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Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT Questions (135 terms) with Definitive Solutions 2024.

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  • Angina/MI NCLEX Style Quetions, Med Surg Inal E

Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT Questions (135 terms) with Definitive Solutions 2024.

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  • February 24, 2024
  • 37
  • 2023/2024
  • Exam (elaborations)
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  • anginami nclex style questions med surg final ex

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  • Angina/MI NCLEX style quetions, Med Surg inal E
  • Angina/MI NCLEX style quetions, Med Surg inal E

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Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT




Angina/MI NCLEX style questions, Med
Surg Final Exam Review PPT Questions
(135 terms) with Definitive Solutions
2024.
Which cardiac enzyme would the nurse expect to elevate first in a client
diagnosed with a myocardial infarction? - Answer: 3. Troponin is the enzyme that
elevates within 1 to 2 hours

, Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT


Along with persistent, crushing chest pain, which signs/symptoms would make the
nurse suspect that the client is experiencing a myocardial infarction?
1. Midepigastric pain and pyrosis
2. Diaphoresis and cool clammy skin
3. Intermittent claudication and paloor
4. Jugular vein distention and dependent edema - Answer: 2. Diaphoresis is a
systemic reaction to the MI. The body vasoconstricts to shunt blood from the
periphery to the trunk of the body; this in turn, leads to cold, clammy skin


The client diagnosed with rule-out myocardial infarction is experiencing chest pain
while walking to the bathroom. Which action should the nurse implement first?
1. Administer sublingual nitroglycerin
2. Obtain a stat 12 Lead ECG
3. Have the client sit down immediately
4. Assess the client's vital signs - Answer: 3. Stopping all activity will decrease the
need of the myocardium for oxygen and may help decrease the chest pain.


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
1. Administer morphine sulfate Intramuscularly
2. Administer an aspirin orally
3. Apply oxygen via nasal cannula
4. Place the client in a supine position

, Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT


5. Administer nitroglycerin subcutaneously - Answer: 2. Aspirin is an antiplatelet
medication and should be administered orally.
3. Oxygen will help decrease myocardial ischeima, thereby decreasing pain


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?
1. Social worker
2. Physical therapy
3. Cardiac rehabilitation
4. Occupation therapy - Answer: 3. Cardiac rehabilitation is the most appropriate
referral. The client can start rehabilitation in the hospital and then attend an
outpatient cardiac rehabilitation clinic, which includes progressive exercises, diet
teaching, and classes on modifying risk factors.


The client is one day postoperative coronary artery bypass surgery. The client
complains of chest pain. Which intervention should the nurse implement first?
1. Medicate the client with intravenous morphine
2. Assess the client's chest dressing and vital signs
3. Encourage the client to turn from side to side
4. Check the client's telemetry monitor - Answer: 2. The nurse must always assess
the client to determine if the chest pain that is occurring is expected post-
operatively or if it is a complication of surgery.


The client diagnosed with a myocardial infarction is six hours post-right femoral
percutanous transluminal coronary angioplasty (PTCA), also known as balloon

, Angina/MI NCLEX style questions, Med Surg Final Exam Review PPT


surgery. Which assessment data would require immediate intervention by the
nurse?
1. The client is keeping the affected extremity straight
2. The pressure dressing to the right femoral area is intact
3. The client is complaining of numbness in the right foot
4. The client's right pedal pulse is +3 and bounding - Answer: 3. Any neurovascular
assessment data that is abnormal requires intervention by the nurse; numbness
may indicate decreased blood flow to the right foot


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?
1. Notify the health-care provider immediately
2. Elevate the head of the client's bed
3. Document this as a normal and expected finding
4. Administer morphine intravenously - Answer: 1. An S3 indicates left ventricular
failure and should be reported to the healthcare provider. It is a potentially life
threatening complication of a myocardial infarction


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?
1. The client's apical pulse is 64
2. The client's calcium level is elevated
3. The client's telemetry shows occasional PVCs

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