22 which modifiable risk factors increase a patients

22.
Which modifiable risk factors increase a patient’s risk for heart disease? ( Select all that
apply. )
a. Smoking
b. Race
c. Obesity
d. Sedentary lifestyle
e. Age
ANS: A, C, D
Smoking, obesity, and sedentary lifestyle are modifiable risk factors that increase risk of
CAD. Race and age are nonmodifiable risk factors for heart disease.
MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1 DIF: Cognitive Level: Comprehension REF: 374, Table 17-1
OBJ: 2 (theory) TOP: Modifiable Risks
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
23.
Which disorder(s) is/are examples of congenital heart defects? ( Select all that apply. )
NURSINGTB.COM

d. Valvular defects
e. Atherosclerosis
ANS: B, C, D
Causes of cardiovascular disorders can be congenital or acquired. Narrowing of the aorta
(coarctation) , septal defects, or abnormal cardiac valve formation can occur congenitally.
Acquired defects include narrowing or hardening of the blood vessels from arteriosclerosis
(thickening and loss of elasticity) or atherosclerosis and aneurysms of the large vessels.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 373
OBJ: 1 (theory) TOP: Disorders of the Heart
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
COMPLETION
24.
The nurse assessing the heart places the stethoscope between the fifth and sixth ribs at the
mid-clavicular line to hear the point of _________.
MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1 DIF: Cognitive Level: Comprehension REF: 383, Table 17-3
OBJ: 5 (theory) TOP: PQRST Assessment Tool
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
26.
The nurse who uses a regular sized adult blood pressure cuff on a large adult will get a blood
pressure reading that is falsely __________.
NURSINGTB.COM
NURSINGTB.COM
PTS: 1 DIF: Cognitive Level: Application REF: 369
OBJ: 1 (clinical) TOP: Auscultating the PMI
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
25.
When the nurse uses the PQRST tool for pain assessment, the “R” prompts an inquiry about
the __________ of the pain.

The small cuff compresses the artery in a narrow local area and causes a greater compression
than a cuff that is better suited. The result is a falsely high reading.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 385
OBJ: 5 (theory) TOP: Blood Pressure: False High
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
27.
_________ is the acute symptom most experienced by African Americans when having a
myocardial infarction (MI).
MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
NURSINGTB.COM
PTS: 1 DIF: Cognitive Level: Application REF: 383, Cultural Considerations
OBJ: 5 (theory) TOP: Cultural Considerations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
NURSINGTB.COM