NURS 5461 Final Exam Questions With Correct
Answers Latest Update 2026 | Exam Prep
1. What is the most common initial symptom of Acute Coronary Syndrome in
persons older than 80 years old?
Vomiting
Dizziness
Chest pain
Dyspnea
2. In a patient with acute coronary syndrome who cannot tolerate beta-
blockers due to asthma, which treatment option should be considered to
manage their condition effectively?
Calcium channel blockers
Anticoagulants
Beta-blockers
Nitrates
3. Which of the following patients would most likely have acute coronary
syndrome and not complain of chest pain?
An 80-year-old female
A 40-year-old female
A 39-year-old male
A 79-year-old male
,4. What diagnostic procedure is considered the gold standard for assessing the
severity of coronary artery lesions?
Stress test
Echocardiogram
CT scan
Coronary angiography
5. In a patient with chronic obstructive pulmonary disease (COPD) experiencing
acute exacerbation, how might Ipratropium (Atrovent) be utilized in their
treatment plan?
As a bronchodilator to relieve acute bronchospasm
As an anti-inflammatory agent to reduce airway swelling
As a long-term maintenance therapy to prevent symptoms
As a mucolytic agent to thin mucus secretions
6. What is the primary initial diagnostic test used to assess stable coronary
ischemia?
Electrocardiogram (ECG)
Chest X-ray
Echocardiogram
Cardiac MRI
7. Describe how chronic obstructive pulmonary disease (COPD) can contribute
to the development of right-sided heart failure.
COPD directly damages heart muscle, causing heart failure.
, COPD causes increased pressure in the pulmonary arteries, leading
to right-sided heart failure.
COPD reduces oxygen levels, which does not affect heart function.
COPD primarily affects the left side of the heart, not the right.
8. What is the medication commonly prescribed for patients with an ejection
fraction less than 40% after a myocardial infarction?
Statins
Beta-blockers
ACE inhibitors
Anticoagulants
9. In this cardiomyopathy, the heart is always enlarged, but not dilated, with left
ventricular hypertrophy.
Restrictive cardiomyopathy
Congestive cardiomyopathy
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
10. What is the classification of Tiotropium (Spiriva) in terms of its therapeutic
use?
Leukotriene receptor antagonist
Long-acting anticholinergic bronchodilator
Inhaled corticosteroid
Short-acting beta-agonist
Answers Latest Update 2026 | Exam Prep
1. What is the most common initial symptom of Acute Coronary Syndrome in
persons older than 80 years old?
Vomiting
Dizziness
Chest pain
Dyspnea
2. In a patient with acute coronary syndrome who cannot tolerate beta-
blockers due to asthma, which treatment option should be considered to
manage their condition effectively?
Calcium channel blockers
Anticoagulants
Beta-blockers
Nitrates
3. Which of the following patients would most likely have acute coronary
syndrome and not complain of chest pain?
An 80-year-old female
A 40-year-old female
A 39-year-old male
A 79-year-old male
,4. What diagnostic procedure is considered the gold standard for assessing the
severity of coronary artery lesions?
Stress test
Echocardiogram
CT scan
Coronary angiography
5. In a patient with chronic obstructive pulmonary disease (COPD) experiencing
acute exacerbation, how might Ipratropium (Atrovent) be utilized in their
treatment plan?
As a bronchodilator to relieve acute bronchospasm
As an anti-inflammatory agent to reduce airway swelling
As a long-term maintenance therapy to prevent symptoms
As a mucolytic agent to thin mucus secretions
6. What is the primary initial diagnostic test used to assess stable coronary
ischemia?
Electrocardiogram (ECG)
Chest X-ray
Echocardiogram
Cardiac MRI
7. Describe how chronic obstructive pulmonary disease (COPD) can contribute
to the development of right-sided heart failure.
COPD directly damages heart muscle, causing heart failure.
, COPD causes increased pressure in the pulmonary arteries, leading
to right-sided heart failure.
COPD reduces oxygen levels, which does not affect heart function.
COPD primarily affects the left side of the heart, not the right.
8. What is the medication commonly prescribed for patients with an ejection
fraction less than 40% after a myocardial infarction?
Statins
Beta-blockers
ACE inhibitors
Anticoagulants
9. In this cardiomyopathy, the heart is always enlarged, but not dilated, with left
ventricular hypertrophy.
Restrictive cardiomyopathy
Congestive cardiomyopathy
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
10. What is the classification of Tiotropium (Spiriva) in terms of its therapeutic
use?
Leukotriene receptor antagonist
Long-acting anticholinergic bronchodilator
Inhaled corticosteroid
Short-acting beta-agonist
