1|Page
PNH301 - Test 2/ 2026 UPDATE | COMPLETE
SOLUTION
Which information is important for the nurse to include in the discharge
teaching related to elimination after a client has experienced a
myocardial infarction?
A. "Avoid straining during bowel movements"
B. "Avoid passing stool after having food"
C. "Avoid passing stool more than once a day"
D. "Take medication for constipation" - ANSWER -A. "Avoid straining
during bowel movements"
For which possible complication would the nurse monitor a hospitalized
client who is 2 days post myocardial infarction? Select all that apply.
Ones, some, or all responses may be correct.
A. Dysrhythmia
B. Heart failure
C. Pericarditis
D. Dressler's syndrome
E. Cardiogenic shock - ANSWER -A. Dysrhythmia
B. Heart failure
C. Pericarditis
E. Cardiogenic shock
pg. 1
,2|Page
Coronary revascularization with coronary artery bypass graft (CABG)
surgery is recommended for which client? Select all that apply. One,
some, or all responses may be correct.
A. Clients with severe aortic stenosis
B. Clients with left main coronary artery or three vessel disease
C. Clients who are not candidates for percutaneous coronary
intervention
D. Clients who have failed percutaneous intervention and have
recurrent chest pain
E. Clients who are expected to have longer-term benefit - ANSWER -B.
Clients with left main coronary artery or three vessel disease
C. Clients who are not candidates for percutaneous coronary
intervention
D. Clients who have failed percutaneous intervention and have
recurrent chest pain
E. Clients who are expected to have longer-term benefits
What is CAD? - ANSWER -coronary artery disease is a type of blood
vessel disorder that is included in the general category of
atherosclerosis; it may affect the heart's arteries and produce various
pathological effects, especially the reduced flow of oxygen and
nutrients to the myocardium
pg. 2
,3|Page
What is the major cause of CAD? - ANSWER -atherosclerosis of the
coronary arteries
Pathogenesis of Atherosclerosis (4) - ANSWER -1) damaged
endothelium
2) fatty streak and lipid core formation
3) fibrous plaque (collagen covers fatty streak, lumen narrowed, blood
flow reduced, fissures can develop)
4) complicated lesion (plaque rupture, thrombus formation, further
narrowing/occlusion of vessel)
What is collateral circulation? - ANSWER -The development of new,
smaller branches of coronary arteries that grow in response to a vessel
that has slowly become occluded or nearly occluded over time.
does not have time to develop in acute situations
Heart-Healthy Nutritional Choices - ANSWER -- decrease intake of
saturated fats and cholesterol
- increase intake of complex carbs (e.g., whole grains, fruits, vegtables)
- increase fibre
What are LDLs? - ANSWER -bad cholesterol
pg. 3
, 4|Page
Examples of Lipid Lowering Medications - ANSWER -- lovastatin
- pravastatin
- simvastatin
- atorvastatin (Lipitor)
Chronic Stable Angina is? - ANSWER -refers to chest pain that occurs
intermittently over a long period with the same pattern of onset,
duration, and intensity of symptoms, therefore having a predictable
onset.
Example of Cholesterol Absorption Inhibitor Medication - ANSWER -
Ezetimibe
Prinzmetal's Angina - ANSWER -- variant angina
- often occurs at rest, usually in response to spasm of a major coronary
artery.
- It is a rare form of angina and occurs in many patients with a history of
migraine headaches and Raynaud's phenomenon.
Factors that Precipitate Angina - ANSWER -- physical exertion
- temperature extremes
- strong emotion
- consumption of heavy meal
- sexual activity
pg. 4
PNH301 - Test 2/ 2026 UPDATE | COMPLETE
SOLUTION
Which information is important for the nurse to include in the discharge
teaching related to elimination after a client has experienced a
myocardial infarction?
A. "Avoid straining during bowel movements"
B. "Avoid passing stool after having food"
C. "Avoid passing stool more than once a day"
D. "Take medication for constipation" - ANSWER -A. "Avoid straining
during bowel movements"
For which possible complication would the nurse monitor a hospitalized
client who is 2 days post myocardial infarction? Select all that apply.
Ones, some, or all responses may be correct.
A. Dysrhythmia
B. Heart failure
C. Pericarditis
D. Dressler's syndrome
E. Cardiogenic shock - ANSWER -A. Dysrhythmia
B. Heart failure
C. Pericarditis
E. Cardiogenic shock
pg. 1
,2|Page
Coronary revascularization with coronary artery bypass graft (CABG)
surgery is recommended for which client? Select all that apply. One,
some, or all responses may be correct.
A. Clients with severe aortic stenosis
B. Clients with left main coronary artery or three vessel disease
C. Clients who are not candidates for percutaneous coronary
intervention
D. Clients who have failed percutaneous intervention and have
recurrent chest pain
E. Clients who are expected to have longer-term benefit - ANSWER -B.
Clients with left main coronary artery or three vessel disease
C. Clients who are not candidates for percutaneous coronary
intervention
D. Clients who have failed percutaneous intervention and have
recurrent chest pain
E. Clients who are expected to have longer-term benefits
What is CAD? - ANSWER -coronary artery disease is a type of blood
vessel disorder that is included in the general category of
atherosclerosis; it may affect the heart's arteries and produce various
pathological effects, especially the reduced flow of oxygen and
nutrients to the myocardium
pg. 2
,3|Page
What is the major cause of CAD? - ANSWER -atherosclerosis of the
coronary arteries
Pathogenesis of Atherosclerosis (4) - ANSWER -1) damaged
endothelium
2) fatty streak and lipid core formation
3) fibrous plaque (collagen covers fatty streak, lumen narrowed, blood
flow reduced, fissures can develop)
4) complicated lesion (plaque rupture, thrombus formation, further
narrowing/occlusion of vessel)
What is collateral circulation? - ANSWER -The development of new,
smaller branches of coronary arteries that grow in response to a vessel
that has slowly become occluded or nearly occluded over time.
does not have time to develop in acute situations
Heart-Healthy Nutritional Choices - ANSWER -- decrease intake of
saturated fats and cholesterol
- increase intake of complex carbs (e.g., whole grains, fruits, vegtables)
- increase fibre
What are LDLs? - ANSWER -bad cholesterol
pg. 3
, 4|Page
Examples of Lipid Lowering Medications - ANSWER -- lovastatin
- pravastatin
- simvastatin
- atorvastatin (Lipitor)
Chronic Stable Angina is? - ANSWER -refers to chest pain that occurs
intermittently over a long period with the same pattern of onset,
duration, and intensity of symptoms, therefore having a predictable
onset.
Example of Cholesterol Absorption Inhibitor Medication - ANSWER -
Ezetimibe
Prinzmetal's Angina - ANSWER -- variant angina
- often occurs at rest, usually in response to spasm of a major coronary
artery.
- It is a rare form of angina and occurs in many patients with a history of
migraine headaches and Raynaud's phenomenon.
Factors that Precipitate Angina - ANSWER -- physical exertion
- temperature extremes
- strong emotion
- consumption of heavy meal
- sexual activity
pg. 4
