Hesi Review Care for With Cardiac Problem Chapter 35

This is a quiz that contains NCLEX questions for coronary artery disease. CAD develops when the coronary arteries that deliver a abiding supply of blood to the centre muscle outset to develop fatty plaques known equally atherosclerosis. This can lead to restriction of claret catamenia to the eye.

In the previous NCLEX review series, I explained well-nigh other cardiovascular disorders so be certain to check those reviews out.

Every bit the nurse, information technology is important to know how to care for a patient with coronary artery affliction. In addition, the nurse needs to exist enlightened of the causes, adventure factors, and management of CAD.

The NCLEX exam loves to ask questions about patient education,major signs and symptoms, and the different types of CAD.

This quiz will examination you on:

• Main coronary arteries
• Risk factors for coronary artery illness
• Nursing direction of CAD
• Medications used in CAD
• Diagnostic tests used in coronary artery disease
• Patient instruction for CAD
• Different types of angina

Lecture on Coronary Artery Affliction

Coronary Artery Disease (CAD) NCLEX Questions

This quiz volition examination your nursing knowledge nigh coronary avenue affliction (CAD) for the NCLEX exam.

• 1. Truthful or Simulated: The left inductive descending coronary artery provides blood supply to the left ventricle, front of the septum and part of the right ventricle. *
  • True
  • False
• two. Which coronary avenue provides blood to the left atrium and left ventricle: *
  • A. Right marginal avenue
  • B. Posterior descending artery
  • C. Left circumflex artery
  • D. Right coronary artery
• 3. Which patient(s) are well-nigh at adventure for developing coronary artery illness? Select-all-that-apply: *
  • A. A 25 yr sometime patient who exercises three times per week for xxx minutes a twenty-four hours and has a history of cervical cancer.
  • B. A 35 year old male with a BMI of xxx and reports smoking 2 packs of cigarettes a day.
  • C. A 45 year one-time female that reports her male parent died at the historic period of 42 from a myocardial infraction.
  • D. A 29 year sometime that has type I diabetes.
• four. A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath while performing activities. He states the pain goes abroad when he rests. This is known as: *
  • A. Unstable angina
  • B. Variant angina
  • C. Stable angina
  • D. Prinzmetal angina
• 5. Keeping the patient in question 4 in mind: What type of diagnostic tests volition the md most likely order (at first) for this patient to evaluate the cause of the patient's symptoms? Select-all-that-employ: *
  • A. EKG
  • B. Stress exam
  • C. Heart catheterization
  • D. Airship angioplasty
• six. You're providing education to a patient who will be undergoing a heart catheterization. Which statement by the patient requires you lot to re-educate the patient nigh this procedure? *
  • A. "The brachial avenue is most commonly used for this procedure."
  • B. "A dye is injected into the coronary arteries to assess for blockages."
  • C. "Non all patients who have a eye catheterization volition need a stent placement."
  • D. "I will not be completely asleep and volition be able to exhale on my ain during the procedure."
• 7. A patient reports having crushing chest pain that radiates to the jaw. You administer sublingual nitroglycerin and obtain a 12 pb EKG. Which of the following EKG findings confirms your suspicion of a possible myocardial infraction? *
  • A. absent Q moving ridge
  • B. QRS widening
  • C. absent P-moving ridge
  • D. ST segment elevation
• eight. A patient is receiving treatment for stable coronary artery disease. The dr. prescribes the patient Plavix. What important information volition you lot include in the patient'south education? Select-all-that-use: *
  • A. If y'all are scheduled for whatsoever planned surgical procedures, permit your doctor know you are taking Plavix because this medication will need to be discontinued 5-7 days prior to the process.
  • B. A normal side effect of this medication is a dry out cough.
  • C. Avoid green leafy vegetables while taking Plavix.
  • D. Notify the physician, immediately, if you lot develop bruising, problems urinating, or fever.
• 9. A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of Nitroglycerin as prescribed for chest pain, but the chest pain is not relieved. What practise you educate the patient to do next? *
  • A. Take some other dose of Nitroglycerin in 5 minutes.
  • B. Call 911 immediately
  • C. Lie down and rest to see if that helps with relieving the pain
  • D. Take two doses of Nitroglycerin in 5 minutes
• 10. Lipitor is prescribed for a patient with a high cholesterol level. As the nurse, how do yous educate the patient on how this drugs works on the body? *
  • A. Lipitor increases LDL levels and decreases HDL levels, total cholesterol, and triglyceride levels.
  • B. Lipitor decreases LDL, HDL levels, total cholesterol, and triglyceride levels.
  • C. Lipitor increases HDL levels, total cholesterol, and triglyceride levels.
  • D. Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.
• eleven. A patient taking Zocor is reporting muscle pain. You are evaluating the patient's lab work and note that which of the following findings could cause muscle pain? *
  • A. Elevated potassium level
  • B. Elevated CPK (creatine kinase level)
  • C. Decreased potassium level
  • D. Decreased CPK (creatine kinase level)
• 12. A patient who has diabetes volition exist started on Metoprolol for medical direction of coronary artery disease. Which of the following will y'all include in your discharge teaching about this medication? *
  • A. Cheque your heart rate regularly considering Metoprolol can cause an irregular centre rate.
  • B. Check your glucose regularly because this medication tin cause hyperglycemia.
  • C. Check your blood pressure regularly because this medication can crusade hypertension.
  • D. Check your glucose regularly considering this medication tin mask the typical signs and symptoms of hypoglycemia.
• 13. True or False: ACE inhibitors work to decrease the workload on the heart by blocking the conversion of Angiotensin Ii to Angiotensin I which causes vasodilation. *
  • True
  • False

(NOTE: When you hit submit, it will refresh this same page. Curlicue down to see your results.)

