Coronary Artery Disease (CAD) NCLEX
Questions well answered to pass
Which coronary artery provides blood to the left atrium and left ventricle:
a) Right marginal artery
b) Posterior descending artery
c) Left circumflex artery
d) Right coronary artery - correct answer ✔✔c) ) Left circumflex artery
- Answer: C. The LCA provides blood to the left atrium and left ventricle.
True or False: The left anterior descending coronary artery provides blood supply to the left ventricle,
front of the septum and part of the right ventricle.
a) True
b) False - correct answer ✔✔a) True
- Answer: True...the LAD (left anterior descending artery) provides blood supply to the left ventricle,
front of the septum and collateral circulation to the right ventricle.
Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply:
a) A 25-year-old patient who exercises 3 times per week for 30 minutes a day and has a history of
cervical cancer
b) A 35-year-old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day.
c) A 45-year-old female that reports her father died at the age of 42 from a myocardial infarction.
d) A 29-year old that has type I diabetes. - correct answer ✔✔b) A 35 year old male with a BMI of 30 and
reports smoking 2 packs of cigarettes a day.
c) A 45 year old female that reports her father died at the age of 42 from a myocardial infarction.
d) A 29-year old that has type I diabetes.
- Answers: B,C, D. Remember risk factors for developing CAD include: smoking, family history, diabetes,
being overweight or obese, and high cholesterol.
, A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath
while performing activities. He states the pain goes away when he rests. This is known as:
a) unstable angina
b) Variant angian
c) Stable angina
d) Prinzmetal angina - correct answer ✔✔c) stable angina
- Answer: C. Stable angina occurs during activities but goes away when the patient rests. Variant and
Prinzmetal angina are the same and occur at rest during cycles. Unstable angina is chest pain felt during
rest and is more severe.
Keeping the patient in question 4 in mind: What type of diagnostic tests will the physician most likely
order (at first) for this patient to evaluate the cause of the patient's symptoms? Select-all-that-apply:
a) EKG
b) Stress test
c) Heart Catheterization
d) Balloon angioplasty - correct answer ✔✔A) EKG
b) Stress test
- Answers: A and B. If the patient is experiencing STABLE angina (which in question 4 the patient's
symptoms are stable) an EKG or stress test would be ordered to investigate if there are any EKG changes
(ST depression) during exercise. These tests are usually ordered first and then the doctor may proceed
with a heart catheterization. A balloon angioplasty is sometimes performed during a heart cath.
You're providing education to a patient who will be undergoing a heart catheterization. Which statement
by the patient requires you to re-educate the patient about this procedure?
a) "The brachial artery is most commonly used for this procedure."
b) "A dye is injected into the coronary arteries to assess for blockages."
c) "Not all patients who have a heart catheterization will need a stent placement."
d) "I will not be completely asleep and will be able to breathe on my own during the procedure." -
correct answer ✔✔a) "The brachial artery is most commonly used for this procedure."
- Answers: A. The femoral or radial artery is used during a heart cath...not the brachial.
Questions well answered to pass
Which coronary artery provides blood to the left atrium and left ventricle:
a) Right marginal artery
b) Posterior descending artery
c) Left circumflex artery
d) Right coronary artery - correct answer ✔✔c) ) Left circumflex artery
- Answer: C. The LCA provides blood to the left atrium and left ventricle.
True or False: The left anterior descending coronary artery provides blood supply to the left ventricle,
front of the septum and part of the right ventricle.
a) True
b) False - correct answer ✔✔a) True
- Answer: True...the LAD (left anterior descending artery) provides blood supply to the left ventricle,
front of the septum and collateral circulation to the right ventricle.
Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply:
a) A 25-year-old patient who exercises 3 times per week for 30 minutes a day and has a history of
cervical cancer
b) A 35-year-old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day.
c) A 45-year-old female that reports her father died at the age of 42 from a myocardial infarction.
d) A 29-year old that has type I diabetes. - correct answer ✔✔b) A 35 year old male with a BMI of 30 and
reports smoking 2 packs of cigarettes a day.
c) A 45 year old female that reports her father died at the age of 42 from a myocardial infarction.
d) A 29-year old that has type I diabetes.
- Answers: B,C, D. Remember risk factors for developing CAD include: smoking, family history, diabetes,
being overweight or obese, and high cholesterol.
, A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath
while performing activities. He states the pain goes away when he rests. This is known as:
a) unstable angina
b) Variant angian
c) Stable angina
d) Prinzmetal angina - correct answer ✔✔c) stable angina
- Answer: C. Stable angina occurs during activities but goes away when the patient rests. Variant and
Prinzmetal angina are the same and occur at rest during cycles. Unstable angina is chest pain felt during
rest and is more severe.
Keeping the patient in question 4 in mind: What type of diagnostic tests will the physician most likely
order (at first) for this patient to evaluate the cause of the patient's symptoms? Select-all-that-apply:
a) EKG
b) Stress test
c) Heart Catheterization
d) Balloon angioplasty - correct answer ✔✔A) EKG
b) Stress test
- Answers: A and B. If the patient is experiencing STABLE angina (which in question 4 the patient's
symptoms are stable) an EKG or stress test would be ordered to investigate if there are any EKG changes
(ST depression) during exercise. These tests are usually ordered first and then the doctor may proceed
with a heart catheterization. A balloon angioplasty is sometimes performed during a heart cath.
You're providing education to a patient who will be undergoing a heart catheterization. Which statement
by the patient requires you to re-educate the patient about this procedure?
a) "The brachial artery is most commonly used for this procedure."
b) "A dye is injected into the coronary arteries to assess for blockages."
c) "Not all patients who have a heart catheterization will need a stent placement."
d) "I will not be completely asleep and will be able to breathe on my own during the procedure." -
correct answer ✔✔a) "The brachial artery is most commonly used for this procedure."
- Answers: A. The femoral or radial artery is used during a heart cath...not the brachial.
