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Carl Shapiro (Coronary Artery Disease) Exam Questions and Answers 100% Pass

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Carl Shapiro (Coronary Artery Disease) Exam Questions and Answers 100% Pass 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 2Emily Charlene © All Rights Reserved 2025. 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 3Emily Charlene © All Rights Reserved 2025. 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 obesity, dyslipidemia, BP persistently 130/85, high levels of C-reactive proteins, and high fibrinogen level. Any activity based on pt's capability is encouraged. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? - substernal chest pain SOB diaphoresis substernal chest pain or heaviness that may radiate, SOB, du

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Carl Shapiro (Coronary Artery
Disease) Exam Questions and
Answers 100% Pass

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




Emily Charlene © All Rights Reserved 2025. 1

, 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




Emily Charlene © All Rights Reserved 2025. 2

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