NR 545 EXAM 1 UPDATED QUESTIONS AND
ANSWERS FULL SOLUTION REVIEW
MATERIAL
●● Chest pain PA
Answer: Physical Assessment: chest heaviness
Pressure
Squeezing
Fullness
Pain radiates to left shoulder, arm, or jaw.
Elevation of blood pressure during attack
●● Chest pain Pharm
Answer: Pharm: Nitroglycerin- relaxes and widens blood vessels
Dosing: 0.3-0.6mg every 5 minutes for max of 3 doses
Long-term treatment to consider: ACE Inhibitors & Beta-Blockers
●● Chest pain risks
Answer: Risks and complications: Acute Coronary Syndrome
●● Myocardial Infarction
,Answer: blood flow to the heart is minimized.
Buildup of cholesterol
●● MI Patho
Answer: imbalance between myocardial oxygen supply and demand
Prolonged for greater than 30 minutes can lead to cardiac tissue death.
●● MI PA
Answer: Pain at rest
Not relieved with nitro
Lightheaded
Impending doom
Nausea
Diaphoresis
Wheezing
●● MI Dx
Answer: Troponins elevated, often stay elevated for one week after
infarction.
EKG- ST elevation or new left bundle branch block
●● Atherosclerosis
, Answer: when blood vessels that carry oxygen to organs and tissues is
restricted.
Hardening of vessels from buildup of fats, cholesterol in the artery walls
Happens gradually.
Formed plaque can break off and burst, triggering a blood clot.
●● Atherosclerosis patho
Answer: inflammatory process that begins with damage to the
endothelium often result of HTN, smoking, high cholesterol, or other
risk factors.
Fatty streak to fibrous plaque and then complicated lesion
●● Atherosclerosis PA
Answer: modifiable risk factors
Fluid retention
Fatigue
Neck vein distension
Edema
Calf pain
●● Atherosclerosis Dx
Answer: Dx: Stress tests
Chest Xray
ANSWERS FULL SOLUTION REVIEW
MATERIAL
●● Chest pain PA
Answer: Physical Assessment: chest heaviness
Pressure
Squeezing
Fullness
Pain radiates to left shoulder, arm, or jaw.
Elevation of blood pressure during attack
●● Chest pain Pharm
Answer: Pharm: Nitroglycerin- relaxes and widens blood vessels
Dosing: 0.3-0.6mg every 5 minutes for max of 3 doses
Long-term treatment to consider: ACE Inhibitors & Beta-Blockers
●● Chest pain risks
Answer: Risks and complications: Acute Coronary Syndrome
●● Myocardial Infarction
,Answer: blood flow to the heart is minimized.
Buildup of cholesterol
●● MI Patho
Answer: imbalance between myocardial oxygen supply and demand
Prolonged for greater than 30 minutes can lead to cardiac tissue death.
●● MI PA
Answer: Pain at rest
Not relieved with nitro
Lightheaded
Impending doom
Nausea
Diaphoresis
Wheezing
●● MI Dx
Answer: Troponins elevated, often stay elevated for one week after
infarction.
EKG- ST elevation or new left bundle branch block
●● Atherosclerosis
, Answer: when blood vessels that carry oxygen to organs and tissues is
restricted.
Hardening of vessels from buildup of fats, cholesterol in the artery walls
Happens gradually.
Formed plaque can break off and burst, triggering a blood clot.
●● Atherosclerosis patho
Answer: inflammatory process that begins with damage to the
endothelium often result of HTN, smoking, high cholesterol, or other
risk factors.
Fatty streak to fibrous plaque and then complicated lesion
●● Atherosclerosis PA
Answer: modifiable risk factors
Fluid retention
Fatigue
Neck vein distension
Edema
Calf pain
●● Atherosclerosis Dx
Answer: Dx: Stress tests
Chest Xray
