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WorksheetsACS: Myocardial Infarction KA
Total questions: 15
Worksheet time: 8mins
Which of the following is a classic symptom of myocardial infarction?
Sudden onset of chest pain
Productive cough
Pruritus (itching)
Polyuria
Which EKG change is most commonly associated with acute myocardial infarction?
ST segment elevation
Prolonged PR interval
Peaked P waves
Shortened QT interval
Which medication is routinely administered to patients with suspected myocardial infarction to reduce platelet aggregation?
Aspirin
Furosemide
Metformin
Amoxicillin
Which of the following is a common complication following a myocardial infarction?
Heart failure
Asthma
Diabetes insipidus
Appendicitis
Which patient assessment technique is most appropriate for detecting fluid overload in a patient with myocardial infarction?
Auscultation of lung sounds
Inspection of the abdomen
Palpation of the thyroid gland
Percussion of the sinuses
Which of the following nursing interventions is most appropriate immediately after a patient is diagnosed with myocardial infarction?
Administer supplemental oxygen as ordered
Encourage vigorous physical activity
Withhold all medications
Place the patient in a prone position
A patient with myocardial infarction is prescribed nitroglycerin. What is the primary purpose of this medication?
To dilate coronary arteries and improve blood flow
To increase heart rate
To decrease urine output
To suppress the immune system
Which EKG finding would indicate a previous (old) myocardial infarction?
Pathological Q waves
Tall, peaked T waves
Shortened PR interval
U waves
When educating a patient post-myocardial infarction, which lifestyle modification should the nurse emphasize to reduce future risk?
Smoking cessation
Increased salt intake
Sedentary lifestyle
High-fat diet
A nurse is monitoring a patient with myocardial infarction for arrhythmias. Which assessment finding should prompt immediate intervention?
Ventricular fibrillation on EKG
Sinus bradycardia at 60 bpm
Occasional premature atrial contractions
First-degree AV block
A patient with myocardial infarction is experiencing anxiety and asks about the purpose of beta-blockers. How should the nurse respond?
"Beta-blockers help decrease your heart's workload and oxygen demand."
"Beta-blockers increase your blood pressure to improve circulation."
"Beta-blockers are used to treat infections."
"Beta-blockers help you sleep better at night."
A nurse is planning care for a patient with acute myocardial infarction. Which nursing diagnosis should take priority?
Decreased cardiac output related to myocardial tissue damage
Risk for impaired skin integrity
Risk for constipation
Deficient knowledge about diabetes management
A patient recovering from myocardial infarction asks about returning to work. What should the nurse consider before advising the patient?
The patient's cardiac function, type of work, and recovery progress
The patient's age only
The patient's family history only
The patient's insurance status only
A nurse is reviewing the EKG of a patient with chest pain. The EKG shows ST segment elevation in leads II, III, and aVF. What should the nurse suspect?
Inferior wall myocardial infarction
Anterior wall myocardial infarction
Lateral wall myocardial infarction
Posterior wall myocardial infarction
A patient with a history of myocardial infarction is prescribed both aspirin and clopidogrel. What is the rationale for this combination therapy?
To provide dual antiplatelet action and reduce the risk of further thrombotic events
To increase blood pressure and heart rate
To treat bacterial infections
To prevent hypokalemia
