NR 571 MIDTERM STUDY SET | QUESTIONS & ANSWERS | 2026–2027 UPDATED EDITION

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NR 571 MIDTERM STUDY SET | QUESTIONS & ANSWERS | 2026–2027 UPDATED EDITION

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Prepare for your NR 571 Midterm Exam with this comprehensive 2026–2027 Updated Edition study set featuring verified questions and answers. This resource covers essential course concepts, clinical reasoning, evidence-based practice, patient assessment, diagnosis, and management topics commonly tested on the midterm. Ideal for exam review, self-assessment, and building confidence before test day.

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NR 571 MidTerm Study Set Question And
Answers

What is high sensitivity troponin and when to use? - Correct Answer - first line test for cardiac cell
damage

used for initial injury

What is CKMB - Correct Answer - CK isoenzyme specific to cardiac muscle tissue (MI)

WhenryshouldryCKMBryberyused?ry-ryCorrectryryAnswerry-
ryforrysuspicionryofrysecondaryryischemiaryafterryanryinitialryinfarct

normalrylevelryforryTroponinryIry-ryCorrectryryAnswerry-ry<0.04

normalrylevelryforryCKMBry-ryCorrectryryAnswerry-ry3-5%ryofrytotalryCK

WhatryisryBNPry-ryCorrectryryAnswerry-ryB-typerynatriureticrypeptide

NormalryBNPrylevelsry-ryCorrectryryAnswerry-ry<100rypg/mL

Differentialryforrychestrypainry-ryCorrectryryAnswerry-ryConsider:

Myocardium-ryangina,ryMI,rymyocarditis,ryheartryfailure

Pericardium-rypericarditis

Aorta-rydissectingryaorticryaneurysm

Trachearyandrybronchi-rybronchitis

Parietalrypleura-rypericarditis,rypneumonia,rypneumothorax,rypleuralryeffusion,rypulmonaryryembolus

,Chestrywall-rycostochondritis,ryherpesryzoster

Esophagus-ryreflux,ryesophagealryspasm,ryesophagealrytear

Referredrypainryfromryelsewhere-rycervicalryarthritis,rybiliaryrycolic,rygastritis

Psych:ryanxietyryattacks

Revascularizationryinryunderry____ryminutesry-ryCorrectryryAnswerry-ry90

Initialrydiagnosticsryforrychestrypainry-ryCorrectryryAnswerry-ry12-leadryEKG

Troponinryq3hryx3ryatryleast

BNPry-ryHF

CBCry-rybaselineryH&HryandryPlts

PTT,ryPT/INRry-rybaselinerycoagulationrystatus

BMPry-ryrenalryfunctionryandrylytes

TSH,ryMg,ryandryPhos

ECHO

Cath

RequirementsryforrySTEMIrydxry-ryCorrectryryAnswerry-
rynewrySTryelevationryinry2rycontiguousryleadsryofry>0.1rymVryexceptryV2&V3

elevatedrytroponin

STEMIryfindingsryinryV2-V3ry-ryCorrectryryAnswerry-ry>0.2mVryinry>40yoryM

>0.25rymVryinry<40ryyoryM

>0.15rymVryinrywomen

DifferencerybetweenryNSTEMIryandryunstableryanginary-ryCorrectryryAnswerry-
ryNSTEMIryinvolvesryElevatedryCardiacryBiorymarkersry(cellrydeath)

,NSTEMIry&ryunstableryanginarytxry-ryCorrectryryAnswerry-ryDualryantiplateletrytherapy

Full-doseryAC

High-intensityrystatin

BB

Nitrates

oxygen

painrymedication

Dualryantiplateletrytherapyry-ryCorrectryryAnswerry-ryDAPT

Aspirinry(325ryx1ry=rydailyry81mg)

AND

P2Y2ryinhibitor

clopidogrelryorryticagrelor

fullrydoseryACry-ryCorrectryryAnswerry-rySQrylovenoxry1mg/kgryBID

ifryPCIryplannedryofrylowryGFRryuseryheparinrygtt

50-70ryunits/kgrybolusryplusry12units/kg/hrrytitratedrytoryPTTry1.5-2.5ryxrybaseline

High-intensityrystatinry-ryCorrectryryAnswerry-ryatorvastatinry40-80rymgryorryrosuvastatinry20-40rymg

ConsiderationsryforryBBryavoidingryBBryusery-ryCorrectryryAnswerry-ryHRry<60

SBPry<100

EFry<30%

PRry>240ryms

2ndryorry3rdrydegreeryHB

, activeryasthmaryorryreactiveryairwayrydisease

COPD

Cocaineryuse

WhenryisryNGTrycontraindicated?ry-ryCorrectryryAnswerry-ryRVryinfarctryb/cryitryreducesrypreload

Absoluterycontraindicationsryforryfibrinolyticrytherapyry-ryCorrectryryAnswerry-ryAnyrypriorryICH

knownrystructuralrycerebralryvascularrylesions

knownrymalignantryintracranialryneoplasm

Ischemicrystrokery<3moryunlessry<4.5ryh

suspectedryaorticrydissection

activerybleeding

significantryclosedryheadryorryfacialrytraumarywithinry3mo

severeryuncontrolledryhypertensionry(unresponsiverytorytherapy)

IdentificationryofryLBBBry-ryCorrectryryAnswerry-ryQRSryisrynegativelyrydeflectedryinryV1

IdentificationryofryRBBBry-ryCorrectryryAnswerry-ryQRSryisrypositivelyrydeflectedryinryV1

Relativerycontraindicationsryforryfibrinolyticrytherapyry-ryCorrectryryAnswerry-
ryHxryofrychronic,rysevere,rypoorlyrycontrolledryHTN

SBPry>180ryorryDBPry>110

Hxryofryischemicrystorkry>3mo

dementia

otherryknownryintracranialrypathology

traumaticryorryprolongedry>10minryCPR

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Uploaded on: July 5, 2026
Number of pages: 48
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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NR 571 MIDTERM STUDY SET | QUESTIONS & ANSWERS | 2026–2027 UPDATED EDITION

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