DEEPAK NSTEMI CASE STUDY
(SNR113US) EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
1. What is the primary diagnosis for Deepak in this simulation?
A. ST-Elevation Myocardial Infarction (STEMI)
B. Non-ST-Elevation Myocardial Infarction (NSTEMI)
C. Unstable Angina
D. Pericarditis
Answer: B
Conceptual Explanation: Deepak is diagnosed with an NSTEMI, characterized by elevated
cardiac biomarkers without persistent ST-segment elevation on EKG.
2. Which laboratory value is most specific for diagnosing myocardial injury in
Deepak?
A. Troponin I/T
B. Myoglobin
C. Creatinine Kinase (CK-MB)
D. B-type Natriuretic Peptide (BNP)
Answer: A
Conceptual Explanation: Troponins are the most sensitive and specific biomarkers for
myocardial necrosis.
,3. In the SBAR communication for Deepak, what belongs in the ‘Situation’
section?
A. History of hypertension and smoking
B. Current vital signs and pain level
C. Recommendation for a cardiac catheterization
D. Deepak is a 55-year-old male experiencing worsening chest pain
Answer: D
Conceptual Explanation: Situation should briefly describe the patient and the immediate
reason for the report.
4. Which EKG finding is commonly associated with an NSTEMI?
A. ST-segment elevation
B. Widened QRS complex
C. ST-segment depression or T-wave inversion
D. Shortened PR interval
Answer: C
Conceptual Explanation: NSTEMI typically presents with ST-segment depression or T-
wave changes, rather than elevation.
5. What is the immediate pharmacological intervention for Deepak’s chest pain?
A. Warfarin
B. Aspirin (325 mg chewed)
C. Lisinopril
D. Furosemide
Answer: B
Conceptual Explanation: Chewing an aspirin provides rapid antiplatelet effects to prevent
further clot formation.
, 6. Why is Nitroglycerin administered to a patient like Deepak?
A. To thin the blood
B. To increase heart rate
C. To prevent arrhythmias
D. To promote vasodilation and reduce preload
Answer: D
Conceptual Explanation: Nitroglycerin dilates coronary arteries and systemic veins,
reducing the workload on the heart.
7. Deepak reports ‘crushing’ chest pain. Which nursing action is the priority?
A. Administering a stool softener
B. Assessing the patient’s diet history
C. Documenting the pain in the electronic health record
D. Providing supplemental oxygen and obtaining an EKG
Answer: D
Conceptual Explanation: Immediate assessment and stabilization of oxygenation are
clinical priorities in acute coronary syndrome.
8. What does the ‘B’ in SBAR stand for?
A. Blood pressure
B. Background
C. Biological factors
D. Behavioral history
Answer: B
Conceptual Explanation: Background provides context, such as medical history and
admission details.
(SNR113US) EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
1. What is the primary diagnosis for Deepak in this simulation?
A. ST-Elevation Myocardial Infarction (STEMI)
B. Non-ST-Elevation Myocardial Infarction (NSTEMI)
C. Unstable Angina
D. Pericarditis
Answer: B
Conceptual Explanation: Deepak is diagnosed with an NSTEMI, characterized by elevated
cardiac biomarkers without persistent ST-segment elevation on EKG.
2. Which laboratory value is most specific for diagnosing myocardial injury in
Deepak?
A. Troponin I/T
B. Myoglobin
C. Creatinine Kinase (CK-MB)
D. B-type Natriuretic Peptide (BNP)
Answer: A
Conceptual Explanation: Troponins are the most sensitive and specific biomarkers for
myocardial necrosis.
,3. In the SBAR communication for Deepak, what belongs in the ‘Situation’
section?
A. History of hypertension and smoking
B. Current vital signs and pain level
C. Recommendation for a cardiac catheterization
D. Deepak is a 55-year-old male experiencing worsening chest pain
Answer: D
Conceptual Explanation: Situation should briefly describe the patient and the immediate
reason for the report.
4. Which EKG finding is commonly associated with an NSTEMI?
A. ST-segment elevation
B. Widened QRS complex
C. ST-segment depression or T-wave inversion
D. Shortened PR interval
Answer: C
Conceptual Explanation: NSTEMI typically presents with ST-segment depression or T-
wave changes, rather than elevation.
5. What is the immediate pharmacological intervention for Deepak’s chest pain?
A. Warfarin
B. Aspirin (325 mg chewed)
C. Lisinopril
D. Furosemide
Answer: B
Conceptual Explanation: Chewing an aspirin provides rapid antiplatelet effects to prevent
further clot formation.
, 6. Why is Nitroglycerin administered to a patient like Deepak?
A. To thin the blood
B. To increase heart rate
C. To prevent arrhythmias
D. To promote vasodilation and reduce preload
Answer: D
Conceptual Explanation: Nitroglycerin dilates coronary arteries and systemic veins,
reducing the workload on the heart.
7. Deepak reports ‘crushing’ chest pain. Which nursing action is the priority?
A. Administering a stool softener
B. Assessing the patient’s diet history
C. Documenting the pain in the electronic health record
D. Providing supplemental oxygen and obtaining an EKG
Answer: D
Conceptual Explanation: Immediate assessment and stabilization of oxygenation are
clinical priorities in acute coronary syndrome.
8. What does the ‘B’ in SBAR stand for?
A. Blood pressure
B. Background
C. Biological factors
D. Behavioral history
Answer: B
Conceptual Explanation: Background provides context, such as medical history and
admission details.
