NUR 243 EXAM 1 QUESTIONS WITH VERIFIED
ANSWERS
Pt W/ Midsternal chest pain radiating down left arm - Answers - IV Nitro
Pt W/ STEMI & Hx of HTN, smoking, & obesity discharge instructions - Answers -
Resume sex when you can walk up 2 flights of stairs comfortably
Priority Pt to see first - Answers - Chest Pains
Pt W/ Vtach on monitor after - Answers - Check Carotid pulse, chest compressions,
breaths, AED
Sublingual Nitro Expected Clinical findings - Answers - Dizziness, Headache, flushing,
tingling sensation
Education after MI - Answers - Be sure to attend Cardiac Rehab
Pt on Telemetry w/ suspected Unstable Angina, Report to Dr Immediately - Answers -
ST Elevation
Pt W/ chronic stable Angina Education on pain True statement - Answers - Only take
Nitro for Angina chest pain (not any kind of pain)
Lab Value to monitor for Coumadin (Warfarin) - Answers - over 0.6 (3.5)
A patient returns from the cath lab after having percutaneous coronary interventions
done through a right femoral site. The nurses assessment findings are normal. The
telemetry monitor begins to alarm and the patient appears to be in Vtach. Upon entering
the room there is no response from the patient. Which is the nurses first priority -
Answers - Check Carotid Pulse
Pt W/ stable angina being discharged on Sublingual NITRO, what teaching prevents
complications - Answers - Sit down before taking medication
While caring for a pt experiencing Angina, Pain Persist after 1st dose of sublingual nitro,
next action - Answers - Administer 2nd dose and reassess in 5 min
Pt In ED W/ substernal pain radiating to Left arm, diaphoresis, & SOB - Answers -
collect subjective and objective data about chest pain
Pt w/ CAD prescribed beta blocker, why would nurse hold med - Answers - HR 48 bpm
ANSWERS
Pt W/ Midsternal chest pain radiating down left arm - Answers - IV Nitro
Pt W/ STEMI & Hx of HTN, smoking, & obesity discharge instructions - Answers -
Resume sex when you can walk up 2 flights of stairs comfortably
Priority Pt to see first - Answers - Chest Pains
Pt W/ Vtach on monitor after - Answers - Check Carotid pulse, chest compressions,
breaths, AED
Sublingual Nitro Expected Clinical findings - Answers - Dizziness, Headache, flushing,
tingling sensation
Education after MI - Answers - Be sure to attend Cardiac Rehab
Pt on Telemetry w/ suspected Unstable Angina, Report to Dr Immediately - Answers -
ST Elevation
Pt W/ chronic stable Angina Education on pain True statement - Answers - Only take
Nitro for Angina chest pain (not any kind of pain)
Lab Value to monitor for Coumadin (Warfarin) - Answers - over 0.6 (3.5)
A patient returns from the cath lab after having percutaneous coronary interventions
done through a right femoral site. The nurses assessment findings are normal. The
telemetry monitor begins to alarm and the patient appears to be in Vtach. Upon entering
the room there is no response from the patient. Which is the nurses first priority -
Answers - Check Carotid Pulse
Pt W/ stable angina being discharged on Sublingual NITRO, what teaching prevents
complications - Answers - Sit down before taking medication
While caring for a pt experiencing Angina, Pain Persist after 1st dose of sublingual nitro,
next action - Answers - Administer 2nd dose and reassess in 5 min
Pt In ED W/ substernal pain radiating to Left arm, diaphoresis, & SOB - Answers -
collect subjective and objective data about chest pain
Pt w/ CAD prescribed beta blocker, why would nurse hold med - Answers - HR 48 bpm