ANGINAMI NCLEX STYLE QUESTIONS, MED SURG

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ANGINA/MI NCLEX STYLE QUESTIONS, MED SURG

FINAL EXAM REVIEW PPT 2025 QUESTIONS AND

ANSWERS .

• 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 Hispanic female with a normal ECG
• An 80 year old Peruvian female with normal CK-MB at 12

hours - correct answer - 3. Clients who are misdiagnosed concerning MIs usually present with atypical symptoms.They tend to be female, younger than 55, members of a minority group, and have normal ECGs

• 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 - correct answer -
• Anytime a nurse suspects cardiac problems, the electrical

conductivity of the heart should be assessed. 1 / 2

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Emergency medications for heart problems are primarily administered intravenously, so starting a saline lock in the right arm is appropriate.A 12-lead ECG evaluates the electrical conductivity of the heart from all planes.

• The client is 3 hours post myocardial infarction. Which data

would warrant immediate intervention by the nurse?

• Bilateral peripheral pulses 2+
• The pulse oximeter reading is 96%
• The urine output is 240 mL in the last 4 hours
• Cool, clammy, diaphoretic skin - correct answer - 4. Cold,

clammy skin is an indicator of cardiogenic shock, which is a complication of MI and warrants immediate intervention.

• The nurse is transcribing the doctor's orders for a client with

congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which action should the nurse implement?

• Discuss the order with the health-care provider
• Take the client's apical pulse rate before administering
• Check the client's potassium level before giving the

medication

• Determine if a digoxin level has been drawn - correct answer
• This dose is 10 times the normal dose for a client with

CHF. This dose is potentially lethal.

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