acute coronary syndrome NCLEX
Acute Coronary Syndrome NCLEX 63
(Medical-Surgical Nursing, 7th Edition,
Ch. 40) Exam Questions with Certified
Solutions 2024.
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."
, acute coronary syndrome NCLEX
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." - Answer: 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 - Answer: 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.
, acute coronary syndrome NCLEX
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 - Answer: Increasing age, especially after 70 yo
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. - Answer: 3. Tobacco exposure, including
secondhand 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.
Acute Coronary Syndrome NCLEX 63
(Medical-Surgical Nursing, 7th Edition,
Ch. 40) Exam Questions with Certified
Solutions 2024.
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."
, acute coronary syndrome NCLEX
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." - Answer: 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 - Answer: 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.
, acute coronary syndrome NCLEX
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 - Answer: Increasing age, especially after 70 yo
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. - Answer: 3. Tobacco exposure, including
secondhand 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.
