330
3/2026,
- Coronary
1:58:15
Page 1Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
d)
Because family history, gender, and age are nonmodifiable risk factors, the nurse
should focus on the patient's LDL level. Decreases in LDL will help reduce the
When developing a health teaching plan patient's risk for developing CAD.
for a 60-year-old man with the following
risk factors for coronary artery disease
(CAD), the nurse should focus on the:
a) family history of coronary artery disease.
b) increased risk associated with the
patient's gender.
c) high incidence of cardiovascular disease
in older people.
d) elevation of the patient's serum low
density lipoprotein (LDL) level.
c)
Lifestyle changes are more likely to be successful when consideration is given to the
patient's values and preferences. The highest percentage of calories from fat should
come from monosaturated fats. Although low-sodium and low-cholesterol foods are
To assist the patient with coronary artery
appropriate, providing the patient with a list alone is not likely to be successful in
disease (CAD) in making appropriate
making dietary changes. Removing saturated fat from the diet completely is not a
dietary changes, which of these nursing
realistic expectation; up to 7% of calories in the therapeutic lifestyle changes (TLC)
interventions will be most effective?
diet can come from saturated fat. Telling the patient about the increased risk without
a) Instruct the patient that a diet containing
assisting further with strategies for dietary change is unlikely to be successful.
no saturated fat and minimal sodium will be
necessary.
b) Emphasize the increased risk for cardiac
problems unless the patient makes the
dietary changes.
c) Assist the patient to modify favorite high-
fat recipes by using monosaturated oils
when possible.
d) Provide the patient with a list of low-
sodium, low-cholesterol foods that should
be included in the diet.
b)
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in
pain that occur with raising the arms or with deep breathing are more typical of
Which information collected by the nurse
pericarditis or musculoskeletal pain. Stable angina is usually relieved when the
who is admitting a patient with chest pain
patient takes nitroglycerin.
suggests that the pain is caused by an
acute myocardial infarction (AMI)?
a) The pain increases with deep breathing.
b) The pain has persisted longer than 30
minutes.
c) The pain worsens when the patient
raises the arms.
d) The pain is relieved after the patient
takes nitroglycerin.
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
1 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
,330
3/2026,
- Coronary
1:58:15
Page 2Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
d)
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The
level of pain is not a consistent indicator of the type of angina. Pain occurring at rest
Which information given by a patient or with increased frequency is typical of unstable angina.
admitted with chronic stable angina will
help the nurse confirm this diagnosis?
a) The patient rates the pain at a level 3 to
5 (0 to 10 scale).
b) The patient states that the pain "wakes
me up at night."
c) The patient says that the frequency of
the pain has increased over the last few
weeks.
d) The patient states that the pain is
resolved after taking one sublingual
nitroglycerin tablet.
c)
The emergency medical services (EMS) system should be activated when chest
pain or other symptoms are not completely relieved 5 minutes after taking one
After the nurse has finished teaching a nitroglycerin. Nitroglycerin can be taken to prevent chest pain or other symptoms
patient about use of sublingual from developing (e.g., before intercourse). Gastric upset is not an expected side
nitroglycerin (Nitrostat), which patient effect of nitroglycerin. Nitroglycerin does not impact the underlying pathophysiology
statement indicates that the teaching has of coronary artery atherosclerosis.
been effective?
a) "I can expect indigestion as a side effect
of nitroglycerin."
b) "I can only take the nitroglycerin if I start
to have chest pain."
c) "I will call an ambulance if I still have
pain 5 minutes after taking the
nitroglycerin."
d) "I will help slow down the progress of
the plaque formation by taking
nitroglycerin."
c)
Although only 30% of the daily calories should come from fats, most of the fat in the
TLC diet should come from monosaturated fats such as are found in nuts, olive oil,
and canola oil. The patient can include peanut butter sandwiches as part of the TLC
Which of these statements made by a diet. The other patient comments indicate a good understanding of the TLC diet.
patient with coronary artery disease after
the nurse has completed teaching about
the therapeutic lifestyle changes (TLC) diet
indicates that further teaching is needed?
a) "I will switch from whole milk to 1% or
nonfat milk."
b) "I like fresh salmon and I will plan to eat
it more often."
c) "I will miss being able to eat peanut
butter sandwiches."
d) "I can have a cup of coffee with
breakfast if I want one."
