Pre Quiz – Carl Shapiro Case Study
1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually
at what frequency?
a. Every three minutes, no restriction on doses
b. Every 15 minutes, three doses maximum
c. Only once, then administer Morphine
d. Every 5 minutes, maximum three doses
2. When administering medication to the patient with a suspected MI, the nurse understands
that Morphine has which of the following beneficial effects? (Select all that apply)
a. Decreases respiratory rate
b. Decreases pain
c. Decreased afterload
d. Decreases preload
e. Decreases anxiety
3. Which of the following are cardiac markers assessed in the patient experiencing
angina to determine potential myocardial injury? (Select all that apply)
a. Hemoglobin
b. CK-MB
c. CK-MM
d. Creatinine
e. Troponin
4. The nurse recognizes that ST elevation on the 12 lead EKG typically indicates
which of the following?
a. Myocardial injury
b. Myocardial ischemia
c. Hyperkalemia
d. This is a normal finding
5. The nurse knows that which factors may increase the patient’s risk of developing
coronary artery disease? (Select all that apply)
a. Metabolic syndrome
b. Cigarette smoking
c. Female less than age 55
d. Activity limited to walking
e. Family history
1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually
at what frequency?
a. Every three minutes, no restriction on doses
b. Every 15 minutes, three doses maximum
c. Only once, then administer Morphine
d. Every 5 minutes, maximum three doses
2. When administering medication to the patient with a suspected MI, the nurse understands
that Morphine has which of the following beneficial effects? (Select all that apply)
a. Decreases respiratory rate
b. Decreases pain
c. Decreased afterload
d. Decreases preload
e. Decreases anxiety
3. Which of the following are cardiac markers assessed in the patient experiencing
angina to determine potential myocardial injury? (Select all that apply)
a. Hemoglobin
b. CK-MB
c. CK-MM
d. Creatinine
e. Troponin
4. The nurse recognizes that ST elevation on the 12 lead EKG typically indicates
which of the following?
a. Myocardial injury
b. Myocardial ischemia
c. Hyperkalemia
d. This is a normal finding
5. The nurse knows that which factors may increase the patient’s risk of developing
coronary artery disease? (Select all that apply)
a. Metabolic syndrome
b. Cigarette smoking
c. Female less than age 55
d. Activity limited to walking
e. Family history
