(1 point). Listen.
Which patient has the highest risk of coronary artery disease (CAD)?

A male with an enlarged upper chest.

A female with abdominal obesity.

A male with an active lifestyle.

A female with menstrual problems.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A male with an enlarged upper chest Enlarged upper chest in a male may suggest the development of pectoral muscles or chest-related muscular hypertrophy but is not a specific risk factor for coronary artery disease (CAD). The question is about CAD risk, and a male with an enlarged upper chest does not necessarily indicate a higher risk of CAD.

Choice B rationale:

A female with abdominal obesity Abdominal obesity, especially in females, is a significant risk factor for coronary artery disease (CAD). Excess fat around the abdomen can contribute to the development of atherosclerosis and increase the risk of CAD. This choice is correct because it highlights a well-established risk factor for CAD.

Choice C rationale:

A male with an active lifestyle Having an active lifestyle is generally associated with a reduced risk of CAD. Regular physical activity can help improve cardiovascular health, lower blood pressure, and reduce the risk of CAD. Therefore, a male with an active lifestyle is less likely to have a high risk of CAD.

Choice D rationale:

A female with menstrual problems Menstrual problems, while they can indicate hormonal imbalances or other health issues, are not directly linked to an increased risk of coronary artery disease. CAD risk factors typically revolve around lifestyle, genetics, and metabolic factors, which are not addressed by menstrual problems.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

A patient with Alzheimer's disease is at risk for various health complications, but the question specifically asks about the risk of silent myocardial ischemia caused by dysfunction of the autonomic nerves. While Alzheimer's disease may lead to autonomic nervous system dysfunction, diabetes mellitus is a more well-established risk factor for autonomic neuropathy, which can result in silent myocardial ischemia.

Choice B rationale:

Diabetes mellitus is a known risk factor for autonomic neuropathy, which can result in silent myocardial ischemia. Autonomic neuropathy affects the nerves that control vital functions such as heart rate, blood pressure, and digestion. This can lead to silent myocardial ischemia, where the patient may not feel the typical chest pain (angina) associated with reduced blood flow to the heart. Therefore, patients with diabetes are at the highest risk for this complication.

Choice C rationale:

Hypertension, while a risk factor for heart disease, is not directly linked to autonomic neuropathy and silent myocardial ischemia. Hypertension can lead to other cardiovascular complications but is not the primary risk factor for this specific complication mentioned in the question.

Choice D rationale:

Emphysema is primarily a lung condition and is not directly related to autonomic neuropathy or the risk of silent myocardial ischemia. While patients with emphysema may have increased cardiovascular risk due to chronic hypoxia, diabetes mellitus is a more significant risk factor for autonomic neuropathy and its associated complications, such as silent myocardial ischemia.

A. No chest pain. B. Intermittent claudication. C. Excessive bleeding. D. Fever.

Correct Answer is A

Explanation

Choice A rationale:

Silent ischemia is a condition in which a patient experiences myocardial ischemia (lack of blood flow to the heart muscle) without typical symptoms like chest pain. This is why the patient with silent ischemia typically does not report chest pain. Instead, they may have atypical symptoms or remain asymptomatic. The absence of chest pain is a key characteristic of silent ischemia.

Choice B rationale:

Intermittent claudication is not associated with silent ischemia. It is a symptom typically related to peripheral arterial disease (PAD), where reduced blood flow to the extremities causes pain during physical activity. Silent ischemia, on the other hand, primarily involves the heart and is not characterized by intermittent claudication.

Choice C rationale:

Excessive bleeding is not a typical symptom of silent ischemia. Silent ischemia is primarily related to inadequate blood flow to the heart muscle, leading to myocardial ischemia, but it does not cause bleeding. This choice is unrelated to the condition in question.

Choice D rationale:

Fever is not a typical symptom of silent ischemia. This choice is unrelated to the condition, as silent ischemia primarily involves the heart and is not associated with fever.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

(1 point). Listen.Which patient has the highest risk of coronary artery disease (CAD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(1 point). Listen.Which of the following patients is at the highest risk for silent myocardial ischemia caused by dysfunction of the autonomic nerves?

Correct Answer is B

Explanation

Listen.A patient presents with silent ischemia.Which assessment finding is typical with this condition?

Correct Answer is A

Explanation

Listen.A nurse is describing insulin resistance in relation to hypertension.Which information should the nurse include? Insulin resistance is associated with overactivity of the sympathetic nervous system and the:.

(1 point). Listen.A patient has left-sided (congestive) heart failure.Which assessment findings will indicate to the nurse that pulmonary edema has developed?

(1 point). Listen. A patient is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures does the nurse assess for in this patient?

(1 point). Listen.Which is the most common consequence the nurse should monitor for in a patient with atherosclerosis?

(1 point). Listen.If a person stands for long periods of time, causing blood to pool in superficial veins, which condition should the nurse assess for?

(1 point). Listen.Which laboratory result should the nurse monitor to determine the severity of heart failure in a patient?

(1 point). Listen.A patient has hyperhomocysteinemia and coronary artery disease (CAD). A nurse will label the hyperhomocysteinemia as a:.

(1 point). Listen.A patient's coronary blood flow is insufficient to meet the metabolic demands of the myocytes.Which term will the nurse use to describe this process?

(1 point). Listen.
Which patient has the highest risk of coronary artery disease (CAD)?