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
,330
3/2026,
- Coronary
1:58:15
Page 3Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
a)
Patients who have been taking b-blockers can develop intense and frequent angina
if the medication is suddenly discontinued. Atenolol (Tenormin) decreases
After the nurse teaches the patient about myocardial contractility. Shortness of breath that occurs when taking b-blockers for
the use of atenolol (Tenormin) in angina may be due to bronchospasm and should be reported to the health care
preventing anginal episodes, which provider. Atenolol works by decreasing myocardial oxygen demand, not by
statement by a patient indicates that the increasing blood flow to the coronary arteries.
teaching has been effective?
a) "It is important not to suddenly stop
taking the atenolol."
b) "Atenolol will increase the strength of my
heart muscle."
c) "I can expect to feel short of breath
when taking atenolol."
d) "Atenolol will improve the blood flow to
my coronary arteries."
c)
Troponin levels increase about 4 to 6 hours after the onset of myocardial infarction
(MI). The other laboratory data are useful in determining the patient's risk for
A patient who has had severe chest pain developing coronary artery disease (CAD) but are not helpful in determining whether
for several hours is admitted with a an acute MI is in progress.
diagnosis of possible acute myocardial
infarction (AMI). Which of these ordered
laboratory tests should the nurse monitor
to help determine whether the patient has
had an AMI?
a) Homocysteine
b) C-reactive protein
c) Cardiac-specific troponin I and troponin
T
d) High-density lipoprotein (HDL)
cholesterol
b)
Prinzmetal's angina is caused by coronary artery spasm. Calcium channel blockers
(e.g., amlodipine, nifedipine [Procardia]) are a first-line therapy for this type of
Amlodipine (Norvasc) is ordered for a angina. Platelet inhibitors, such as aspirin, help prevent coronary artery thrombosis,
patient with newly diagnosed Prinzmetal's and b-blockers decrease sympathetic stimulation of the heart. Medications or
(variant) angina. When teaching the activities that increase myocardial contractility will increase the incidence of angina
patient, the nurse will include the by increasing oxygen demand.
information that amlodipine will
a) reduce the "fight or flight" response.
b) decrease spasm of the coronary
arteries.
c) increase the force of myocardial
contraction.
d) help prevent clotting in the coronary
arteries.
d)
Patients taking b-blockers should be monitored for bradycardia. Because this
category of medication inhibits the sympathetic nervous system, restlessness,
The nurse will suspect that the patient with agitation, hypertension, and anxiety will not be side effects.
stable angina is experiencing a side effect
of the prescribed metoprolol (Lopressor) if:
a) the patient is restless and agitated.
b) the blood pressure is 190/110 mm Hg.
c) the patient complains about feeling
anxious.
d) the cardiac monitor shows a heart rate
of 45.
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
3 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
3/2026,
- Coronary
1:58:15
Page 1Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
d)
Because family history, gender, and age are nonmodifiable risk factors, the nurse
should focus on the patient's LDL level. Decreases in LDL will help reduce the
When developing a health teaching plan patient's risk for developing CAD.
for a 60-year-old man with the following
risk factors for coronary artery disease
(CAD), the nurse should focus on the:
a) family history of coronary artery disease.
b) increased risk associated with the
patient's gender.
c) high incidence of cardiovascular disease
in older people.
d) elevation of the patient's serum low
density lipoprotein (LDL) level.
c)
Lifestyle changes are more likely to be successful when consideration is given to the
patient's values and preferences. The highest percentage of calories from fat should
come from monosaturated fats. Although low-sodium and low-cholesterol foods are
To assist the patient with coronary artery
appropriate, providing the patient with a list alone is not likely to be successful in
disease (CAD) in making appropriate
making dietary changes. Removing saturated fat from the diet completely is not a
dietary changes, which of these nursing
realistic expectation; up to 7% of calories in the therapeutic lifestyle changes (TLC)
interventions will be most effective?
diet can come from saturated fat. Telling the patient about the increased risk without
a) Instruct the patient that a diet containing
assisting further with strategies for dietary change is unlikely to be successful.
no saturated fat and minimal sodium will be
necessary.
b) Emphasize the increased risk for cardiac
problems unless the patient makes the
dietary changes.
c) Assist the patient to modify favorite high-
fat recipes by using monosaturated oils
when possible.
d) Provide the patient with a list of low-
sodium, low-cholesterol foods that should
be included in the diet.
b)
Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in
pain that occur with raising the arms or with deep breathing are more typical of
Which information collected by the nurse
pericarditis or musculoskeletal pain. Stable angina is usually relieved when the
who is admitting a patient with chest pain
patient takes nitroglycerin.
suggests that the pain is caused by an
acute myocardial infarction (AMI)?
a) The pain increases with deep breathing.
b) The pain has persisted longer than 30
minutes.
c) The pain worsens when the patient
raises the arms.
d) The pain is relieved after the patient
takes nitroglycerin.
