CHA ACTUAL EXAM QUESTIONS WITH ANSWERS
2025/2026 GRADED A+
Who is more likely to have ECG changes - Women
Ischemia on an ECG looks like - T wave inversion, ST segment depression
Infarction on an ECG looks like - ST segment elevation, presence of abnormal Q wave
Who is more likely to have a STEMI? - Men
Common symptoms of CAD in WOMEN? - Chest pain, Epigastric pain, shoulder/back
pain, SOB, N/V, palpitations, diaphoresis, dizzy, fatigue,
Common symptoms of CAD in Men? - Chest pain, crushing chest pain, jaw/arm pain,
SOB, N/V, diaphoresis
What is a normal lipid panel? - Cholesterol <200 mg/dL
Triglycerides <150 mg/dL
HDL >40 mg/dL (men)
HDL > 50 mg/dL (women)
LDL <100mg/dL
VLDL <50% of total cholesterol
HDL-Cholesterol Ratio >1:5
Invasive diagnostic test to determine CAD for both genders - Coronary angiography
Pharmacologic stress test prep - NPO 3 hours before test, no caffeine 24 hours before
test, patient education(be told what to experience, flushing, chest pain, nausea are
transient. If symptoms continue after administering let RN know)
CK-MB value that indicates cardiac damage - >3%
The higher the CB-MB and the higher the troponin indicates - The worse the MI
T/F Physicians usually use noninvasive procedures before doing an invasive procedure.
- True
When would you terminate a stress test - Change in ECG, drop in blood pressure more
than 20mmhg, chest pain
Nursing interventions after an coronary angiography - Wrist approach-remove air per
doc orders, IV running, drink plenty of fluids (because dye hard on kidneys)
Who qualifies for a pharmacologic stress test? - Used for people who are not able to
obtain the desired heart rate by running on a a trend mil
, Cognitively impaired, physically disabled, w/c bound
What is a pharmacologic stress test? - Drugs mimic what a tredmill would be like, mimic
exercise
Drugs include dipyridamole;adenosine; lexiscan
Side effects: chest pain, flushing, nausea, dyspnea
Drugs for CAD - Aspirin- antiplatelet
Statins: Lipid reducing Agent
Nitroglycerin: Vasodilator
Diltiazen: CA Channel Blockers
Heparin: anticoagulant
Metoprolol-beta blockers
Labs to test if patient on a HmG CoA - Lipid Panel; ALT; AST
Initial dose of aspirin given for CAD - 162-325 mg
2-4 baby aspirin
Side effects of aspirin - Coffee ground emesis, bleeding, GI upset, and tinnitus(if taking
often)
antidote for heparin - Protamine sulfate
Labs to test if patient taking aspirin - Platelet
Patient education of a HmG CoA drug? - any unusual cramping needs to be reported
asap(rhabdo), report any memory issues that are abnormal (statins can cross blood
brain barrier)
Goal for a patient on heparin drip IV - 1.5-2.5 x normal value of APPT/PTT
Example: If a person normally clots at 20-30 sec. and patient on heparin is clotting at 60
seconds heparin drip is therapeutic. It a patient comes back at 100, its not therapeutic.
Biggest concern of heparin - Bleeding, internally and externally
Beta blockers cardioselected - Only blocks Beta 1 receptors
(For asthma patients)
Beta blockers non cardioselective - Blocks both Beta 1 and Beta 2
Side effects for beta-blockers - Lower BP and HR, decrease contractility of the heart
2025/2026 GRADED A+
Who is more likely to have ECG changes - Women
Ischemia on an ECG looks like - T wave inversion, ST segment depression
Infarction on an ECG looks like - ST segment elevation, presence of abnormal Q wave
Who is more likely to have a STEMI? - Men
Common symptoms of CAD in WOMEN? - Chest pain, Epigastric pain, shoulder/back
pain, SOB, N/V, palpitations, diaphoresis, dizzy, fatigue,
Common symptoms of CAD in Men? - Chest pain, crushing chest pain, jaw/arm pain,
SOB, N/V, diaphoresis
What is a normal lipid panel? - Cholesterol <200 mg/dL
Triglycerides <150 mg/dL
HDL >40 mg/dL (men)
HDL > 50 mg/dL (women)
LDL <100mg/dL
VLDL <50% of total cholesterol
HDL-Cholesterol Ratio >1:5
Invasive diagnostic test to determine CAD for both genders - Coronary angiography
Pharmacologic stress test prep - NPO 3 hours before test, no caffeine 24 hours before
test, patient education(be told what to experience, flushing, chest pain, nausea are
transient. If symptoms continue after administering let RN know)
CK-MB value that indicates cardiac damage - >3%
The higher the CB-MB and the higher the troponin indicates - The worse the MI
T/F Physicians usually use noninvasive procedures before doing an invasive procedure.
- True
When would you terminate a stress test - Change in ECG, drop in blood pressure more
than 20mmhg, chest pain
Nursing interventions after an coronary angiography - Wrist approach-remove air per
doc orders, IV running, drink plenty of fluids (because dye hard on kidneys)
Who qualifies for a pharmacologic stress test? - Used for people who are not able to
obtain the desired heart rate by running on a a trend mil
, Cognitively impaired, physically disabled, w/c bound
What is a pharmacologic stress test? - Drugs mimic what a tredmill would be like, mimic
exercise
Drugs include dipyridamole;adenosine; lexiscan
Side effects: chest pain, flushing, nausea, dyspnea
Drugs for CAD - Aspirin- antiplatelet
Statins: Lipid reducing Agent
Nitroglycerin: Vasodilator
Diltiazen: CA Channel Blockers
Heparin: anticoagulant
Metoprolol-beta blockers
Labs to test if patient on a HmG CoA - Lipid Panel; ALT; AST
Initial dose of aspirin given for CAD - 162-325 mg
2-4 baby aspirin
Side effects of aspirin - Coffee ground emesis, bleeding, GI upset, and tinnitus(if taking
often)
antidote for heparin - Protamine sulfate
Labs to test if patient taking aspirin - Platelet
Patient education of a HmG CoA drug? - any unusual cramping needs to be reported
asap(rhabdo), report any memory issues that are abnormal (statins can cross blood
brain barrier)
Goal for a patient on heparin drip IV - 1.5-2.5 x normal value of APPT/PTT
Example: If a person normally clots at 20-30 sec. and patient on heparin is clotting at 60
seconds heparin drip is therapeutic. It a patient comes back at 100, its not therapeutic.
Biggest concern of heparin - Bleeding, internally and externally
Beta blockers cardioselected - Only blocks Beta 1 receptors
(For asthma patients)
Beta blockers non cardioselective - Blocks both Beta 1 and Beta 2
Side effects for beta-blockers - Lower BP and HR, decrease contractility of the heart
