A patient with hypertension reports new dizziness and weakness. Vital signs: BP 96/58 mm Hg; HR 54 bpm; currently taking metoprolol and lisinopril. What is the nurse’s priority action?

Which findings are consistent with acute coronary syndrome? Select all that apply.

Which findings are consistent with acute coronary syndrome? Select all that apply.

A patient with known coronary artery disease reports chest discomfort while resting. The pain is unrelieved by nitroglycerin and lasts 25 minutes. Troponin is negative. How should this condition be classified?

A patient with systolic heart failure is prescribed digoxin. Which assessment finding requires immediate follow-up?

Which assessment finding most strongly suggests left-sided heart failure?

The nurse is teaching a patient newly prescribed lisinopril. Which statements indicate correct understanding? Select all that apply.

A patient receiving IV nitroglycerin reports a headache and mild redness at the IV site. Vital signs are stable. What should the nurse do first?

Which medication is given first in suspected STEMI unless contraindicated?

A patient with chronic heart failure has gained 3 lb in 24 hours. Which nursing action is most appropriate?

Case-style prioritization – HF + meds. A patient with HFrEF is admitted with shortness of breath. Current data: BP 90/56 mm Hg; HR 108 bpm; SpO2 91% on room air; crackles bilaterally; home meds: lisinopril, furosemide, metoprolol. Which home medication should the nurse hold and clarify before administration?

SATA – distinguishing CAD vs HF findings. Which findings are more consistent with coronary artery disease rather than heart failure? Select all that apply.

Safety – oxygen use, not reflexive. A patient with chest pain has an SpO2 of 97% on room air and no respiratory distress. What is the nurse’s best action regarding oxygen therapy?

SATA – HF exacerbation triggers. Which factors commonly precipitate acute heart failure exacerbations? Select all that apply.

ACS – interpreting troponin correctly. Which statement best reflects correct nursing understanding of troponin levels?

(Medication teaching – statins) Which patient statement indicates correct understanding of atorvastatin therapy?

(SATA – signs of worsening HF) Which findings indicate worsening heart failure? Select all that apply.

(Assessment vs intervention) A patient with hypertension reports blurred vision and headache. BP is $$182/118$$ mm Hg. No chest pain or neuro deficits. What is the nurse’s best initial action?

(SATA – digoxin nursing considerations) Which nursing actions are appropriate for a patient receiving digoxin? Select all that apply.

(Unstable vs stable – who first?) Which patient should the nurse assess first?

(Medication logic – ARBs) Losartan is prescribed for a patient with HF. Which finding requires follow-up?

(SATA – nursing priorities post-MI) Which nursing interventions reduce myocardial oxygen demand after MI? Select all that apply.

(Clinical judgment – “right treatment, wrong patient”) A provider orders IV furosemide for a patient with HF. Current assessment: BP $$84/50$$ mm Hg; HR $$122$$ ; Minimal urine output; Cool extremities. What should the nurse do?

(SATA – recognize cardiogenic shock) Which assessment findings are most consistent with cardiogenic shock? Select all that apply.

What is the nurse’s priority intervention?

Which finding requires the nurse to hold nitroglycerin?

Which instructions should the nurse include for a patient with CAD? Select all that apply.

A patient presents with chest pain for 1 hour. Initial troponin is normal. What is the nurse’s best interpretation?

Which medications reduce mortality in systolic heart failure? Select all that apply.

Which patient should the nurse assess first?

Which complications should the nurse monitor for in the first 24–48 hours after MI? Select all that apply.