NUR 221 (CRITICAL CARE - TEST 3) NCLEX
STYLE PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS | ALREADY
SCORED A+ | NEW UPDATE 2025
The patient is admitted with a suspected acute myocardial infarction (AMI). In
assessing the 12-lead electrocardiogram (ECG) changes, which findings would
indicate to the nurse that the patient is in the process of an evolving Q wave
myocardial infarction (MI)?
A. ST-segment elevation on ECG and elevated CPK-MB or troponin levels
B. Depressed ST-segment on ECG and elevated total CPK
C. Depressed ST-segment on ECG and normal cardiac enzymes
D. Q wave on ECG with normal enzymes and troponin levels
**P-13** - ANSWER A
(ST-segment elevation on ECG and elevated CPK-MB or troponin levels)
The nurse is assessing a patient with left-sided heart failure. Which symptom
would the nurse expect to find?
A. Dependent edema
B. Distended neck veins
C. Dyspnea and crackles
,D. Nausea and vomiting
**P-13** - ANSWER C
(Dyspnea and crackles)
A patient presents to the emergency department (ED) with chest pain that he has
had for the past 2 hours. The patient is nauseated and diaphoretic, with dusky skin
color. The electrocardiogram shows ST elevation in leads II, III, and aVF. Which
therapeutic intervention would the nurse question?
A. Emergent pacemaker insertion
B. Emergent percutaneous coronary intervention
C. Emergent thrombolytic therapy
D. Immediate coronary artery bypass graft surgery
**P-13** - ANSWER A
(Emergent pacemaker insertion)
A patient is admitted with an acute myocardial infarction (AMI). The nurse knows
that an angiotensin-converting enzyme (ACE) inhibitor should be started within 24
hours to reduce the incidence of which process?
A. Myocardial stunning
B. Hibernating myocardium
,C. Myocardial remodeling
D. Tachycardia
**P-13** - ANSWER C
(Myocardial remodeling)
A patient is admitted with the diagnosis of unstable angina. The nurse knows that
the physiological mechanism present is most likely which of the following?
A. Complete occlusion of a coronary artery
B. Fatty streak within the intima of a coronary artery
C. Partial occlusion of a coronary artery with a thrombus
D. Vasospasm of a coronary artery
**P-13** - ANSWER C
(Partial occlusion of a coronary artery with a thrombus)
A patient is admitted with angina. The nurse anticipates which drug regimen to be
initiated?
A. ACE inhibitors and diuretics
B. Morphine sulfate and oxygen
C. Nitroglycerin, oxygen, and beta blockers
, D. Statins, bile acid, and nicotinic acid
**P-13** - ANSWER C
(Nitroglycerin, oxygen, and beta blockers)
A patient is having a cardiac evaluation to assess for possible valvular disease.
Which study best identifies valvular function and measures the size of the cardiac
chambers?
A. 12-lead electrocardiogram
B. Cardiac catheterization
C. Echocardiogram
D. Electrophysiology study
**P-13** - ANSWER C
(Echocardiogram)
A patient has elevated blood lipids. The nurse anticipates which classification of
drugs to be prescribed for the patient?
A. Bile acid resins
B. Nicotinic acid
C. Nitroglycerin
STYLE PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS | ALREADY
SCORED A+ | NEW UPDATE 2025
The patient is admitted with a suspected acute myocardial infarction (AMI). In
assessing the 12-lead electrocardiogram (ECG) changes, which findings would
indicate to the nurse that the patient is in the process of an evolving Q wave
myocardial infarction (MI)?
A. ST-segment elevation on ECG and elevated CPK-MB or troponin levels
B. Depressed ST-segment on ECG and elevated total CPK
C. Depressed ST-segment on ECG and normal cardiac enzymes
D. Q wave on ECG with normal enzymes and troponin levels
**P-13** - ANSWER A
(ST-segment elevation on ECG and elevated CPK-MB or troponin levels)
The nurse is assessing a patient with left-sided heart failure. Which symptom
would the nurse expect to find?
A. Dependent edema
B. Distended neck veins
C. Dyspnea and crackles
,D. Nausea and vomiting
**P-13** - ANSWER C
(Dyspnea and crackles)
A patient presents to the emergency department (ED) with chest pain that he has
had for the past 2 hours. The patient is nauseated and diaphoretic, with dusky skin
color. The electrocardiogram shows ST elevation in leads II, III, and aVF. Which
therapeutic intervention would the nurse question?
A. Emergent pacemaker insertion
B. Emergent percutaneous coronary intervention
C. Emergent thrombolytic therapy
D. Immediate coronary artery bypass graft surgery
**P-13** - ANSWER A
(Emergent pacemaker insertion)
A patient is admitted with an acute myocardial infarction (AMI). The nurse knows
that an angiotensin-converting enzyme (ACE) inhibitor should be started within 24
hours to reduce the incidence of which process?
A. Myocardial stunning
B. Hibernating myocardium
,C. Myocardial remodeling
D. Tachycardia
**P-13** - ANSWER C
(Myocardial remodeling)
A patient is admitted with the diagnosis of unstable angina. The nurse knows that
the physiological mechanism present is most likely which of the following?
A. Complete occlusion of a coronary artery
B. Fatty streak within the intima of a coronary artery
C. Partial occlusion of a coronary artery with a thrombus
D. Vasospasm of a coronary artery
**P-13** - ANSWER C
(Partial occlusion of a coronary artery with a thrombus)
A patient is admitted with angina. The nurse anticipates which drug regimen to be
initiated?
A. ACE inhibitors and diuretics
B. Morphine sulfate and oxygen
C. Nitroglycerin, oxygen, and beta blockers
, D. Statins, bile acid, and nicotinic acid
**P-13** - ANSWER C
(Nitroglycerin, oxygen, and beta blockers)
A patient is having a cardiac evaluation to assess for possible valvular disease.
Which study best identifies valvular function and measures the size of the cardiac
chambers?
A. 12-lead electrocardiogram
B. Cardiac catheterization
C. Echocardiogram
D. Electrophysiology study
**P-13** - ANSWER C
(Echocardiogram)
A patient has elevated blood lipids. The nurse anticipates which classification of
drugs to be prescribed for the patient?
A. Bile acid resins
B. Nicotinic acid
C. Nitroglycerin
