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Carl Shapiro vSim Questions and
Answers (100% Correct Answers)
Already Graded A+
When a patient is experiencing angina, the nurse administers
nitroglycerin sublingually at what frequency? Ans: every 5
© 2026 Assignment
minutes, maximum 3 doses
When a pt is experiencing acute angina, it's recommended that
Guru01 - Stuvia
the pt allow 1 sublingual tablet to dissolve under the tongue
Expert
(or spray nitroglycerin under the tongue) and repeat every 5
min for maximum of 3 doses
When administering medication to pt w/ suspected MI, the
nurse understands that morphine has which of the following
beneficial effects? Ans: decreases anxiety
decreases pain
decreases preload
decreases afterload
Morphine is drug of choice to reduce pain, thereby reducing
anxiety. it also reduces preload and afterload, decreasing work
of heart. pt must be monitored closely for SEs of hypotension
and respiratory depression
Which of the following are cardiac markers assessed in the pt
experiencing angina potential myocardial injury? Ans:
troponin
, 2
CK-MB
cardiac enzymes and biomarkers, which include troponin, CK,
and myoglobin, are used to diagnose an acute MI. of the 3 CK
isoenzymes, CK-myocardial bound (MB) is specific to heart
muscle. CK-MM is specific to skeletal muscle and is not an
indicator of MI. hemoglobin is used to determine amount of O2
in the blood. creatinine is elevated in renal failure, not in
myocardial injury.
the nurse recognizes that ST elevation on the 12-lead ECG
© 2026 Assignment
typically indicates which of the following? Ans: myocardial
injury
Guru01 - Stuvia
Expert
(causes ST segment and T-wave changes on ECG)
the nurse knows that which factors may increase pt's risk of
developing coronary artery disease? Ans: cigarette smoking
metabolic syndrome
family history
non-modifiable risk factors for CAD include family hx and
increasing age (> 55 y/o for women). cigarette smoking and
metabolic syndrome are modifiable risk factors for CAD. a
diagnosis of metabolic syndrome includes 3 of following:
insulin resistance, central obesity, dyslipidemia, BP
persistently > 130/85, high levels of C-reactive proteins, and
high fibrinogen level. Any activity based on pt's capability is
encouraged.
which of the following does the nurse recognize as typical s/s
exhibited by pt with angina? Ans: substernal chest pain
Carl Shapiro vSim Questions and
Answers (100% Correct Answers)
Already Graded A+
When a patient is experiencing angina, the nurse administers
nitroglycerin sublingually at what frequency? Ans: every 5
© 2026 Assignment
minutes, maximum 3 doses
When a pt is experiencing acute angina, it's recommended that
Guru01 - Stuvia
the pt allow 1 sublingual tablet to dissolve under the tongue
Expert
(or spray nitroglycerin under the tongue) and repeat every 5
min for maximum of 3 doses
When administering medication to pt w/ suspected MI, the
nurse understands that morphine has which of the following
beneficial effects? Ans: decreases anxiety
decreases pain
decreases preload
decreases afterload
Morphine is drug of choice to reduce pain, thereby reducing
anxiety. it also reduces preload and afterload, decreasing work
of heart. pt must be monitored closely for SEs of hypotension
and respiratory depression
Which of the following are cardiac markers assessed in the pt
experiencing angina potential myocardial injury? Ans:
troponin
, 2
CK-MB
cardiac enzymes and biomarkers, which include troponin, CK,
and myoglobin, are used to diagnose an acute MI. of the 3 CK
isoenzymes, CK-myocardial bound (MB) is specific to heart
muscle. CK-MM is specific to skeletal muscle and is not an
indicator of MI. hemoglobin is used to determine amount of O2
in the blood. creatinine is elevated in renal failure, not in
myocardial injury.
the nurse recognizes that ST elevation on the 12-lead ECG
© 2026 Assignment
typically indicates which of the following? Ans: myocardial
injury
Guru01 - Stuvia
Expert
(causes ST segment and T-wave changes on ECG)
the nurse knows that which factors may increase pt's risk of
developing coronary artery disease? Ans: cigarette smoking
metabolic syndrome
family history
non-modifiable risk factors for CAD include family hx and
increasing age (> 55 y/o for women). cigarette smoking and
metabolic syndrome are modifiable risk factors for CAD. a
diagnosis of metabolic syndrome includes 3 of following:
insulin resistance, central obesity, dyslipidemia, BP
persistently > 130/85, high levels of C-reactive proteins, and
high fibrinogen level. Any activity based on pt's capability is
encouraged.
which of the following does the nurse recognize as typical s/s
exhibited by pt with angina? Ans: substernal chest pain
