Myocardial Infarction (MI) NCLEX Questions with Verified Solutions

Myocardial Infarction (MI) NCLEX Questions with Verified Solutions You're educating a patient about the causes of a myocardial infarction. Which statement by the patient indicates they misunderstood your teaching and requires you to re-educate them?* A. Coronary artery dissection can happen spontaneously and occurs more in women. B. The most common cause of a myocardial infarction is a coronary spasm from illicit drug use or hypertension. C. Patients who have coronary artery disease are at high risk for developing a myocardial infarction. D. Both A and B are incorrect. B You note in the patient's chart that the patient recently had a myocardial infarction due to a blockage in the left coronary artery. You know that which of the following is true about this type of blockage?* A. A blockage in the left coronary artery causes the least amount of damage to the heart muscle. B. Left coronary artery blockages can cause anterior wall death which affects the left ventricle. C. Left coronary artery blockage can cause posterior wall death which affects the right ventricle. D. The left anterior descending artery is least likely to be affected by coronary artery disease. B A patient is 36 hours status post a myocardial infarction. The patient is starting to complain of chest pain when they lay flat or cough. You note on auscultation of the heart a grating, harsh sound. What complication is this patient mostly likely suffering from?* A. Cardiac dissection B. Ventricular septum rupture C. Mitral valve prolapse D. Pericarditis D After a myocardial infraction, at what time (approximately) do the macrophages present at the site of injury to perform granulation of the tissue?* A. 24 hours B. 2 days C. 10 days D. 6 hours C 24-36 hours after a myocardial infarction _____________ congregate at the site during the inflammation phase.* A. Neutrophils B. Eosinophils C. Platelets D. Macrophages A A patient is complaining of chest pain. You obtain a 12-lead EKG and see ST elevation in leads II, III, AVF. What area of the heart does this represent?* A. Lateral B. Septal C. Anterior D. Inferior D On an EKG, the lateral view of the heart is represented with leads?* A. V1, V2, V3 B. II, II, AVF C. I, AVL, V5, V6 D. V1, V2, V6 C A patient is admitted with chest pain to the ER. The patient has been in the ER for 5 hours and is being admitted to your unit for overnight observation. From the options below, what is the most IMPORTANT information to know about this patient at this time?* A. Troponin result and when the next troponin level is due to be collected B. Diet status C. Last consumption of caffeine D. CK result and when the next CK level is due to be collected A A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know that _____________ levels elevate 2-4 hours after injury to the heart and is the most regarded marker by providers.*