NCM 112 CARDIO EVAL EXAM QUESTIONS
WITH CORRECT ANSWERS
1. A patient calls the cardiac clinic you are working at and reports that they have
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taken 3 sublingual doses of Nitroglycerin as prescribed for chest pain, but the
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chest pain is not relieved. What do you educate the patient to do next?
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A. Take another dose of Nitroglycerin in 5 minutes
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B. Call ambulance
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C. Lie down and rest to see if that helps with relieving pain
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D. Take two doses of Nitroglycerin in 5 minutes - CORRECT ANSWER✔✔-B. Call
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ambulance
2. The clinic nurse is evaluating a patient who had coronary artery stenting
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through the right femoral artery a week previously and is taking metoprolol,
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clopidogrel, and aspirin. Which information reported by the patient is most
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important to report to the health care provider?
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a. Patient is experiencing shortness of breath and fatigue.
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b. Bruising is present at the right groin.
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c. Home blood pressure today was 104/52 mm Hg.
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D. Home radial pulse rate has been 55 to 60 beats/min. - CORRECT ANSWER✔✔-
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a. Patient is experiencing shortness of breath and fatigue.
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3. The nurse is reviewing the laboratory results for a patient with an elevated
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cholesterol level who is taking atorvastatin. Which result is most important to
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discuss with the health care provider?
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,A. Serum potassium is 3.4 mEg/L (3.4 mol/L).
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B. Blood urea nitrogen (BUN) is 9 mg/dL (3.2 mmol/L).
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C. Aspartate aminotransferase (AST) is 30 units/L (0.5 pkat/L).
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D. Low-density lipoprotein (LDL) cholesterol is 170 mg/dL (4.4 mol/L) - CORRECT
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ANSWER✔✔-C. Aspartate aminotransferase (AST) is 30 units/L (0.5 pkat/L). | | | | | | | |
Which finding in a patient with aortic stenosis will be most important for the
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nurse to report to the health care provider?
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A Temperature of 102.1°F (38.9°C)
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B Loud systolic murmur over sternum
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C Blood pressure of 110/88 mmHg
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D Weak radial and pedal pulses to palpation - CORRECT ANSWER✔✔-A.
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Temperature of 102.1°F (38.9°C) | | |
5. A patient who has just arrived in the emergency department reports substernal
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|and left arm discomfort that has been going on for about 3 hours. Which
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laboratory test will be most useful in determining whether the nurse should
| | | | | | | | | | | |
anticipate implementing the acute coronary syndrome standard protocol?
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a. Creatine kinase MB level
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b. Myoglobin level
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c. Troponin I level
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D. C-reactive protein level - CORRECT ANSWER✔✔-c. Troponin I level
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6. At 9:00 PM, the nurse admits a 63-year-old patient with a diagnosis of acute
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myocardial infarction. Which finding is most important to communicate to the
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, health care provider who is considering the use of fibrinolytic therapy with tissue
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plasminogen activator (alteplase) for the patient?
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A. The patient was treated with alteplase about 8 months ago.
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B. The patient takes famotidine for gastroesophageal reflux disease.
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C. The patient has ST-segment elevations on the electrocardiogram.
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D. The patient reports having continuous chest pain since 8:00 AM. - CORRECT
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ANSWER✔✔-D. The patient reports having continuous chest pain since 8:00 AM.
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7. The emergency department nurse is caring for a patient who was just arrived
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with left anterior chest pain, suggesting possible acute myocardial infarction (MI).
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Which action will the nurse take first?
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A. Insert an IV catheter.
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B. Administer oxygen
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C. Auscultate heart sounds.
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D. Draw blood for troponin I measurement. - CORRECT ANSWER✔✔-B.
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Administer oxygen |
8. The nurse has given morphine sulfate 4 mg IV to a patient who is having an
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acute myocardial infarction. When evaluating the patient's response 5 minutes
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after giving the medication, which finding indicates a need for immediate further
| | | | | | | | | | | |
action?
A. Blood pressure decrease from 114/65 to 106/58 mmHg
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B. Respiratory rate drop from 18 to 12 breaths/min
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C. Cardiac monitor indicating sinus rhythm at a rate of 96 beats/min
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D. Persisting chest pain at a level of 1 (on a scale of 0 to 10) - CORRECT
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ANSWER✔✔-B. Respiratory rate drop from 18 to 12 breaths/min | | | | | | | |
WITH CORRECT ANSWERS
1. A patient calls the cardiac clinic you are working at and reports that they have
| | | | | | | | | | | | | | | |
taken 3 sublingual doses of Nitroglycerin as prescribed for chest pain, but the
| | | | | | | | | | | | |
chest pain is not relieved. What do you educate the patient to do next?
