NSG 430 EXAM 2 QUESTIONS BANK NEWEST

• | P a g e

NSG 430 EXAM 2 QUESTIONS BANK NEWEST

2025 ACTUAL EXAM COMPLETE 200+

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+||BRAND NEW!!

NSG 430 EXAM 2

A patient with diabetes mellitus and chronic stable angina has a new order for captopril.Which information would the nurse teach this patient about the primary purpose of captopril?

• Decreases the heart rate.
• Controls blood glucose levels.
• Prevents changes in heart muscle.
• Reduces the frequency of chest pain. - CORRECT ANSWER -

Prevents changes in heart muscle.

Rationale; The purpose for angiotensin-converting enzyme (ACE) inhibitors in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling.ACE inhibitors do not directly impact angina frequency, blood glucose, or heart rate. 1 / 4

• | P a g e

After having a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, ―It was just a little chest pain. As soon as I get out of here, I'm going for my vacation as planned.‖ Which reply would be most appropriate for the nurse to make?

• ―What do you think caused your chest pain?‖
• ―Where are you planning to go for your vacation?‖
• ―Sometimes plans need to change after a heart attack.‖
• ―Recovery from a heart attack takes at least a few weeks.‖ -

CORRECT ANSWER -―What do you think caused your chest pain?‖

Rationale; When the patient is experiencing denial, the nurse should assist the patient in testing reality until the patient has progressed beyond this step of the emotional adjustment to MI. Asking the patient about vacation plans reinforces the patient's plan, which is not appropriate in the immediate post-MI period. Reminding the patient in denial about the MI is likely to make the patient angry and lead to distrust of the nursing staff.

• / 4

• | P a g e

The nurse is evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery. Which patient statement indicates that additional teaching is needed?

• ―They will circulate my blood with a machine during

surgery.‖

• ―I will have incisions in my leg where they will remove the

vein.‖

• ―They will use an artery near my heart to go around the area

that is blocked.‖

• ―I will need to take aspirin every day after the surgery to

keep the graft open.‖ - CORRECT ANSWER -―I will have incisions in my leg where they will remove the vein.‖

Rationale; When the internal mammary artery is used, there is no need to have a saphenous vein removed from the leg. The other statements by the patient are accurate and indicate that the teaching has been effective.

A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse about 3 / 4

• | P a g e

safely resuming sexual intercourse. Which response by the nurse provides the most useful information for the patient?

• ―Most patients are able to enjoy intercourse without any

complications.‖

• ―Sexual activity uses about as much energy as climbing two

flights of stairs.‖

• ―The doctor will provide sexual guidelines when your heart

is strong enough.‖

• ―Holding and cuddling are good ways to maintain intimacy

after a heart attack.‖ - CORRECT ANSWER -―Sexual activity uses about as much energy as climbing two flights of stairs.‖

Rationale; Sexual activity places about as much physical stress on the cardiovascular system as moderate-energy activities, such as climbing two flights of stairs. The other responses are general statements that may be accurate, but do not provide useful guidelines for judging the physical safety of the activity.

A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which action would the nurse take?

• / 4