Which of the following would be the priority nursing diagnosis for the adult patient with

atherosclerosis?

Select one:
a.

 Impaired skin integrity.

b.

Imbalance nutrition.

c.

 Ineffective cardiac tissue perfusion.

d.

Imbalance fluid volume.

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The correct answer is:

 Ineffective cardiac tissue perfusion.

Question 2

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1.     Patient with chest pain, ST segment elevation and Troponin level elevated. What is the
highest priority for nursing management of this patient at this time?

Select one:
a.

Monitor daily weights and urine output.

b.

Provide patient education about medication.

c.

Provide patient education about diet.

d.

Reduce pain and myocardial oxygen demand.

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The correct answer is:

Reduce pain and myocardial oxygen demand.

Question 3

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Which of the following risk factors consider modifiable risk factor for patient with coronary
artery disease?

Select one:
a. Age.
b.

Gender.

c.

 Obesity.

d.

Race.

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The correct answer is:

 Obesity.

Question 4
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When administer a thrombolytic drug to the patient experiencing a myocardial infarction. The
nurse explains that the purpose of the drug is to:

Select one:
a.

Help keep him well hydrated.

b.

Dissolve clots that he may have.

c.

 Prevent kidney failure.

d.

Treat potential cardiac arrhythmia.

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The correct answer is:

Dissolve clots that he may have.

Question 5

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A 60-year-old male patient was admitted to the emergency department with a complaint of
substernal chest pain. The admitting diagnosis is acute myocardial infarction. Immediate
admission orders include oxygen by nasal cannula at 4L/minute, chest radiograph, ECG and
2mg morphine sulfate. The nurse should first:
Select one:
a.

Obtain the blood work.

b.

Order the chest radiograph.

c.

Obtain ECG.

d.

Administer the morphine.

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The correct answer is:

Administer the morphine.

Question 6

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Cardiac troponin T or cardiac troponin I is a protein marker in the detection of:

Select one:
a. Myocardial infarction.
b. Ventricular tachycardia.
c. Congestive cardiac failure.
d. Atrial fibrillation.

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The correct answer is: Myocardial infarction.

Question 7

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Which electrocardiographic (ECG) change will be of most concern to the nurse when
admitting a patient with chest pain diagnosed as MI?

Select one:
a.

T wave elevation.

b.

ST-segment depression.

c.

ST-segment elevation.

d.

T wave depression.

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The correct answer is:

ST-segment elevation.

Question 8

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 Which of the following clinical syndrome characterized by episodes or paroxysms of pain or

pressure in the anterior chest?

Select one:
a.

Angina pectoris.

b.
Cor pulmonale.

c.

Petting edema.

d.

 Hemothorax.

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The correct answer is:

Angina pectoris.

Question 9

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A patient with chest pain is prescribed intravenous nitroglycerin. Which assessment is of

greatest concern for the nurse initiating nitroglycerin drip?

Select one:
a.

Heart rate is 80 beat/minute.

b.

Serum potassium is 3.5 mEq/L.

c.

Respiratory rate 15 breath /minute.

d.

Blood pressure is 88/46 mmHg.

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The correct answer is:

Blood pressure is 88/46 mmHg.

Question 10

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A 60-year-old male with a history of angina pectoris complains of chest pain radiating to the
neck and left arm. The nurse's best initial response is which of the following?

Select one:
a. Administer sublingual nitroglycerin.
b. Administer aspirin.
c. Notify the physician.
d. Administer oxygen per nasal cannula.

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The correct answer is: Administer sublingual nitroglycerin.