Lewis's med-surg chapter 33 practice questions
and well verified answers latest update
2025/20226!! Already graded A+!! Brand New
1. Which patient is most likely to be in the fibrous stage of development of
coronary artery disease (CAD)?
a. Age 40 years, thrombus adhered to the coronary artery wall
b. Age 50 years, rapid onset of disease with hypercholesterolemia
c. Age 32 years, thickened coronary arterial walls with narrowed
vessel lumen
d. Age 19 years, high low-density lipoprotein (LDL) cholesterol, lipid-
filled smooth muscle cells - CORRECT ANSWER-c. Age 32 years,
thickened coronary arterial walls with narrowed vessel lumen
2. What accurately describes the pathophysiology of CAD?
a. Partial or total occlusion of the coronary artery occurs during the
stage of raised fibrous plaque.
b. Endothelial changes may be caused by chemical irritants, such as
hyperlipidemia or by tobacco use.
c. Collateral circulation in the coronary circulation is more likely to be
present in the young patient with CAD.
d. The leading theory of atherogenesis proposes that infection and
fatty dietary intake are the basic underlying causes of
atherosclerosis. - CORRECT ANSWER-b. Endothelial changes may be
caused by chemical irritants, such as hyperlipidemia or by tobacco
use.
3. After obtaining patient histories, which patient does the nurse identify as
having the highest risk for CAD?
, a. A white man, age 54 years, who is a smoker and has a stressful
lifestyle
b. A white woman, age 75 years, with a BP of 172/100 mm Hg and
who is physically inactive
c. An Asian woman, age 45 years, with a cholesterol level of 240
mg/dL and a BP of 130/74 mm Hg
d. An obese Hispanic man, age 65 years, with a cholesterol level of 195
mg/dL and a BP of 128/76 mm Hg - CORRECT ANSWER-b. A white
woman, age 75 years, with a BP of 172/100 mm Hg and who is
physically inactive
4. Priority Decision: What should the nurse emphasize when teaching
women about the risks and incidence of CAD?
a. Smoking is not as significant a risk factor for CAD in women as it is
in men.
b. Women seek treatment sooner than do men when they have
symptoms of CAD.
c. Estrogen replacement therapy in postmenopausal women
decreases the risk for CAD.
d. CAD is the leading cause of death in women, with a higher mortality
rate after myocardial infarction (MI) than in men. - CORRECT
ANSWER-d. CAD is the leading cause of death in women, with a
higher mortality rate after myocardial infarction (MI) than in men.
5. Which characteristics are associated with LDLs (select all that apply)?
a. Increases with exercise
b. Contains the most cholesterol
c. Has an affinity for arterial walls
d. Carries lipids away from arteries to liver
e. High levels correlate most closely with CAD
, f. The higher the level, the lower the risk for CAD - CORRECT ANSWER-
b. Contains the most cholesterol
6. c. Has an affinity for arterial walls
7. e. High levels correlate most closely with CAD
8. Which serum lipid elevation, along with high LDL, is strongly associated
with CAD?
a. Apolipoproteins
b. Fasting triglycerides
c. Total serum cholesterol
d. High-density lipoprotein (HDL) - CORRECT ANSWER-b. Fasting
triglycerides
9. The laboratory tests for 4 patients show the following results. Which
patient should the nurse teach first about preventing CAD because the
patient is at the greatest risk for CAD even without other risk factors?
a. Total cholesterol: 152 mg/dL, triglycerides: 148 mg/dL, LDL: 148
mg/dL, HDL: 52 mg/dL
b. Total cholesterol: 160 mg/dL, triglycerides: 102 mg/dL, LDL: 138
mg/dL, HDL: 56 mg/dL
c. Total cholesterol: 200 mg/dL, triglycerides: 150 mg/dL, LDL: 160
mg/dL, HDL: 48 mg/dL
d. Total cholesterol: 250 mg/dL, triglycerides: 164 mg/dL, LDL: 172
mg/dL, HDL: 32 mg/dL - CORRECT ANSWER-d. Total cholesterol: 250
mg/dL, triglycerides: 164 mg/dL, LDL: 172 mg/dL, HDL: 32 mg/dL
10.The nurse is encouraging a sedentary patient with major risks for CAD to
perform physical exercise on a regular basis. In addition to decreasing the
risk factor of physical inactivity, the nurse tells the patient that exercise
will directly contribute to reducing which risk factors?
