vital signs.
b. Apply oxygen at 2 L/min.
, Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 346
c. Administer nitroglycerin SL.
d. Obtain an electrocardiogram (ECG).
____ 11. A patient has chronic peripheral arterial disease. During neurovascular checks, the nurse finds an
absent left pedal pulse and a cyanotic leg. What should the nurse do?
a. Notify the registered nurse (RN) immediately.
b. Massage the patients left foot.
c. Reassess the pulse in 30 minutes.
d. Encourage patient to flex the leg 10 times.
____ 12. A patient is recovering from a cardiac catheterization that was completed through the right femoral
site. Which information is most essential for the nurse to collect immediately after the procedure?
a. Left pedal pulse
b. Right pedal pulse
c. Left brachial pulse
d. Right brachial pulse
____ 13. The nurse receives a telephone call from a relative who was diagnosed with angina last year. The
relative reports taking 5 nitroglycerin (NTG) tablets but still has chest pain. What would be the best advice for
the nurse to give this relative?
a. Take two more NTG tablets and lie down.
b. I will call an ambulance and report your chest pain.
c. Drive yourself to the emergency department immediately.
d. Have someone drive you to the emergency department now.
____ 14. The nurse is caring for a patient recovering from an MI. In which position should the nurse place the
patient to decrease preload and the hearts workload?
a. Prone
b. Supine
c. Sims position
d. Semi-Fowlers position
____ 15. The nurse is caring for a patient suspected of having an MI. What laboratory tests should the nurse
review to determine if this patient did experience an MI?
a. Troponin I and myoglobin
b. Bleeding time and total cholesterol
c. Urinalysis and complete blood count
