Nclex-Rn Practice Questions-Cardiovascular Disorders-Atherosclerosis
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Question 1 |
Which statement indicates to the nurse the client understands a modifiable risk factor for atherosclerosis?
A | “As I get older my chance of having a heart attack increases.” |
B | “My father and grandfather both died of heart disease.” |
C | “I listen to relaxation tapes to help decrease my high stress level.” |
D | “I will take saw palmetto every day to help decrease my blood pressure.” |
Question 2 |
The client asks the nurse, “My doctor just told me that atherosclerosis is why my chest hurts when I walk real fast. What does that mean?” Which statement is the nurse's best response?
A | “The muscle fibers and endothelial lining of your arteries have become thickened.” |
B | “You sound concerned because your chest hurts when you walk real fast.” |
C | “The valves in your heart are incompetent, which is why your chest hurts with activity.” |
D | “You have a hardening of your arteries with fatty buildup that decreases the oxygen to your heart.” |
Question 3 |
The nurse is discussing the pathophysiology of atherosclerosis with a client who has a high low-density lipoprotein (LDL) level. Which information should the nurse discuss with the clients concerning the pathophysiology of LDL?
A | A high LDL is good because it has a protective action in the body. |
B | This test result measures the free fatty acids and glycerol in the blood. |
C | LDLs are the primary transporters of cholesterol into the cell. |
D | The client needs to decrease the amount of cholesterol and fat in the diet. |
Question 4 |
Which assessment data would cause the nurse to suspect the client has atherosclerosis?
A | The client complains of her legs swelling when she stands for long periods. |
B | The client has episodes of jitteriness and headache when feeling hungry. |
C | The client has bilateral calf pain when walking for short periods. |
D | The client complains of mid-epigastric pain after eating spicy foods. |
Question 5 |
The HCP prescribed atorvastatin, (Lipitor), an HMG-CoA reductase inhibitor. Which teaching intervention should the nurse include when discussing this medication?
A | Tell the client to take the medication with food only. |
B | Instruct the client to take the medication in the evening. |
C | Explain that muscle pain is a common side effect of this medication. |
D | Demonstrate how to use the machine to check the cholesterol level daily. |
Question 6 |
Which menu selection indicates to the nurse the client diagnosed with atherosclerosis understands the teaching concerning a low-fat, low-cholesterol diet?
A | Fried chicken, garlic mashed potatoes, and skim milk. |
B | Ham and cheese on white bread and whole milk. |
C | Baked fish, brown rice, lettuce salad, and iced tea. |
D | A hamburger, potato chips, and carbonated beverage. |
Question 7 |
The nurse is caring for clients on a telemetry floor. Which nursing task would be most appropriate to delegate to unlicensed assistive personnel (UAP)?
A | Teach the client how to take their radial pulse for 1 minute. |
B | Escort the discharged client in a wheelchair to the client's car. |
C | Check the triglyceride level for the client diagnosed with atherosclerosis. |
D | Assist the client who just returned from a cardiac catheterization to ambulate. |
Question 8 |
The client diagnosed with peripheral vascular disease is overweight, has smoked two packs of cigarettes a day for 20 years, and sits behind a desk all day. Which statement by the client refers to the strongest factor in the development of atherosclerotic lesions?
A | “I am going to try and lose at least 20 pounds.” |
B | “I have to get out from behind the desk more often.” |
C | “I am going to eat foods that are high in fiber.” |
D | “I have to quit smoking cigarettes but it will be hard.” |
Question 9 |
The female client tells the nurse that her cholesterol level was 189 mg/dL. Which action should the nurse implement?
A | Praise the client for having an acceptable cholesterol level. |
B | Explain that the client needs to lower the cholesterol level. |
C | Discuss dietary changes that could help increase the level. |
D | Allow the client to ventilate feelings about the blood result. |
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