NURS 5461 Final Exam Questions With Correct
Answers Latest Update 2026 | Exam Prep
1. What is the most common initial symptom of Acute Coronary Syndrome in
persons older than 80 years old?
Vomiting
Dizziness
Chest pain
Dyspnea
2. In a patient with acute coronary syndrome who cannot tolerate beta-
blockers due to asthma, which treatment option should be considered to
manage their condition effectively?
Calcium channel blockers
Anticoagulants
Beta-blockers
Nitrates
3. Which of the following patients would most likely have acute coronary
syndrome and not complain of chest pain?
An 80-year-old female
A 40-year-old female
A 39-year-old male
A 79-year-old male
, 4. What diagnostic procedure is considered the gold standard for assessing the
severity of coronary artery lesions?
Stress test
Echocardiogram
CT scan
Coronary angiography
5. In a patient with chronic obstructive pulmonary disease (COPD) experiencing
acute exacerbation, how might Ipratropium (Atrovent) be utilized in their
treatment plan?
As a bronchodilator to relieve acute bronchospasm
As an anti-inflammatory agent to reduce airway swelling
As a long-term maintenance therapy to prevent symptoms
As a mucolytic agent to thin mucus secretions
6. What is the primary initial diagnostic test used to assess stable coronary
ischemia?
Electrocardiogram (ECG)
Chest X-ray
Echocardiogram
Cardiac MRI
7. Describe how chronic obstructive pulmonary disease (COPD) can contribute
to the development of right-sided heart failure.
COPD directly damages heart muscle, causing heart failure.
Answers Latest Update 2026 | Exam Prep
1. What is the most common initial symptom of Acute Coronary Syndrome in
persons older than 80 years old?
Vomiting
Dizziness
Chest pain
Dyspnea
2. In a patient with acute coronary syndrome who cannot tolerate beta-
blockers due to asthma, which treatment option should be considered to
manage their condition effectively?
Calcium channel blockers
Anticoagulants
Beta-blockers
Nitrates
3. Which of the following patients would most likely have acute coronary
syndrome and not complain of chest pain?
An 80-year-old female
A 40-year-old female
A 39-year-old male
A 79-year-old male
, 4. What diagnostic procedure is considered the gold standard for assessing the
severity of coronary artery lesions?
Stress test
Echocardiogram
CT scan
Coronary angiography
5. In a patient with chronic obstructive pulmonary disease (COPD) experiencing
acute exacerbation, how might Ipratropium (Atrovent) be utilized in their
treatment plan?
As a bronchodilator to relieve acute bronchospasm
As an anti-inflammatory agent to reduce airway swelling
As a long-term maintenance therapy to prevent symptoms
As a mucolytic agent to thin mucus secretions
6. What is the primary initial diagnostic test used to assess stable coronary
ischemia?
Electrocardiogram (ECG)
Chest X-ray
Echocardiogram
Cardiac MRI
7. Describe how chronic obstructive pulmonary disease (COPD) can contribute
to the development of right-sided heart failure.
COPD directly damages heart muscle, causing heart failure.
