Coronary Artery Disease Test #933

Coronary Artery Disease Risk Management Independent Analysis
4 Contact Hours • Course #933 V.2

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The following Independent Analysis is for you to quiz your knowledge that you have obtained after reading the course material. This is an independent exercise.

To find out if you have understood the material, click on "Submit" ONCE when you are completely finished with the Independent Analysis, and please be patient while your answers are checked and your results are displayed.

Your Certificate will be mailed to you First Class only when you complete and submit the required Independent Analysis Evaluation.

	Answer each of the following questions (there is only one correct answer to each question).
	1	The American Heart Association has stated that risk factor intervention will do all of the following EXCEPT:
		A. extend life
		B. change genetic factors
		C. decrease the need for surgical intervention
		D. improve quality of life
	2	Atherosclerosis leads to the development of a lesion which:
		A. stretches the walls of the veins
		B. narrows the lumen of the artery
		C. destroys cardiac muscle
		D. dilates arteries and veins
	3	The first evidence of atherosclerosis is:
		A. high serum blood cholesterol
		B. fatty streaks along the intima and media of the artery
		C. elevated high density lipoproteins (HDL)
		D. elevated low density lipoproteins (LDL)
	4	Hypertension adversely affects all aspects of cardiovascular function by:
		A. causing hypertrophy of the smooth muscle
		B. decreasing perfusion pressure
		C. decreasing plaque formation
		D. increasing cardiac output
	5	The incidence of coronary artery disease (CAD) in women is:
		A. lower than in men
		B. higher than in men
		C. only in the elderly
		D. same as men
	6	Which of the following combinations of risks is considered major?
		A. hypertension, age, heredity
		B. elevated serum cholesterol, stress, smoking
		C. hypertension, elevated serum cholesterol, smoking
		D. obesity, smoking, elevated serum cholesterol
	7	The major risk factors for coronary artery disease:
		A. are developmental in nature and require specific treatments and medical intervention
		B. can be treated with medication alone
		C. can be altered by modifying diet, habits and medications
		D. are genetic and cannot be modified
	8	Increased diastolic blood pressure (over 90 mmHg) causes all of the following EXCEPT:
		A. lipids to move into the lining of the artery
		B. structural changes of the artery
		C. increased wall to lumen ratio
		D. decreased cardiac output
	9	Cigarette smoking causes all of the following EXCEPT:
		A. vasospasm
		B. increased thrombosis
		C. increased cardiac reserve
		D. low HDL's
	10	Smoking cessation lowers the risk of coronary artery disease by:
		A. 10%
		B. 25%
		C. 50%
		D. 75%
	11	All of the following cause increased risk of CAD EXCEPT:
		A. elevated total cholesterol
		B. elevated HDL's
		C. elevated LDL's
		D. elevated triglycerides
	12	Hypertension is thought to affect the artery by:
		A. causing injury to the lining
		B. causing emboli to form
		C. dilating the wall
		D. smoothing out the cells
	13	Desirable lab values of LDL-cholesterol are:
		A. less than 100 mg/dL
		B. less than 130 mg/dL
		C. 130-159 mg/dL
		D. 160-180 mg/dL
	14	The desired level of serum cholesterol is:
		A. below 100 mg/dL
		B. above 165 mg/dL
		C. less than 200 mg/dL
		D. about 300 mg/dL
	15	Persons with diabetes mellitus have increased risk of CAD because:
		A. elevated blood glucose causes damage to the vessel basement
		B. insulin may cause atherosclerosis
		C. lower cholesterol is common
		D. the metabolism is altered
	16	Diet high in saturated fat is derived from all EXCEPT:
		A. dairy products
		B. meat
		C. olive oil
		D. coconut oil
	17	Physical inactivity is a risk factor for CAD because it causes:
		A. increased HDL's
		B. low blood pressure
		C. decreased HDL's
		D. decreased LDL's
	18	New studies regarding "Type A" behavior and risk of CAD demonstrate that the following behavior(s) are most detrimental:
		A. aggressiveness
		B. ambitiousness
		C. anger and hostility
		D. competitiveness
	19	The goal of health promotion is to:
		A. attend classes on wellness
		B. take responsible action to improve one's own health
		C. change behavior
		D. educate the public
	20	Assessment for client education will include all of the following EXCEPT:
		A. readiness to learn
		B. previous knowledge or experience
		C. family history
		D. awareness of risk factors
	21	The adult learner:
		A. wants others to set goals for him
		B. does not like small groups or classes
		C. finds it difficult to change lifestyle
		D. prefers lectures over workshops
	22	Considerations for planning an exercise program for the elderly include knowledge of all of the following EXCEPT:
