NURS620 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
Which type of angina do you suspect in Harvey, who complains of chest pain that occurs
during sleep and most often in the early morning hours? a. Stable angina
b. Unstable angina
c. Variant (Prinzmetal's angina)
d. Probably not angina but hiatal hernia
C
Which ECG change is typical of cardiac ischemia?
a. T-wave inversion
b. ST-segment elevation
c. Significant Q wave
d. U-wave
A
In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen
until a beat is dropped?
a. First-degree AV block
b. Second-degree Mobitz I AV block
c. Second-degree Mobitz II AV block
d. Third-degree AV block
B
A Delta wave on the ECG may be present in which condition?
a. Prinzmetal's angina
b. Bundle branch block
,c. Wolff-Parkinson-White syndrome
d. Aortic stenosis
C
Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic
heart disease?
a. A physiologic split S2
b. A fixed split S2
c. S3
d. S4
D
Samuel is going to the dentist for some work and must take endocarditis prophylaxis because
of his history of:
a. Severe asthma
b. A common valvular lesion
c. Severe hypertension
d. A prosthetic heart valve
D
George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280 mg/dL, and a
systolic BP of 158. He is being treated for hypertension. You are doing a Framingham Risk
Assessment on him. Which assessment factor would give him the highest number of points
on the scale?
a. His age
b. His cholesterol level
c. His systolic BP
d. The fact that he is on antihypertensive medication
B
, Which pain characteristic is usually indicative of cardiac pathology?
a. Fleeting
b. Moving
c. Diffuse
d. Localized
C
What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by
transient increase in pulmonary venous pressures that accompany ventricular stiffening
during an episode of myocardial ischemia?
a. About 20%
b. About 30%
c. About 50%
d. Almost all
B
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray
should be used under the tongue every 5 minutes for three doses. What should be done if the
pain has not been relieved after three doses?
a. 911 should be called, and the patient should be transported immediately to the
emergency department.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. A portable defibrillator should be located to ascertain the cardiac rhythm.
A
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be
administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have
shown, however, that thrombolytic therapy can be of benefit up to how many hours after
the initial presentation of MI symptoms?
AND CORRECT DETAILED ANSWERS
Which type of angina do you suspect in Harvey, who complains of chest pain that occurs
during sleep and most often in the early morning hours? a. Stable angina
b. Unstable angina
c. Variant (Prinzmetal's angina)
d. Probably not angina but hiatal hernia
C
Which ECG change is typical of cardiac ischemia?
a. T-wave inversion
b. ST-segment elevation
c. Significant Q wave
d. U-wave
A
In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen
until a beat is dropped?
a. First-degree AV block
b. Second-degree Mobitz I AV block
c. Second-degree Mobitz II AV block
d. Third-degree AV block
B
A Delta wave on the ECG may be present in which condition?
a. Prinzmetal's angina
b. Bundle branch block
,c. Wolff-Parkinson-White syndrome
d. Aortic stenosis
C
Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic
heart disease?
a. A physiologic split S2
b. A fixed split S2
c. S3
d. S4
D
Samuel is going to the dentist for some work and must take endocarditis prophylaxis because
of his history of:
a. Severe asthma
b. A common valvular lesion
c. Severe hypertension
d. A prosthetic heart valve
D
George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280 mg/dL, and a
systolic BP of 158. He is being treated for hypertension. You are doing a Framingham Risk
Assessment on him. Which assessment factor would give him the highest number of points
on the scale?
a. His age
b. His cholesterol level
c. His systolic BP
d. The fact that he is on antihypertensive medication
B
, Which pain characteristic is usually indicative of cardiac pathology?
a. Fleeting
b. Moving
c. Diffuse
d. Localized
C
What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by
transient increase in pulmonary venous pressures that accompany ventricular stiffening
during an episode of myocardial ischemia?
a. About 20%
b. About 30%
c. About 50%
d. Almost all
B
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray
should be used under the tongue every 5 minutes for three doses. What should be done if the
pain has not been relieved after three doses?
a. 911 should be called, and the patient should be transported immediately to the
emergency department.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. A portable defibrillator should be located to ascertain the cardiac rhythm.
A
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be
administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have
shown, however, that thrombolytic therapy can be of benefit up to how many hours after
the initial presentation of MI symptoms?
