NR 507 Cardiovascular Exam (2025) ACTUAL EXAM
QUESTIONS AND VERIFIED ACCURATE SOLUTION
(DETAILED & ELABORATED) |GET IT 100%
ACCURATE!! 2025 TEST!! |
CAD is considered the leading cause of death in the
United States (U.S.). It is the result of longstanding
atherosclerosis.
Atherosclerosis begins with damage to the
endothelium. It is the endothelium, under normal
functioning that maintains balance between the
vasoconstrictive and vasodilation actions, prevents
platelets from aggregating and control of the
production of fibrin. When the endothelium becomes
What is Coronary Artery damaged, our familiar inflammatory processes occur.
Disease (CAD)? Macrophages attach to the endothelium, setting up
phagocytosis; plaque formation and vasoconstriction
also occurs marking the beginning of atherosclerosis.
The plaque lesions located in the vessels become
enlarged which allows the plaque to progress within
the enlarged vessel lumen. The plaque lesion disrupts
normal blood flow and causes thrombus formation
which can be triggered by cardiac risk factors such as
elevated LDL, cholesterol, smoking and diabetes.
So, why is this a problem?
Well, the plaque takes decades to develop in the
coronary arteries. With mild disease, blood flow can
get through the arteries and the patient is
asymptomatic. Overtime, this build up can lead to
narrowing which results in decreased oxygen supply.
… 1/1
4
, 8/9/25, 4:19 PM NR 507 Cardiovascular Exam (2025) ACTUAL EXAM QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABOR…
When atherosclerosis reaches a clinically significant
level, the patient will begin to experience angina.
Further progression of the disease will result in acute
coronary syndrome (ACS), formerly known as
myocardial infarction (MI).
The major risk factor for the development of CAD is
family history. There is a 50% higher risk for
individuals to develop heart disease if they have a first
degree relative (especially father) or sibling who has
suffered from ACS or premature cardiac death (< age
The major risk factor for
the development of CAD 55 years). Lifestyle also impacts risk, especially
tobacco use and even secondhand smoke exposure. It
is always important for the NP to stress smoking
cessation with all patients who smoke tobacco, in
order to decrease the patient's risk for CAD.
Sedentary lifestyle will also increase one's risk for
developing CAD. Physical inactivity can lead to
overweight (BMI 25-29.9) or obesity (BMI 30 and
above). Male gender, hypertension, Elevated total
cholesterol, elevated low-density lipoprotein (LDL),
and/or decreased high-density lipoprotein (HDL) are
also risk factors, as well as diabetes mellitus.
… 2/1
4