Cardiac Vascular Nursing Exam Patient Education & Health Promotion 3

Question 1

A patient post-coronary artery bypass graft (CABG) surgery is being discharged. Which sign or symptom requires the patient to call 911 immediately?

Accepted Answer

Chest pain unrelieved by rest or nitroglycerin

Answer

Mild incision site itching

Answer

Fatigue with light activity in the first week

Answer

Slight ankle swelling at end of day

Question 2

When educating a patient about cardiac risk factor modification, which combination of lifestyle changes has the GREATEST evidence for reducing cardiovascular mortality?

Accepted Answer

Smoking cessation, regular physical activity, and heart-healthy diet

Answer

Stress reduction and vitamin supplementation

Answer

Weight loss and herbal remedies

Answer

Limiting caffeine and increasing sleep duration

Question 3

A patient with an implanted cardioverter-defibrillator (ICD) asks when they should seek medical attention. Which patient statement indicates correct understanding?

Accepted Answer

I will call my cardiologist if my ICD fires even once

Answer

I will go to the ER if my ICD fires more than three times in one day

Answer

I only need to worry if I feel nothing when the ICD fires

Answer

I should expect my ICD to fire weekly as normal function

Question 4

A nurse is providing education to a patient with chronic venous insufficiency about compression therapy. Which instruction is MOST important?

Accepted Answer

Apply compression stockings in the morning before getting out of bed

Answer

Apply compression stockings at bedtime after elevating legs for one hour

Answer

Wear compression stockings only when standing for prolonged periods

Answer

Apply compression stockings after showering while legs are still moist

Question 5

Which patient population requires MODIFIED cardiac education strategies due to specific physiological considerations?

Accepted Answer

Elderly patients with cognitive impairment

Answer

Middle-aged patients with no comorbidities

Answer

Patients who work in healthcare

Answer

Young adult patients with congenital heart disease

Question 6

A patient with heart failure is being taught to use a symptom diary. Which instruction regarding when to call the healthcare provider is MOST important?

Accepted Answer

Call if you gain more than 2 pounds in one day or 5 pounds in one week

Answer

Call if you gain more than 5 pounds in one month

Answer

Call only if shortness of breath prevents you from sleeping

Answer

Call if you notice your urine is darker than usual

Question 7

When discussing secondary prevention after a myocardial infarction, the nurse should EMPHASIZE which medication class as cornerstone therapy that patients should NEVER stop without physician guidance?

Accepted Answer

Beta-blockers

Answer

Calcium channel blockers

Answer

Loop diuretics

Answer

Nitrates