NURS 211 - LifeSpan1 - Midterm.
Questions and Answers LATEST
UPDATE
Section 1: Patient Education and Lifestyle Changes (Questions 1-15)
1. Which questions asked by the RN to a patient with coronary artery disease
indicate a willingness to make lifestyle changes? Select all that apply.
o “Do I need to become a vegetarian?”
o “What can I do to take care of my heart?”
o “How much caffeine can I consume each day?”
o “May I take a class at the gym?”
o “What kind of health care insurance do I need?”
2. A patient with heart failure asks, “What should I do if I gain 3 pounds in one
day?” What is the RN’s best response?
o “That is a normal fluctuation; do not worry.”
o “Contact your healthcare provider as this may indicate fluid
retention.”
o “Increase your fluid intake to flush out the excess sodium.”
o “Skip your next dose of diuretic to allow your body to adjust.”
3. The RN is teaching a patient about a low-sodium diet. Which statement by
the patient indicates a need for further teaching?
o “I should avoid canned soups and frozen dinners.”
o “I can use herbs and spices instead of salt for flavoring.”
, o “I can still eat processed meats like ham and bacon in moderation.”
o “I need to read food labels carefully to check for sodium content.”
4. A patient with coronary artery disease asks about exercise. Which response
by the RN is most appropriate?
o “You should avoid all strenuous activity.”
o “Aim for at least 30 minutes of moderate activity most days of the
week, as approved by your provider.”
o “Only perform isometric exercises like weight lifting.”
o “Exercise is not recommended for patients with heart disease.”
5. The RN is providing discharge teaching to a patient after a myocardial
infarction (MI). Which statement by the patient demonstrates
understanding of the teaching?
o “I will stop taking my aspirin if I notice any bruising.”
o “I will take a daily nap if I feel tired, but I will also walk daily as
instructed.”
o “I can resume my normal diet immediately.”
o “I will only take my beta-blocker if I feel my heart racing.”
6. A patient asks, “Why do I need to take a statin medication? My cholesterol
is only slightly high.” What is the RN’s best response?
o “Statins are only for patients with very high cholesterol.”
o “You can stop taking it if you change your diet.”
o “Statins help lower your cholesterol and also reduce inflammation
in your arteries, which is important for preventing future heart
problems.”
o “The medication is primarily to increase your HDL cholesterol.”
7. Which statement by a patient with coronary artery disease indicates a
readiness to make a dietary change?
, o “I’m going to try the grilled fish instead of the fried chicken.”
o “I can’t give up my daily bacon cheeseburger.”
o “My family will still eat what they want; I will just eat less.”
o “I don’t understand why my diet matters.”
8. A patient is being discharged after a percutaneous coronary intervention
(PCI) with stent placement. Which statement by the patient indicates a
need for further teaching regarding dual antiplatelet therapy?
o “I will take my aspirin and clopidogrel every day as prescribed.”
o “I will call my provider if I notice black, tarry stools.”
o “I can stop taking my clopidogrel in a week to save money.”
o “I will avoid taking ibuprofen for pain.”
9. The RN is discussing smoking cessation with a patient. Which response is
most therapeutic?
o “You really need to quit smoking or you will die.”
o “Smoking is a bad habit that you need to break.”
o “Quitting is challenging. What strategies have you considered to
help you stop?”
o “I smoked for years, and I quit cold turkey. You can too.”
10.A patient with heart failure asks about fluid restriction. Which response by
the RN is most accurate?
o “You can drink as much as you want as long as it’s water.”
o “Your provider may recommend limiting fluids to help prevent fluid
overload, and we will discuss a specific daily limit.”
o “Fluid restriction is not necessary if you take your diuretics.”
o “Only caffeinated beverages count toward your fluid intake.”
, 11.A patient asks the RN, “What is the difference between a heart attack and
cardiac arrest?” What is the RN’s best response?
o “They are the same thing.”
o “A heart attack is a circulation problem where blood flow to the
heart is blocked. Cardiac arrest is an electrical problem where the
heart stops beating effectively.”
o “Cardiac arrest is less serious than a heart attack.”
o “A heart attack occurs only in older adults.”
12.Which question from a patient recovering from an MI best indicates active
participation in their care?
o “What time will my next meal be?”
o “What are the signs of heart failure I should watch for at home?”
o “Can my family stay after visiting hours?”
o “Why do I have to stay in the hospital?”
13.A patient is prescribed warfarin. Which statement by the patient indicates
an understanding of the medication teaching?
o “I will eat a consistent amount of green leafy vegetables each
week.”
o “I will take ibuprofen for my headaches.”
o “I will stop taking this medication if I see any bruising.”
o “I don’t need to have my blood drawn regularly.”
14.The RN is teaching a patient about the signs and symptoms of myocardial
infarction. Which statement by the patient indicates a correct
understanding?
o “I should only call 911 if I have crushing chest pain.”
o “I should call 911 if I have chest discomfort, shortness of breath, or
discomfort in my arm, jaw, or back.”
