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WorksheetsMyocardial Infarction Quiz
Total questions: 19
Worksheet time: 10mins
A patient is admitted with chest pain radiating to the left arm, diaphoresis, and nausea. The nurse recognizes these findings as classic symptoms of:
Angina pectoris
Myocardial infarction
Gastroesophageal reflux disease
Pulmonary embolism
The most specific serum cardiac marker for myocardial infarction is:
CK-MB
Troponin I and T
Myoglobin
LDH
A priority nursing action for a patient with chest pain suspected of MI is:
Administer morphine sulfate
Obtain a 12-lead ECG
Draw blood for troponin
Prepare for immediate cardiac catheterization
A patient with MI develops an S3 heart sound. This finding most likely indicates:
Pericarditis
Heart failure
Hypertension
Aortic stenosis
Which intervention is part of immediate MI management often remembered as MONA?
Oxygen, nitroglycerin, aspirin, morphine
Aspirin, warfarin, oxygen, digoxin
Morphine, atropine, nitroglycerin, oxygen
Oxygen, nitroglycerin, lidocaine, aspirin
Which ECG change is most indicative of acute transmural myocardial infarction?
Peaked T waves
ST-segment elevation
Prolonged QT interval
PR-interval shortening
A post-MI patient asks when sexual activity can be resumed. Which statement demonstrates correct understanding?
"I can resume when I can climb two flights of stairs without chest pain."
"I can resume immediately if I feel well."
"I must wait at least six months."
"I should avoid any physical activity for a year."
Beta-blockers are prescribed after MI primarily to:
Increase myocardial oxygen demand
Prevent dysrhythmias and reduce cardiac workload
Raise heart rate to improve cardiac output
Replace anticoagulation therapy
The most common complication within the first 24 hours after MI is:
Heart failure
Dysrhythmias
Ventricular aneurysm
Dressler syndrome
Discharge teaching for a patient after MI should include which dietary recommendation?
Increase sodium intake to maintain perfusion
Limit saturated fat and cholesterol (heart-healthy diet)
Increase intake of red meat for protein
No dietary changes are necessary
A patient recovering from an MI asks about the importance of cardiac rehabilitation. Which statement reflects the best understanding?
"It only focuses on medication management."
"It helps improve my physical fitness and reduce the risk of future heart problems."
"It is only for patients with severe heart disease."
"It is optional and not necessary for recovery."
Which lifestyle change is most beneficial for a patient post-MI?
Smoking cessation is not necessary
Regular physical activity and exercise
Increased alcohol consumption
High-sugar diet
What is the primary purpose of administering aspirin to a patient suspected of having an MI?
To relieve pain
To lower blood pressure
To prevent platelet aggregation and reduce clot formation
To increase heart rate
What is the most common cause of myocardial infarction?
Obesity
Diabetes mellitus
Hypertension
Coronary artery disease
Which medication is commonly used to manage chest pain during an acute MI?
Statins
ACE inhibitors
Nitroglycerin
Beta-blockers
What is the recommended time frame for administering thrombolytics in a patient with an MI?
Within 6 hours of symptom onset
Within 12 hours of symptom onset
Within 24 hours of symptom onset
Within 1 hour of symptom onset
What is the primary risk factor for developing coronary artery disease?
Healthy diet
High cholesterol levels
Regular exercise
Low blood pressure
Which of the following is a common symptom of heart failure?
Abdominal pain
Severe headache
Shortness of breath
Chest pain
What is the recommended lifestyle modification for patients with hypertension?
Regular physical activity
Increase salt intake
Increase caffeine intake
Reduce water consumption
