Cardiovascular Review CoursePoint -
NCIV Exam 3 Questions with
Accurate Answers
A client admitted to the coronary care unit (CCU) diagnosed with a
STEMI is anxious and fearful. Which medication will the nurse
administer to relieve the client's anxiety and decrease cardiac
workload?
A. IV morphine
B. IV nitroglycerin
C. Atenolol
D. Amlodipine correct answer A
IV morphine is the analgesic of choice for the treatment of an acute MI.
It is given to reduce pain and treat anxiety. It also reduces preload and
afterload, which decreases the workload of the heart. IV nitroglycerin is
given to alleviate chest pain. Administration of atenolol and amlodipine
are not indicated in this situation.
A client diagnosed with a myocardial infarction (MI) has begun an active
rehabilitation program. The nurse recognizes which overall goal as a
focus of rehabilitation for a client who has had an MI?
A. Improved quality of life
,B. Limit to the effects and progression of atherosclerosis
C. Return to work and the lifestyle experienced before the illness
D. Prevention of another cardiac event correct answer A
Overall, cardiac rehabilitation is a complete program dedicated to
extending and improving quality of life. Immediate objectives of
rehabilitation of the client with an MI is to limit the effects and
progression of atherosclerosis, to return the client to work and their
pre-illness lifestyle, and to prevent another cardiac event.
A client diagnosed with a myocardial infarction (MI) is being moved to
the rehabilitation unit for further therapy. Which statement reflects a
long-term goal of rehabilitation for the client with an MI?
A. Improvement in quality of life
B. Limitation of the effects and progression of atherosclerosis
C. Ability to return to work and a pre-illness functional capacity
D. Prevention of another cardiac event correct answer A
Overall, cardiac rehabilitation is a complete program dedicated to
extending and improving quality of life. Immediate objectives of
rehabilitation of a client with an MI patient are to limit the effects and
progression of atherosclerosis, to return the client to work and a pre-
illness lifestyle, and to prevent another cardiac event.
,A client has a blockage in the proximal portion of a coronary artery and
decides to undergo percutaneous transluminal coronary angioplasty
(PTCA). What medication will the nurse expect to administer during the
procedure?
A. Ceftriaxone
B. Ticagrelor
C. Hydrochlorothiazide
D. Metoprolol correct answer B
During PTCA, the client receives heparin, an anticoagulant (ticagrelor),
as well as calcium agonists, nitrates, or both, to reduce coronary artery
spasm. Nurses do not routinely give antibiotics such as ceftriaxone
during this procedure; however, because the procedure is invasive, the
client may receive prophylactic antibiotics to reduce the risk of
infection. An antihypertensive like metoprolol and a diuretic like
hydrochlorothiazide may cause hypotension, which should be avoided
during the procedure.
A client has been recently placed on nitroglycerin. Which instruction by
the nurse should be included in the client's teaching plan?
A. Instruct the client on side effects of flushing, throbbing headache,
and tachycardia.
B. Instruct the client to renew the nitroglycerin supply every 3 months.
, C. Instruct the client not to crush the tablet.
D. Instruct the client to place nitroglycerin tablets in a plastic pill box.
correct answer A
The client should be instructed about side effects of the medication,
which include flushing, throbbing headache, and tachycardia. The client
should renew the nitroglycerin supply every 6 months. If the pain is
severe, the client can crush the tablet between the teeth to hasten
sublingual absorption. Tablets should never be removed and stored in
metal or plastic pillboxes. Nitroglycerin is very unstable and should be
carried in its original container
A client has had a 12-lead ECG completed as part of an annual physical
examination. The nurse notes an abnormal Q wave on an otherwise
unremarkable ECG. The nurse recognizes that this finding indicates
A. An evolving MI
B. An old MI.
C. Variant angina.
D. A cardiac dysrhythmia. correct answer B
An abnormal Q wave may be present without ST-segment and T-wave
changes, which indicates an old, not acute, MI.