and well verified answers latest update
2025/20226!! Already graded A+!! Brand New
1. Which patient is most likely to be in the fibrous stage of development of
coronary artery disease (CAD)?
a. Age 40 years, thrombus adhered to the coronary artery wall
b. Age 50 years, rapid onset of disease with hypercholesterolemia
c. Age 32 years, thickened coronary arterial walls with narrowed
vessel lumen
d. Age 19 years, high low-density lipoprotein (LDL) cholesterol, lipid-
filled smooth muscle cells - CORRECT ANSWER-c. Age 32 years,
thickened coronary arterial walls with narrowed vessel lumen
2. What accurately describes the pathophysiology of CAD?
a. Partial or total occlusion of the coronary artery occurs during the
stage of raised fibrous plaque.
b. Endothelial changes may be caused by chemical irritants, such as
hyperlipidemia or by tobacco use.
c. Collateral circulation in the coronary circulation is more likely to be
present in the young patient with CAD.
d. The leading theory of atherogenesis proposes that infection and
fatty dietary intake are the basic underlying causes of
atherosclerosis. - CORRECT ANSWER-b. Endothelial changes may be
caused by chemical irritants, such as hyperlipidemia or by tobacco
use.
3. After obtaining patient histories, which patient does the nurse identify as
having the highest risk for CAD?
, a. A white man, age 54 years, who is a smoker and has a stressful
lifestyle
b. A white woman, age 75 years, with a BP of 172/100 mm Hg and
who is physically inactive
c. An Asian woman, age 45 years, with a cholesterol level of 240
mg/dL and a BP of 130/74 mm Hg
d. An obese Hispanic man, age 65 years, with a cholesterol level of 195
mg/dL and a BP of 128/76 mm Hg - CORRECT ANSWER-b. A white
woman, age 75 years, with a BP of 172/100 mm Hg and who is
physically inactive
4. Priority Decision: What should the nurse emphasize when teaching
women about the risks and incidence of CAD?
a. Smoking is not as significant a risk factor for CAD in women as it is
in men.
b. Women seek treatment sooner than do men when they have
symptoms of CAD.
c. Estrogen replacement therapy in postmenopausal women
decreases the risk for CAD.
d. CAD is the leading cause of death in women, with a higher mortality
rate after myocardial infarction (MI) than in men. - CORRECT
ANSWER-d. CAD is the leading cause of death in women, with a
higher mortality rate after myocardial infarction (MI) than in men.
5. Which characteristics are associated with LDLs (select all that apply)?
a. Increases with exercise
b. Contains the most cholesterol
c. Has an affinity for arterial walls
d. Carries lipids away from arteries to liver
e. High levels correlate most closely with CAD
, f. The higher the level, the lower the risk for CAD - CORRECT ANSWER-
b. Contains the most cholesterol
6. c. Has an affinity for arterial walls
7. e. High levels correlate most closely with CAD
8. Which serum lipid elevation, along with high LDL, is strongly associated
with CAD?
a. Apolipoproteins
b. Fasting triglycerides
c. Total serum cholesterol
d. High-density lipoprotein (HDL) - CORRECT ANSWER-b. Fasting
triglycerides
9. The laboratory tests for 4 patients show the following results. Which
patient should the nurse teach first about preventing CAD because the
patient is at the greatest risk for CAD even without other risk factors?
a. Total cholesterol: 152 mg/dL, triglycerides: 148 mg/dL, LDL: 148
mg/dL, HDL: 52 mg/dL
b. Total cholesterol: 160 mg/dL, triglycerides: 102 mg/dL, LDL: 138
mg/dL, HDL: 56 mg/dL
c. Total cholesterol: 200 mg/dL, triglycerides: 150 mg/dL, LDL: 160
mg/dL, HDL: 48 mg/dL
d. Total cholesterol: 250 mg/dL, triglycerides: 164 mg/dL, LDL: 172
mg/dL, HDL: 32 mg/dL - CORRECT ANSWER-d. Total cholesterol: 250
mg/dL, triglycerides: 164 mg/dL, LDL: 172 mg/dL, HDL: 32 mg/dL
10.The nurse is encouraging a sedentary patient with major risks for CAD to
perform physical exercise on a regular basis. In addition to decreasing the
risk factor of physical inactivity, the nurse tells the patient that exercise
will directly contribute to reducing which risk factors?
