Final Exam - Module 5-7 Exam, Quiz, ATI, Test Bank|Questions with Correct Solution
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ATI
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ATI
Final Exam - Module 5-7 Exam, Quiz, ATI, Test Bank
The patient is scheduled to undergo a percutaneous cardiac intervention (PCI). What patient history would the nurse least expect to find?
Poor left ventricular function and ejection fraction
Coronary artery lesions less than 70% narrowing
Ext...
Final Exam - Module 5-7 Exam, Quiz, ATI,
Test Bank
The patient is scheduled to undergo a percutaneous cardiac intervention (PCI).
What patient history would the nurse least expect to find?
Poor left ventricular function and ejection fraction
Coronary artery lesions less than 70% narrowing
Extreme old age with fragility
Unstable angina with activity and at rest
Coronary artery lesions less than 70% narrowing
A female patient has just undergone a percutaneous coronary intervention (PCI).
What symptom, if found by the nurse, requires immediate intervention?
Three premature ventricular complexes
Frank bleeding from the femoral insertion site
Serum potassium level 4.8 mEq/L
Hemoglobin 11.7 g/dL
Frank bleeding from the femoral insertion site
The patient has undergone a percutaneous coronary intervention (PCI) for relief
of coronary stenosis secondary to arteriosclerotic heart disease. During
discharge teaching, what patient statement most indicates the need for
reteaching?
This procedure means that my heart disease is cured
I should continue to take my antilipidemic
If I have any chest pain, I will call my doctor
I will start a walking program after my doctor agrees
This procedure means that my heart disease is cured
A patient has been found to be at high risk for cardiovascular disease after a
highly sensitive C-reactive protein (hs-CRP) blood test indicated a value of 3.0
mg/dL. The patient would like to know what this test measures. What would be
the best answer for the nurse to give?
Systemic inflammation related to atherosclerosis
Cardiac output following myocardial infarction
Blood pressure related to congestive heart failure
Lipid levels in connection with stress response
Systemic inflammation related to atherosclerosis
A patient newly diagnosed with atherosclerosis wants to know what the plaque
building up in his arteries actually consists of. Which of the following should the
nurse mention? Select all that apply.
Fatty substances
Osteocytes
Epithelial tissue
,Cholesterol
Cellular waste products
Collagen and elastic fibers
Fatty substances
Cholesterol
Cellular waste products
Collagen and elastic fibers
A patient with atherosclerosis acknowledges that he is a smoker but does not
understand how this contributes to his atherosclerosis. Which response would
be best for the nurse to give him?
Smoking causes stress, which increases his lipid levels
Smoking triggers in him a craving for high-cholesterol foods
Smoking injures the inner layer of his arteries, facilitating plaque buildup
Smoking causes vasoconstriction
Smoking injures the inner layer of his arteries, facilitating plaque buildup
A young patient who seems perfectly healthy is displaying symptoms of angina
pectoris. Which of the following are possible underlying causes of the patients
condition? Select all that apply.
Atherosclerotic narrowing of the coronary arteries
Hemophilia
Use of aspirin
Spasm of a coronary artery
Arterial inflammation
Tachycardia
Atherosclerotic narrowing of the coronary arteries
Spasm of a coronary artery
Arterial inflammation
Tachycardia
A patient in the CCU complains of pain and a squeezing sensation in his chest.
He says that it typically affects him in the middle of the night, waking him from
sleep. The nurse recognizes that this patient is most likely experiencing which of
the following?
Stable angina
Unstable angina
Classic angina
Variant angina
Variant angina
A 78-year-old woman in the CCU complains of shortness of breath, along with
prolonged chest pain unrelieved by rest or sublingual nitroglycerin. The nurse
recognizes that this patient is most likely experiencing which condition?
Stable angina pectoris
Atherosclerosis
,Classic angina
Myocardial infarction
Myocardial infarction
A patient in the CCU has severe angina pectoris and is undergoing ECG
assessment. The nurse knows that this patient had a previous myocardial
infarction (MI) 10 years ago and that this old MI is likely to show up on the ECG.
Which of the following would show that the patient had a previous MI but is not
having one now?
Abnormal Q waves accompanied by ST-segment elevation
Abnormal Q waves accompanied by a normal ST segment
Normal Q waves accompanied by a ST-segment elevation
Normal Q waves accompanied by ST-segment depression
Abnormal Q waves accompanied by a normal ST segment
A patient is recovering in the CCU following a myocardial infarction 24 hours ago.
She is now pain free and is beginning to eat solid foods. To prevent the Valsalva
maneuver from occurring in this patient, what intervention should the nurse take?
Administer fibrinolytic therapy
Administer a stool softener
Administer sublingual nitroglycerin
Administer aspirin
Administer a stool softener
A patient in the CCU is recovering from a myocardial infarction. He complains of
new chest pain and trouble breathing. The nurse observes that he has cool, moist
skin and is breathing rapidly. On taking his pulse, she finds that it is rapid and
thready. She takes his blood pressure and finds it to be 80/60 mm Hg. What
complication is this patient most likely experiencing?
Recurrent myocardial ischemia
Ventricular septal wall rupture
Cardiogenic shock
Pericarditis
Cardiogenic shock
A patient is being discharged from the CCU following a myocardial infarction (MI).
He will be participating in cardiac rehabilitation following discharge. His wife is
wondering what she can do to help her husband during rehabilitation. What
instructions should the nurse include in the discharge teaching plan? Select all
that apply.
Take cardiopulmonary resuscitation training
Learn to interpret ECG readings
Encourage her husband to stop smoking
Exercise with her husband
Prepare heart-healthy meals
Perform a stress test on her husband monthly.
, Take cardiopulmonary resuscitation training
Encourage her husband to stop smoking
Exercise with her husband
Prepare heart-healthy meals
The nurse is teaching several patients how to reduce their risk for coronary artery
disease or atherosclerosis. What risk factors should the nurse most emphasize?
Serum cholesterol, high stress, and anger management
Male gender, increased age, and hypertension
Serum cholesterol, hypertension, and cigarette smoking
Cigarette smoking, smokeless tobacco, and ethnicity
Serum cholesterol, hypertension, and cigarette smoking
The nurse is explaining the process of atherosclerosis to a patient and family.
What information should the nurse include?
This disease is purely genetic in nature and cannot be prevented
The central process involves the formation of lipid-filled arterial plaques
Alterations in lifestyle have no effect on the formation of plaques
Anginal chest pain occurs when a coronary artery is 100% occluded
The central process involves the formation of lipid-filled arterial plaques
A patient has been diagnosed with unstable angina. Unstable angina may be
described as what?
Occurring with exercise
Crescendo pattern
Predictable pattern
Relieved by rest
Crescendo pattern
The patient is complaining of midsternal chest pain that feels like constant severe
pressure. The pain is not relieved by rest or three nitroglycerin tablets and is
different than the pain the patient has had in the past. What is the priority nursing
action?
Administer another nitroglycerin tablet
Obtain a 12-lead electrocardiogram
Use anxiety reduction techniques
Teach risk reduction strategies
Obtain a 12-lead electrocardiogram
The patient is experiencing severe chest pain after a stressful incident at work.
On the 12-lead ECG, the nurse notices ST segment depression in the anterior
leads that resolves as the patients pain resolves. What is the most appropriate
nursing action?
Send the patient home, since the symptoms have resolved
Implement a risk reduction teaching plan
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