NUR417 LATEST EXAM 2
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
The nurse is admitting a patient who has chest pain. Which assessment data
suggest that the pain may be from an acute myocardial infarction?
1. The pain increases with deep breathing.
2. The pain has lasted longer than 30 minutes.
3. The pain is relieved after the patient takes nitroglycerin.
4. The pain is reproducible when the patient raises the arms. –
Correct Answer :2. The pain has lasted longer than 30 minutes.
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Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in
pain that occur with raising the arms or with deep breathing are more typical of
musculoskeletal pain or pericarditis. Stable angina is usually relieved when the
patient takes nitroglycerin.
Which patient statement would help the nurse confirm the previous diagnosis of
chronic stable angina?
1. "The pain wakes me up at night."
2. "The pain is level 3 to 5 (0 to 10 scale)."
3. "The pain has gotten worse over the last week."
4. "The pain goes away with a nitroglycerin tablet." –
Correct Answer :4. "The pain goes away with a nitroglycerin tablet."
Chronic stable angina is typically relieved by rest or nitroglycerin administration.
The level of pain is not a consistent indicator of the type of angina. Pain
occurring at rest or with increased frequency is typical of unstable angina.
Which patient statement indicates that the nurse's teaching about sublingual
nitroglycerin (Nitrostat) has been effective?
1. "I can expect nausea as a side effect of nitroglycerin."
2. "I should only take nitroglycerin when I have chest pain."
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3. "Nitroglycerin helps prevent a clot from blocking blood flow to my heart."
4. "I will call an ambulance if I have pain 5 minutes after taking nitroglycerin." –
Correct Answer :4. "I will call an ambulance if I have pain 5 minutes after taking
nitroglycerin."
The emergency response system (ERS) should be activated when chest pain or
other symptoms are the same or worse 5 minutes after taking a sublingual
nitroglycerin tablets. Nitroglycerin can be taken to prevent chest pain or other
symptoms from developing (e.g., before intercourse). Gastric upset (e.g.,
nausea) is not an expected side effect of nitroglycerin. Nitroglycerin does not
impact the underlying pathophysiology of coronary artery atherosclerosis.
Which patient statement indicates that the nurse's teaching about carvedilol
(Coreg) for preventing anginal episodes has been effective?
1. "Carvedilol will help my heart muscle work harder."
2. "It is important not to suddenly stop taking the carvedilol."
3. "I can expect to feel short of breath when taking carvedilol."
4. "Carvedilol will increase the blood flow to my heart muscle." –
Correct Answer :2. "It is important not to suddenly stop taking the carvedilol."
Patients who have been taking -adrenergic blockers can develop intense and
frequent angina if the medication is suddenly discontinued. Carvedilol (Coreg)
decreases myocardial contractility. Shortness of breath that occurs when taking
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-adrenergic blockers for angina may be due to bronchospasm and should be
reported to the health care provider. Carvedilol works by decreasing myocardial
O2 demand, not by increasing blood flow to the coronary arteries.
Which data indicates to the nurse that the patient with stable angina is
experiencing a side effect of metoprolol?
1. Patient is restless and agitated.
2. Patient reports feeling anxious.
3. Blood pressure is 90/54 mm Hg.
4. Heart monitor shows normal sinus rhythm.
- Correct Answer :3. Blood pressure is 90/54 mm Hg.
Patients taking -adrenergic blockers should be monitored for hypotension and
bradycardia. Because this class of medication inhibits the sympathetic nervous
system, restlessness, agitation, hypertension, and anxiety will not be side
effects. Normal sinus rhythm is a normal and expected heart rhythm.
Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left
ventricular dysfunction. Which data would indicate to the nurse that the drug is
effective?
1. Decreased blood pressure and heart rate
2. Improvement in the strength of the distal pulses
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