FINAL FOR NSG 229 Exam Questions With
Correct Answers
When titrating IV nitroglycerin for a patient with a myocardial infarction (MI), which action will
the nurse take to evaluate the effectiveness of the drug? - answer✔Ask about chest pain
After the nurse teaches the patient about the use of carvedilol (Coreg) in preventing anginal
episodes, which statement by a patient indicates that the teaching has been effective? -
answer✔"It is important not to suddenly stop taking the carvedilol."
A patient admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial
infarction (STEMI) is restless and anxious. The blood pressure is 86/40 mm Hg, and heart rate is
132 beats/min. Based on this information, which nursing diagnosis is a priority for the patient? -
answer✔Decreased cardiac output related to cardiogenic shock
Which electrocardiographic (ECG) change is most important for the nurse to report to the
health care provider when caring for a patient with chest pain? - answer✔ST-segment Elevation
A patient who has chest pain is admitted to the emergency department (ED), and all of the
following are ordered. Which one should the nurse arrange to be completed first? -
answer✔Electrocardiogram (ECG)
When caring for a patient with acute coronary syndrome who has returned to the coronary
care unit after having angioplasty with stent placement, the nurse obtains the following
assessment data. Which data indicate the need for immediate action by the nurse? -
answer✔Report of severe chest pain
A patient who is being admitted to the emergency department with intermittent chest pain
gives the following list of daily medications to the nurse. Which medication has the most
immediate implications for the patient's care? - answer✔sildenafil (Viagra)
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out
acute myocardial infarction (AMI). Which laboratory test should the nurse monitor to best
determine whether the patient has had an AMI? - answer✔Cardiac-specific troponin
Which assessment finding by the nurse caring for a patient who has had coronary artery bypass
grafting using a right radial artery graft is most important to communicate to the health care
provider? - answer✔Pallor and weakness of the right hand
The standard policy on the cardiac unit states, "Notify the health care provider for mean arterial
pressure (MAP) less than 70 mm Hg." The nurse will need to call the health care provider about
the: - answer✔postoperative patient with a BP of 116/42 mm Hg.
A few days after experiencing a myocardial infarction (MI) and successful percutaneous
coronary intervention, the patient states, "It was just a little chest pain. As soon as I get out of
here, I'm going for my vacation as planned." Which reply would be most appropriate for the
nurse to make? - answer✔"What do you think caused your chest pain?"
Which action by a new registered nurse (RN) who is orienting to the telemetry unit indicates a
good understanding of the treatment of heart dysrhythmias? - answer✔Gives the prescribed
dose of diltiazem (Cardizem) to a patient with new-onset type II second degree AV block
A patient's heart monitor shows sinus rhythm, rate 64. The PR interval is 0.18 seconds at 1:00
AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action should the nurse take
next? - answer✔Call the health care provider before giving scheduled metoprolol (Lopressor).
An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring
indicates a high systemic vascular resistance (SVR). Which intervention should the nurse
anticipate? - answer✔Increase the rate for the sodium nitroprusside infusion.
A nurse is assessing a patient who is receiving a nitroprusside infusion to treat cardiogenic
shock. Which finding indicates that the drug is effective? - answer✔Warm, pink and dry skin
After the nurse has finished teaching a patient about the use of sublingual nitroglycerin
(Nitrostat), which patient statement indicates that the teaching has been effective? -
answer✔"I will call an ambulance if I still have pain after taking three nitroglycerin 5 minutes
apart."
In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use
the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the
teaching has been effective? - answer✔"I will stop what I am doing and sit down before I put
the nitroglycerin under my tongue."
The nurse is admitting a patient newly diagnosed with peripheral artery disease. Which
admission order should the nurse question? - answer✔Omeprazole drug therapy
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