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LP-123467-EXAMS (2 files merged) 2022.

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LP-123467-EXAMS (2 files merged) 2022.


1.
point
During rounds at LMC, you noticed an ordered lab tests on patient “Sehr gut” who
complains of chest pain for 6 hours. Which of the following abnormal values would you
expect to see if his chest pain is cardiac related?


Your Answer: Correct

Low potassium of 3.1


Elevated troponin of 4.5

Low glucose of 65

Low hemoglobin of 7.3
2.
point
The student nurse is correct if she states which among the following as an early finding
in the EKG of her patient diagnosed with myocardium infarction.


Your Answer: Correct

Disappearance of Q waves


Elevated ST segments

Absence of P wave

Flattened T waves
3.
point
Which of the following clinical manifestations is the most common symptom of
myocardial infarction?

,LP-123467-EXAMS (2 files merged) 2022.


Your Answer: Correct


Chest pain

Dyspnea (Difficult breathing)

Palpitations

Edema (fluid accumulation)
4.
point
During graded recitation, the clinical instructor asked the student nurse to select among
the following actions to help prevent Valsalva's maneuver. The student nurse is correct
if she selects.


Your Answer: Correct

Assume a side-lying position

Clench teeth while moving in bed

Drink fluids through a straw


Avoid holding breath during activity
5.
point
1. Mr. “Ser gut” who is hospitalized following a myocardial infarction asks the student
nurse why he is taking morphine. The student nurse explains that morphine:


Your Answer: Correct

Decrease anxiety and restlessness

Dilates coronary blood vessels

Helps prevent fibrillation of the heart


Prevents shock and relieves pain and anxiety.
6.

,LP-123467-EXAMS (2 files merged) 2022.

point
The nurse is speaking at a community meeting about modifiable risk factors of MI.
Based on her teaching, which among the following options place an individual at
increased risk for MI?


Your Answer:


Age (men above 45, women above 55)


Smoking history of 3 packs per day for 30 years

Premature infants.

Vigorous exercise 3 times a week
7.
point
ACE inhibitor cannot be administered to patients with MI because of its mechanism in
the heart.

Your Answer:


True


False
8.
point
The onset of Myocardial Infarction occurs sudden, and the process takes 2 to 6 hours to
run its course.


Your Answer:


True


False
9.
point

, LP-123467-EXAMS (2 files merged) 2022.

Deficient knowledge related to post-MI self-care is a priority nursing diagnosis for
myocardial infraction because if a patient is unaware of the disease process and
management it could be detrimental, and the life of the patient would be in jeopardy.


Your Answer:


True


False
10.
? / 1 point
Identify an ECG finding a patient with Myocardial infraction will manifest.


Your Answer: Awaiting score
progressive ST elevation in lead V2 to V5
11.
point
You're educating a patient about the causes of a myocardial infarction. Which statement
by the patient indicates they misunderstood your teaching and requires you to re-
educate them?


Your Answer: Correct

Coronary artery dissection can happen spontaneously and occurs more in women.


The most common cause of a myocardial infarction is a coronary spasm from illicit drug
use or hypertension.

Patients who have coronary artery disease are at high risk for developing a myocardial
infarction.

Both A and B are incorrect.
12.
point
A patient is admitted with chest pain to the ER. The patient has been in the ER for 5
hours and is being admitted to your unit for overnight observation. From the options
below, what is the most IMPORTANT information to know about this patient at this
time?

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