Cardio & Dysrhythmias Practice 2025
Questions And Correct Answers
When developing a health teaching plan for a 65-year-old patient with all
these risk factors for coronary artery disease (CAD), the nurse will focus
on the a. family history of heart disease.
b.
increased risk associated with the patient's ethnicity. c.
high incidence of cardiovascular disease in older people.
low activity level the patient reports. - ANSWER >>Correct :D
ANSWER
Rationale: Because family history, ethnicity, and age are nonmodifiable risk
d.
factors, the nurse should focus on the patient's activity level. An increase in
activity will help reduce the patient's risk for developing CAD.
Cognitive Level: Application Text Reference: pp. 790-792
Nursing Process: Planning
NCLEX: Health Promotion and Maintenance
the nurse is admitting a patient who is complaining of chest pain to the
emergency department (ED). Which information collected by the nurse
suggests that the pain is caused by an acute myocardial infarction (AMI)?
a.
The pain worsens when the patient raises the arms. b.
The pain increases with deep breathing.
c.
The pain is relieved after the patient takes nitroglycerin. d.
The pain has persisted longer than 30 minutes. - ANSWER
>>Correct
ANSWER :
D
Rationale: Chest pain that lasts for 20 minutes or more is characteristic of
,AMI. Changes in pain that occur with raising the arms or with deep
breathing are more typical of pericarditis or musculoskeletal pain. Stable
angina is usually relieved when the patient takes nitroglycerin.
Cognitive Level: Application Text Reference: p. 803
Nursing Process: Assessment NCLEX: Physiological Integrity
A patient is admitted to the ED after an episode of severe chest pain, and
the physician schedules the patient for coronary angiography and
possible percutaneous coronary intervention (PCI). The nurse prepares
the patient for the procedure by explaining that it is used to a. determine
whether there are any structural defects in the chambers of the heart. b.
locate any coronary artery obstructions and administer thrombolytic
agents. c.
measure the amount of blood being pumped from the heart with each
contraction. d.
visualize any coronary artery blockages and dilate any obstructed arteries.
- ANSWER >>Correct ANSWER : D
Rationale: Visualization of the coronary arteries and possible balloon
dilation are scheduled for this patient. Thrombolytic therapy is an alternative
treatment if the patient is experiencing acute coronary syndrome (ACS) but
is not the ordered therapy for this patient. Although angiography might help
to detect structural defects or changes in cardiac output, it is not the reason
for the procedure in this patient with symptoms of CAD.
Cognitive Level: Application Text Reference: p. 807
Nursing Process: Implementation NCLEX: Physiological Integrity
Which information given by a patient admitted with chronic stable
angina will help the nurse confirm this diagnosis? a.
The patient rates the pain at a level 3 to 5 (0-10 scale). b.
The patient states that the pain "wakes me up at night." c.
The patient indicates that the pain is resolved after taking one sublingual
nitroglycerin tablet. d.
,The patient says that the frequency of the pain has increased over the last
few weeks. - >>Correct :
ANSWER ANSWERC
Rationale: Chronic stable angina is typically relieved by rest or nitroglycerin
administration. The level of pain is not a consistent indicator of the type of
angina. Pain occurring at rest or with increased frequency is typical of
unstable angina.
Cognitive Level: Application Text Reference: p. 798
Nursing Process: Assessment NCLEX: Physiological Integrity
Which electrocardiographic (ECG) change will be of most concern to the
nurse when admitting a patient with chest pain? a.
Sinus tachycardia b.
Inverted T wave
c.
ST-segment elevation
Frequent PACs - >>Correct ANSWER :
ANSWER C
Rationale: The patient is likely to be experiencing an ST-segment-elevation
d.
myocardial infarction (STEMI) and immediate therapy with PCI or fibrinolytic
medications is indicated to minimize the amount of myocardial damage.
The other ECG changes also suggest a need for therapy, but not as
rapidly.
A patient who has had severe chest pain for the last 4 hours is admitted
with a diagnosis of possible AMI. Which of these ordered laboratory tests
should the nurse monitor to help determine whether the patient has had an
MI?
a.
Troponin levels b.
C-reactive protein c.
High-density lipoprotein (HDL) cholesterol d.
, Homocysteine - >>Correct :
ANSWER ANSWERA The
Rationale: Troponin levels increase about 3 hours after the onset of MI.
other laboratory data are useful in determining the patient's risk for
developing CAD but are not helpful in determining whether an acute MI is in
progress.
Cognitive Level: Application Text Reference: pp. 805-806
Nursing Process: Assessment NCLEX: Physiological Integrity
Nifedipine (Procardia) is ordered for a patient with newly diagnosed
Prinzmetal's (variant) angina. When teaching the patient, the nurse
will include the information that Procardia will a. help to prevent
clotting in the coronary arteries. b. decrease spasm of the coronary
arteries.
c. increase the force of myocardial
contraction. d.
reduce the "fight or flight" response. - ANSWER >>Correct ANSWER : B
Rationale: Prinzmetal's angina is caused by coronary artery spasm.
Calcium-channel blockers (e.g., nifedipine) are a first-line therapy for this
type of angina. Platelet inhibitors, such as aspirin, help to prevent coronary
artery thrombosis, and β-blockers decrease sympathetic stimulation of the
heart. Medications or activities that increase myocardial contractility will
increase the incidence of angina by increasing oxygen demand.
Cognitive Level: Application Text Reference: p. 801
Nursing Process: Implementation NCLEX: Physiological Integrity
A patient with chronic stable angina is being treated with metoprolol
(Lopressor). The nurse will suspect that the patient is experiencing a side
effect of the metoprolol if a.
the patient is restless and agitated.
b. the BP is 190/110 mm Hg.
c. the cardiac monitor shows a heart rate of
45. d.
