ACUTE CORONARY SYNDROME NCLEX EXAM QUESTIONS AND
ANSWERS GRADED A+ 100% GUARANTEED SUCCESS.
The client with unstable angina has received education about the acute
coronary syndrome. Which of the following indicates that he
understood the teaching?
1. "This is a big warning; I must modify my lifestyle or risk having a heart
attack in the next year."
2. "Angina is just a temporary interruption of blood flow to my heart."
3. "I need to tell my wife I've had a heart attack."
4. "Because this was temporary, I will not need to take any medications
for my heart." ANS >>> 1. Among people who have unstable angina, 10%
to 30% have a myocardial infarction (MI) within 1 year. Although angina
pain is temporary, it reflects underlying coronary artery disease (CAD),
which requires attention, including lifestyle modifications. Unstable
angina reflects tissue ischemia, but infarction represents tissue necrosis.
Clients with underlying CAD may need medications such as aspirin
(ASA), lipid-lowering agents, antianginals, or antihypertensives.
,The nurse is caring for a group of clients who have sustained myocardial
infarction (MI). The nurse observes the client with which type of MI
most carefully for the development of left ventricular heart failure?
1. Inferior wall
2. Anterior wall
3. Lateral wall
4. Posterior wall ANS >>> 2. Owing to the large size of the anterior wall,
the amount of tissue infarction may be large enough to decrease the
force of contraction, leading to heart failure. with the inferior wall, the
client is more likely to develop right ventricular MI. regarding clients
with obstruction of the circumflex artery may experience a lateral wall
or posterior wall MI and sinus dysrhythmias.
The nurse is providing a cardiac class for a women's group. The nurse
emphasizes that which characteristics place women at high risk for
myocardial infarction (MI)? Select all that apply.
Premenopausal
Increasing age
Family history
Abdominal obesity
Breast cancer ANS >>> Increasing age, especially after 70 you
Family history is a risk factor in both men and women
Abdominal obesity: A large waist size/abdominal obesity is a risk factor
for both metabolic syndrome and MI.
, The nurse is teaching a group of teens about prevention of heart
disease. Which point should the nurse emphasize?
1.Reduce abdominal fat.
2. Avoid stress.
3. Do not smoke or chew tobacco.
4. Avoid alcoholic beverages. ANS >>> 3. Tobacco exposure, including
second-hand smoke, reduces coronary blood flow, causes
vasoconstriction and endothelial dysfunction and thickening of the
vessel wall, increases carbon monoxide, and decreases oxygen. Because
this is highly addicting, beginning smoking in the teen years may lead to
decades of exposure.
The nurse is teaching the client that metabolic syndrome can increase
the risk for myocardial infarction (MI). Which signs of metabolic
syndrome should the nurse include in the discussion? Select all that
apply.
Truncal obesity
Hypercholesterolemia
Elevated homocysteine levels
Glucose intolerance
Client taking losartan (Cozaar) ANS >>> Hypercholesterolemia: Decreased
high-density lipoprotein cholesterol (HDL-C) (usually with high low-
density lipoprotein cholesterol [LDL-C]), HDL-C less than 40 mg/dL for
men or less than 50 mg/dL for women, or taking an ant cholesterol drug
is a sign of metabolic syndrome.
ANSWERS GRADED A+ 100% GUARANTEED SUCCESS.
The client with unstable angina has received education about the acute
coronary syndrome. Which of the following indicates that he
understood the teaching?
1. "This is a big warning; I must modify my lifestyle or risk having a heart
attack in the next year."
2. "Angina is just a temporary interruption of blood flow to my heart."
3. "I need to tell my wife I've had a heart attack."
4. "Because this was temporary, I will not need to take any medications
for my heart." ANS >>> 1. Among people who have unstable angina, 10%
to 30% have a myocardial infarction (MI) within 1 year. Although angina
pain is temporary, it reflects underlying coronary artery disease (CAD),
which requires attention, including lifestyle modifications. Unstable
angina reflects tissue ischemia, but infarction represents tissue necrosis.
Clients with underlying CAD may need medications such as aspirin
(ASA), lipid-lowering agents, antianginals, or antihypertensives.
,The nurse is caring for a group of clients who have sustained myocardial
infarction (MI). The nurse observes the client with which type of MI
most carefully for the development of left ventricular heart failure?
1. Inferior wall
2. Anterior wall
3. Lateral wall
4. Posterior wall ANS >>> 2. Owing to the large size of the anterior wall,
the amount of tissue infarction may be large enough to decrease the
force of contraction, leading to heart failure. with the inferior wall, the
client is more likely to develop right ventricular MI. regarding clients
with obstruction of the circumflex artery may experience a lateral wall
or posterior wall MI and sinus dysrhythmias.
The nurse is providing a cardiac class for a women's group. The nurse
emphasizes that which characteristics place women at high risk for
myocardial infarction (MI)? Select all that apply.
Premenopausal
Increasing age
Family history
Abdominal obesity
Breast cancer ANS >>> Increasing age, especially after 70 you
Family history is a risk factor in both men and women
Abdominal obesity: A large waist size/abdominal obesity is a risk factor
for both metabolic syndrome and MI.
, The nurse is teaching a group of teens about prevention of heart
disease. Which point should the nurse emphasize?
1.Reduce abdominal fat.
2. Avoid stress.
3. Do not smoke or chew tobacco.
4. Avoid alcoholic beverages. ANS >>> 3. Tobacco exposure, including
second-hand smoke, reduces coronary blood flow, causes
vasoconstriction and endothelial dysfunction and thickening of the
vessel wall, increases carbon monoxide, and decreases oxygen. Because
this is highly addicting, beginning smoking in the teen years may lead to
decades of exposure.
The nurse is teaching the client that metabolic syndrome can increase
the risk for myocardial infarction (MI). Which signs of metabolic
syndrome should the nurse include in the discussion? Select all that
apply.
Truncal obesity
Hypercholesterolemia
Elevated homocysteine levels
Glucose intolerance
Client taking losartan (Cozaar) ANS >>> Hypercholesterolemia: Decreased
high-density lipoprotein cholesterol (HDL-C) (usually with high low-
density lipoprotein cholesterol [LDL-C]), HDL-C less than 40 mg/dL for
men or less than 50 mg/dL for women, or taking an ant cholesterol drug
is a sign of metabolic syndrome.
