NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
What is high sensitivity troponin and when to use? - correct answer first line test for
cardiac cell damage
used for initial injury
What is CKMB - correct answer CK isoenzyme specific to cardiac muscle tissue (MI)
When should CKMB be used? - correct answer for suspicion of secondary ischemia
after an initial infarct
normal level for Troponin I - correct answer <0.04
normal level for CKMB - correct answer 3-5% of total CK
What is BNP - correct answer B-type natriuretic peptide
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
Normal BNP levels - correct answer <100 pg/mL
Differential for chest pain - correct answer Consider:
Myocardium- angina, MI, myocarditis, heart failure
Pericardium- pericarditis
Aorta- dissecting aortic aneurysm
Trachea and bronchi- bronchitis
Parietal pleura- pericarditis, pneumonia, pneumothorax, pleural effusion, pulmonary
embolus
Chest wall- costochondritis, herpes zoster
Esophagus- reflux, esophageal spasm, esophageal tear
Referred pain from elsewhere- cervical arthritis, biliary colic, gastritis
Psych: anxiety attacks
Revascularization in under ____ minutes - correct answer 90
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
Initial diagnostics for chest pain - correct answer 12-lead EKG
Troponin q3h x3 at least
BNP - HF
CBC - baseline H&H and Plts
PTT, PT/INR - baseline coagulation status
BMP - renal function and lytes
TSH, Mg, and Phos
ECHO
Cath
Requirements for STEMI dx - correct answer new ST elevation in 2 contiguous leads
of >0.1 mV except V2&V3
elevated troponin
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
STEMI findings in V2-V3 - correct answer >0.2mV in >40yo M
>0.25 mV in <40 yo M
>0.15 mV in women
Difference between NSTEMI and unstable angina - correct answer NSTEMI involves
Elevated Cardiac Bio markers (cell death)
NSTEMI & unstable angina tx - correct answer Dual antiplatelet therapy
Full-dose AC
High-intensity statin
BB
Nitrates
oxygen
pain medication
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
What is high sensitivity troponin and when to use? - correct answer first line test for
cardiac cell damage
used for initial injury
What is CKMB - correct answer CK isoenzyme specific to cardiac muscle tissue (MI)
When should CKMB be used? - correct answer for suspicion of secondary ischemia
after an initial infarct
normal level for Troponin I - correct answer <0.04
normal level for CKMB - correct answer 3-5% of total CK
What is BNP - correct answer B-type natriuretic peptide
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
Normal BNP levels - correct answer <100 pg/mL
Differential for chest pain - correct answer Consider:
Myocardium- angina, MI, myocarditis, heart failure
Pericardium- pericarditis
Aorta- dissecting aortic aneurysm
Trachea and bronchi- bronchitis
Parietal pleura- pericarditis, pneumonia, pneumothorax, pleural effusion, pulmonary
embolus
Chest wall- costochondritis, herpes zoster
Esophagus- reflux, esophageal spasm, esophageal tear
Referred pain from elsewhere- cervical arthritis, biliary colic, gastritis
Psych: anxiety attacks
Revascularization in under ____ minutes - correct answer 90
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
Initial diagnostics for chest pain - correct answer 12-lead EKG
Troponin q3h x3 at least
BNP - HF
CBC - baseline H&H and Plts
PTT, PT/INR - baseline coagulation status
BMP - renal function and lytes
TSH, Mg, and Phos
ECHO
Cath
Requirements for STEMI dx - correct answer new ST elevation in 2 contiguous leads
of >0.1 mV except V2&V3
elevated troponin
, NR 571 Midterm Exam (Latest Update
2025/ 2026) Complex Diagnosis &
Management in Acute Care Practicum
Questions and100% Correct Answers
[Grade A]– Chamberlain
STEMI findings in V2-V3 - correct answer >0.2mV in >40yo M
>0.25 mV in <40 yo M
>0.15 mV in women
Difference between NSTEMI and unstable angina - correct answer NSTEMI involves
Elevated Cardiac Bio markers (cell death)
NSTEMI & unstable angina tx - correct answer Dual antiplatelet therapy
Full-dose AC
High-intensity statin
BB
Nitrates
oxygen
pain medication