Questions And Correct Answers
When developing a health teaching plan for a 65-year-old patient with all
these risk factors for coronary artery disease (CAD), the nurse will focus
on the a. family history of heart disease.
b.
increased risk associated with the patient's ethnicity. c.
high incidence of cardiovascular disease in older people.
low activity level the patient reports. - ANSWER >>Correct :D
ANSWER
Rationale: Because family history, ethnicity, and age are nonmodifiable risk
d.
factors, the nurse should focus on the patient's activity level. An increase in
activity will help reduce the patient's risk for developing CAD.
Cognitive Level: Application Text Reference: pp. 790-792
Nursing Process: Planning
NCLEX: Health Promotion and Maintenance
the nurse is admitting a patient who is complaining of chest pain to the
emergency department (ED). Which information collected by the nurse
suggests that the pain is caused by an acute myocardial infarction (AMI)?
a.
The pain worsens when the patient raises the arms. b.
The pain increases with deep breathing.
c.
The pain is relieved after the patient takes nitroglycerin. d.
The pain has persisted longer than 30 minutes. - ANSWER
>>Correct
ANSWER :
D
Rationale: Chest pain that lasts for 20 minutes or more is characteristic of
,AMI. Changes in pain that occur with raising the arms or with deep
breathing are more typical of pericarditis or musculoskeletal pain. Stable
angina is usually relieved when the patient takes nitroglycerin.
Cognitive Level: Application Text Reference: p. 803
Nursing Process: Assessment NCLEX: Physiological Integrity
A patient is admitted to the ED after an episode of severe chest pain, and
the physician schedules the patient for coronary angiography and
possible percutaneous coronary intervention (PCI). The nurse prepares
the patient for the procedure by explaining that it is used to a. determine
whether there are any structural defects in the chambers of the heart. b.
locate any coronary artery obstructions and administer thrombolytic
agents. c.
measure the amount of blood being pumped from the heart with each
contraction. d.
visualize any coronary artery blockages and dilate any obstructed arteries.
- ANSWER >>Correct ANSWER : D
Rationale: Visualization of the coronary arteries and possible balloon
dilation are scheduled for this patient. Thrombolytic therapy is an alternative
treatment if the patient is experiencing acute coronary syndrome (ACS) but
is not the ordered therapy for this patient. Although angiography might help
to detect structural defects or changes in cardiac output, it is not the reason
for the procedure in this patient with symptoms of CAD.
Cognitive Level: Application Text Reference: p. 807
Nursing Process: Implementation NCLEX: Physiological Integrity
Which information given by a patient admitted with chronic stable
angina will help the nurse confirm this diagnosis? a.
The patient rates the pain at a level 3 to 5 (0-10 scale). b.
The patient states that the pain "wakes me up at night." c.
The patient indicates that the pain is resolved after taking one sublingual
nitroglycerin tablet. d.
,The patient says that the frequency of the pain has increased over the last
few weeks. - >>Correct :
ANSWER ANSWERC
Rationale: Chronic stable angina is typically relieved by rest or nitroglycerin
administration. The level of pain is not a consistent indicator of the type of
angina. Pain occurring at rest or with increased frequency is typical of
unstable angina.
Cognitive Level: Application Text Reference: p. 798
Nursing Process: Assessment NCLEX: Physiological Integrity
Which electrocardiographic (ECG) change will be of most concern to the
nurse when admitting a patient with chest pain? a.
Sinus tachycardia b.
Inverted T wave
c.
ST-segment elevation
Frequent PACs - >>Correct ANSWER :
ANSWER C
Rationale: The patient is likely to be experiencing an ST-segment-elevation
d.
myocardial infarction (STEMI) and immediate therapy with PCI or fibrinolytic
medications is indicated to minimize the amount of myocardial damage.
The other ECG changes also suggest a need for therapy, but not as
rapidly.
A patient who has had severe chest pain for the last 4 hours is admitted
with a diagnosis of possible AMI. Which of these ordered laboratory tests
should the nurse monitor to help determine whether the patient has had an
MI?
a.
Troponin levels b.
C-reactive protein c.
High-density lipoprotein (HDL) cholesterol d.
, Homocysteine - >>Correct :
ANSWER ANSWERA The
Rationale: Troponin levels increase about 3 hours after the onset of MI.
other laboratory data are useful in determining the patient's risk for
developing CAD but are not helpful in determining whether an acute MI is in
progress.
Cognitive Level: Application Text Reference: pp. 805-806
Nursing Process: Assessment NCLEX: Physiological Integrity
Nifedipine (Procardia) is ordered for a patient with newly diagnosed
Prinzmetal's (variant) angina. When teaching the patient, the nurse
will include the information that Procardia will a. help to prevent
clotting in the coronary arteries. b. decrease spasm of the coronary
arteries.
c. increase the force of myocardial
contraction. d.
reduce the "fight or flight" response. - ANSWER >>Correct ANSWER : B
Rationale: Prinzmetal's angina is caused by coronary artery spasm.
Calcium-channel blockers (e.g., nifedipine) are a first-line therapy for this
type of angina. Platelet inhibitors, such as aspirin, help to prevent coronary
artery thrombosis, and β-blockers decrease sympathetic stimulation of the
heart. Medications or activities that increase myocardial contractility will
increase the incidence of angina by increasing oxygen demand.
Cognitive Level: Application Text Reference: p. 801
Nursing Process: Implementation NCLEX: Physiological Integrity
A patient with chronic stable angina is being treated with metoprolol
(Lopressor). The nurse will suspect that the patient is experiencing a side
effect of the metoprolol if a.
the patient is restless and agitated.
b. the BP is 190/110 mm Hg.
c. the cardiac monitor shows a heart rate of
45. d.
