NUR 213 Cardio Practice Questions

NUR 213 Cardio Practice Questions
1. The nurse is caring for a client with a history of atherosclerosis.The client has chest pain that
occurs with physical exertion or stress and is relieved with sublingual nitroglycerin. The nurse
recognizes that the client is most likely experiencing which disorder ?
Acute coronary syndrome
Myocardial infarction
Stable angina
Prinzmetal angina
Answer
Stable angina
Stable angina is a predictable form ofangina, which usually occurs when the work of the heart
is increased by physicalexertion, exposure tocold, or stress. Prinzmetal(variant) angina occurs
unpredictably and often at night. The client is currently experiencing a predictable form of
angina. Clinical manifestations of myocardial infarction include pain that is lesspredictable,
moreprolonged, and unrelieved bysublingual nitroglycerin. Clinical manifestations of acute
coronary syndrome include pain that is more severe and longer than previously experienced.
The pain is not predictable and is unrelieved by sublingual nitroglycerin.
2. The client with a history of atherosclerosis has chest pain that is unrelated toactivity,
unpredictable, and often occurs while at rest. The client reportsthe pain has been becoming
morefrequent andsevere, rating the current pain as 9 on a scale of 1 to 10.You recognize that
the client is at severe risk of which disorder?
Coronary artery disease
Prinzmetal angina
Stable angina
Myocardial infarction
Answer
Myocardial infarction
Prinzmetal(variant) angina occurs unpredictably and often at night.
The client is currently experiencing either Prinzmetal or unstable angina and is at severe risk of
a myocardial infarction. Stable angina is a predictable form ofangina, which usually occurs
when the work of the heart is increased by physicalexertion, exposure tocold, or stress.
Thisclient's angina is unpredictable and occurs at res Coronary artery disease is the cause
ofangina, not the disorder which develops as a result of it.