NCLEX Questions on Coronary Avenue Disease

ane.       True or Faux: The left anterior descending coronary artery provides blood supply to the right ventricle and to the front of the septum.

two.       Which coronary artery provides blood to the left atrium and left ventricle:

A. Right marginal artery

B. Posterior descending artery

C. Left circumflex artery

D. Right coronary avenue

3.       Which patient(s) are most at hazard for developing coronary artery affliction? Select-all-that-apply:

A. A 25 year one-time patient who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer.

B. A 35 yr old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day.

C. A 45 year quondam female that reports her father died at the age of 42 from a myocardial infraction.

D. A 29 year old that has type I diabetes.

4. A patient reports during a routine check-upwards that he is experiencing breast hurting and shortness of breath while performing activities. He states the pain goes abroad when he rests. This is known as:

A. Unstable angina

B. Variant angina

C. Stable angina

D. Prinzmetal angina

5. Keeping the patient in question 4 in heed: What type of diagnostic tests will the doctor nearly probable lodge (at beginning) for this patient to evaluate the cause of the patient's symptoms? Select-all-that-apply:

A. EKG

B. Stress examination

C. Heart catheterization

D. Balloon angioplasty

half dozen. Y'all're providing education to a patient who will be undergoing a centre catheterization. Which argument by the patient requires you to re-educate the patient nearly this process?

A. "The brachial artery is most normally used for this process."

B. "A dye is injected into the coronary arteries to assess for blockages."

C. "Not all patients who have a heart catheterization will need a stent placement."

D. "I volition non be completely comatose and will exist able to breathe on my own during the procedure."

vii. A patient reports having crushing chest pain that radiates to the jaw. You administer sublingual nitroglycerin and obtain a 12 lead EKG. Which of the following EKG findings confirms your suspicion of a possible myocardial infraction?

A. absent Q wave

B. QRS widening

C. absent P-wave

D. ST segment elevation

8. A patient is receiving treatment for stable coronary artery affliction. The doctor prescribes the patient Plavix. What important information will you include in the patient'south teaching? Select-all-that-apply:

A. If you lot are scheduled for any planned surgical procedures, let your md know you are taking Plavix considering this medication will need to be discontinued v-vii days prior to the procedure.

B. A normal side issue of this medication is a dry cough.

C. Avoid light-green leafy vegetables while taking Plavix.

D. Notify the physician, immediately, if yous develop bruising, issues urinating, or fever.

nine. A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of nitroglycerin as prescribed for chest pain, but the breast pain is non relieved. What do you lot educate the patient to do next?

A. Have another dose of Nitroglycerin in 5 minutes.

B. Call 911 immediately

C. Lie down and rest to see if that helps with relieving the pain

D. Take two doses of Nitroglycerin in five minutes

ten. Lipitor is prescribed for a patient with a high cholesterol level. As the nurse, how do y'all educate the patient on how this drugs works on the trunk?

A. Lipitor increases LDL levels and decreases HDL levels, full cholesterol, and triglyceride levels.

B. Lipitor decreases LDL, HDL levels, total cholesterol, and triglyceride levels.

C. Lipitor increases HDL levels, total cholesterol, and triglyceride levels.

D. Lipitor increases HDL levels and decreases LDL, full cholesterol, and triglyceride levels.

xi. A patient taking Zocor is reporting muscle pain. Y'all are evaluating the patient's lab work and note that which of the following findings could cause muscle pain?

A. Elevated potassium level

B. Elevated CPK (creatine kinase level)

C. Decreased potassium level

D. Decreased CPK (creatine kinase level)

12. A patient who has diabetes will be started on Metoprolol for medical management of coronary artery illness. Which of the post-obit will you include in your discharge teaching nigh this medication?

A. Bank check your middle rate regularly considering Metoprolol tin can crusade an irregular heart rate.

B. Bank check your glucose regularly considering this medication can crusade hyperglycemia.

C. Check your blood pressure regularly because this medication can cause hypertension.

D. Check your glucose regularly because this medication tin mask the typical signs and symptoms of hypoglycemia.

13. True or False: ACE inhibitors piece of work to subtract the workload on the heart by blocking the conversion of Angiotensin II to Angiotensin I which causes vasodilation.

Answer Central:
1. False
2. C
3. B, C, D
4. C
5. A, B
6. A
7. D
8. A, D
9. B
x. D
11. B
12. D
xiii. False

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