CARDIO & DYSRHYTHMIAS PRACTICE
QUESTIONS AND VERIFIED
ANSWERS 2025/2026.
After the nurse has finished teaching a patient about the use of sublingual
nitroglycerin (Nitrostat), which patient statement indicates that the
teaching has been effective?
a. "I can expect some nausea as a side effect of nitroglycerin."
b. "I should only take the nitroglycerin if I start to have chest pain."
c. "I will call an ambulance if I still have pain after taking 3 nitroglycerin 5 minutes
apart."
d. "Nitroglycerin helps prevent a clot from forming and blocking blood flow to my
heart." - CORRECT ANSWER>>c. "I will call an ambulance if I still have pain after
taking 3 nitroglycerin 5 minutes apart."
Which statement made by a patient with coronary artery disease after the
nurse has completed teaching about therapeutic lifestyle changes (TLC)
diet indicates that further teaching is needed?
a. "I will switch from whole milk to 1% milk."
b. "I like salmon and I will plan to eat it more often."
c. "I can have a glass of wine with dinner if I want one."
d. "I will miss being able to eat peanut butter sandwiches." - CORRECT ANSWER>>d.
"I will miss being able to eat peanut butter sandwiches."
,After the nurse teaches the patient about the use of carvedilol (Coreg) in
preventing anginal episodes, which statement by a patient indicates that
the teaching has been effective?
a. "Carvedilol will help my heart muscle work harder."
b. "It is important not to suddenly stop taking the carvedilol."
c. "I can expect to feel short of breath when taking carvedilol."
d. "Carvedilol will increase the blood flow to my heart muscle." -
CORRECT ANSWER>>b. "It is important not to suddenly stop taking the
carvedilol." A patient who has had chest pain for several hours is admitted with a
diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test
should the nurse monitor to help determine whether the patient has had an
AMI?
a. Myoglobin
b. Homocysteine
c. C-reactive protein
d. Cardiac-specific troponin - CORRECT ANSWER>>d. Cardiac-specific troponin
Diltiazem (Cardizem) is ordered for a patient with newly diagnosed
Prinzmetal's (variant) angina. When teaching the patient, the nurse will
include the information that diltiazem will
a. reduce heart palpitations.
b. decrease spasm of the coronary arteries.
c. increase the force of the heart contractions.
d. help prevent plaque from forming in the coronary arteries. - CORRECT ANSWER>>b.
decrease spasm of the coronary arteries.
,The nurse will suspect that the patient with stable angina is experiencing a
side effect of the prescribed metoprolol (Lopressor) if the
a. patient is restless and agitated.
b. blood pressure is 90/54 mm Hg.
c. patient complains about feeling anxious.
d. cardiac monitor shows a heart rate of 61 beats/minute. - CORRECT ANSWER>>b.
blood pressure is 90/54 mm Hg.
Nadolol (Corgard) is prescribed for a patient with chronic stable angina and
left ventricular dysfunction. To determine whether the drug is effective, the
nurse will monitor for
a. decreased blood pressure and heart rate.
b. fewer complaints of having cold hands and feet.
c. improvement in the strength of the distal pulses.
d. the ability to do daily activities without chest pain. - CORRECT
ANSWER>>d. the ability to do daily activities without chest pain.
Heparin is ordered for a patient with a non-ST-segment-elevation
myocardial infarction (NSTEMI). What is the purpose of the heparin?
a. Heparin enhances platelet aggregation.
b. Heparin decreases coronary artery plaque size.
c. Heparin prevents the development of new clots in the coronary arteries.
d. Heparin dissolves clots that are blocking blood flow in the coronary arteries. -
CORRECT ANSWER>>c. Heparin prevents the development of new clots in the
coronary arteries.
, When titrating IV nitroglycerin (Tridil) for a patient with a myocardial
infarction (MI), which action will the nurse take to evaluate the
effectiveness of the medication?
a. Monitor heart rate.
b. Ask about chest pain.
c. Check blood pressure.
d. Observe for dysrhythmias. - CORRECT ANSWER>>b. Ask about chest pain.
A patient with ST-segment elevation in three contiguous
electrocardiographic (ECG) leads is admitted to the emergency department
(ED) and diagnosed as having an ST-segment-elevation myocardial
infarction (STEMI). Which question should the nurse ask to determine
whether the patient is a candidate for thrombolytic therapy?
a. "Do you have any allergies?"
b. "Do you take aspirin on a daily basis?"
c. "What time did your chest pain begin?"
d. "Can you rate your chest pain using a 0 to 10 scale?" - CORRECT ANSWER>>c.
"What time did your chest pain begin?"
Following an acute myocardial infarction (AMI), a patient ambulates in the
hospital hallway. When the nurse is evaluating the patient's response to the
activity, which assessment data would indicate that the exercise level
should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.
b. Oxygen saturation drops from 99% to 95%.
c. Heart rate increases from 66 to 92 beats/minute.
