Carl Shapiro (Coronary Artery Disease) Test Fall 2023
with complete solution
When a patient is experiencing angina, the nurse administers nitroglycerin
sublingually at what frequency?
every 5 minutes, maximum 3 doses
When a pt is experiencing acute angina, it's recommended that the pt allow 1 sublingual
tablet to dissolve under the tongue (or spray nitroglycerin under the tongue) and repeat
every 5 min for maximum of 3 doses
When administering medication to pt w/ suspected MI, the nurse understands that
morphine has which of the following beneficial effects?
decreases anxiety
decreases pain
decreases preload
decreases afterload
Morphine is drug of choice to reduce pain, thereby reducing anxiety. it also reduces
preload and afterload, decreasing work of heart. pt must be monitored closely for SEs of
hypotension and respiratory depression
Which of the following are cardiac markers assessed in the pt experiencing
angina potential myocardial injury?
troponin
CK-MB
cardiac enzymes and biomarkers, which include troponin, CK, and myoglobin, are used
to diagnose an acute MI. of the 3 CK isoenzymes, CK-myocardial bound (MB) is
specific to heart muscle. CK-MM is specific to skeletal muscle and is not an indicator of
MI. hemoglobin is used to determine amount of O2 in the blood. creatinine is elevated in
renal failure, not in myocardial injury.
the nurse recognizes that ST elevation on the 12-lead ECG typically indicates
which of the following?
myocardial injury
(causes ST segment and T-wave changes on ECG)
the nurse knows that which factors may increase pt's risk of developing coronary
artery disease?
cigarette smoking
metabolic syndrome
family history
non-modifiable risk factors for CAD include family hx and increasing age (> 55 y/o for
women). cigarette smoking and metabolic syndrome are modifiable risk factors for CAD.
a diagnosis of metabolic syndrome includes 3 of following: insulin resistance, central
with complete solution
When a patient is experiencing angina, the nurse administers nitroglycerin
sublingually at what frequency?
every 5 minutes, maximum 3 doses
When a pt is experiencing acute angina, it's recommended that the pt allow 1 sublingual
tablet to dissolve under the tongue (or spray nitroglycerin under the tongue) and repeat
every 5 min for maximum of 3 doses
When administering medication to pt w/ suspected MI, the nurse understands that
morphine has which of the following beneficial effects?
decreases anxiety
decreases pain
decreases preload
decreases afterload
Morphine is drug of choice to reduce pain, thereby reducing anxiety. it also reduces
preload and afterload, decreasing work of heart. pt must be monitored closely for SEs of
hypotension and respiratory depression
Which of the following are cardiac markers assessed in the pt experiencing
angina potential myocardial injury?
troponin
CK-MB
cardiac enzymes and biomarkers, which include troponin, CK, and myoglobin, are used
to diagnose an acute MI. of the 3 CK isoenzymes, CK-myocardial bound (MB) is
specific to heart muscle. CK-MM is specific to skeletal muscle and is not an indicator of
MI. hemoglobin is used to determine amount of O2 in the blood. creatinine is elevated in
renal failure, not in myocardial injury.
the nurse recognizes that ST elevation on the 12-lead ECG typically indicates
which of the following?
myocardial injury
(causes ST segment and T-wave changes on ECG)
the nurse knows that which factors may increase pt's risk of developing coronary
artery disease?
cigarette smoking
metabolic syndrome
family history
non-modifiable risk factors for CAD include family hx and increasing age (> 55 y/o for
women). cigarette smoking and metabolic syndrome are modifiable risk factors for CAD.
a diagnosis of metabolic syndrome includes 3 of following: insulin resistance, central
