• NUR 445 EXAM 09/20/2026
NUR 445 EXAM 1 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A client with a family history of coronary artery disease reports experiencing chest pain and palpitations during
and after morning jogs. What would reduce the client's cardiac risk?
smoking cessation
a protein-rich diet
exercise avoidance
P 1
, • NUR 445 EXAM 09/20/2026
antioxidant supplements - Correct Answer :smoking cessation
The nurse is working with a client who has diagnoses of coronary artery disease and angina pectoris. During a
clinic visit, the nurse learns that the client has only been taking the prescribed antiplatelet medication when the
client experiences chest pain and fatigue. What nursing diagnosis is most relevant to this assessment finding?
Acute pain related to myocardial ischemia
Confusion related to mismanagement of drug regimen
Ineffective health maintenance related to inappropriate medication use
Ineffective role performance related to inability to manage medications - Correct Answer :Ineffective health
maintenance related to inappropriate medication use
The nurse is educating a patient at risk for atherosclerosis. What nonmodifiable risk factor does the nurse
identify for the patient?
Stress
Obesity
Positive family history
Hyperlipidemia - Correct Answer :Positive family history
A client with known coronary artery disease reports intermittent chest pain, usually on exertion. When teaching
the client about nitroglycerin administration, which instruction should the nurse provide?
"Be sure to take safety precautions because nitroglycerin may cause dizziness when you stand up."
"Replace leftover sublingual nitroglycerin tablets every 9 months to make sure your pills are fresh."
"A burning sensation after administration indicates that the nitroglycerin tablets are potent."
"You may take a sublingual nitroglycerin tablet every 30 minutes, if needed. You may take as many as four
doses." - Correct Answer :"Be sure to take safety precautions because nitroglycerin may cause dizziness when
you stand up."
A client reports chest pain and heavy breathing when exercising or when stressed. Which is a priority nursing
intervention for the client diagnosed with coronary artery disease?
Assess chest pain and administer prescribed drugs and oxygen
Assess blood pressure and administer aspirin
It is not important to assess the client or to notify the physician
P 2
, • NUR 445 EXAM 09/20/2026
Assess the client's physical history - Correct Answer :Assess chest pain and administer prescribed drugs and
oxygen
A patient with coronary artery disease (CAD) is having a cardiac catheterization. What indicator is present for the
patient to have a coronary artery bypass graft (CABG)?
The patient has compromised left ventricular function.
The patient has had angina longer than 3 years.
The patient has at least a 70% occlusion of a major coronary artery.
The patient has an ejection fraction of 65%. - Correct Answer :The patient has at least a 70% occlusion of a major
coronary artery.
The nurse is caring for a client diagnosed with coronary artery disease (CAD). What condition most commonly
results in CAD?
atherosclerosis
diabetes mellitus
myocardial infarction
renal failure - Correct Answer :atherosclerosis
The nurse is explaining the cause of angina pain to a client. What will the nurse say most directly caused the pain?
incomplete blockage of a major coronary artery
a destroyed part of the heart muscle
complete closure of an artery
a lack of oxygen in the heart muscle cells - Correct Answer :a lack of oxygen in the heart muscle cells
The physical therapist notifies the nurse that a client with coronary artery disease (CAD) experienced a significant
increase in heart rate during physical therapy. The nurse recognizes that an increase in heart rate in a client with
CAD may result in which outcome?
Development of an atrial-septal defect
Myocardial ischemia
Formation of a pulmonary embolism
Release of potassium ions from cardiac cells - Correct Answer :Myocardial ischemia
P 3
, • NUR 445 EXAM 09/20/2026
The nurse is conducting client teaching about cholesterol levels. When discussing the client's elevated LDL and
lowered HDL levels, the client shows an understanding of the significance of these levels by making what
statement?
"Increased LDL and decreased HDL increase my risk of coronary artery disease."
"Increased LDL has the potential to decrease my risk of heart disease."
"The decreased HDL level will increase the amount of cholesterol moved away from the artery walls."
"The increased LDL will decrease the amount of cholesterol deposited on the artery walls." - Correct Answer
:"Increased LDL and decreased HDL increase my risk of coronary artery disease."
The nurse is performing an intake assessment on a client with a new diagnosis of coronary artery disease. What
would be the most important determination to make during this intake assessment?
Whether the client and involved family members understand the role of genetics in the etiology of the disease
Whether the client and involved family members understand dietary changes and the role of nutrition
Whether the client and involved family members are able to recognize symptoms of an acute cardiac problem
and respond appropriately
Whether the client and involved family members understand the importance of social support and community
agencies - Correct Answer :Whether the client and involved family members are able to recognize symptoms of
an acute cardiac problem and respond appropriately
The nurse is reviewing the laboratory results for a client diagnosed with coronary artery disease (CAD). The
client's low-density lipoprotein (LDL) level is 115 mg/dL. The nurse interprets this value as
high.
low.
within normal limits.
critically high. - Correct Answer :high.
In the treatment of coronary artery disease (CAD), medications are often ordered to control blood pressure in
the client. Which of the following is a primary purpose of using beta-adrenergic blockers in the nursing
management of CAD?
