A patient with coronary artery disease develops chest pressure while walking briskly. Which explanation best connects the activity to the symptom?
3 Coronary Artery Disease Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Coronary Artery Disease, test your knowledge, and prepare for your next test or exam.
A patient’s usual chest discomfort changes and begins occurring at rest. What potentially urgent syndrome may this signal?
A patient with known coronary artery disease develops chest pressure while walking. The nurse should first stop the and help the patient rest.
A patient reports chest discomfort. Which information should the nurse obtain as part of a focused symptom history? Select all that apply.
- A
When the discomfort began and how long it has lasted.
- B
Its location, quality, and any radiation.
- C
What triggers, relieves, or worsens it.
- D
Whether symptoms such as shortness of breath, nausea, sweating, or lightheadedness accompany it.
- E
Whether the patient has had a similar pattern before and whether this episode differs.
For every person with coronary artery disease, the safest long-term plan is to avoid all physical activity indefinitely.
- A
True
- B
False
A patient prescribed sublingual nitroglycerin asks what to do when chest discomfort begins. Which instruction is best?
- A
Swallow the tablet with water and continue the activity.
- B
Sit or lie down, use it exactly as prescribed, and seek emergency help for severe, worsening, or unresolved symptoms.
- C
Take extra doses whenever the first dose does not work.
- D
Stop all other heart medicines when using nitroglycerin.
A patient is prescribed sublingual nitroglycerin. Where should the patient place the medication?
A patient with coronary artery disease asks which actions can support risk reduction. Select all that apply.
- A
Stop smoking and avoid secondhand smoke.
- B
Choose a heart-healthy eating pattern and limit saturated fat and sodium.
- C
Work with the care team to manage blood pressure, cholesterol, and blood glucose.
- D
Stop prescribed risk-reduction medicines whenever the person feels well.
- E
Work toward a healthy weight and do physical activity appropriate to the person’s health and care plan.
To check the patient’s understanding of the education plan, ask them to explain it back in .
A patient with chronic coronary artery disease says they stopped their prescribed cholesterol medicine because they feel well. Which response is best?
- A
Stop the medicine whenever there is no chest pain.
- B
Take twice the prescribed dose to make up for missed treatment.
- C
Discuss the change with the prescriber because risk-reducing treatment may matter even without symptoms.
- D
Take the medicine only after eating high-fat foods.
New chest discomfort at rest in a patient whose usual symptoms occur with exertion may require urgent evaluation.
- A
True
- B
False
A patient with known coronary artery disease develops chest pressure while walking in a hallway. What should the nurse do first?
- A
Stop the activity, help the patient rest, and promptly assess symptoms and vital signs.
- B
Encourage the patient to continue walking slowly.
- C
Offer food and reassess in 30 minutes.
- D
Leave the patient alone to obtain the medication record.
A nurse is planning education for a patient with coronary artery disease and angina. Describe at least three topics to include and how the nurse can check that the patient understands the plan.
What is the name of the process in which plaque narrows or blocks coronary arteries?
What clinical term describes an inadequate supply of oxygen-rich blood to the heart muscle?
A patient with a history of predictable chest discomfort during brisk walking reports a new episode while resting. What is the best response?
- A
Reassure the patient that discomfort at rest is expected with stable angina.
- B
Treat the change as potentially urgent, promptly assess the patient, and activate the appropriate emergency response.
- C
Ask the patient to walk briefly to see whether the discomfort worsens.
- D
Schedule a routine follow-up appointment and wait to see whether symptoms recur.
A patient with coronary artery disease asks how to support long-term risk reduction. Which plan is most appropriate?
- A
Avoid all physical activity indefinitely and stop risk-reduction medicines whenever symptoms are absent.
- B
Focus only on eating less sodium; other risk factors do not need follow-up.
- C
Follow a heart-healthy eating pattern, work with the care team on risk factors, and choose activity appropriate to the person’s health and care plan.
- D
Increase activity without regard to symptoms or clinician guidance.
After discussing a patient’s medicines and symptoms that require urgent help, which approach best helps the nurse check the patient’s understanding?
- A
Ask whether the patient understands, then end the discussion if they say yes.
- B
Ask the patient to explain the plan back in their own words.
- C
Give the patient a list of instructions without discussing them.
- D
Ask a family member to confirm the plan while the patient listens.
Which statement by a patient prescribed sublingual nitroglycerin indicates correct understanding?
- A
Swallow the tablet with water as soon as chest pain begins.
- B
Sit or lie down and use it exactly as prescribed; seek emergency help if symptoms are severe, worsening, or not resolving.
- C
Take extra doses whenever the first dose does not work.
- D
Stop all other heart medicines whenever using nitroglycerin.
A focused history of chest discomfort is sufficient by itself, so no further clinical assessment or emergency response is needed.
- A
True
- B
False
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