| | | | | | | | | | | | |
A. Take another dose of Nitroglycerin in 5 minutes
| | | | | | | |
B. Call ambulance
| |
C. Lie down and rest to see if that helps with relieving pain
| | | | | | | | | | | |
D. Take two doses of Nitroglycerin in 5 minutes - CORRECT ANSWER✔✔-B. Call
| | | | | | | | | | | | |
ambulance
2. The clinic nurse is evaluating a patient who had coronary artery stenting
| | | | | | | | | | | | |
through the right femoral artery a week previously and is taking metoprolol,
| | | | | | | | | | | |
clopidogrel, and aspirin. Which information reported by the patient is most
| | | | | | | | | | |
important to report to the health care provider?
| | | | | | |
a. Patient is experiencing shortness of breath and fatigue.
| | | | | | | |
b. Bruising is present at the right groin.
| | | | | | |
c. Home blood pressure today was 104/52 mm Hg.
| | | | | | | |
D. Home radial pulse rate has been 55 to 60 beats/min. - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
a. Patient is experiencing shortness of breath and fatigue.
| | | | | | | |
3. The nurse is reviewing the laboratory results for a patient with an elevated
| | | | | | | | | | | | | |
cholesterol level who is taking atorvastatin. Which result is most important to
| | | | | | | | | | | |
discuss with the health care provider?
| | | | |
,A. Serum potassium is 3.4 mEg/L (3.4 mol/L).
| | | | | | |
B. Blood urea nitrogen (BUN) is 9 mg/dL (3.2 mmol/L).
| | | | | | | | |
C. Aspartate aminotransferase (AST) is 30 units/L (0.5 pkat/L).
| | | | | | | |
D. Low-density lipoprotein (LDL) cholesterol is 170 mg/dL (4.4 mol/L) - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-C. Aspartate aminotransferase (AST) is 30 units/L (0.5 pkat/L). | | | | | | | |
Which finding in a patient with aortic stenosis will be most important for the
| | | | | | | | | | | | | |
nurse to report to the health care provider?
| | | | | | |
A Temperature of 102.1°F (38.9°C)
| | | |
B Loud systolic murmur over sternum
| | | | |
C Blood pressure of 110/88 mmHg
| | | | |
D Weak radial and pedal pulses to palpation - CORRECT ANSWER✔✔-A.
| | | | | | | | | | |
Temperature of 102.1°F (38.9°C) | | |
5. A patient who has just arrived in the emergency department reports substernal
| | | | | | | | | | | |
|and left arm discomfort that has been going on for about 3 hours. Which
| | | | | | | | | | | | | |
laboratory test will be most useful in determining whether the nurse should
| | | | | | | | | | | |
anticipate implementing the acute coronary syndrome standard protocol?
| | | | | | |
a. Creatine kinase MB level
| | | |
b. Myoglobin level
| |
c. Troponin I level
| | |
D. C-reactive protein level - CORRECT ANSWER✔✔-c. Troponin I level
| | | | | | | | |
6. At 9:00 PM, the nurse admits a 63-year-old patient with a diagnosis of acute
| | | | | | | | | | | | | | |
myocardial infarction. Which finding is most important to communicate to the
| | | | | | | | | | |
, health care provider who is considering the use of fibrinolytic therapy with tissue
| | | | | | | | | | | | |
plasminogen activator (alteplase) for the patient?
| | | | |
A. The patient was treated with alteplase about 8 months ago.
| | | | | | | | | |
B. The patient takes famotidine for gastroesophageal reflux disease.
| | | | | | | |
C. The patient has ST-segment elevations on the electrocardiogram.
| | | | | | | |
D. The patient reports having continuous chest pain since 8:00 AM. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-D. The patient reports having continuous chest pain since 8:00 AM.
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7. The emergency department nurse is caring for a patient who was just arrived
| | | | | | | | | | | | | |
with left anterior chest pain, suggesting possible acute myocardial infarction (MI).
| | | | | | | | | |
Which action will the nurse take first?
| | | | | | |
A. Insert an IV catheter.
| | | |
B. Administer oxygen
| |
C. Auscultate heart sounds.
| | |
D. Draw blood for troponin I measurement. - CORRECT ANSWER✔✔-B.
| | | | | | | | | |
Administer oxygen |
8. The nurse has given morphine sulfate 4 mg IV to a patient who is having an
| | | | | | | | | | | | | | | | |
acute myocardial infarction. When evaluating the patient's response 5 minutes
| | | | | | | | | |
after giving the medication, which finding indicates a need for immediate further
| | | | | | | | | | | |
action?
A. Blood pressure decrease from 114/65 to 106/58 mmHg
| | | | | | | |
B. Respiratory rate drop from 18 to 12 breaths/min
| | | | | | | |
C. Cardiac monitor indicating sinus rhythm at a rate of 96 beats/min
| | | | | | | | | | |
D. Persisting chest pain at a level of 1 (on a scale of 0 to 10) - CORRECT
| | | | | | | | | | | | | | | | | |
ANSWER✔✔-B. Respiratory rate drop from 18 to 12 breaths/min | | | | | | | |
