Cardiovascular Nclex Style Questions and Answers Rated A+

Cardiovascular Nclex Style Questions and Answers Rated A+ Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with myocardial infarction? a. Creatine kinase (CK-MB) b. Lactate dehydrogenase (LDH) c. Troponin d. WBC c. Troponin Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a MI? a. Midepigastric pain and pyrosis b. Diaphoresis and cool clammy skin c. Intermittent claudication and pallor d. JVD and dependent edema b. Diaphoresis and cool clammy skin The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first? a. Administer sublingual NTG b. Obtain a STAT ECG c. Have the client sit down immediately d. Assess the client's VS c. Have the client sit down immediately The nurse is caring for a client diagnosed with a MI who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply. a. Administer morphine intramuscularly b. Administer an aspirin orally c. Apply oxygen via NC d. Place the client in a supine position e. Administer NTG subcutaneously b. Administer an aspirin orally c. Apply oxygen via NC The client who has had a MI is admitted to the telemetry unit from ICU. Which referral would be most appropriate for the client? a. Social worker b. Physical therapy c. Cardiac rehab d. Occupational therapy c. Cardiac rehab The client is 1 day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first? a. Medicate the client with IV morphine. b. Assess the client's chest dressing and VS. c. Encourage the client to turn from side to side. d. Check the client's tele. b. Assess the clients chest dressing and VS. The client diagnosed with a MI is 6 hrs post-right femoral percutaneous transluminal coronary angioplasty (PTCA), also known as balloon surgery. Which assessment data should require immediate intervention by the nurse? a. The client is keeping the affected extremity straight. b. The pressure dressing to the right femoral area is intact. c. The client is complaining of numbness in the right foot. d. The client's right pedal pulse is 3+ and bounding. c. The client is complaining of numbness in the right foot. The intensive care department nurse is assessing the client who is 12 hrs post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement? a. Notify the health care provider immediately. b. Elevate the HOB. c. Document this is a normal and expected finding. d. Administer IV morphine. a. Notify the HCP immediately. The nurse is administering a calcium channel blocker to the client diagnosed with a MI. Which assessment data would cause the nurse to question administering this medication? a. The client's apical pulse is 64. b. The client's calcium level is elevated. c. The client's tele shows occasional PVCs. d. The client's BP is 90/62. d. The client's BP is 90/62 The client diagnosed with a MI is on bedrest. The UAP is encouraging the client to move his legs. Which action should the nurse implement? a. Instruct the UAP to stop encouraging leg movements. b. Report this behavior to the charge nurse ASAP.