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NURS 6201 Exam 2 2025/2026 Questions with
Correct Answers (Original Exam) A+ Graded-
Marquette University
A nurse is caring for a patient with a history of chronic stable angina that reports chest pain. What is a characteristic of pain related to this type of angina? a. It generally lasts longer than 15 to 20 minutes. b. It will be relieved by rest, nitroglycerin, or both. c. It is frequently associated with vomiting and extreme fatigue. d. It is frequently associated with vomiting and extreme fatigue b A male patient who has coronary artery disease (CAD) has serum lipid values of low- density lipoprotein (LDL) cholesterol of 98 mg/dL and high-density lipoprotein (HDL) cholesterol of 47 mg/dL. What should the nurse include in patient teaching? A. Consume a diet low in fats. B. Reduce total caloric intake.
C. Increase intake of olive oil. D. The lipid levels are normal. d Which risk factor for CAD is considered non modifiable? a. obesity b. diabetes c. tobacco use d. family history of heart disease d. family history of heart disease A nurse provides discharge teaching to a patient prescribed nitroglycerin sublingual tablets for the treatment of chronic stable angina. Which statement made by the patient indicates the need for further teaching? a. "The sublingual tablets will expire six months from the time the bottle is opened." b. "I will put the bottle in my front or back pant pockets before I leave the house."
which drug reduces triglycerides by decreasing the hepatic synthesis and secretion of very low density lipoproteins (VLDLs)? gemofibrozil fluvastatin blocks the synthesis of cholesterol and? increases the LDL receptors in the liver how does the drug cholestyramine work? binds with the bile acids in the intestines, forming an insoluble complex. The binding results in the removal of LDL and cholesterol which characteristic describes a complicated coronary artery lesion? platelet aggregation and adhesion a complicated lesion is characterized by? accumulation of platelets leading to thrombus formation the rupture of a plaque in the artery occurs when? the lesion is complicated
the plaque ruptures and thrombus formation occurs as does further narrowing or total occlusion of the vessel fibrous plaque occurs when? collagen covers the fatty streak, narrowing the artery and thus reducing the blood flow when the fatty streak forms lipids accumulate and migrate into the smooth muscle cells which factor leads to total occlusion of a coronary artery? a. thrombus formation in the arterial wall b. transport of cholesterol into the arterial intima c. smooth muscle proliferation of the arterial wall d. lipid filled smooth muscle cells in the coronary artery a
arterial anastomoses which are new arterial connections forming between two vessels that are not connection atheromas (atheromatous plaques) are? fatty deposits that form within and on the layers of the coronary artery walls during atherosclerosis atherosclerosis is? an arterial disease characterized by gradual arterial narrowing due to atheroma formation within and on the coronary artery walls if arterial blockage form atherosclerosis forms very gradually the process of angiogenesis has been known to create? collateral circulation around the arterial blockage angioedema is? the rapid and severe swelling of the soft tissues (skin or mucosa) caused by medications, allergies, or an inherited condition
the nurse provides more information to a patient about preventing CAD by maintaining healthy LDL and HDL levels. Which goals would the nurse emphasize? decreased LDL; increased HDLs ____ contain more cholesterol than any other lipoprotein and have an attraction to arterial walls, whereas ___ carry lipids away from the arteries to the liver for metabolism and prevent lipid accumulation within the arterial walls. LDL; HDL for men, the recommended LDL is less than? and the recommended level for HDL is greater than? less than 100mg/dL greater than 40 mg/dL the major cause of CAD is? atherosclerosis which is manifested by fatty deposits on the walls of coronary arteries
a. increase total fat intake b. reduce salt in your diet c. increase daily physical activity d. ingest smaller and more frequent meals e. reduce dietary complex carb and fiber b, c polyunsaturated fats are? found in greatest amounts in may kinds of nuts and in foods from plants including safflower, sunflower, corn, soybean, cottonseed oils palm oil, egg yolk, and source cream are major dietary sources of ___ fat. saturated fat which sources of polyunsaturated fat would the nurse include in a teaching plan for a pt with CAD? walnuts, soybeans
