NURS 317 EXAM 1 Exam Actual Exam 2026 || Most Recent Exam
2026|2027 Actual Complete Real Exam Questions And Correct
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What are some strategies for patient adherence to regimens? -
ANSWER-1. Empathy
2. Consider cultural beliefs and individual attitudes for making a plan
3. Reduce overall cardiovascular risk
4. Follow-up monitoring of BP
How do you manage hypertensive patients in the hospital? -ANSWER-1.
IV drug therapy is quicker vs PO therapy
2. Monitor cardiac and renal function (EKGs and I&Os)
3. Neurologic checks
4. Determine cause
5. Education to avoid future crisis
What's coronary artery disease? -ANSWER-CAD is the narrowing or
blockage of the coronary arteries, usually caused by atherosclerosis.
What's atherosclerosis? -ANSWER-Atherosclerosis is the buildup of
cholesterol and fatty deposits (called plaques) on the inner walls of the
arteries. These plaques restrict blood flow to the heart muscle by
,physically clogging the artery or by causing abnormal artery tone and
function.
What's an NSTEMI? -ANSWER-EKG is normal but lab values show
damage has occurred to heart muscle/partial or temporary blockage.
What's a STEMI? -ANSWER-Sudden blockage in blood supply to the
heart. This affects a large area of heart muscle and causes EKG causes
as well as in blood levels.
What's collateral circulation? -ANSWER-Development of new blood
vessels due to blockages in coronary arteries. These new blood vessels
re-route bloow flow around the blockage.
What's ischemia? -ANSWER-This is "cramping of the heart muscle." This
is extreme narrowing of the BVs, causing heart muscle to become
starved for oxygen.
What's a clinical manifestation for CAD? -ANSWER-Angina
How does angina happen? -ANSWER-This is pain caused by a lack of O2
to heart muscle. This occurs when arteries are blocked 70% or more
and 50% or more for the left main coronary artery.
,What's the difference between stable and unstable angina? -ANSWER-
1. Stable is episodic, while unstable is severe and of new onset.
2. Stable has a crescendo - decrescendo pattern. Unstable has only a
crescendo pattern.
3. Stable occurs on exertion and is relieved by rest, while unstable
occurs at rest.
4. Stable lasts for 2-5 minutes, while unstable lasts over 10 minutes.
What's the goal of nitroglycerin? -ANSWER-Decrease O2 demand
and/or increase O2 supply
What do short-acting nitrates do? -ANSWER-1. Dilate peripheral and
coronary blood vessels
2. Give sublingually or by spray
3. If no relief in five minutes, call EMS. If some relief, repeat every 5
minutes for a maximum of 3 doses.
4. SEs: Headache and dizziness (patient teaching)
4. Can use prophylactically
What do long-acting nitrates do? -ANSWER-1. To reduce angina
incidence
2. SEs: Headache and orthostatic hypotension
3. Methods of administration: PO, ointment, and transdermal patch
, What are some diagnostics studies that can be done for someone with
chronic unstable angina? -ANSWER-1. Chest x-ray
2. 12-lead ECG
3. Echocardiogram
4. Exercise Stress Test
5. Nuclear Med studies - lexiscan and nuclear isotropes
6. CTA (Coronary Computed Tomography Angiography - looks at blood
vessels of the heart
7. Cardiac Catheterization - most invasive, can be diagnostic or
intervention. A PCI (percutaneous coronary intervention) can be done
to open up narrowed or blocked sections of the coronary artery or
arteries, restoring blood flow to the heart.
What's cardiac catheterization/coronary angiography? -ANSWER-Its
diagnostic purpose is to visualize blockages. Its interventional purpose
is to open blockages. This is done with a percutaneous coronary
intervention (PCI). A stent is placed inside an artery with balloon
angioplasty.
What falls under acute coronary syndrome? -ANSWER-Unstable angina
and acute MI (NSTEMI and STEMI)
What's an acute MI? -ANSWER-This results from abrupt stoppage of
blood flow through a coronary artery, causing irreversible myocardial
cell death (necrosis). This occurs with preexisting CAD, and either a
STEMI or NSTEMI will occur.