Questions and Answers LATEST
UPDATE
Section 1: Patient Education and Lifestyle Changes (Questions 1-15)
1. Which questions asked by the RN to a patient with coronary artery disease
indicate a willingness to make lifestyle changes? Select all that apply.
o “Do I need to become a vegetarian?”
o “What can I do to take care of my heart?”
o “How much caffeine can I consume each day?”
o “May I take a class at the gym?”
o “What kind of health care insurance do I need?”
2. A patient with heart failure asks, “What should I do if I gain 3 pounds in one
day?” What is the RN’s best response?
o “That is a normal fluctuation; do not worry.”
o “Contact your healthcare provider as this may indicate fluid
retention.”
o “Increase your fluid intake to flush out the excess sodium.”
o “Skip your next dose of diuretic to allow your body to adjust.”
3. The RN is teaching a patient about a low-sodium diet. Which statement by
the patient indicates a need for further teaching?
o “I should avoid canned soups and frozen dinners.”
o “I can use herbs and spices instead of salt for flavoring.”
, o “I can still eat processed meats like ham and bacon in moderation.”
o “I need to read food labels carefully to check for sodium content.”
4. A patient with coronary artery disease asks about exercise. Which response
by the RN is most appropriate?
o “You should avoid all strenuous activity.”
o “Aim for at least 30 minutes of moderate activity most days of the
week, as approved by your provider.”
o “Only perform isometric exercises like weight lifting.”
o “Exercise is not recommended for patients with heart disease.”
5. The RN is providing discharge teaching to a patient after a myocardial
infarction (MI). Which statement by the patient demonstrates
understanding of the teaching?
o “I will stop taking my aspirin if I notice any bruising.”
o “I will take a daily nap if I feel tired, but I will also walk daily as
instructed.”
o “I can resume my normal diet immediately.”
o “I will only take my beta-blocker if I feel my heart racing.”
6. A patient asks, “Why do I need to take a statin medication? My cholesterol
is only slightly high.” What is the RN’s best response?
o “Statins are only for patients with very high cholesterol.”
o “You can stop taking it if you change your diet.”
o “Statins help lower your cholesterol and also reduce inflammation
in your arteries, which is important for preventing future heart
problems.”
o “The medication is primarily to increase your HDL cholesterol.”
7. Which statement by a patient with coronary artery disease indicates a
readiness to make a dietary change?
, o “I’m going to try the grilled fish instead of the fried chicken.”
o “I can’t give up my daily bacon cheeseburger.”
o “My family will still eat what they want; I will just eat less.”
o “I don’t understand why my diet matters.”
8. A patient is being discharged after a percutaneous coronary intervention
(PCI) with stent placement. Which statement by the patient indicates a
need for further teaching regarding dual antiplatelet therapy?
o “I will take my aspirin and clopidogrel every day as prescribed.”
o “I will call my provider if I notice black, tarry stools.”
o “I can stop taking my clopidogrel in a week to save money.”
o “I will avoid taking ibuprofen for pain.”
9. The RN is discussing smoking cessation with a patient. Which response is
most therapeutic?
o “You really need to quit smoking or you will die.”
o “Smoking is a bad habit that you need to break.”
o “Quitting is challenging. What strategies have you considered to
help you stop?”
o “I smoked for years, and I quit cold turkey. You can too.”
10.A patient with heart failure asks about fluid restriction. Which response by
the RN is most accurate?
o “You can drink as much as you want as long as it’s water.”
o “Your provider may recommend limiting fluids to help prevent fluid
overload, and we will discuss a specific daily limit.”
o “Fluid restriction is not necessary if you take your diuretics.”
o “Only caffeinated beverages count toward your fluid intake.”
, 11.A patient asks the RN, “What is the difference between a heart attack and
cardiac arrest?” What is the RN’s best response?
o “They are the same thing.”
o “A heart attack is a circulation problem where blood flow to the
heart is blocked. Cardiac arrest is an electrical problem where the
heart stops beating effectively.”
o “Cardiac arrest is less serious than a heart attack.”
o “A heart attack occurs only in older adults.”
12.Which question from a patient recovering from an MI best indicates active
participation in their care?
o “What time will my next meal be?”
o “What are the signs of heart failure I should watch for at home?”
o “Can my family stay after visiting hours?”
o “Why do I have to stay in the hospital?”
13.A patient is prescribed warfarin. Which statement by the patient indicates
an understanding of the medication teaching?
o “I will eat a consistent amount of green leafy vegetables each
week.”
o “I will take ibuprofen for my headaches.”
o “I will stop taking this medication if I see any bruising.”
o “I don’t need to have my blood drawn regularly.”
14.The RN is teaching a patient about the signs and symptoms of myocardial
infarction. Which statement by the patient indicates a correct
understanding?
o “I should only call 911 if I have crushing chest pain.”
o “I should call 911 if I have chest discomfort, shortness of breath, or
discomfort in my arm, jaw, or back.”
