ANGINA/MI NCLEX STYLE EXAM PRACTICE
QUESTIONS WITH CORRECT ANSWERS
LATEST UPDATE GRADED A+ WITH
RATIONALE
The client diagnosed with rule-out myocardial infarction is experiencing chest
pain while walking to the bathroom. Which action should the nurse implement
first?
1. Administer sublingual nitroglycerin
2. Obtain a stat 12 Lead ECG
3. Have the client sit down immediately
4. Assess the client's vital signs --CORRECT ANSWER--3. Stopping all
activity will decrease the need of the myocardium for oxygen and may help
decrease the chest pain.
The client has just returned from a cardiac catherization. Which assessment data
would warrant immediate intervention from the nurse?
1. The client's BP is 110/70 and pulse is 90
2. The client's groin dressing is dry and intact
3. The client refuses to keep the leg straight
4. The client denies any numbness and tingling --CORRECT ANSWER--3. The
client bends the legs, it could cause insertion site bleeding. This is arterial blood
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, and the client could bleed to death very quickly, so this requires immediate
intervention.
Along with persistent, crushing chest pain, which signs/symptoms would make
the nurse suspect that the client is experiencing a myocardial infarction?
1. Midepigastric pain and pyrosis
2. Diaphoresis and cool clammy skin
3. Intermittent claudication and paloor
4. Jugular vein distention and dependent edema --CORRECT ANSWER--2.
Diaphoresis is a systemic reaction to the MI. The body vasoconstricts to shunt
blood from the periphery to the trunk of the body; this in turn, leads to cold,
clammy skin
The client comes into the emergency department saying, "I am having a heart
attack" Which question is most pertinent when assessing the client?
1. "Can you describe the chest pain"
2. "What were you doing when the pain started"
3. "Did you have a high-fat meal today"
4. "Does the pain get worse when you lie down" --CORRECT ANSWER--1.
The chest pain for MI is usually described as an elephant sitting on the chest or
a belt squeezing the substernal midchest, often radiating to the jaw or left arm.
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QUESTIONS WITH CORRECT ANSWERS
LATEST UPDATE GRADED A+ WITH
RATIONALE
The client diagnosed with rule-out myocardial infarction is experiencing chest
pain while walking to the bathroom. Which action should the nurse implement
first?
1. Administer sublingual nitroglycerin
2. Obtain a stat 12 Lead ECG
3. Have the client sit down immediately
4. Assess the client's vital signs --CORRECT ANSWER--3. Stopping all
activity will decrease the need of the myocardium for oxygen and may help
decrease the chest pain.
The client has just returned from a cardiac catherization. Which assessment data
would warrant immediate intervention from the nurse?
1. The client's BP is 110/70 and pulse is 90
2. The client's groin dressing is dry and intact
3. The client refuses to keep the leg straight
4. The client denies any numbness and tingling --CORRECT ANSWER--3. The
client bends the legs, it could cause insertion site bleeding. This is arterial blood
Page | 1
, and the client could bleed to death very quickly, so this requires immediate
intervention.
Along with persistent, crushing chest pain, which signs/symptoms would make
the nurse suspect that the client is experiencing a myocardial infarction?
1. Midepigastric pain and pyrosis
2. Diaphoresis and cool clammy skin
3. Intermittent claudication and paloor
4. Jugular vein distention and dependent edema --CORRECT ANSWER--2.
Diaphoresis is a systemic reaction to the MI. The body vasoconstricts to shunt
blood from the periphery to the trunk of the body; this in turn, leads to cold,
clammy skin
The client comes into the emergency department saying, "I am having a heart
attack" Which question is most pertinent when assessing the client?
1. "Can you describe the chest pain"
2. "What were you doing when the pain started"
3. "Did you have a high-fat meal today"
4. "Does the pain get worse when you lie down" --CORRECT ANSWER--1.
The chest pain for MI is usually described as an elephant sitting on the chest or
a belt squeezing the substernal midchest, often radiating to the jaw or left arm.
Page | 2