NCIV Exam 3 Questions with
Accurate Answers
A client admitted to the coronary care unit (CCU) diagnosed with a
STEMI is anxious and fearful. Which medication will the nurse
administer to relieve the client's anxiety and decrease cardiac
workload?
A. IV morphine
B. IV nitroglycerin
C. Atenolol
D. Amlodipine correct answer A
IV morphine is the analgesic of choice for the treatment of an acute MI.
It is given to reduce pain and treat anxiety. It also reduces preload and
afterload, which decreases the workload of the heart. IV nitroglycerin is
given to alleviate chest pain. Administration of atenolol and amlodipine
are not indicated in this situation.
A client diagnosed with a myocardial infarction (MI) has begun an active
rehabilitation program. The nurse recognizes which overall goal as a
focus of rehabilitation for a client who has had an MI?
A. Improved quality of life
,B. Limit to the effects and progression of atherosclerosis
C. Return to work and the lifestyle experienced before the illness
D. Prevention of another cardiac event correct answer A
Overall, cardiac rehabilitation is a complete program dedicated to
extending and improving quality of life. Immediate objectives of
rehabilitation of the client with an MI is to limit the effects and
progression of atherosclerosis, to return the client to work and their
pre-illness lifestyle, and to prevent another cardiac event.
A client diagnosed with a myocardial infarction (MI) is being moved to
the rehabilitation unit for further therapy. Which statement reflects a
long-term goal of rehabilitation for the client with an MI?
A. Improvement in quality of life
B. Limitation of the effects and progression of atherosclerosis
C. Ability to return to work and a pre-illness functional capacity
D. Prevention of another cardiac event correct answer A
Overall, cardiac rehabilitation is a complete program dedicated to
extending and improving quality of life. Immediate objectives of
rehabilitation of a client with an MI patient are to limit the effects and
progression of atherosclerosis, to return the client to work and a pre-
illness lifestyle, and to prevent another cardiac event.
,A client has a blockage in the proximal portion of a coronary artery and
decides to undergo percutaneous transluminal coronary angioplasty
(PTCA). What medication will the nurse expect to administer during the
procedure?
A. Ceftriaxone
B. Ticagrelor
C. Hydrochlorothiazide
D. Metoprolol correct answer B
During PTCA, the client receives heparin, an anticoagulant (ticagrelor),
as well as calcium agonists, nitrates, or both, to reduce coronary artery
spasm. Nurses do not routinely give antibiotics such as ceftriaxone
during this procedure; however, because the procedure is invasive, the
client may receive prophylactic antibiotics to reduce the risk of
infection. An antihypertensive like metoprolol and a diuretic like
hydrochlorothiazide may cause hypotension, which should be avoided
during the procedure.
A client has been recently placed on nitroglycerin. Which instruction by
the nurse should be included in the client's teaching plan?
A. Instruct the client on side effects of flushing, throbbing headache,
and tachycardia.
B. Instruct the client to renew the nitroglycerin supply every 3 months.
, C. Instruct the client not to crush the tablet.
D. Instruct the client to place nitroglycerin tablets in a plastic pill box.
correct answer A
The client should be instructed about side effects of the medication,
which include flushing, throbbing headache, and tachycardia. The client
should renew the nitroglycerin supply every 6 months. If the pain is
severe, the client can crush the tablet between the teeth to hasten
sublingual absorption. Tablets should never be removed and stored in
metal or plastic pillboxes. Nitroglycerin is very unstable and should be
carried in its original container
A client has had a 12-lead ECG completed as part of an annual physical
examination. The nurse notes an abnormal Q wave on an otherwise
unremarkable ECG. The nurse recognizes that this finding indicates
A. An evolving MI
B. An old MI.
C. Variant angina.
D. A cardiac dysrhythmia. correct answer B
An abnormal Q wave may be present without ST-segment and T-wave
changes, which indicates an old, not acute, MI.
