Question 1
A patient with coronary artery disease is being discharged after a myocardial infarction. Which
instruction should the nurse provide regarding lifestyle modifications?
A. Increase dietary sodium intake.
B. Engage in daily aerobic exercise.
C. Limit fluid intake to 1 liter per day.
D. Avoid all fats in the diet.
Answer: B. Engage in daily aerobic exercise.
Rationale: Regular aerobic exercise helps improve cardiovascular health, reduce symptoms, and
enhance overall fitness. A diet low in sodium and fats is important, but complete avoidance of
fats is not advisable. Fluid intake should be individualized based on patient needs.
Question 2
A nurse is assessing a patient with suspected coronary artery disease. Which symptom is most
characteristic of stable angina?
A. Occurs at rest and is prolonged.
B. Caused by emotional stress and lasts less than 15 minutes.
C. Unpredictable and occurs without a trigger.
D. Occurs at night while the patient is asleep.
Answer: B. Caused by emotional stress and lasts less than 15 minutes.
Rationale: Stable angina typically occurs with exertion or stress and is relieved by rest or
nitroglycerin, usually lasting less than 15 minutes. The other options describe unstable angina.
Question 3
Which lab value would indicate a high risk for coronary artery disease?
A. Elevated HDL cholesterol
B. Low triglycerides
C. Elevated LDL cholesterol
D. Normal blood glucose level
Answer: C. Elevated LDL cholesterol
Rationale: Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol.
Elevated levels are associated with an increased risk of coronary artery disease.
, Question 4
A patient with CAD is prescribed a beta-blocker. What is the primary effect of this medication
class?
A. Decreases heart rate and myocardial oxygen demand
B. Increases heart rate and cardiac output
C. Reduces cholesterol levels
D. Causes vasodilation of coronary arteries
Answer: A. Decreases heart rate and myocardial oxygen demand
Rationale: Beta-blockers reduce heart rate and myocardial oxygen demand, which can help
manage symptoms of angina and decrease the risk of further cardiac events.
Question 5
A nurse is teaching a patient about the use of nitroglycerin for angina management. Which
statement by the patient indicates a need for further teaching?
A. "I will take it when I have chest pain."
B. "I can take up to three tablets for one episode of pain."
C. "I should sit down when I take it."
D. "I can take it with my food for better absorption."
Answer: D. "I can take it with my food for better absorption."
Rationale: Nitroglycerin should be taken sublingually, not with food, as food can interfere with
absorption. The other statements are correct regarding the use of nitroglycerin.
Question 6
Which of the following should the nurse monitor closely for a patient on anticoagulant therapy
after a myocardial infarction?
A. Heart rate
B. Blood pressure
C. Signs of bleeding
D. Electrolyte levels
Answer: C. Signs of bleeding
Rationale: Patients on anticoagulant therapy are at increased risk for bleeding, so monitoring for
A patient with coronary artery disease is being discharged after a myocardial infarction. Which
instruction should the nurse provide regarding lifestyle modifications?
A. Increase dietary sodium intake.
B. Engage in daily aerobic exercise.
C. Limit fluid intake to 1 liter per day.
D. Avoid all fats in the diet.
Answer: B. Engage in daily aerobic exercise.
Rationale: Regular aerobic exercise helps improve cardiovascular health, reduce symptoms, and
enhance overall fitness. A diet low in sodium and fats is important, but complete avoidance of
fats is not advisable. Fluid intake should be individualized based on patient needs.
Question 2
A nurse is assessing a patient with suspected coronary artery disease. Which symptom is most
characteristic of stable angina?
A. Occurs at rest and is prolonged.
B. Caused by emotional stress and lasts less than 15 minutes.
C. Unpredictable and occurs without a trigger.
D. Occurs at night while the patient is asleep.
Answer: B. Caused by emotional stress and lasts less than 15 minutes.
Rationale: Stable angina typically occurs with exertion or stress and is relieved by rest or
nitroglycerin, usually lasting less than 15 minutes. The other options describe unstable angina.
Question 3
Which lab value would indicate a high risk for coronary artery disease?
A. Elevated HDL cholesterol
B. Low triglycerides
C. Elevated LDL cholesterol
D. Normal blood glucose level
Answer: C. Elevated LDL cholesterol
Rationale: Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol.
Elevated levels are associated with an increased risk of coronary artery disease.
, Question 4
A patient with CAD is prescribed a beta-blocker. What is the primary effect of this medication
class?
A. Decreases heart rate and myocardial oxygen demand
B. Increases heart rate and cardiac output
C. Reduces cholesterol levels
D. Causes vasodilation of coronary arteries
Answer: A. Decreases heart rate and myocardial oxygen demand
Rationale: Beta-blockers reduce heart rate and myocardial oxygen demand, which can help
manage symptoms of angina and decrease the risk of further cardiac events.
Question 5
A nurse is teaching a patient about the use of nitroglycerin for angina management. Which
statement by the patient indicates a need for further teaching?
A. "I will take it when I have chest pain."
B. "I can take up to three tablets for one episode of pain."
C. "I should sit down when I take it."
D. "I can take it with my food for better absorption."
Answer: D. "I can take it with my food for better absorption."
Rationale: Nitroglycerin should be taken sublingually, not with food, as food can interfere with
absorption. The other statements are correct regarding the use of nitroglycerin.
Question 6
Which of the following should the nurse monitor closely for a patient on anticoagulant therapy
after a myocardial infarction?
A. Heart rate
B. Blood pressure
C. Signs of bleeding
D. Electrolyte levels
Answer: C. Signs of bleeding
Rationale: Patients on anticoagulant therapy are at increased risk for bleeding, so monitoring for
