NSG 210 CORRECT EXAM PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔What assessment must be done before administering digoxin? - ✔✔Apical pulse for
1 minute, electrolyte monitoring
✔✔Ischemia vs Infarction - ✔✔*Ischemia = Reduced blood flow to the tissue*, which
can lead to pain
• EXAMPLE: Myocardial Ischemia (MI) = heart attack
*Infarction = the end point of this ischemia that results in death of tissue *due to absent
blood supply
✔✔Troponin: red flag - ✔✔T >0.1, I>0.3
Do EKG and reassess in 3-6 hours
✔✔Priority assessments for chest pain - ✔✔Pain level, pulses
✔✔Treatment for MI - ✔✔MONA - morphine, oxygen, nitroglycerin and aspirin
✔✔Myocardial infarction s/s - ✔✔-pain not relieved by nitrates
-chest pain that is described as: pressure, squeezing, or crushing
- radiation to left arm, or back
-N/V
-sweating
-clammy
-gray/pale, ashen
-darker skinned people turn greenish
-anxious
-weakness/fatigue
-dizzy
-crackles in lungs (pulmonary edema)
, ✔✔Nitrate education - ✔✔Do not take with ED drugs (sildenafil) or with low BP
Take 1, if pain is not relieved call emergency services
Sit and rest after taking
HA and flushing are common side effects
Burning with SL tabs means drug is still potent
Postural BP changes
Take at first hint of pain
✔✔Types of angina - ✔✔stable-chest pain that occurs when a person is active or under
severe stress
unstable-chest pain that occurs while a person is at rest and not exerting himself
variant- pain when coronary arteries spasm, commonly happens at night
✔✔Nitrates mechanism of action - ✔✔Vasodilation, increasing oxygen to ischemic
tissue
✔✔Ranolazine - ✔✔Used in patients when other drug options don't work for them
✔✔Beta blocker teaching - ✔✔Monitor and report HR under 60
Do not abruptly discontinue
Long term prevention of angina, not immediate relief
✔✔CCB teaching - ✔✔May cause constipation- increase fluids and fiber
✔✔What is priority to report when a patient is on a HMG-CoA inhibitor (statins) -
✔✔Muscle pain- may be rhabdomyolysis
✔✔What is the best time to take statins? - ✔✔Bedtime
✔✔Niacin - ✔✔used in the treatment of hyperlipidemia. It increases HDL levels and
decreases TGs and LDL. It can cause flushing, which can be treated with pre-treatment
with aspirin.
Start with low dose, take with meals
✔✔Concerns with garlic therapy for HLD - ✔✔May enhance bleeding when taken with
NSAIDs, warfarin
✔✔How is TB transmitted? - ✔✔airborne
✔✔Labs for TB - ✔✔NAAT: + -> AFB and treatment, isolation, considered highly sus
PPD: >10 or >5 if immunocompromised -> follow up with xray or AFB
Lab sputum for AFB
✔✔S/S of TB - ✔✔-usu asymptomatic
ANSWERS RATED A+
✔✔What assessment must be done before administering digoxin? - ✔✔Apical pulse for
1 minute, electrolyte monitoring
✔✔Ischemia vs Infarction - ✔✔*Ischemia = Reduced blood flow to the tissue*, which
can lead to pain
• EXAMPLE: Myocardial Ischemia (MI) = heart attack
*Infarction = the end point of this ischemia that results in death of tissue *due to absent
blood supply
✔✔Troponin: red flag - ✔✔T >0.1, I>0.3
Do EKG and reassess in 3-6 hours
✔✔Priority assessments for chest pain - ✔✔Pain level, pulses
✔✔Treatment for MI - ✔✔MONA - morphine, oxygen, nitroglycerin and aspirin
✔✔Myocardial infarction s/s - ✔✔-pain not relieved by nitrates
-chest pain that is described as: pressure, squeezing, or crushing
- radiation to left arm, or back
-N/V
-sweating
-clammy
-gray/pale, ashen
-darker skinned people turn greenish
-anxious
-weakness/fatigue
-dizzy
-crackles in lungs (pulmonary edema)
, ✔✔Nitrate education - ✔✔Do not take with ED drugs (sildenafil) or with low BP
Take 1, if pain is not relieved call emergency services
Sit and rest after taking
HA and flushing are common side effects
Burning with SL tabs means drug is still potent
Postural BP changes
Take at first hint of pain
✔✔Types of angina - ✔✔stable-chest pain that occurs when a person is active or under
severe stress
unstable-chest pain that occurs while a person is at rest and not exerting himself
variant- pain when coronary arteries spasm, commonly happens at night
✔✔Nitrates mechanism of action - ✔✔Vasodilation, increasing oxygen to ischemic
tissue
✔✔Ranolazine - ✔✔Used in patients when other drug options don't work for them
✔✔Beta blocker teaching - ✔✔Monitor and report HR under 60
Do not abruptly discontinue
Long term prevention of angina, not immediate relief
✔✔CCB teaching - ✔✔May cause constipation- increase fluids and fiber
✔✔What is priority to report when a patient is on a HMG-CoA inhibitor (statins) -
✔✔Muscle pain- may be rhabdomyolysis
✔✔What is the best time to take statins? - ✔✔Bedtime
✔✔Niacin - ✔✔used in the treatment of hyperlipidemia. It increases HDL levels and
decreases TGs and LDL. It can cause flushing, which can be treated with pre-treatment
with aspirin.
Start with low dose, take with meals
✔✔Concerns with garlic therapy for HLD - ✔✔May enhance bleeding when taken with
NSAIDs, warfarin
✔✔How is TB transmitted? - ✔✔airborne
✔✔Labs for TB - ✔✔NAAT: + -> AFB and treatment, isolation, considered highly sus
PPD: >10 or >5 if immunocompromised -> follow up with xray or AFB
Lab sputum for AFB
✔✔S/S of TB - ✔✔-usu asymptomatic