2026|2027 Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
What are some strategies for patient adherence to regimens? -
ANSWER-1. Empathy
2. Consider cultural beliefs and individual attitudes for making a plan
3. Reduce overall cardiovascular risk
4. Follow-up monitoring of BP
How do you manage hypertensive patients in the hospital? -ANSWER-1.
IV drug therapy is quicker vs PO therapy
2. Monitor cardiac and renal function (EKGs and I&Os)
3. Neurologic checks
4. Determine cause
5. Education to avoid future crisis
What's coronary artery disease? -ANSWER-CAD is the narrowing or
blockage of the coronary arteries, usually caused by atherosclerosis.
What's atherosclerosis? -ANSWER-Atherosclerosis is the buildup of
cholesterol and fatty deposits (called plaques) on the inner walls of the
arteries. These plaques restrict blood flow to the heart muscle by
,physically clogging the artery or by causing abnormal artery tone and
function.
What's an NSTEMI? -ANSWER-EKG is normal but lab values show
damage has occurred to heart muscle/partial or temporary blockage.
What's a STEMI? -ANSWER-Sudden blockage in blood supply to the
heart. This affects a large area of heart muscle and causes EKG causes
as well as in blood levels.
What's collateral circulation? -ANSWER-Development of new blood
vessels due to blockages in coronary arteries. These new blood vessels
re-route bloow flow around the blockage.
What's ischemia? -ANSWER-This is "cramping of the heart muscle." This
is extreme narrowing of the BVs, causing heart muscle to become
starved for oxygen.
What's a clinical manifestation for CAD? -ANSWER-Angina
How does angina happen? -ANSWER-This is pain caused by a lack of O2
to heart muscle. This occurs when arteries are blocked 70% or more
and 50% or more for the left main coronary artery.
,What's the difference between stable and unstable angina? -ANSWER-
1. Stable is episodic, while unstable is severe and of new onset.
2. Stable has a crescendo - decrescendo pattern. Unstable has only a
crescendo pattern.
3. Stable occurs on exertion and is relieved by rest, while unstable
occurs at rest.
4. Stable lasts for 2-5 minutes, while unstable lasts over 10 minutes.
What's the goal of nitroglycerin? -ANSWER-Decrease O2 demand
and/or increase O2 supply
What do short-acting nitrates do? -ANSWER-1. Dilate peripheral and
coronary blood vessels
2. Give sublingually or by spray
3. If no relief in five minutes, call EMS. If some relief, repeat every 5
minutes for a maximum of 3 doses.
4. SEs: Headache and dizziness (patient teaching)
4. Can use prophylactically
What do long-acting nitrates do? -ANSWER-1. To reduce angina
incidence
2. SEs: Headache and orthostatic hypotension
3. Methods of administration: PO, ointment, and transdermal patch
, What are some diagnostics studies that can be done for someone with
chronic unstable angina? -ANSWER-1. Chest x-ray
2. 12-lead ECG
3. Echocardiogram
4. Exercise Stress Test
5. Nuclear Med studies - lexiscan and nuclear isotropes
6. CTA (Coronary Computed Tomography Angiography - looks at blood
vessels of the heart
7. Cardiac Catheterization - most invasive, can be diagnostic or
intervention. A PCI (percutaneous coronary intervention) can be done
to open up narrowed or blocked sections of the coronary artery or
arteries, restoring blood flow to the heart.
What's cardiac catheterization/coronary angiography? -ANSWER-Its
diagnostic purpose is to visualize blockages. Its interventional purpose
is to open blockages. This is done with a percutaneous coronary
intervention (PCI). A stent is placed inside an artery with balloon
angioplasty.
What falls under acute coronary syndrome? -ANSWER-Unstable angina
and acute MI (NSTEMI and STEMI)
What's an acute MI? -ANSWER-This results from abrupt stoppage of
blood flow through a coronary artery, causing irreversible myocardial
cell death (necrosis). This occurs with preexisting CAD, and either a
STEMI or NSTEMI will occur.
