• MCAT EXAM 09/09/2026
MCAT EXAM 4 STUDY GUIDE HIGH-YIELD
ACTUAL QUESTIONS AND ANSWERS | 100%
CORRECT | GRADE A
1. Which patient statement indicates understanding of modifiable risk factors for coronary artery disease (CAD)?
“I will only smoke two cigarettes a day.”
“An increased low-density lipoprotein (LDL) cholesterol level will decrease my risk.”
“I will decrease the amount of fat and sodium I eat.”
“A decreased high-density lipoprotein (HDL) cholesterol level will decrease my risk.”
“I will decrease the amount of fat and sodium I eat.”
2. For a patient with coronary artery disease (CAD), which statement indicates achievement of an expected
outcome?
“I only experience angina during periods of intense exercise.”
“I have decreased my intake of water and sodium.”
“I can discuss the relationship between obesity and coronary artery disease.”
P 1
, • MCAT EXAM 09/09/2026
“I am still not sure what caused the coronary artery disease.”
“I only experience angina during periods of intense exercise.”
3. Which diet would the nurse recommend for a patient with coronary artery disease (CAD)?
Low-calorie, high-fat
Low-carbohydrate, low-calorie
Low-fat, low-cholesterol
Low-fat, low-carbohydrate
Low-fat, low-cholesterol
4. Which patient statement demonstrates understanding of unstable angina?
“If I experience unstable angina, I will ask my friend to take me to the emergency department.”
“I can take nitroglycerin to treat my unstable angina.”
“If I have unstable angina, I will have ST segment elevation on my electrocardiogram.”
“Chest pain not relieved by rest or nitroglycerin would indicate unstable angina.”
“Chest pain not relieved by rest or nitroglycerin would indicate unstable angina.”
5. The nurse would closely monitor for silent ischemia in a patient with which condition?
Atherosclerosis
Hypertension
Diabetes mellitus
Hyperlipidemia
Diabetes mellitus
6. Which meal option would the nurse order for a patient with stable angina?
Toast with avocado and bacon, coffee
Fried egg, wheat toast, orange juice
Fruit salad, turkey sausage, water
Waffles with syrup, ham, apple juice
Fruit salad, turkey sausage, water
7. A patient with unstable angina undergoes stress testing and receives a negative result. Which medication
would the nurse anticipate administering for the next 48 hours?
Unfractionated heparin
P 2
, • MCAT EXAM 09/09/2026
Bivalirudin
Clopidogrel
Metoprolol
Unfractionated heparin
8. For the patient presenting to the emergency department with angina, which recently taken medication is a
contraindication to administering nitroglycerin?
Sildenafil
Metoprolol
Morphine
Aspirin
Sildenafil
9. The nurse is preparing to discharge a patient admitted for unstable angina. Which statement indicates
understanding of the education?
“I will not have chest pain anymore because my vessels are clear.”
“It is best for me to limit the amount of water that I drink.”
“I will avoid bearing down while changing positions in bed.”
“I will consume less fiber and fruits in my diet.”
“I will avoid bearing down while changing positions in bed.”
1. Which physiologic event would decrease the myocardial oxygen supply? Select all that apply. One, some, or all
responses may be correct.
Coronary artery disease
Hypoxemia
Increased afterload
Increased heart rate
Coronary artery spasms
Coronary artery disease
Hypoxemia
Increased heart rate
Coronary artery spasms
2. In which lead would the nurse expect to assess elevation of the ST segment when caring for a patient
diagnosed with an acute inferior myocardial infarction and occlusion of the right coronary artery? Select all that
apply. One, some, or all responses may be correct.
P 3
, • MCAT EXAM 09/09/2026
II
V2
III
aVF
V4
II
III
aVF
3. For which complication would the nurse closely monitor when caring for a patient with an acute myocardial
infarction involving the left circumflex artery?
Second-degree heart block
Left ventricular rupture
Cardiogenic shock
Left bundle branch block
Left ventricular rupture
4. When caring for a patient who experienced a myocardial infarction (MI), which assessment finding would the
nurse notify the health care provider about immediately?
Loud, holosystolic murmur
Sinus bradycardia
Premature atrial contractions
Chest pain when lying flat
Loud, holosystolic murmur
5. Which medication would the nurse anticipate administering to prevent ventricular remodeling in a patient who
survived a myocardial infarction?
Lisinopril
Metoprolol
Aspirin
Simvastatin
Lisinopril
6. For which complication would the nurse closely monitor when caring for a patient with a right ventricular
infarction?
