NURS 6201 Exam 2 Questions With Complete Solutions
A 52-year-old man is admitted to the emergency department
with severe chest pain. On what basis would the nurse suspect
an MI?
A.He has pale, cool, clammy skin
B.He reports nausea and vomiting once at home
C.He says he is anxious and has a feeling of impending doom
D.He reports he has had no relief of pain with rest or position
change Correct Answers D. He reports he has had no relief of
pain with rest or position change
A patient admitted to the hospital for evaluation of chest pain
has no abnormal serum cardiac biomarkers 4 hours after the
onset of pain. What noninvasive diagnostic test can be used to
differentiate angina from other types of chest pain?
A.12 lead EKG
B.Exercise stress test
C.Coronary Angiogram
D.Transesophageal echocardiogram Correct Answers B.
Exercise stress test
A patient has a blood pressure of 222/148 and confusion,
nausea, and vomiting. Which goal should the nurse try to
achieve by titrating medications?
a.Decrease the mean arterial pressure (MAP) to 129 mm Hg
b.Lower the BP to the patient's normal within the second to third
hour
,c.Decrease the SBP to 160 mm Hg and the DBP to 100 mm Hg
as quickly as possible
d.Reduce the SBP to 158 mm Hg and the DBP to 90 mm Hg
within the first two hours Correct Answers a.Decrease the mean
arterial pressure (MAP) to 129 mm Hg
A patient has a diagnosis of acute myocardial infarction, and his
cardiac rhythm is sinus bradycardia with 6 to 8 premature
ventricular contractions (PVCs) per minute. The pattern that the
nurse recognizes as the most characteristic of PVCs is
a.An irregular rhythm.
b.An inverted T wave.
c.A wide, distorted QRS complex.
d.An increasingly long PR interval. Correct Answers c. A wide,
distorted QRS complex.
A patient in the coronary care unit develops ventricular
fibrillation. The first action the nurse should take is to
a.Perform defibrillation.
b.Initiate cardiopulmonary resuscitation.
c.Prepare for synchronized cardioversion.
Administer IV antidysrhythmic drugs per protocol Correct
Answers b. Initiate cardiopulmonary resuscitation.
A patient's cardiac rhythm is sinus bradycardia with a heart rate
of 34 beats/minute. If the bradycardia is symptomatic, the nurse
would expect the patient to exhibit
a.Palpitations.
, b.Hypertension.
c.Warm, flushed skin.
d.Shortness of breath. Correct Answers d. Shortness of breath.
ACS complications Correct Answers Dysrhythmias
HF
Cardiogenic shock- look hypovolemic: tachycardic, hypotensive
ACS disease process Correct Answers Ischemic discomfort
resulting from plaque accumulation and/or rupture leading to
thrombus formation
-Unstable angina (UA)
-Non-ST segment elevation myocardial infarction (NSTEMI)
-ST segment elevation myocardial infarction (STEMI)
Result of abrupt stoppage of blood flow through a coronary
artery, causing irreversible myocardial cell death (necrosis)
ACS dx Correct Answers H&P
Characteristic of CP
Serum cardiac markers
ECG: look for ST elev>> primary tool to dx MI; great esp if
comparing to old "normal" EKG
--Some signs can indicate issue has been going on for awhile,
subtle
--On exam- questions asking what we saw and what does that
mean
Stress test
Cardiac cath: want to get acute blockages open (STEMI pts)
ACS nursing interventions Correct Answers ABC's
A 52-year-old man is admitted to the emergency department
with severe chest pain. On what basis would the nurse suspect
an MI?
A.He has pale, cool, clammy skin
B.He reports nausea and vomiting once at home
C.He says he is anxious and has a feeling of impending doom
D.He reports he has had no relief of pain with rest or position
change Correct Answers D. He reports he has had no relief of
pain with rest or position change
A patient admitted to the hospital for evaluation of chest pain
has no abnormal serum cardiac biomarkers 4 hours after the
onset of pain. What noninvasive diagnostic test can be used to
differentiate angina from other types of chest pain?
A.12 lead EKG
B.Exercise stress test
C.Coronary Angiogram
D.Transesophageal echocardiogram Correct Answers B.
Exercise stress test
A patient has a blood pressure of 222/148 and confusion,
nausea, and vomiting. Which goal should the nurse try to
achieve by titrating medications?
a.Decrease the mean arterial pressure (MAP) to 129 mm Hg
b.Lower the BP to the patient's normal within the second to third
hour
,c.Decrease the SBP to 160 mm Hg and the DBP to 100 mm Hg
as quickly as possible
d.Reduce the SBP to 158 mm Hg and the DBP to 90 mm Hg
within the first two hours Correct Answers a.Decrease the mean
arterial pressure (MAP) to 129 mm Hg
A patient has a diagnosis of acute myocardial infarction, and his
cardiac rhythm is sinus bradycardia with 6 to 8 premature
ventricular contractions (PVCs) per minute. The pattern that the
nurse recognizes as the most characteristic of PVCs is
a.An irregular rhythm.
b.An inverted T wave.
c.A wide, distorted QRS complex.
d.An increasingly long PR interval. Correct Answers c. A wide,
distorted QRS complex.
A patient in the coronary care unit develops ventricular
fibrillation. The first action the nurse should take is to
a.Perform defibrillation.
b.Initiate cardiopulmonary resuscitation.
c.Prepare for synchronized cardioversion.
Administer IV antidysrhythmic drugs per protocol Correct
Answers b. Initiate cardiopulmonary resuscitation.
A patient's cardiac rhythm is sinus bradycardia with a heart rate
of 34 beats/minute. If the bradycardia is symptomatic, the nurse
would expect the patient to exhibit
a.Palpitations.
, b.Hypertension.
c.Warm, flushed skin.
d.Shortness of breath. Correct Answers d. Shortness of breath.
ACS complications Correct Answers Dysrhythmias
HF
Cardiogenic shock- look hypovolemic: tachycardic, hypotensive
ACS disease process Correct Answers Ischemic discomfort
resulting from plaque accumulation and/or rupture leading to
thrombus formation
-Unstable angina (UA)
-Non-ST segment elevation myocardial infarction (NSTEMI)
-ST segment elevation myocardial infarction (STEMI)
Result of abrupt stoppage of blood flow through a coronary
artery, causing irreversible myocardial cell death (necrosis)
ACS dx Correct Answers H&P
Characteristic of CP
Serum cardiac markers
ECG: look for ST elev>> primary tool to dx MI; great esp if
comparing to old "normal" EKG
--Some signs can indicate issue has been going on for awhile,
subtle
--On exam- questions asking what we saw and what does that
mean
Stress test
Cardiac cath: want to get acute blockages open (STEMI pts)
ACS nursing interventions Correct Answers ABC's
