NUR 221- UNIT 1 EXAM | 315 COMPLETE
QUESTIONS AND ANSWERS 100%
CORRECT | NEW UPDATE 2025
True or False: ACS is an umbrella term used to describe many terms of CAD. -
ANSWERS True
What complications make up CAD? - ANSWERS UA, STEMI, NSTEMI
Risk factors for ACS/CAD include? - ANSWERS -smoking
-obesity
-HTN
-Diabetes
-hyperlipidemia
-white race
-male gender
-family hx
Signs and Symptoms of ACS - ANSWERS SOB, diaphoresis, n/v, dysrhythmias,
hypotension
Diagnostic tests for ACS - ANSWERS 12 lead EKG
chest x-ray
BNP (NORMAL > 200)
,Treatment of ACS - ANSWERS Stop all activity/bedrest
Admin O2
Give meds
Prepare for heart cath
First line drug of choice for ACS? - ANSWERS Statin (Atorvastatin)
decreases cholesterol
ACS Nursing Interventions - ANSWERS Have pt. stop activity immediately
Monitor vitals q15min
Auscultate lung/heart sounds
Monitor for dysrhythmias
Assess EKG
Position pt. in Semi-Fowlers
Observe for pericarditis, cardiac tamponade, ventricular aneurysm, and
cardiogenic shock.
Primary symptom of pericarditis? - ANSWERS pain
percarditis may lead to what complication? - ANSWERS cardiac tamponade
Signs and Symptoms of Pericarditis? - ANSWERS SOB, chest tightness
JVD
Becks triad
,Muffled heart sounds (relieved by sitting forward)
May hear pericardial friction rub
Cardiac biomarkers include? - ANSWERS Troponin, CK-MB
Postive cardiac biomarkers indicate what? - ANSWERS MI
Negative cardiac biomarkers indicate what? - ANSWERS unstable angina
How can you tell/confirm that someone has had an MI based on their EKG strip? -
ANSWERS Q-waves
Most common cause of ACS? - ANSWERS Atherosclerosis
What is Atherosclerosis? - ANSWERS plaque buildup in the arteries
Difference between stable and unstable angina? - ANSWERS Stable- exercise
induced, relieved by Nitro and rest
Unstable- occurs at rest or with no exertion, usually given O2, morphine, PCI
Which type of angina is relieved by Nitro and rest? - ANSWERS Stable
Which type of angina is chronic? - ANSWERS stable
, When do MI's usually happen? - ANSWERS in the morning
Where is pain usually located for an MI? - ANSWERS substernal pain, may
radiate to neck, jaw, etc.
first thing to do for elevated ST segment ischemia or MI? - ANSWERS 12 lead
EKG
Treatment for stable angina - ANSWERS Nitro and rest
Which cardiac biomarker is most indicative of an MI episode? - ANSWERS
positive Troponin
True or False:
Myocardial death does not occur with angina like it does with an MI. -
ANSWERS True
What is the first thing the nurse should do if a pt. if having an MI in the hallway? -
ANSWERS request a chair
Purpose of CABG? - ANSWERS take the veins from the legs or arteries (radial
internal mammary) to bypass an obstructed coronary artery
Blockage must be what percentage to have a CABG performed? - ANSWERS
70%
QUESTIONS AND ANSWERS 100%
CORRECT | NEW UPDATE 2025
True or False: ACS is an umbrella term used to describe many terms of CAD. -
ANSWERS True
What complications make up CAD? - ANSWERS UA, STEMI, NSTEMI
Risk factors for ACS/CAD include? - ANSWERS -smoking
-obesity
-HTN
-Diabetes
-hyperlipidemia
-white race
-male gender
-family hx
Signs and Symptoms of ACS - ANSWERS SOB, diaphoresis, n/v, dysrhythmias,
hypotension
Diagnostic tests for ACS - ANSWERS 12 lead EKG
chest x-ray
BNP (NORMAL > 200)
,Treatment of ACS - ANSWERS Stop all activity/bedrest
Admin O2
Give meds
Prepare for heart cath
First line drug of choice for ACS? - ANSWERS Statin (Atorvastatin)
decreases cholesterol
ACS Nursing Interventions - ANSWERS Have pt. stop activity immediately
Monitor vitals q15min
Auscultate lung/heart sounds
Monitor for dysrhythmias
Assess EKG
Position pt. in Semi-Fowlers
Observe for pericarditis, cardiac tamponade, ventricular aneurysm, and
cardiogenic shock.
Primary symptom of pericarditis? - ANSWERS pain
percarditis may lead to what complication? - ANSWERS cardiac tamponade
Signs and Symptoms of Pericarditis? - ANSWERS SOB, chest tightness
JVD
Becks triad
,Muffled heart sounds (relieved by sitting forward)
May hear pericardial friction rub
Cardiac biomarkers include? - ANSWERS Troponin, CK-MB
Postive cardiac biomarkers indicate what? - ANSWERS MI
Negative cardiac biomarkers indicate what? - ANSWERS unstable angina
How can you tell/confirm that someone has had an MI based on their EKG strip? -
ANSWERS Q-waves
Most common cause of ACS? - ANSWERS Atherosclerosis
What is Atherosclerosis? - ANSWERS plaque buildup in the arteries
Difference between stable and unstable angina? - ANSWERS Stable- exercise
induced, relieved by Nitro and rest
Unstable- occurs at rest or with no exertion, usually given O2, morphine, PCI
Which type of angina is relieved by Nitro and rest? - ANSWERS Stable
Which type of angina is chronic? - ANSWERS stable
, When do MI's usually happen? - ANSWERS in the morning
Where is pain usually located for an MI? - ANSWERS substernal pain, may
radiate to neck, jaw, etc.
first thing to do for elevated ST segment ischemia or MI? - ANSWERS 12 lead
EKG
Treatment for stable angina - ANSWERS Nitro and rest
Which cardiac biomarker is most indicative of an MI episode? - ANSWERS
positive Troponin
True or False:
Myocardial death does not occur with angina like it does with an MI. -
ANSWERS True
What is the first thing the nurse should do if a pt. if having an MI in the hallway? -
ANSWERS request a chair
Purpose of CABG? - ANSWERS take the veins from the legs or arteries (radial
internal mammary) to bypass an obstructed coronary artery
Blockage must be what percentage to have a CABG performed? - ANSWERS
70%