obesity is described as a was it circumference of more than _____ inches for men and more than ___ inches for women. 40; 35 which suggestion would the nurse provide to a patient with a waist circumference of 42 inches? exercise regularly to maintain ideal weight What will the nurse include when educating an older adult patient about a physical activity program to reduce the risk for coronary artery disease? Select all that apply. include longer warm up periods plan indoor exercise on hot summer days bc older adults have a decreased ability to sweat efficiently, they are at a higher risk for? heat intolerance and should therefore be encouraged to plan exercise indoors when it is hot outside
fish is high in omega-3 fatty acids, which reduce triglyceride levels and can slow the progression of CAD A nurse reviews a patient's medical history and identifies which findings as major modifiable risk factors? Select all that apply. a. age b. gender c. tobacco use d. BP of 150/ e. genetic predisposition f. waist circumference 42 inches c, d, f tofu, walnuts, and flaxseed are all rich in omega-3 fatty acids, which has been shown to reduce the risks associated with ____. CAD which statement by an 84 year old patient with coronary artery disease indicates understanding of teaching about physical activity? i will use longer rest periods between exercise sessions
what are common side effects of niacin? flushing of the face and neck a pt with hyperlipidemia has been prescribed niacin. For which reason would the nurse administer aspirin 30 minutes before administering niacin? to prevent skin flushing aspirin is a? analgesic and anti platelet medication preventing platelet aggregation helps to prevent the formation fo atherosclerotic plaque health promoting behaviors for those at risk for CAD include? altering patterns that are conducive to stress other ways to promote health include physical activity, such as a brisk walking (three to four miles/hour for at least 30 min five or more times a week), reducing total and saturated fat intake, and stopping all tobacco use What instruction should the nurse give to a patient to reduce the risk of coronary artery disease (CAD) by lowering LDL cholesterol? Select all that apply.
b. Increase complex carbohydrates in the diet c. Perform moderate physical activity for at least 30 minutes a minimum of five days a week d. decrease amount of fiber in the diet e. perform isometric exercises at least 10 minutes daily
- Reduce total fat intake
- Increase complex carbohydrates in the diet
- Perform moderate physical activity for at least 30 minutes a minimum of five days a week A nurse teaches a patient about strategies to prevent angina caused by coronary artery disease. The nurse tells the patient that if a heavy meal is eaten, to rest for 1 to 2 hours after the meal. What is the rationale for this instruction? a. Eating a heavy meal would divert more blood to the gastrointestinal system. b. Heavy meals cause obesity and increase the susceptibility to myocardial ischemia. c. Eating a heavy meal can cause physical inactivity, which could precipitate angina.
d. Heavy meals cause excessive heat production, which leads to peripheral vasodilation. a before performing a cardiac catheterization, the nurse should assess the patient for an ? allergy to contrast medium which would have an immediate adverse effect on the patient receiving this procedure The lipid profile of a patient is indicative of hyperlipidemia. A nurse advises the patient to consume a diet rich in nutrients that increase high-density lipoprotein (HDL) levels based on what rationale?Multiple selection question a. HDLs prevent stiffening of arterial walls b. HDLs transport lipids to the liver for metabolism c. HDLs stimulate the liver to breakdown more LDLs d. HDLs prevent deposition of lipids in the blood vessels e. HDLs inhibit the production of LDLs b, d
the development of fatty streaks within the smooth muscles of the endothelium patients with LDL cholesterol levels greater than 160 mg/dL are at risk for acquiring CAD and would benefit form receiving a prescription for? cholestyramine a 45 yo. depressed male with a high stress job is at the highest risk for? CAD studies demonstrate that depression and stressful states can contribute to the development of CAD The nurse assesses a patient with a family history of myocardial infarction (MI). Which assessment data indicates to the nurse that the patient has additional risk factors for coronary artery disease (CAD)? a. smoking cessation three years ago b. serum cholesterol level of 260 c. fasting triglyceride level of 110
d. high level of anxiety over last two years related to family issues e. works over 50 hours/week in an office with little time to exercise f. lives with an adult child who smokes two packs of cigarettes per day b, d, e, f A 55-year-old patient with cardiovascular disease (CVD) receives a recommendation from the health care provider to take 81 mg of aspirin daily. The nurse reviews the patient's medical record and identifies which medication contraindications? a. age b. postmenopause c. stroke two years ago d. history of GI bleed e. calculated 10 year CVD risk of 10% c, d