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
1 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
,330
3/2026,
- Coronary
1:58:15
Page 2Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
d)
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The
level of pain is not a consistent indicator of the type of angina. Pain occurring at rest
Which information given by a patient or with increased frequency is typical of unstable angina.
admitted with chronic stable angina will
help the nurse confirm this diagnosis?
a) The patient rates the pain at a level 3 to
5 (0 to 10 scale).
b) The patient states that the pain "wakes
me up at night."
c) The patient says that the frequency of
the pain has increased over the last few
weeks.
d) The patient states that the pain is
resolved after taking one sublingual
nitroglycerin tablet.
c)
The emergency medical services (EMS) system should be activated when chest
pain or other symptoms are not completely relieved 5 minutes after taking one
After the nurse has finished teaching a nitroglycerin. Nitroglycerin can be taken to prevent chest pain or other symptoms
patient about use of sublingual from developing (e.g., before intercourse). Gastric upset is not an expected side
nitroglycerin (Nitrostat), which patient effect of nitroglycerin. Nitroglycerin does not impact the underlying pathophysiology
statement indicates that the teaching has of coronary artery atherosclerosis.
been effective?
a) "I can expect indigestion as a side effect
of nitroglycerin."
b) "I can only take the nitroglycerin if I start
to have chest pain."
c) "I will call an ambulance if I still have
pain 5 minutes after taking the
nitroglycerin."
d) "I will help slow down the progress of
the plaque formation by taking
nitroglycerin."
c)
Although only 30% of the daily calories should come from fats, most of the fat in the
TLC diet should come from monosaturated fats such as are found in nuts, olive oil,
and canola oil. The patient can include peanut butter sandwiches as part of the TLC
Which of these statements made by a diet. The other patient comments indicate a good understanding of the TLC diet.
patient with coronary artery disease after
the nurse has completed teaching about
the therapeutic lifestyle changes (TLC) diet
indicates that further teaching is needed?
a) "I will switch from whole milk to 1% or
nonfat milk."
b) "I like fresh salmon and I will plan to eat
it more often."
c) "I will miss being able to eat peanut
butter sandwiches."
d) "I can have a cup of coffee with
breakfast if I want one."
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
,330
3/2026,
- Coronary
1:58:15
Page 3Artery
AMNSG4330
of 1910/13/2026,
Disease -and
Coronary
1:58:15
Acute Coronary
Artery
AMNSG4330
Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
-and
Coronary
Acute Coronary
Artery Disease
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and Acute Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKD
(&*$ **
NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome
a)
Patients who have been taking b-blockers can develop intense and frequent angina
if the medication is suddenly discontinued. Atenolol (Tenormin) decreases
After the nurse teaches the patient about myocardial contractility. Shortness of breath that occurs when taking b-blockers for
the use of atenolol (Tenormin) in angina may be due to bronchospasm and should be reported to the health care
preventing anginal episodes, which provider. Atenolol works by decreasing myocardial oxygen demand, not by
statement by a patient indicates that the increasing blood flow to the coronary arteries.
teaching has been effective?
a) "It is important not to suddenly stop
taking the atenolol."
b) "Atenolol will increase the strength of my
heart muscle."
c) "I can expect to feel short of breath
when taking atenolol."
d) "Atenolol will improve the blood flow to
my coronary arteries."
c)
Troponin levels increase about 4 to 6 hours after the onset of myocardial infarction
(MI). The other laboratory data are useful in determining the patient's risk for
A patient who has had severe chest pain developing coronary artery disease (CAD) but are not helpful in determining whether
for several hours is admitted with a an acute MI is in progress.
diagnosis of possible acute myocardial
infarction (AMI). Which of these ordered
laboratory tests should the nurse monitor
to help determine whether the patient has
had an AMI?
a) Homocysteine
b) C-reactive protein
c) Cardiac-specific troponin I and troponin
T
d) High-density lipoprotein (HDL)
cholesterol
b)
Prinzmetal's angina is caused by coronary artery spasm. Calcium channel blockers
(e.g., amlodipine, nifedipine [Procardia]) are a first-line therapy for this type of
Amlodipine (Norvasc) is ordered for a angina. Platelet inhibitors, such as aspirin, help prevent coronary artery thrombosis,
patient with newly diagnosed Prinzmetal's and b-blockers decrease sympathetic stimulation of the heart. Medications or
(variant) angina. When teaching the activities that increase myocardial contractility will increase the incidence of angina
patient, the nurse will include the by increasing oxygen demand.
information that amlodipine will
a) reduce the "fight or flight" response.
b) decrease spasm of the coronary
arteries.
c) increase the force of myocardial
contraction.
d) help prevent clotting in the coronary
arteries.
d)
Patients taking b-blockers should be monitored for bradycardia. Because this
category of medication inhibits the sympathetic nervous system, restlessness,
The nurse will suspect that the patient with agitation, hypertension, and anxiety will not be side effects.
stable angina is experiencing a side effect
of the prescribed metoprolol (Lopressor) if:
a) the patient is restless and agitated.
b) the blood pressure is 190/110 mm Hg.
c) the patient complains about feeling
anxious.
d) the cardiac monitor shows a heart rate
of 45.
330
3/2026,
- Coronary
1:58:15
NSG4330
Artery
AMNSG4330
- Coronary
Disease -and
Artery
Coronary
Acute
Disease
Coronary
Artery
and
Disease
Acute
Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
Coronary
AcuteSyndrome.pdfPage
Coronary Syndrome(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
3 of 1910/13/2026, 1:58:15
(&*$ **F
AMNSG4330
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
- Coronary
(&*$ Artery
**F VJyvhjbnoP+_IREOLKD
Disease and Acute Co