To dilate coronary arteries
To decrease workload of the heart
P 4
NUR 445 EXAM 1 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A client with a family history of coronary artery disease reports experiencing chest pain and palpitations during
and after morning jogs. What would reduce the client's cardiac risk?
smoking cessation
a protein-rich diet
exercise avoidance
P 1
, • NUR 445 EXAM 09/20/2026
antioxidant supplements - Correct Answer :smoking cessation
The nurse is working with a client who has diagnoses of coronary artery disease and angina pectoris. During a
clinic visit, the nurse learns that the client has only been taking the prescribed antiplatelet medication when the
client experiences chest pain and fatigue. What nursing diagnosis is most relevant to this assessment finding?
Acute pain related to myocardial ischemia
Confusion related to mismanagement of drug regimen
Ineffective health maintenance related to inappropriate medication use
Ineffective role performance related to inability to manage medications - Correct Answer :Ineffective health
maintenance related to inappropriate medication use
The nurse is educating a patient at risk for atherosclerosis. What nonmodifiable risk factor does the nurse
identify for the patient?
Stress
Obesity
Positive family history
Hyperlipidemia - Correct Answer :Positive family history
A client with known coronary artery disease reports intermittent chest pain, usually on exertion. When teaching
the client about nitroglycerin administration, which instruction should the nurse provide?
"Be sure to take safety precautions because nitroglycerin may cause dizziness when you stand up."
"Replace leftover sublingual nitroglycerin tablets every 9 months to make sure your pills are fresh."
"A burning sensation after administration indicates that the nitroglycerin tablets are potent."
"You may take a sublingual nitroglycerin tablet every 30 minutes, if needed. You may take as many as four
doses." - Correct Answer :"Be sure to take safety precautions because nitroglycerin may cause dizziness when
you stand up."
A client reports chest pain and heavy breathing when exercising or when stressed. Which is a priority nursing
intervention for the client diagnosed with coronary artery disease?
Assess chest pain and administer prescribed drugs and oxygen
Assess blood pressure and administer aspirin
It is not important to assess the client or to notify the physician
P 2
, • NUR 445 EXAM 09/20/2026
Assess the client's physical history - Correct Answer :Assess chest pain and administer prescribed drugs and
oxygen
A patient with coronary artery disease (CAD) is having a cardiac catheterization. What indicator is present for the
patient to have a coronary artery bypass graft (CABG)?
The patient has compromised left ventricular function.
The patient has had angina longer than 3 years.
The patient has at least a 70% occlusion of a major coronary artery.
The patient has an ejection fraction of 65%. - Correct Answer :The patient has at least a 70% occlusion of a major
coronary artery.
The nurse is caring for a client diagnosed with coronary artery disease (CAD). What condition most commonly
results in CAD?
atherosclerosis
diabetes mellitus
myocardial infarction
renal failure - Correct Answer :atherosclerosis
The nurse is explaining the cause of angina pain to a client. What will the nurse say most directly caused the pain?
incomplete blockage of a major coronary artery
a destroyed part of the heart muscle
complete closure of an artery
a lack of oxygen in the heart muscle cells - Correct Answer :a lack of oxygen in the heart muscle cells
The physical therapist notifies the nurse that a client with coronary artery disease (CAD) experienced a significant
increase in heart rate during physical therapy. The nurse recognizes that an increase in heart rate in a client with
CAD may result in which outcome?
Development of an atrial-septal defect
Myocardial ischemia
Formation of a pulmonary embolism
Release of potassium ions from cardiac cells - Correct Answer :Myocardial ischemia
P 3
, • NUR 445 EXAM 09/20/2026
The nurse is conducting client teaching about cholesterol levels. When discussing the client's elevated LDL and
lowered HDL levels, the client shows an understanding of the significance of these levels by making what
statement?
"Increased LDL and decreased HDL increase my risk of coronary artery disease."
"Increased LDL has the potential to decrease my risk of heart disease."
"The decreased HDL level will increase the amount of cholesterol moved away from the artery walls."
"The increased LDL will decrease the amount of cholesterol deposited on the artery walls." - Correct Answer
:"Increased LDL and decreased HDL increase my risk of coronary artery disease."
The nurse is performing an intake assessment on a client with a new diagnosis of coronary artery disease. What
would be the most important determination to make during this intake assessment?
Whether the client and involved family members understand the role of genetics in the etiology of the disease
Whether the client and involved family members understand dietary changes and the role of nutrition
Whether the client and involved family members are able to recognize symptoms of an acute cardiac problem
and respond appropriately
Whether the client and involved family members understand the importance of social support and community
agencies - Correct Answer :Whether the client and involved family members are able to recognize symptoms of
an acute cardiac problem and respond appropriately
The nurse is reviewing the laboratory results for a client diagnosed with coronary artery disease (CAD). The
client's low-density lipoprotein (LDL) level is 115 mg/dL. The nurse interprets this value as
high.
low.
within normal limits.
critically high. - Correct Answer :high.
In the treatment of coronary artery disease (CAD), medications are often ordered to control blood pressure in
the client. Which of the following is a primary purpose of using beta-adrenergic blockers in the nursing
management of CAD?
To dilate coronary arteries
To decrease workload of the heart
P 4
