EXAM 3: Chapter 33: Nursing
Management: Coronary Artery Disease
and Acute Coronary Syndrome fully
solved
1. When obtaining a health history from a patient with newly diagnosed coronary artery disease, the
nurse recognizes that a modifiable major risk factor for coronary artery disease is present in the patient's
history of
1. hypertension.
2. diabetes mellitus.
3. a stressful lifestyle.
4. high-density lipoproteins above 60 mg/dl (1.6 mmol/L). - correct answer ✔✔Answer: 1
1. When teaching a patient with coronary artery disease about the disease's relationship to elevated
serum lipid levels, the nurse explains that
1. each stage in the development of atherosclerotic lesions involves the presence and effects of fat
substances.
2. hyperlipidemia increases the adhesiveness of platelets, causing platelet plaque formation in arterial
walls.
3. cholesterol and other fatty substances destroy and replace smooth muscle throughout the arteriole
wall.
4. fat globules attract coagulation factors, which injures the arterial endothelium and allows seepage of
clots into the intima layer. - correct answer ✔✔Answer: 1
1. While caring for a patient with angina, the nurse plans interventions that decrease myocardial oxygen
demand and promote coronary blood flow. Appropriate interventions are those that primarily prevent
1. coronary artery spasms.
2. an increase in heart rate.
3. a decreased blood volume.
4. disruption of circadian rhythms. - correct answer ✔✔Answer: 2
, 1. A 45-year-old man is admitted to the emergency room after developing severe chest pain while raking
leaves. On admission he has midchest dullness and a normal ECG. The physician schedules the patient
for cardiac catheterization with coronary angiography and possible percutaneous coronary intervention
(PCI). The nurse prepares the patient for the procedure by explaining that, in his case, it is used to
1. determine whether there are any structural defects in the walls or chambers of his heart.
2. determine whether any obstructions are present in his coronary arteries and to test for an allergy to
thrombolytic agents.
3. measure the amount of blood being pumped from his heart with each contraction to determine
whether there is heart damage.
4. visualize any blockages in the coronary arteries and, if necessary, to dilate an obstructed artery with
the use of a small balloon. - correct answer ✔✔Answer: 4
1. During assessment of a patient with chest pain, the nurse recognizes that chest pain associated with
stable angina is
1. severe, persistent, and unrelieved by rest.
2. usually abrupt in onset and accompanied by a feeling of doom.
3. aggravated by inspiration, coughing, and movement of the upper body.
4. accompanied by a residual soreness in the chest, which lasts for several days. - correct answer
✔✔Answer: 2
1. While observing the ECG monitor of a patient admitted to the emergency department with chest pain,
the nurse suspects that the patient is having a myocardial infarction rather than angina upon finding
1. sinus tachycardia.
2. depressed R wave.
3. S-T segment elevation.
4. occasional premature ventricular contractions. - correct answer ✔✔Answer: 3
1. A PCI with stent placement is performed on a patient with an 80% blockage of the left circumflex
coronary artery. To prevent thrombosis following the procedure, the nurse teaches the patient that it is
most important to
1. abstain from alcohol.
2. use antiplatelet agents as directed.
Management: Coronary Artery Disease
and Acute Coronary Syndrome fully
solved
1. When obtaining a health history from a patient with newly diagnosed coronary artery disease, the
nurse recognizes that a modifiable major risk factor for coronary artery disease is present in the patient's
history of
1. hypertension.
2. diabetes mellitus.
3. a stressful lifestyle.
4. high-density lipoproteins above 60 mg/dl (1.6 mmol/L). - correct answer ✔✔Answer: 1
1. When teaching a patient with coronary artery disease about the disease's relationship to elevated
serum lipid levels, the nurse explains that
1. each stage in the development of atherosclerotic lesions involves the presence and effects of fat
substances.
2. hyperlipidemia increases the adhesiveness of platelets, causing platelet plaque formation in arterial
walls.
3. cholesterol and other fatty substances destroy and replace smooth muscle throughout the arteriole
wall.
4. fat globules attract coagulation factors, which injures the arterial endothelium and allows seepage of
clots into the intima layer. - correct answer ✔✔Answer: 1
1. While caring for a patient with angina, the nurse plans interventions that decrease myocardial oxygen
demand and promote coronary blood flow. Appropriate interventions are those that primarily prevent
1. coronary artery spasms.
2. an increase in heart rate.
3. a decreased blood volume.
4. disruption of circadian rhythms. - correct answer ✔✔Answer: 2
, 1. A 45-year-old man is admitted to the emergency room after developing severe chest pain while raking
leaves. On admission he has midchest dullness and a normal ECG. The physician schedules the patient
for cardiac catheterization with coronary angiography and possible percutaneous coronary intervention
(PCI). The nurse prepares the patient for the procedure by explaining that, in his case, it is used to
1. determine whether there are any structural defects in the walls or chambers of his heart.
2. determine whether any obstructions are present in his coronary arteries and to test for an allergy to
thrombolytic agents.
3. measure the amount of blood being pumped from his heart with each contraction to determine
whether there is heart damage.
4. visualize any blockages in the coronary arteries and, if necessary, to dilate an obstructed artery with
the use of a small balloon. - correct answer ✔✔Answer: 4
1. During assessment of a patient with chest pain, the nurse recognizes that chest pain associated with
stable angina is
1. severe, persistent, and unrelieved by rest.
2. usually abrupt in onset and accompanied by a feeling of doom.
3. aggravated by inspiration, coughing, and movement of the upper body.
4. accompanied by a residual soreness in the chest, which lasts for several days. - correct answer
✔✔Answer: 2
1. While observing the ECG monitor of a patient admitted to the emergency department with chest pain,
the nurse suspects that the patient is having a myocardial infarction rather than angina upon finding
1. sinus tachycardia.
2. depressed R wave.
3. S-T segment elevation.
4. occasional premature ventricular contractions. - correct answer ✔✔Answer: 3
1. A PCI with stent placement is performed on a patient with an 80% blockage of the left circumflex
coronary artery. To prevent thrombosis following the procedure, the nurse teaches the patient that it is
most important to
1. abstain from alcohol.
2. use antiplatelet agents as directed.
