WorksheetsACS Review Questions Before Lecture
Total questions: 11
Worksheet time: 6mins
A nurse screens a male patient for cardiovascular disease risk during admission. Which factor increases risk for acute coronary syndrome?
Moderate exercise twenty to thirty minutes weekly
BMI of twenty-six, overweight range
Exposure to secondhand cigarette smoke
Blood pressure one-twenty over sixty-six
Triglycerides one-forty milligrams per deciliter
In the diagram showing progression from plaque disruption to myocardial infarction, which scenario best explains why NSTEMI occurs instead of STEMI?
Stable fixed plaque causing exertional ischemia
Complete thrombus occlusion with new LBBB
Partial occluding thrombus causing limited necrosis
Transient non-occlusive thrombus with normal enzymes
A patient with suspected ACS arrives to the ED. Which immediate nursing action aligns with recommended assessment priorities shown in the diagram?
Obtain a 12‑lead ECG within 10 minutes
Order CK‑MB and BNP before ECG
Send patient for chest X‑ray immediately
Administer sublingual nitroglycerin first
Start one IV line and observe
Which precordial lead is correctly positioned at the 5th intercostal space on the midclavicular line, and primarily reflects anterior wall ischemia correlated with the left anterior descending artery?
V5 at 5th intercostal anterior axillary
V2 at 4th intercostal space left sternal
V6 at 5th intercostal midaxillary
V4 at 5th intercostal space midclavicular
In the ECG panels, which finding most strongly indicates a transmural myocardial infarction rather than ischemia alone? Refer to the diagram showing peaked T waves, T-wave inversion, ST elevation, and a deep initial negative deflection labeled Q wave.
Transient J-point elevation with concave morphology
Pathologic Q wave measuring ≥0.04 s and ≥25% R
Diffuse ST-segment depression across multiple leads
Persistent ST-segment elevation in affected leads
Peaked symmetric T waves early after pain
Which sequence represents the core components of the MONA protocol initiated in suspected myocardial infarction?
Morphine, Oxygen, Nitroglycerin, Aspirin
Morphine, Oxygen, Norepinephrine, Amiodarone
Metoprolol, Oxygen, Nitroglycerin, Atropine
Magnesium, Oxygen, Nicardipine, Aspirin
In the prehospital fibrinolytic checklist, which finding is a contraindication to fibrinolysis that should prompt stopping and considering transfer for PCI instead?
Systolic blood pressure between 100 and 110 mm Hg
Recent major surgery within four weeks, including laser eye
Chest discomfort greater than 15 minutes but under 12 hours
ECG showing STEMI or presumably new LBBB
During PCI for a coronary artery lesion, which step immediately restores luminal diameter by compressing plaque against the vessel wall as shown in the diagram?
Deploying drug-eluting stent scaffold
Advancing guide catheter into coronary ostium
Administering peri-procedural IV anticoagulant
Inflating balloon across the stenotic segment
Which laboratory finding is most suggestive of ongoing myocardial injury in a patient presenting with chest pain?
Elevated troponin I above reference range
Normal CK-MB and BNP levels
Elevated D-dimer
Low serum potassium
After successful PCI for STEMI, which nursing intervention is essential to monitor for reperfusion complications as shown in the post-procedure diagram?
Encourage early ambulation within 30 minutes
Administer additional anticoagulants immediately
Discontinue all cardiac medications
Assess for new arrhythmias on cardiac monitor
Which ECG change, as depicted in the diagram, is most characteristic of early ischemia before infarction occurs?
Diffuse U wave appearance
Persistent ST-segment elevation
T-wave inversion in affected leads
Development of pathologic Q waves
