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NRS 306 Pathophysiology Mid Term Exam Question and answers verified to pass
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NRS 306 Pathophysiology Mid Term Exam Question and answers verified to pass A nurse is monitoring a patient who recently underwent a percutaneous coronary intervention (PCI). Which of the following signs is most indicative of a reperfusion complication? A. Increased heart rate B. Chest pain ...

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  • November 18, 2024
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  • 2024/2025
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NRS 306 Pathophysiology Mid Term
Exam Question and answers verified to
pass
A nurse is monitoring a patient who recently underwent a percutaneous
coronary intervention (PCI). Which of the following signs is most indicative of
a reperfusion complication?
A. Increased heart rate
B. Chest pain
C. Elevated temperature
D. Decreased urine output. - correct answer ✔B. Chest pain -rationale:
Chest pain in a patient who recently underwent a PCI, also known as a
coronary angioplasty, could indicate a reperfusion complication such as
coronary artery dissection, acute closure of the vessel, or distal embolization.


Which of the following interventions is a priority for a patient diagnosed with
congestive heart failure?
A. Weight the patient daily
B. Check blood glucose level regularly.
C. Administer antibiotics as ordered.
D. Arrange for a psychiatric evaluation - correct answer ✔A. Weight the
patient daily -rationale: Monitoring weight daily is crucial in managing CHF
because weight gain may indicate fluid retention, which can exacerbate heart
failure.


A patient with myocardial infarction (MI) has a blood pressure of 90/60 mmHg.
Which of the following medication should the nurse question?
A. Nitroglycerine
B. Metoprolol

,C. Aspirin
D. Atorvastatin - correct answer ✔A. Nitroglycerine -rationale: Nitroglycerine
can decrease blood pressure significantly and rapidly. Thus, potentially
harmful for a patient with a low blood pressure, such as 90/60 mmHg
- When patient is having MI nitroglycerine is givin but if BP is already low Do
Not Give


A patient is diagnosed with unstable angina. Which of the following symptoms
is most likely to be reported?
A. Chest pain that occurs unpredictably
B. Chest pain that occurs during physical activity
C. Chest pain that is relieved by rest
D. Chest pain that is relieved by nitroglycerine only - correct answer ✔A.
Chest pain that occurs unpredictably -rationale: Unstable angina often
presents with chest pain that occurs unpredictably, such as while sleeping or
while at rest. This is due to a significant blockage or spasm that affects blood
flow to the heart.
- angina= chest pain that occurs from inadequate blood flow to the heart
- If chest pain stays after nitroglycerine patient is have an MI


Which medication is most appropriate for immediate treatment of a patient
experiencing a myocardial infarction?
A. Aspirin
B. Atenolol
C. Furosemide
D. Lisinopril - correct answer ✔A. Aspirin -rationale: Aspirin is often given
immediately during a myocardial infarction to prevent blood clotting and to thin
the blood. Although these other drugs are also used, the immediate efficacy of
aspirin would be most appropriate.

, What does MONA stand for as the medications given for a myocardial
infarction? - correct answer ✔M - morphine
O - oxygen
N - nitroglycerine
A - aspirin


The nurse recognizes which findings as classic signs of aortic dissection (tear
in the aorta) ? Select all that apply.
1. Gradual onset of chest pain
2. Chest pain that radiates to the upper back
3. Chest pain that is relieved with rest
4. Low blood pressure
5. Increased heart rate - correct answer ✔- Chest pain that radiates to the
upper back
- Low blood pressure
- Increased heart rate
- rationale: Aortic dissection often presents with severe, abrupt chest pain that
radiates to the upper back. This patient is currently hemorrhaging and will
have signs and symptoms of decreased blood pressure and increased heart
rate.


Which of the following are major risk factors for the development of coronary
artery disease? Select all that apply.
1. Hypotension
2. Hyperlipidemia
3. Diabetes Mellitus
4. Smoking
5. Family history - correct answer ✔- Hyperlipidemia

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