P 4
MCAT EXAM 4 STUDY GUIDE HIGH-YIELD
ACTUAL QUESTIONS AND ANSWERS | 100%
CORRECT | GRADE A
1. Which patient statement indicates understanding of modifiable risk factors for coronary artery disease (CAD)?
“I will only smoke two cigarettes a day.”
“An increased low-density lipoprotein (LDL) cholesterol level will decrease my risk.”
“I will decrease the amount of fat and sodium I eat.”
“A decreased high-density lipoprotein (HDL) cholesterol level will decrease my risk.”
“I will decrease the amount of fat and sodium I eat.”
2. For a patient with coronary artery disease (CAD), which statement indicates achievement of an expected
outcome?
“I only experience angina during periods of intense exercise.”
“I have decreased my intake of water and sodium.”
“I can discuss the relationship between obesity and coronary artery disease.”
P 1
, • MCAT EXAM 09/09/2026
“I am still not sure what caused the coronary artery disease.”
“I only experience angina during periods of intense exercise.”
3. Which diet would the nurse recommend for a patient with coronary artery disease (CAD)?
Low-calorie, high-fat
Low-carbohydrate, low-calorie
Low-fat, low-cholesterol
Low-fat, low-carbohydrate
Low-fat, low-cholesterol
4. Which patient statement demonstrates understanding of unstable angina?
“If I experience unstable angina, I will ask my friend to take me to the emergency department.”
“I can take nitroglycerin to treat my unstable angina.”
“If I have unstable angina, I will have ST segment elevation on my electrocardiogram.”
“Chest pain not relieved by rest or nitroglycerin would indicate unstable angina.”
“Chest pain not relieved by rest or nitroglycerin would indicate unstable angina.”
5. The nurse would closely monitor for silent ischemia in a patient with which condition?
Atherosclerosis
Hypertension
Diabetes mellitus
Hyperlipidemia
Diabetes mellitus
6. Which meal option would the nurse order for a patient with stable angina?
Toast with avocado and bacon, coffee
Fried egg, wheat toast, orange juice
Fruit salad, turkey sausage, water
Waffles with syrup, ham, apple juice
Fruit salad, turkey sausage, water
7. A patient with unstable angina undergoes stress testing and receives a negative result. Which medication
would the nurse anticipate administering for the next 48 hours?
Unfractionated heparin
P 2
, • MCAT EXAM 09/09/2026
Bivalirudin
Clopidogrel
Metoprolol
Unfractionated heparin
8. For the patient presenting to the emergency department with angina, which recently taken medication is a
contraindication to administering nitroglycerin?
Sildenafil
Metoprolol
Morphine
Aspirin
Sildenafil
9. The nurse is preparing to discharge a patient admitted for unstable angina. Which statement indicates
understanding of the education?
“I will not have chest pain anymore because my vessels are clear.”
“It is best for me to limit the amount of water that I drink.”
“I will avoid bearing down while changing positions in bed.”
“I will consume less fiber and fruits in my diet.”
“I will avoid bearing down while changing positions in bed.”
1. Which physiologic event would decrease the myocardial oxygen supply? Select all that apply. One, some, or all
responses may be correct.
Coronary artery disease
Hypoxemia
Increased afterload
Increased heart rate
Coronary artery spasms
Coronary artery disease
Hypoxemia
Increased heart rate
Coronary artery spasms
2. In which lead would the nurse expect to assess elevation of the ST segment when caring for a patient
diagnosed with an acute inferior myocardial infarction and occlusion of the right coronary artery? Select all that
apply. One, some, or all responses may be correct.
P 3
, • MCAT EXAM 09/09/2026
II
V2
III
aVF
V4
II
III
aVF
3. For which complication would the nurse closely monitor when caring for a patient with an acute myocardial
infarction involving the left circumflex artery?
Second-degree heart block
Left ventricular rupture
Cardiogenic shock
Left bundle branch block
Left ventricular rupture
4. When caring for a patient who experienced a myocardial infarction (MI), which assessment finding would the
nurse notify the health care provider about immediately?
Loud, holosystolic murmur
Sinus bradycardia
Premature atrial contractions
Chest pain when lying flat
Loud, holosystolic murmur
5. Which medication would the nurse anticipate administering to prevent ventricular remodeling in a patient who
survived a myocardial infarction?
Lisinopril
Metoprolol
Aspirin
Simvastatin
Lisinopril
6. For which complication would the nurse closely monitor when caring for a patient with a right ventricular
infarction?
P 4
