NURS 2731 Exam 3 Practice

The nurse is educating a patient about his new diagnosis of stable angina. The nurse determines that the patient needs further teaching about exacerbation factors when he states which of the following?

• "I should avoid caffeine intake."

• "Finding stress coping mechanisms for work will help control my pain."

• "It's okay for me to be outside in the extreme heat."

• "I should be extra careful about being outside in the winter."

The nurse understands that changes to this area of the EKG waveform would indicate damage to the electrical conduction to the atria.

• P wave

• QRS complex

• PR interval

• T wave

The nurse is caring for a patient with bradycardia. The nurse recognizes that all of the following are causes for bradycardia except:

• Medication side effects

• Anxiety

• Suctioning a patient

• Vagal response

The nurse is caring for a patient with the following EKG strip. The nurse identifies the rhythm as

• NSR with PVC's.

• NSR

• A-fib with PVC's

• Sinus Bradycardia

The nurse is caring for a patient having suspected myocardial infarction and is about to administer nitroglycerin. The nurse knows that which of the following is not considered a contraindication for nitroglycerin administration?

• Phosphodiesterase inhibitor consumption in the past 24 - 48 hours

• Right ventricular infarct

• Medication allergy

• High blood pressure

The nurse is caring for a patient with a suspected myocardial infarction. The nurse can expect which of the following labs to be ordered for the patient? Select all that apply.

• CBC

• Troponin

• CK - MB level

• PT/INR

• Myoglobin

A nurse is caring for four patients on a telemetry unit. Which patient should the nurse assess first?

• A 68-year-old patient with atrial fibrillation who reports feeling lightheaded.

• A 72-year-old patient with stable angina who is scheduled for a stress test later in the day.

• A 60-year-old patient with heart failure who is complaining of mild shortness of breath.

• A 75-year-old patient who just returned from a cardiac catheterization and has a stable vital sign.

The nurse is caring for a patient who has a suspected NSTEMI. The nurse knows that which of the following would the doctor use to determine if the patient is having a STEMI or NSTEMI?

• 12 lead EKG

• Nitroglycerin administration

• Cardiac enzyme labs drawn

• Vital Signs obtained

The nurse is caring for a patient with a suspected myocardial infarction. The nurse expects what abnormality to be seen on the patient's cardiac monitor and EKG?

• ST depression

• a U wave

• ST elevation

• PVC's

The nurse is getting ready to walk into a patient's room and sees this rhythm on the patient's monitor. Which of the following is an appropriate next step for the nurse to take after finding the patient unresponsive?

• Defibrillate

• Start CPR

• Administer Epinephrine

• Synchronized Cardioversion