Pts 1 dif cognitive level application ref 465 obj 7

PTS: 1 DIF: Cognitive Level: Application REF: 465
OBJ: 7 (theory) TOP: CABG and MIDCAB Surgery
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
19.
The patient being evaluated for a heart transplant asks the nurse what the survival rate is.
Which response is best for the nurse to make?
a. “ I ’ m not really sure. It is better if you ask your surgeon.
b. “ Every patient has different circumstances, but the average 5-year survival rate is
79%. ”
c. “ The survival rate is excellent. Almost all patients with a heart transplant live past
10 years. ”
d.
“ There are not any really good statistics for me to give you an accurate estimate.
ANS: B
Identifying that individual cases vary while giving accurate statistics is the most helpful
response. Stating “ I ’ m not really sure ” does not instill confidence in the nurse ’ s ability or
knowledge. Although a significant number of patients live past 10 years following heart
transplant, responding that almost all patients live past 10 years is inaccurate and instills false
hope.
”
”

PTS: 1 DIF: Cognitive Level: Application REF: 465
OBJ: 7 (theory) TOP: Heart Transplant
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
MULTIPLE RESPONSE
20.
The nurse is caring for a 38-year-old African American patient with diabetes. The patient
manages her diabetes with dietary control, takes oral contraceptives, and is a nonsmoker.
Which characteristic(s) in this patient ’ s history increase the patient ’ s risk for coronary artery
disease (CAD)? ( Select all that apply. )
PTS: 1 DIF: Cognitive Level: Application REF: 450
OBJ: 1 (theory) TOP: CAD: Risk Factors
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
21.
The nurse instructs a patient that the pain of angina is due to ischemia of the myocardium.
Which factors are causative agents for angina? ( Select all that apply. )
PTS: 1 DIF: Cognitive Level: Comprehension REF: 457, Patient Teaching
OBJ: 3 (theory) TOP: Angina: Precipitators
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation