Chapter 19: Coronary Heart Disease and Hypertension

Chapter 19: Coronary Heart Disease and Hypertension

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The underlying pathologic process in coronary heart disease appears to be

a.	atrophy of the heart muscle.
b.	weakened coronary vessels.
c.	fibrous plaques in coronary vessels.
d.	inadequate nutrition to the heart muscle.

 

 

ANS:  C

The underlying pathologic process in coronary heart disease is atherosclerosis. This process is characterized by the formation of fatty fibrous plaques that may begin in childhood and develop into fatty streaks, largely composed of cholesterol, on the inside lining of major blood vessels.

 

DIF:    Cognitive Level: Knowledge            REF:   379                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The underlying pathologic process in coronary heart disease is known as

a.	angina.
b.	atherosclerosis.
c.	hypertension.
d.	myocardial infarction.

 

 

ANS:  B

The underlying pathologic process in coronary heart disease is known as atherosclerosis, characterized by the formation of fatty fibrous plaques that may begin in childhood and develop into fatty streaks, largely composed of cholesterol, on the inside lining of major blood vessels.

 

DIF:    Cognitive Level: Knowledge            REF:   379                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. An infarct in a major artery supplying the brain results in

a.	a myocardial infarction.
b.	a coma.
c.	a cerebrovascular accident.
d.	hypertension.

 

 

ANS:  C

An infarct in a major artery supplying the brain is called a cerebrovascular accident. Cells die when they are deprived of their normal blood supply, and the local area of dead tissue is called an infarct.

 

DIF:    Cognitive Level: Knowledge            REF:   379                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A localized area of dying or dead tissue is called a(n)

a.	atheroma.
b.	infarct.
c.	thrombus.
d.	lesion.

 

 

ANS:  B

Cells die when deprived of their normal blood supply. The local area of dying or dead tissue is called an infarct.

 

DIF:    Cognitive Level: Knowledge            REF:   379                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. A risk factor for coronary heart disease that cannot be controlled is

a.	obesity.
b.	family history.
c.	lack of exercise.
d.	smoking.

 

 

ANS:  B

Risk factors associated with heart disease are sex, age, family history, elevated serum cholesterol, and dietary fat as well as compounding diseases such as diabetes, hypertension, and metabolic syndrome. Family history, age, and sex cannot be controlled.

 

DIF:    Cognitive Level: Knowledge            REF:   382-383

TOP:   Nursing Process: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation, Reduction of Risk Potential