Angina/MI NCLEX style questions

Angina/MI NCLEX style questions Leave the first rating Students also studied Terms in this set (20) Science MedicineNursing Save Angina NCLEX practice test 1 18 terms Amill1572Preview

Nclex practice questions: HF, MI an...

24 terms HarrellraeganPreview Angina/MI NCLEX style questions 21 terms penny_meisenzahl Preview Nclex Q 32 terms kar Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?

• Midepigastric pain and pyrosis
• Diaphoresis and cool clammy skin
• Intermittent claudication and paloor
• Jugular vein distention and dependent edema

B The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom.Which action should the nurse implement first?

• Administer sublingual nitroglycerin
• Obtain a stat 12 Lead ECG
• Have the client sit down immediately
• Assess the client's vital signs

C The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain.Which interventions should the nurse implement first?(Select All that Apply)

• Administer morphine sulfate Intramuscularly
• Administer an aspirin orall
• Apply oxygen via nasal cannula
• Place the client in a supine position
• Administer nitroglycerin subcutaneously

B, C

The client who has had a myocardial infarction is admitted to the telementry unit from intensive care.Which referral would be most appropriate for the client?

• Social worker
• Physical therapy
• Cardiac rehabilitation
• Occupation therapy

C The client is one day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first?

• Medicate the client with intravenous morphine
• Assess the client's chest dressing and vital signs
• Encourage the client to turn from side to side
• Check the client's telemetry monitor

B The client diagnosed with a myocardial infarction is six hours post-right femoral percutanous transluminal coronary angioplasty (PTCA), also known as balloon surgery. Which assessment data would require immediate intervention by the nurse?

• The client is keeping the affected extremity straight
• The pressure dressing to the right femoral area is intact
• The client is complaining of numbness in the right foot
• The client's right pedal pulse is +3 and bounding

C The intensive care department nurse is assessing the client who is 12 hours post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement?

• Notify the health-care provider immediately
• Elevate the head of the client's bed
• Document this as a normal and expected finding
• Administer morphine intravenously

A The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

• The client's apical pulse is 64
• The client's calcium level is elevated
• The client's telemetry shows occasional PVCs
• The client's blood pressure is 90/62

D

The client diagnosed with a myocardial infarction is on bedrest. The unlicensed assistive personnel is encouraging the client to move the legs. Which action should the nurse implement?

• Instruct the UAP to stop encouraging leg movements
• Report this behavior to the charge nurse as soon as

possible

• Praise the UAP for encouraging the client to move legs
• Take no action concerning the UAP's behavior

C The client diagnosed with a myocardial infarction asks the nurse, "why do I have to rest and take it easy? My chest doesn't hurt anymore." Which statement would be the nurse's best response?

• "Your heart is damaged and needs about 4 to 6 weeks

to heal"

• "There is necrotic myocardial tissue that puts you at risk

for dysrhythmias"

• "Your doctor has ordered bedrest. Therefore, you must

stay in bed."

• "Just because your chest doesn't hurt anymore doesn't

mean you are out of danger" A The client has just returned from a cardiac catherization.Which assessment data would warrant immediate intervention from the nurse?

• The client's BP is 110/70 and pulse is 90
• The client's groin dressing is dry and intact
• The client refuses to keep the leg straight
• The client denies any numbness and tingling

C Which population is at a higher risk for dying from a myocardial infarction?

• Caucasian Males
• Hispanic Females
• Asian Males
• African American Females

A Which preprocedure information should be taught to the female client having an exercise stress test in the morning?

• Wear open-toed shoes to the stress test
• Inform the client not to wear a bra
• Do not eat anything for 4 hours
• Take the beta blocker one hour before the test

C

Which intervention should the nurse implement with the client diagnosed with dilated cardiomyopathy?

• Keep the client in the supine position with legs

elevated

• Discuss a heart transplant, which is a definitive

treatment

• Prepare the client for coronary artery bypass graft
• Teach the client to take a calcium channel blocker in

the morning B Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?

• Heart Failure
• Activity intolerance
• Powerlessness
• Anticipatory grieving

A The client comes into the emergency department saying, "I am having a heart attack" Which question is most pertinent when assessing the client?

• "Can you describe the chest pain"
• "What were you doing when the pain started"
• "Did you have a high-fat meal today"
• "Does the pain get worse when you lie down"

A Which client would most likely be misdiagnosed for having a myocardial infarction?

• A 55 year old Caucasian male with crushing chest pain

and diaphoresis

• A 60 year old Native American male with an elevated

troponin level

• A 40 year old HiDpanic female with a normal ECG
• An 80 year old Peruvian female with normal CK-MB at

12 hours C The client is admitted to the emergency department, and the nurse suspects a cardiac problem. Which assessment interventions should the nurse implement? (Select All that Apply)

• Obtain a midstream urine specimen
• Attach telemetry monitor to the client
• Start a saline lock in the right arm
• Draw a baseline metabolic panel (BMP)
• Request an order for a STAT 12-lead ECG

B, C, E