NSER 7210 Module 3 All Answers Correct
Which statement is true regarding recommended times for treatment of a patient with a STEMI who
presents to a hospital without a Cath Lab?
A) Door to balloon less than 120 minutes and door to needle less than 30 minutes.
B) Door to balloon less than 90...
Which statement is true regarding recommended times for treatment of a patient with a STEMI who
presents to a hospital without a Cath Lab?
A) Door to balloon less than 120 minutes and door to needle less than 30 minutes.
B) Door to balloon less than 90 minutes and door to needle less than 60 minutes
C) Door to balloon greater than 60 minutes and door to needle less than 30 minutes
D) Door to balloon less than 60 minutes and door to needle less than 30 minutes. ✔️A) Door to balloon
less than 120 minutes and door to needle less than 30 minutes.
The criteria for an ST-elevation MI is?
A) ST elevation less than 2 mm in at least 1 lead
B) ST-elevation less than 2 mm in at least 2 contiguous leads.
C) ST elevation in any lead greater than 1 mm
D) ST elevation greater than 1 mm in 2 contiguous leads ✔️D) ST elevation greater than 1 mm in 2
contiguous leads
The major difference deciding between unstable angina and NSTEMI is?
a) Unstable angina exhibits ST elevation and a positive troponin
b) NSTEMI has a positive troponin
c) Unstable angina has a positive troponin
d) NSTEMI shows ST depression ✔️b) NSTEMI has a positive troponin
Unstable Angina (U/A) is a demand issue and does not induce enough cellular damage to increase the
amount of detectable troponin nor recruit enough vectors in tissue from the endocardium, myocardium
and endocardium to show ST elevation
Unless allergic, all patients with an acute MI should receive:
a) Enoxaparin
,b) Plavix (clopidogrel)
c) Ticlid (Tegrelor)
d) ASA ✔️d) ASA
ASA has shown to be the important platelet inhibitor for ACS.
Which of the following are potential causes of chest pain? Select all that apply.
a) Aortic dissection
b) Pneumonia
c) Pneumothorax
d) GI upset
e) Musculoskeletal injury to chest wall ✔️All of the above
Right sided heart failure affects which part of the stroke volume?
a) Preload
b) Afterload
c) Contractility ✔️a) preload
In right sided heart failure, the right ventricle is unable to pump the blood into the left side of the heart
via the lungs. If this is the case, the left side of the heart then has a drop in preload. Since stroke volume
is all about left ventricular pumping, if the preload drops from a poor pump on the right side, the stroke
volume is affected on the left side of the heart.
Which of the following is not a likely potential cause of cardiogenic shock?
Which of the following statements about cardiogenic shock is false?
a) The primary problem is decreased cardiac output from a reduction in myocardial contractility.
, b) In contrast to hypovolemic shock, cardiogenic shock usually features jugular venous distension and
pulmonary edema.
c) The body will attempt to compensate through vasodilation to decrease the workload of the heart,
thus improving CO. ✔️c) The body will attempt to compensate through vasodilation to decrease the
workload of the heart, thus improving CO
Which of the following assessment findings would indicate a patient may be developing cardiogenic
shock? Select all that apply.
a) Weak, rapid pulse
b) Crackles on auscultation
c) Restlessness and anxiety
d) Delayed peripheral cap refill
e) Worsening chest pain
f) Increased urine output ✔️Weak, rapid pulse
Crackles on auscultation
Restlessness and anxiety
Delayed peripheral cap refill
Worsening chest pain
Which of the following would be appropriate primary assessment interventions for a patient presents
with signs of cardiogenic shock? Select all that apply.
a) Insert 2 large-bore IVs
b) Start high-flow oxygen
c) Initiate and infuse a 1 L NS bolus rapidly
d) Begin continuous cardiac monitoring ✔️A, B, and D are appropriate primary assessment
interventions. Only if hypovolemia appears to be present, a conservative bolus of 250-500mL may be
considered. Giving a patient with a failing heart 1L of NS rapidly could lead to fluid overload and increase
the workload of the myocardium.
The two (2) key medical treatments for a person with cardiogenic shock (with hypotension) include
which of the following?
a) Giving diuretics to reduce preload
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