NURS 239 EXAM 1 QUESTIONS AND ANSWERS | NURS 239
STUDY GUIDE & PRACTICE TEST 2026/2027
A patient has chest pain, what will show myocardial ischemia? - ✔✔chest pain that was relieved by one
SL nitro
Pacemakers- atrial paced? - ✔✔spike before the p wave
Pacemakers- ventricle paced? - ✔✔QRS complex
What two rhythms would benefit from an AICD? - ✔✔v-tach and v-fib
Education for a patient who just had a pacemaker placed? - ✔✔-adduct the arm
-signs and symptoms of infection
-maintain good cardiac output
-know how to check their pulse because PM are set to run at 60 BPM
MI patient requires a nitro infusion, when is it okay to decrease the infusion? - ✔✔only when the
patient has ZERO chest pain
Important Nitro facts - ✔✔-Vasodilator
-CVP and BP will drop
-Expect a headache, give them tylenol to help
Stages of Adaptation for death and dying - ✔✔-disbelief = denial
-developing awareness = anger
-reorganization = acceptance of sick role
-resolution = identification with others with same problem; recognition of loss
-identifying change = definition of self as one who has undergone change and now is different
3B's of betablockers - ✔✔-bronchospasm; asthmatic patients most concern
-bradycardia
-blood sugar
MI occurs at 6 am, when will it be at the peak? - ✔✔in 24 hours; 6am the next day
A patient has a HR of 48, wheezing in the lungs, which medication will you hold? - ✔✔Lopressor
A patient in the ED took a SL nitro and is complaining of a headache, what will you as the nurse do? -
✔✔this is an expected outcome, nothing can be done besides offering a tylenol
Your patient just came back from a CABG, they are complaining of being cold - ✔✔-slowly warm the
patient up
Signs and symptoms of Beck's Triad? - ✔✔-muffled heart tones
, -hypotension
-neck vein distention
Your patient has a HR of 50 and you see no pacemaker spikes, what should you do next? - ✔✔This
trumps ABC's, TURN ON LEFT SIDE
Cardizem - ✔✔-calcium channel blocker
-decreases HR for a-fib tachy patients
-prevents spasms before heart cath
Hypovolemia S & S - ✔✔-thirst
-tachycardia
-dizziness
-weakness
-dry mouth
-decreased urine output
-confusion
Hypervolemia S & S - ✔✔-ankle swelling
-abdominal distention
-breathlessness
-peripheral edema
-crackles
-pleural effusion
-ascities
-hypertension
-increased weight
Nitro and Viagra together - ✔✔-Check patients BP immediately
-causes vasodilation
-give fluids first if you already checked BP and it is low
Dopamine - ✔✔high dose = heart
low dose = kidneys
Why do you give calcium channel blockers before a heart cath? - ✔✔this prevents vasospasms
What will the MD order for activity for a patient who is having an MI? - ✔✔-bedrest, we dont want
them to consume too much O2
MONA - ✔✔-morphine
-oxygen
-nitro
-aspirin
3 reasons for an MI - ✔✔-clots
-plaque ruptures
-spasms
STUDY GUIDE & PRACTICE TEST 2026/2027
A patient has chest pain, what will show myocardial ischemia? - ✔✔chest pain that was relieved by one
SL nitro
Pacemakers- atrial paced? - ✔✔spike before the p wave
Pacemakers- ventricle paced? - ✔✔QRS complex
What two rhythms would benefit from an AICD? - ✔✔v-tach and v-fib
Education for a patient who just had a pacemaker placed? - ✔✔-adduct the arm
-signs and symptoms of infection
-maintain good cardiac output
-know how to check their pulse because PM are set to run at 60 BPM
MI patient requires a nitro infusion, when is it okay to decrease the infusion? - ✔✔only when the
patient has ZERO chest pain
Important Nitro facts - ✔✔-Vasodilator
-CVP and BP will drop
-Expect a headache, give them tylenol to help
Stages of Adaptation for death and dying - ✔✔-disbelief = denial
-developing awareness = anger
-reorganization = acceptance of sick role
-resolution = identification with others with same problem; recognition of loss
-identifying change = definition of self as one who has undergone change and now is different
3B's of betablockers - ✔✔-bronchospasm; asthmatic patients most concern
-bradycardia
-blood sugar
MI occurs at 6 am, when will it be at the peak? - ✔✔in 24 hours; 6am the next day
A patient has a HR of 48, wheezing in the lungs, which medication will you hold? - ✔✔Lopressor
A patient in the ED took a SL nitro and is complaining of a headache, what will you as the nurse do? -
✔✔this is an expected outcome, nothing can be done besides offering a tylenol
Your patient just came back from a CABG, they are complaining of being cold - ✔✔-slowly warm the
patient up
Signs and symptoms of Beck's Triad? - ✔✔-muffled heart tones
, -hypotension
-neck vein distention
Your patient has a HR of 50 and you see no pacemaker spikes, what should you do next? - ✔✔This
trumps ABC's, TURN ON LEFT SIDE
Cardizem - ✔✔-calcium channel blocker
-decreases HR for a-fib tachy patients
-prevents spasms before heart cath
Hypovolemia S & S - ✔✔-thirst
-tachycardia
-dizziness
-weakness
-dry mouth
-decreased urine output
-confusion
Hypervolemia S & S - ✔✔-ankle swelling
-abdominal distention
-breathlessness
-peripheral edema
-crackles
-pleural effusion
-ascities
-hypertension
-increased weight
Nitro and Viagra together - ✔✔-Check patients BP immediately
-causes vasodilation
-give fluids first if you already checked BP and it is low
Dopamine - ✔✔high dose = heart
low dose = kidneys
Why do you give calcium channel blockers before a heart cath? - ✔✔this prevents vasospasms
What will the MD order for activity for a patient who is having an MI? - ✔✔-bedrest, we dont want
them to consume too much O2
MONA - ✔✔-morphine
-oxygen
-nitro
-aspirin
3 reasons for an MI - ✔✔-clots
-plaque ruptures
-spasms
