NURS 401- CAD EXAM
1. The nurse understands it is important to promote adequate tissue perfu-
sion following cardiac surgery. Which measures should the nurse complete
to prevent the development of deep venous thrombosis (DVT) and possible
pulmonary embolism (PE)? Select all that apply.
Place pillows in the popliteal space.
Apply antiembolism stockings.
Encourage the client to cross their legs.
Avoid elevating the knees on the bed.
Initiate passive exercises.: Apply antiembolism stockings.
Avoid elevating the knees on the bed.
Initiate passive exercises.
,2. A patient with coronary artery disease (CAD) is having a cardiac catheteriza-
tion. What indicator is present for the patient to have a coronary artery bypass
graft (CABG)?
The patient has compromised left ventricular function.
The patient has had angina longer than 3 years.
The patient has at least a 70% occlusion of a major coronary artery.
The patient has an ejection fraction of 65%.: The patient has at least a 70% occlusion of a major
coronary artery.
3. A client with chronic arterial occlusive disease undergoes percutaneous
transluminal coronary angioplasty (PTCA) for mechanical dilation of the right
femoral artery. After the procedure, the client will be prescribed long-term
,administration of which drug?
aspirin or acetaminophen.
pentoxifylline or acetaminophen.
aspirin or clopidogrel.
penicillin V or erythromycin.: aspirin or clopidogrel.
4. A nurse is monitoring the vital signs and blood results of a client who is re-
ceiving anticoagulation therapy. What does nurse identify as a major indication
of concern?
blood pressure of 129/72 mm Hg
heart rate of 87 bpm
, hemoglobin of 16 g/dL
hematocrit of 30%: hematocrit of 30%
5. Which discharge instruction for self-care should the nurse provide to a client
who has undergone a percutaneous transluminal coronary angioplasty (PTCA)
procedure?
Cleanse the site with disinfectants and dress the wound appropriately
Refrain from sexual activity for 1 month
Monitor the site for bleeding or hematoma.
Normal activities of daily living can be resumed the first day after surgery: Monitor
the site for bleeding or hematoma.
6. When the nurse notes that, after cardiac surgery, the client demonstrates low
1. The nurse understands it is important to promote adequate tissue perfu-
sion following cardiac surgery. Which measures should the nurse complete
to prevent the development of deep venous thrombosis (DVT) and possible
pulmonary embolism (PE)? Select all that apply.
Place pillows in the popliteal space.
Apply antiembolism stockings.
Encourage the client to cross their legs.
Avoid elevating the knees on the bed.
Initiate passive exercises.: Apply antiembolism stockings.
Avoid elevating the knees on the bed.
Initiate passive exercises.
,2. A patient with coronary artery disease (CAD) is having a cardiac catheteriza-
tion. What indicator is present for the patient to have a coronary artery bypass
graft (CABG)?
The patient has compromised left ventricular function.
The patient has had angina longer than 3 years.
The patient has at least a 70% occlusion of a major coronary artery.
The patient has an ejection fraction of 65%.: The patient has at least a 70% occlusion of a major
coronary artery.
3. A client with chronic arterial occlusive disease undergoes percutaneous
transluminal coronary angioplasty (PTCA) for mechanical dilation of the right
femoral artery. After the procedure, the client will be prescribed long-term
,administration of which drug?
aspirin or acetaminophen.
pentoxifylline or acetaminophen.
aspirin or clopidogrel.
penicillin V or erythromycin.: aspirin or clopidogrel.
4. A nurse is monitoring the vital signs and blood results of a client who is re-
ceiving anticoagulation therapy. What does nurse identify as a major indication
of concern?
blood pressure of 129/72 mm Hg
heart rate of 87 bpm
, hemoglobin of 16 g/dL
hematocrit of 30%: hematocrit of 30%
5. Which discharge instruction for self-care should the nurse provide to a client
who has undergone a percutaneous transluminal coronary angioplasty (PTCA)
procedure?
Cleanse the site with disinfectants and dress the wound appropriately
Refrain from sexual activity for 1 month
Monitor the site for bleeding or hematoma.
Normal activities of daily living can be resumed the first day after surgery: Monitor
the site for bleeding or hematoma.
6. When the nurse notes that, after cardiac surgery, the client demonstrates low
