Fundamentals Exam 3 Evolve/NCLEX
Questions well answered to pass
The nurse prepares a discharge teaching plan for a 44-yr-old male patient who has recently been
diagnosed with coronary artery disease (CAD). Which risk factor should the nurse plan to focus on during
the teaching session?
a Type A personality
b Elevated serum lipids
c Family cardiac history
d Hyperhomocysteinemia - correct answer ✔✔b
Dyslipidemia is one of the four major modifiable risk factors for CAD. The other major modifiable risk
factors are hypertension, tobacco use, and physical inactivity. Research findings related to psychologic
states (i.e., type A personality) as a risk factor for coronary artery disease have been inconsistent. Family
history is a nonmodifiable risk factor. High homocysteine levels have been linked to an increased risk for
CAD.
The nurse instructs a 68-yr-old woman with hypercholesterolemia about natural lipid-lowering therapies.
The nurse determines further teaching is necessary if the patient makes which statement?
a "Omega-3 fatty acids are helpful in reducing triglyceride levels."
b "I should check with my physician before I start taking any herbal products."
c "Herbal products do not go through as extensive testing as prescription drugs do."
d "I will take garlic instead of my prescription medication to reduce my cholesterol." - correct answer
✔✔D
Current evidence does not support using garlic in the treatment of elevated cholesterol. Strong evidence
supports the use of omega-3 fatty acids for reduction of triglyceride levels. Many herbal products are not
standardized and effects are not predictable. Patients should consult with their health care provider
before starting herbal or natural therapies.
Questions well answered to pass
The nurse prepares a discharge teaching plan for a 44-yr-old male patient who has recently been
diagnosed with coronary artery disease (CAD). Which risk factor should the nurse plan to focus on during
the teaching session?
a Type A personality
b Elevated serum lipids
c Family cardiac history
d Hyperhomocysteinemia - correct answer ✔✔b
Dyslipidemia is one of the four major modifiable risk factors for CAD. The other major modifiable risk
factors are hypertension, tobacco use, and physical inactivity. Research findings related to psychologic
states (i.e., type A personality) as a risk factor for coronary artery disease have been inconsistent. Family
history is a nonmodifiable risk factor. High homocysteine levels have been linked to an increased risk for
CAD.
The nurse instructs a 68-yr-old woman with hypercholesterolemia about natural lipid-lowering therapies.
The nurse determines further teaching is necessary if the patient makes which statement?
a "Omega-3 fatty acids are helpful in reducing triglyceride levels."
b "I should check with my physician before I start taking any herbal products."
c "Herbal products do not go through as extensive testing as prescription drugs do."
d "I will take garlic instead of my prescription medication to reduce my cholesterol." - correct answer
✔✔D
Current evidence does not support using garlic in the treatment of elevated cholesterol. Strong evidence
supports the use of omega-3 fatty acids for reduction of triglyceride levels. Many herbal products are not
standardized and effects are not predictable. Patients should consult with their health care provider
before starting herbal or natural therapies.
