Coronary Artery Disease (CAD) & Acute
Coronary Syndrome (ACS) - H&H IV with
correct solutions
The client recently diagnosed with coronary artery disease (CAD) asks the nurse: "What caused my
problem?" Which response by the nurse is best?
a) "The heart is not able to pump effectively"
b) "Fatty deposits on the walls of coronary arteries"
c) "Low oxygen saturation of your blood"
d) "Orthostatic hypotension caused this problem" - correct answer ✔✔B
The nurse is assessing a client who may have coronary artery disease and reviews the laboratory report
for the lipid profile results. Which abnormality in the lipid profile should the nurse expect to find?
a) Increased high-density lipoprotein and low-density lipoprotein levels
b) Decreased high-density lipoprotein and low-density lipoprotein levels
c) Decreased low-density lipoprotein and increased high-density lipoprotein levels
d) Decreased high-density lipoproteins and increased low-density lipoprotein levels - correct answer
✔✔D
The nurse is providing teaching to a client recovering from a myocardial infarction (MI). How should
resumption of sexual activity be discussed?
a) Delegated to the health care provider
b) Discussed along with other physical activities
c) Avoided because it is embarrassing to the client
d) Accomplished by providing the client with written material - correct answer ✔✔B
The client with hypertension is due for a dose of metoprolol 37.5 mg. Available are 25-mg tablets. How
many tablets should the nurse administer?
a) 1 tablet
, b) 1.5 tablets
c) 2 tablets
d) 2.5 tablets - correct answer ✔✔B
The nurse is reviewing the client's serum cholesterol results. Which serum cholesterol levels increase the
risk of coronary artery disease (CAD)?
a) Decreased triglycerides
b) Elevated high-density lipoproteins (HDL)
c) Elevated low-density lipoproteins (LDL)
d) Decreased very-low-density lipoproteins (VLDL) - correct answer ✔✔C
A client with chronic stable angina has received a prescription for nitroglycerin. The nurse tells the client
that orthostatic hypotension is an important side effect of this drug. To prevent complications associated
with the side effect, which information should the nurse include in the client's teaching?
a) Use acetaminophen before taking nitroglycerin to prevent headaches
b) Avoid sudden changes in position after taking nitroglycerin to prevent falls
c) Use NSAIDs before taking nitroglycerin to prevent flushing
d) Do not use the nitroglycerin if it causes a tingling sensation when administered - correct answer ✔✔B
A client has a history of angina and is being treated with nitrates and beta blockers. Which important
information should the nurse give to the client regarding sexuality?
a) "You cannot have sexual intercourse while taking these medicines"
b) "You cannot take medicines like Viagra"
c) "Stop taking beta blockers, because they can cause impotence"
d) "Stop taking nitrates when planning to have sexual intercourse" - correct answer ✔✔B
Which statement by a client with coronary artery disease (CAD) indicates understanding of discharge
teaching about physical activity?
a) "I will use longer rest periods between exercise sessions"
b) "I can stop exercising as soon as my cardiac symptoms disappear"
Coronary Syndrome (ACS) - H&H IV with
correct solutions
The client recently diagnosed with coronary artery disease (CAD) asks the nurse: "What caused my
problem?" Which response by the nurse is best?
a) "The heart is not able to pump effectively"
b) "Fatty deposits on the walls of coronary arteries"
c) "Low oxygen saturation of your blood"
d) "Orthostatic hypotension caused this problem" - correct answer ✔✔B
The nurse is assessing a client who may have coronary artery disease and reviews the laboratory report
for the lipid profile results. Which abnormality in the lipid profile should the nurse expect to find?
a) Increased high-density lipoprotein and low-density lipoprotein levels
b) Decreased high-density lipoprotein and low-density lipoprotein levels
c) Decreased low-density lipoprotein and increased high-density lipoprotein levels
d) Decreased high-density lipoproteins and increased low-density lipoprotein levels - correct answer
✔✔D
The nurse is providing teaching to a client recovering from a myocardial infarction (MI). How should
resumption of sexual activity be discussed?
a) Delegated to the health care provider
b) Discussed along with other physical activities
c) Avoided because it is embarrassing to the client
d) Accomplished by providing the client with written material - correct answer ✔✔B
The client with hypertension is due for a dose of metoprolol 37.5 mg. Available are 25-mg tablets. How
many tablets should the nurse administer?
a) 1 tablet
, b) 1.5 tablets
c) 2 tablets
d) 2.5 tablets - correct answer ✔✔B
The nurse is reviewing the client's serum cholesterol results. Which serum cholesterol levels increase the
risk of coronary artery disease (CAD)?
a) Decreased triglycerides
b) Elevated high-density lipoproteins (HDL)
c) Elevated low-density lipoproteins (LDL)
d) Decreased very-low-density lipoproteins (VLDL) - correct answer ✔✔C
A client with chronic stable angina has received a prescription for nitroglycerin. The nurse tells the client
that orthostatic hypotension is an important side effect of this drug. To prevent complications associated
with the side effect, which information should the nurse include in the client's teaching?
a) Use acetaminophen before taking nitroglycerin to prevent headaches
b) Avoid sudden changes in position after taking nitroglycerin to prevent falls
c) Use NSAIDs before taking nitroglycerin to prevent flushing
d) Do not use the nitroglycerin if it causes a tingling sensation when administered - correct answer ✔✔B
A client has a history of angina and is being treated with nitrates and beta blockers. Which important
information should the nurse give to the client regarding sexuality?
a) "You cannot have sexual intercourse while taking these medicines"
b) "You cannot take medicines like Viagra"
c) "Stop taking beta blockers, because they can cause impotence"
d) "Stop taking nitrates when planning to have sexual intercourse" - correct answer ✔✔B
Which statement by a client with coronary artery disease (CAD) indicates understanding of discharge
teaching about physical activity?
a) "I will use longer rest periods between exercise sessions"
b) "I can stop exercising as soon as my cardiac symptoms disappear"
