SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
The nurse is providing postoperative care to a patient who
underwent coronary artery bypass graft (CABG) surgery. For which
common complication would the nurse monitor the patient?
-Dehydration
-Paralytic ileus
-Atrial dysrhythmias
-Acute respiratory distress syndrome -
correct answer ✅-Atrial dysrhythmias
Postoperative dysrhythmias, specifically atrial dysrhythmias, are
common in the first three days following CABG surgery. Although
dehydration, paralytic ileus, and acute respiratory distress
syndrome could occur, they are not common complications.
A patient who has received a maximum dose of nitroglycerin
continues to report chest pain. Which medication would the nurse
anticipate administering to this patient next?
-Esmolol
,SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
-Docusate
-Ticagrelor
-Morphine sulfate -
correct answer ✅-Morphine sulfate
Morphine sulfate is the drug of choice for a patient with unrelieved
chest pain, even after the administration of nitroglycerin. Esmolol is
a β-blocker used to slow down the heart during minimally invasive
direct coronary artery bypass (MIDCAB). Docusate is a stool
softener that facilitates bowel movements. Ticagrelor is used in
dual antiplatelet therapy on a patient with ongoing angina and
negative cardiac markers.
In which location would a myocardial infarction (MI) occur due to
blockage of the right coronary artery?
-Inferior wall
-Anteroseptal
-Anterolateral
-Anterior wall -
correct answer ✅-Inferior wall
,SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
Blockage of the right coronary artery may result in an inferior wall
MI because the right coronary artery supplies blood to the inferior
wall of the heart. Damage to one or more other coronary arteries
may result in anteroseptal and anterolateral MIs. Anterior wall
infarctions result from blockages in the left anterior descending
artery.
The nurse assesses a patient who has been diagnosed with
papillary muscle dysfunction. Which observation supports the
patient's diagnosis?
-S3 heart sound
-Murmur at the cardiac apex
-Crackles in bilateral lung bases
-Deep sound at the lower left sternal border -
correct answer ✅-Murmur at the cardiac apex
Papillary muscle dysfunction occurs if the papillary muscles
attached to the mitral valves are involved in infarction. A patient
may have papillary muscle infarction if a murmur is heard upon
, SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
auscultation at the cardiac apex. The presence of S3 and S4 sounds
of the heart and crackles in breath sounds indicate heart failure.
The deep sound heard at the lower left sternal border upon
auscultation indicates acute pericarditis.
A patient is scheduled for a minimally invasive direct coronary
artery bypass (MIDCAB). Which steps are involved in the
procedure? Select all that apply.
-A robot is used to replace the mitral valve.
-Small incisions are made between the ribs.
-Cardiac catheterization is performed during the procedure.
-A mechanical stabilizer is placed to immobilize the operative site.
-A thoracoscope or robotic assistance is used to free the internal
mammary artery. -
correct answer ✅-Small incisions are made between the ribs.
-A mechanical stabilizer is placed to immobilize the operative site.
-A thoracoscope or robotic assistance is used to free the internal
mammary artery.
Syndrome Adaptive Exam Questions
With 100% Verified Answers
The nurse is providing postoperative care to a patient who
underwent coronary artery bypass graft (CABG) surgery. For which
common complication would the nurse monitor the patient?
-Dehydration
-Paralytic ileus
-Atrial dysrhythmias
-Acute respiratory distress syndrome -
correct answer ✅-Atrial dysrhythmias
Postoperative dysrhythmias, specifically atrial dysrhythmias, are
common in the first three days following CABG surgery. Although
dehydration, paralytic ileus, and acute respiratory distress
syndrome could occur, they are not common complications.
A patient who has received a maximum dose of nitroglycerin
continues to report chest pain. Which medication would the nurse
anticipate administering to this patient next?
-Esmolol
,SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
-Docusate
-Ticagrelor
-Morphine sulfate -
correct answer ✅-Morphine sulfate
Morphine sulfate is the drug of choice for a patient with unrelieved
chest pain, even after the administration of nitroglycerin. Esmolol is
a β-blocker used to slow down the heart during minimally invasive
direct coronary artery bypass (MIDCAB). Docusate is a stool
softener that facilitates bowel movements. Ticagrelor is used in
dual antiplatelet therapy on a patient with ongoing angina and
negative cardiac markers.
In which location would a myocardial infarction (MI) occur due to
blockage of the right coronary artery?
-Inferior wall
-Anteroseptal
-Anterolateral
-Anterior wall -
correct answer ✅-Inferior wall
,SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
Blockage of the right coronary artery may result in an inferior wall
MI because the right coronary artery supplies blood to the inferior
wall of the heart. Damage to one or more other coronary arteries
may result in anteroseptal and anterolateral MIs. Anterior wall
infarctions result from blockages in the left anterior descending
artery.
The nurse assesses a patient who has been diagnosed with
papillary muscle dysfunction. Which observation supports the
patient's diagnosis?
-S3 heart sound
-Murmur at the cardiac apex
-Crackles in bilateral lung bases
-Deep sound at the lower left sternal border -
correct answer ✅-Murmur at the cardiac apex
Papillary muscle dysfunction occurs if the papillary muscles
attached to the mitral valves are involved in infarction. A patient
may have papillary muscle infarction if a murmur is heard upon
, SPC Level 2 Exam 3- Acute Coronary
Syndrome Adaptive Exam Questions
With 100% Verified Answers
auscultation at the cardiac apex. The presence of S3 and S4 sounds
of the heart and crackles in breath sounds indicate heart failure.
The deep sound heard at the lower left sternal border upon
auscultation indicates acute pericarditis.
A patient is scheduled for a minimally invasive direct coronary
artery bypass (MIDCAB). Which steps are involved in the
procedure? Select all that apply.
-A robot is used to replace the mitral valve.
-Small incisions are made between the ribs.
-Cardiac catheterization is performed during the procedure.
-A mechanical stabilizer is placed to immobilize the operative site.
-A thoracoscope or robotic assistance is used to free the internal
mammary artery. -
correct answer ✅-Small incisions are made between the ribs.
-A mechanical stabilizer is placed to immobilize the operative site.
-A thoracoscope or robotic assistance is used to free the internal
mammary artery.