QUESTIONS AND VERIFIED
ANSWERS 2025/2026.
After the nurse has finished teaching a patient about the use of sublingual
nitroglycerin (Nitrostat), which patient statement indicates that the
teaching has been effective?
a. "I can expect some nausea as a side effect of nitroglycerin."
b. "I should only take the nitroglycerin if I start to have chest pain."
c. "I will call an ambulance if I still have pain after taking 3 nitroglycerin 5 minutes
apart."
d. "Nitroglycerin helps prevent a clot from forming and blocking blood flow to my
heart." - CORRECT ANSWER>>c. "I will call an ambulance if I still have pain after
taking 3 nitroglycerin 5 minutes apart."
Which statement made by a patient with coronary artery disease after the
nurse has completed teaching about therapeutic lifestyle changes (TLC)
diet indicates that further teaching is needed?
a. "I will switch from whole milk to 1% milk."
b. "I like salmon and I will plan to eat it more often."
c. "I can have a glass of wine with dinner if I want one."
d. "I will miss being able to eat peanut butter sandwiches." - CORRECT ANSWER>>d.
"I will miss being able to eat peanut butter sandwiches."
,After the nurse teaches the patient about the use of carvedilol (Coreg) in
preventing anginal episodes, which statement by a patient indicates that
the teaching has been effective?
a. "Carvedilol will help my heart muscle work harder."
b. "It is important not to suddenly stop taking the carvedilol."
c. "I can expect to feel short of breath when taking carvedilol."
d. "Carvedilol will increase the blood flow to my heart muscle." -
CORRECT ANSWER>>b. "It is important not to suddenly stop taking the
carvedilol." A patient who has had chest pain for several hours is admitted with a
diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test
should the nurse monitor to help determine whether the patient has had an
AMI?
a. Myoglobin
b. Homocysteine
c. C-reactive protein
d. Cardiac-specific troponin - CORRECT ANSWER>>d. Cardiac-specific troponin
Diltiazem (Cardizem) is ordered for a patient with newly diagnosed
Prinzmetal's (variant) angina. When teaching the patient, the nurse will
include the information that diltiazem will
a. reduce heart palpitations.
b. decrease spasm of the coronary arteries.
c. increase the force of the heart contractions.
d. help prevent plaque from forming in the coronary arteries. - CORRECT ANSWER>>b.
decrease spasm of the coronary arteries.
,The nurse will suspect that the patient with stable angina is experiencing a
side effect of the prescribed metoprolol (Lopressor) if the
a. patient is restless and agitated.
b. blood pressure is 90/54 mm Hg.
c. patient complains about feeling anxious.
d. cardiac monitor shows a heart rate of 61 beats/minute. - CORRECT ANSWER>>b.
blood pressure is 90/54 mm Hg.
Nadolol (Corgard) is prescribed for a patient with chronic stable angina and
left ventricular dysfunction. To determine whether the drug is effective, the
nurse will monitor for
a. decreased blood pressure and heart rate.
b. fewer complaints of having cold hands and feet.
c. improvement in the strength of the distal pulses.
d. the ability to do daily activities without chest pain. - CORRECT
ANSWER>>d. the ability to do daily activities without chest pain.
Heparin is ordered for a patient with a non-ST-segment-elevation
myocardial infarction (NSTEMI). What is the purpose of the heparin?
a. Heparin enhances platelet aggregation.
b. Heparin decreases coronary artery plaque size.
c. Heparin prevents the development of new clots in the coronary arteries.
d. Heparin dissolves clots that are blocking blood flow in the coronary arteries. -
CORRECT ANSWER>>c. Heparin prevents the development of new clots in the
coronary arteries.
, When titrating IV nitroglycerin (Tridil) for a patient with a myocardial
infarction (MI), which action will the nurse take to evaluate the
effectiveness of the medication?
a. Monitor heart rate.
b. Ask about chest pain.
c. Check blood pressure.
d. Observe for dysrhythmias. - CORRECT ANSWER>>b. Ask about chest pain.
A patient with ST-segment elevation in three contiguous
electrocardiographic (ECG) leads is admitted to the emergency department
(ED) and diagnosed as having an ST-segment-elevation myocardial
infarction (STEMI). Which question should the nurse ask to determine
whether the patient is a candidate for thrombolytic therapy?
a. "Do you have any allergies?"
b. "Do you take aspirin on a daily basis?"
c. "What time did your chest pain begin?"
d. "Can you rate your chest pain using a 0 to 10 scale?" - CORRECT ANSWER>>c.
"What time did your chest pain begin?"
Following an acute myocardial infarction (AMI), a patient ambulates in the
hospital hallway. When the nurse is evaluating the patient's response to the
activity, which assessment data would indicate that the exercise level
should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.
b. Oxygen saturation drops from 99% to 95%.
c. Heart rate increases from 66 to 92 beats/minute.
