Questions 526–550
Advanced Cardiac Emergencies
Question 526
A client develops chest pain and ST-segment elevation on the ECG. What is the priority nursing action?
A. Notify the provider and initiate MI protocol
B. Encourage ambulation
C. Offer oral fluids
D. Reassess in 2 hours
Answer: A
Rationale: ST-segment elevation may indicate an acute myocardial infarction requiring immediate intervention.
Question 527
A client with atrial fibrillation suddenly develops slurred speech and unilateral weakness. What complication should
the nurse suspect?
A. Stroke
B. Heart failure
C. Pneumonia
D. Hypoglycemia
Answer: A
Rationale: Atrial fibrillation increases the risk of embolic stroke.
, Question 528
A client reports crushing chest pain radiating to the left arm. Which medication is commonly administered first
according to protocols if not contraindicated?
A. Aspirin
B. Acetaminophen
C. Diphenhydramine
D. Loratadine
Answer: A
Rationale: Aspirin helps reduce platelet aggregation during acute coronary syndromes.
Question 529
A client with heart failure has jugular vein distention and peripheral edema. These findings suggest:
A. Fluid overload
B. Dehydration
C. Hypoglycemia
D. Infection
Answer: A
Rationale: JVD and edema are common signs of excess fluid volume.
Question 530
Which laboratory value is most specific for myocardial damage?
A. Troponin
B. Hemoglobin
Advanced Cardiac Emergencies
Question 526
A client develops chest pain and ST-segment elevation on the ECG. What is the priority nursing action?
A. Notify the provider and initiate MI protocol
B. Encourage ambulation
C. Offer oral fluids
D. Reassess in 2 hours
Answer: A
Rationale: ST-segment elevation may indicate an acute myocardial infarction requiring immediate intervention.
Question 527
A client with atrial fibrillation suddenly develops slurred speech and unilateral weakness. What complication should
the nurse suspect?
A. Stroke
B. Heart failure
C. Pneumonia
D. Hypoglycemia
Answer: A
Rationale: Atrial fibrillation increases the risk of embolic stroke.
, Question 528
A client reports crushing chest pain radiating to the left arm. Which medication is commonly administered first
according to protocols if not contraindicated?
A. Aspirin
B. Acetaminophen
C. Diphenhydramine
D. Loratadine
Answer: A
Rationale: Aspirin helps reduce platelet aggregation during acute coronary syndromes.
Question 529
A client with heart failure has jugular vein distention and peripheral edema. These findings suggest:
A. Fluid overload
B. Dehydration
C. Hypoglycemia
D. Infection
Answer: A
Rationale: JVD and edema are common signs of excess fluid volume.
Question 530
Which laboratory value is most specific for myocardial damage?
A. Troponin
B. Hemoglobin
