N
URS 6550 ADVANCED
NURSE PRACTICE ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND
CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS)
|ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!|HIGH YIELD
QUESTIONS AND
ANSWERS|||2026!!!!!!
A client presents with chest pain and ECG
shows ST elevation. What is the priority
intervention?
A. Administer oxygen and monitor
B. Prepare for thrombolytic therapy or PCI
C. Give aspirin only
D. Discharge with follow-up
Correct answer: B
,Rationale: ST-elevation myocardial infarction
(STEMI) requires immediate reperfusion
therapy either via percutaneous coronary
intervention (PCI) within 90 minutes or
thrombolytics if PCI is unavailable. Early
reperfusion prevents myocardial necrosis.
Which ECG change indicates myocardial
ischemia?
A. ST elevation
B. Q wave formation
C. ST depression
D. T wave inversion only in all leads
Correct answer: C
Rationale: ST depression indicates myocardial
ischemia due to subendocardial hypoperfusion.
ST elevation represents injury, and Q waves
represent infarction.
,The most common complication after
myocardial infarction is:
A. Heart failure
B. Dysrhythmias
C. Stroke
D. Cardiogenic shock
Correct answer: B
Rationale: Electrical instability of damaged
myocardium leads to arrhythmias, making
dysrhythmias the most frequent post-MI
complication.
A client is receiving tPA. Which finding
requires immediate intervention?
A. Mild headache
B. Sudden hypotension and back pain
C. Increased appetite
D. Mild fever
Correct answer: B
, Rationale: Sudden hypotension and back pain
may indicate internal bleeding or retroperitoneal
hemorrhage, a life-threatening complication of
thrombolytics.
Which condition is an absolute
contraindication to thrombolytic therapy?
A. Hypertension
B. History of hemorrhagic stroke
C. Diabetes
D. Hyperlipidemia
Correct answer: B
Rationale: Prior hemorrhagic stroke
significantly increases risk of fatal intracranial
bleeding with thrombolytics.
Priority nursing action before cardiac
catheterization:
A. Check blood glucose
B. Obtain informed consent
URS 6550 ADVANCED
NURSE PRACTICE ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND
CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS)
|ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!|HIGH YIELD
QUESTIONS AND
ANSWERS|||2026!!!!!!
A client presents with chest pain and ECG
shows ST elevation. What is the priority
intervention?
A. Administer oxygen and monitor
B. Prepare for thrombolytic therapy or PCI
C. Give aspirin only
D. Discharge with follow-up
Correct answer: B
,Rationale: ST-elevation myocardial infarction
(STEMI) requires immediate reperfusion
therapy either via percutaneous coronary
intervention (PCI) within 90 minutes or
thrombolytics if PCI is unavailable. Early
reperfusion prevents myocardial necrosis.
Which ECG change indicates myocardial
ischemia?
A. ST elevation
B. Q wave formation
C. ST depression
D. T wave inversion only in all leads
Correct answer: C
Rationale: ST depression indicates myocardial
ischemia due to subendocardial hypoperfusion.
ST elevation represents injury, and Q waves
represent infarction.
,The most common complication after
myocardial infarction is:
A. Heart failure
B. Dysrhythmias
C. Stroke
D. Cardiogenic shock
Correct answer: B
Rationale: Electrical instability of damaged
myocardium leads to arrhythmias, making
dysrhythmias the most frequent post-MI
complication.
A client is receiving tPA. Which finding
requires immediate intervention?
A. Mild headache
B. Sudden hypotension and back pain
C. Increased appetite
D. Mild fever
Correct answer: B
, Rationale: Sudden hypotension and back pain
may indicate internal bleeding or retroperitoneal
hemorrhage, a life-threatening complication of
thrombolytics.
Which condition is an absolute
contraindication to thrombolytic therapy?
A. Hypertension
B. History of hemorrhagic stroke
C. Diabetes
D. Hyperlipidemia
Correct answer: B
Rationale: Prior hemorrhagic stroke
significantly increases risk of fatal intracranial
bleeding with thrombolytics.
Priority nursing action before cardiac
catheterization:
A. Check blood glucose
B. Obtain informed consent