		A. the normal physiological changes of aging
		B. increased heart rate with age
		C. decline in cardiac output
		D. endurance may be decreased
	23	Factors that assist the client to develop self-efficacy include all of the following EXCEPT:
		A. information and persuasion by the nurse
		B. past failures
		C. observation of others
		D. successful performance of the behavior
	24	A successful cardiac risk reduction program has:
		A. generalized behavior change
		B. high expectations
		C. realistic goals
		D. expected relapse
	25	Persons eligible for the HeartActive health promotion have:
		A. total cholesterol higher than 240
		B. HDL less than 35
		C. total cholesterol 200-239 with two risk factors
		D. all of the above
	26	A program for dealing with hypertension should emphasize:
		A. staying on the prescribed medication
		B. strenuous daily exercise
		C. that rest alone will help in lowering the blood pressure
		D. stabilization of blood pressure with increasing age
	27	Strategies to assist a person to quit smoking include all of the following EXCEPT:
		A. eating candy as a substitute for smoking
		B. exercise at the time when urge to smoke is greatest
		C. using nicotine patches or gum
		D. contracting with the smoker to meet the goal
	28	High Density Lipoproteins (HDLs):
		A. serve to remove cholesterol from the blood
		B. are increased with smoking
		C. increase the incidence of CAD
		D. are decreased with exercise
	29	The best diet for the control of cholesterol is one in which the amount of dietary cholesterol does not exceed:
		A. 100 mg per day
		B. 150 mg per day
		C. 200 mg per day
		D. 500 mg per day
	30	Recommendations for reducing cholesterol include all of the following EXCEPT:
		A. eat lean beef, fish, and poultry
		B. limit egg yolks to 3 per week
		C. avoid organ meats
		D. choose margarine that has equal proportions of saturated and polyunsaturated fat
	31	The nurse can be most effective in helping the diabetic to prevent CAD by:
		A. helping the person learn to control his disease
		B. teaching the causes of CAD
		C. helping the person recognize the symptoms of CAD
		D. observing the person for changes indicative of impending CAD
	32	When teaching a person about weight control, it is important to do which of the following?
		A. remind the person to weigh daily
		B. teach the person how to read nutrition labels
		C. encourage a quick loss diet program to prevent the person from becoming discouraged
		D. limit the fluid intake with meals but encourage more liquids between meals
	33	Using the food pyramid as a guide, the obese client can reduce weight by:
		A. using exchange list to plan diet
		B. eating more meat and poultry
		C. eating less grains and pasta
		D. eating only three times a day
	34	The diet should include the recommended ratio of polyunsaturated fat to saturated fat of:
		A. 3:1
		B. 2:1
		C. 1:1
		D. 1:2
	35	Persons with elevated triglycerides usually eat a diet that is:
		A. high in saturated fat
		B. low in sugar
		C. alcohol free
		D. high in complex carbohydrates
	36	One of the most effective means of lowering the serum level of triglycerides is:
		A. dietary change to eliminate saturated fats, alcohol and sugar
		B. exercise and stress reduction measures
		C. stop smoking and blood pressure monitoring
		D. dietary reduction of sodium and calcium
	37	When instructing a person on the value of exercise it is necessary to emphasize the:
		A. need to use both aerobic and isometric exercises
		B. monitoring of the pulse and blood pressure frequently
		C. exercise should be competitive to increase effectiveness
		D. exercise should include both warm up and cool down periods
	38	For the exercise program to be effective it should be:
		A. intense for at least 30 minutes with a 30 minute cool down
		B. every day for at least one hour
		C. participated in at least three times a week
		D. be changed frequently to work separate body parts
	39	For the person involved in an exercise program, the best means of insuring continued success is the:
		A. person's high level of interest and enjoyment
		B. high cardiovascular value
		C. presence of others participating
		D. knowledge it is good for him
	40	The stress factor as a risk for coronary artery disease can best be managed if:
		A. a strict regimen of rest is followed
		B. the Type A personality is changed to be less intense
		C. the person learns to meditate
		D. anger and hostility are appropriately handled
	Remember to click "Submit" ONCE and please be patient while your answers are checked and the results are displayed. You will then be returned to this page to complete the required Evaluation. Thank you for choosing the National Center!

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