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Chapter 18: Coronary Artery Disease and Antianginal Medications Test Bank

Chapter 18: Coronary Artery Disease and Antianginal Medications Test Bank

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Chapter 18: Coronary Artery Disease and Antianginal Medications
Test Bank
MULTIPLE CHOICE
1.   A patient who has a history of angina has sublingual nitroglycerin tablets to use as needed. The primary care nurse practitioner (NP) reviews this medication with the patient at the patient’s annual physical examination. Which statement by the patient indicates understanding of the medication?
a.

“I should call 9-1-1 if chest pain persists 5 minutes after the first dose.”

b.

“I should take 3 nitroglycerin tablets 5 minutes apart and then call 9-1-1.”

c.

“I should take aspirin along with the nitroglycerin when I have chest pain.”

d.

“I should take nitroglycerin and then rest for 15 minutes before taking the next dose.”

2.   A patient who will begin using nitroglycerin for angina asks the primary care NP how the medication works to relieve pain. The NP should tell the patient that nitroglycerin acts to:
a.

dissolve atheromatous lesions.

b.

relax vascular smooth muscle.

c.

prevent catecholamine release.

d.

reduce C-reactive protein levels.

3.   A patient who has angina uses 0.4 mg of sublingual nitroglycerin for angina episodes. The patient brings a log of angina episodes to an annual physical examination. The primary care NP notes that the patient has experienced an increase in frequency of episodes in the past month but no increase in duration or severity of pain. The NP should:
a.

increase the nitroglycerin dose to 0.6 mg per dose.

b.

change from a sublingual to a transdermal patch nitroglycerin.

c.

discontinue the nitroglycerin and order ranolazine (Ranexa ER).

d.

contact the patient’s cardiologist to discuss admission to the hospital.

4.   A patient who has stable angina and uses sublingual nitroglycerin tablets is in the clinic and begins having chest pain. The primary care NP administers a nitroglycerin tablet and instructs the patient to lie down. The NP’s next action should be to:
a.

obtain an electrocardiogram.

b.

administer oxygen at 2 L/minute.

c.

give 325 mg of chewable aspirin.

d.

call EMS.

5.   A 45-year-old patient who has a positive family history but no personal history of coronary artery disease is seen by the primary care NP for a physical examination. The patient has a body mass index of 27 and a blood pressure of 130/78 mm Hg. Laboratory tests reveal low-density lipoprotein, 110 mg/dL; high-density lipoprotein, 70 mg/dL; and triglycerides, 120 mg/dL. The patient does not smoke but has a sedentary lifestyle. The NP should recommend:
a.

30 minutes of aerobic exercise daily.

b.

taking 81 to 325 mg of aspirin daily.

c.

beginning therapy with a statin medication.

d.

starting a thiazide diuretic to treat hypertension.


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