1|Page
NSG554 EXAM 2 /NSG 554 PRIMARY CARE EXAM 2 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A patient reports recurrent chest pain that occurs regardless of
activity and is not relieved by rest. The provider administers a
nitroglycerin tablet which does not relieve the discomfort. What is
the next action?
a. Administer a second nitroglycerin tablet.
b. Give the patient a beta blocker medication.
c. Prescribe a calcium channel blocker mediation.
d. Start aspirin therapy and refer the patient to a cardiologist. -
ANSWER-ANS: B
Patient with these symptoms who do not respond to nitroglycerin
is likely to have microvascular angina. Treatment is effective with
beta blockers. These symptoms are not characteristic of acute MI,
so aspirin is not given. A second nitroglycerin tablet is used for
classic angina. Calcium channel blockers are not indicated.
,2|Page
A patient is brought to an emergency department with symptoms
of acute ST-segment elevation MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
a. Administer heparin.
b. Give the patient an oral beta blocker.
c. Initiate fibrinolytic treatment.
d. Transfer to the PCI-capable institution. - ANSWER-ANS: C
Fibrinolytic therapy should be administered to any patient with
evolving STEMI within 30 minutes of the time of first medical
contact. Patients more than 120 minutes away from a PCI-
capable hospital should be given fibrinolytic therapy since PCI
should be performed within 90 minutes if possible. Giving heparin
or beta blockers is not helpful.
Which patient meets the criteria for statin therapy to help prevent
atherosclerotic cardiovascular disease? (Select all that apply.)
,3|Page
a. A 55-year old with a history of congestive health failure (CHF)
b. A 70-year old nondiabetic with a 10-year risk score of 7.5% with
an LDL-C of 80
mg/dL
c. An otherwise healthy 25-year old with a low-density lipoprotein
(LDL-C) level of
196 mg/dL
d. A 45-year old diabetic with an LDL-C of 150 mg/dL
e. A 60-year old with a history of myocardial infarction - ANSWER-
ANS: B, C, D, E
Adults with a history of known cardiovascular disease, including
stroke, caused by atherosclerosis; those with LDL-C level of
greater than 190 mg/dL; adults 40 to 75 years, with diabetes;
adults 40 to 75 years, with LDL-C level of 70 to 189 mg/dL and a
5% to 19.9% 10-year risk of developing cardiovascular disease
from atherosclerosis, with risk enhancing factors; adults 40 to 75
years, with LDL-C level of 70 to 189 mg/dL and a 20% or greater
10-year risk of developing cardiovascular disease from
atherosclerosis.
, 4|Page
A patient experiencing heart failure with reduced ejection fraction
will have which symptoms?
a. Dyspnea and fatigue without volume overload
b. Impairment of ventricular filling and relaxation
c. Mild, exertionally related dyspnea
d. Pump failure from left ventricular systolic dysfunction -
ANSWER-ANS: D
Heart failure with reduced ejection fraction results in pump failure
from ventricular systolic dysfunction. Heart failure with preserved
ejection fraction may have milder symptoms and is associated
with impairment of ventricular filling and relaxation.
A patient who has been diagnosed with heart failure for over a
year reports being comfortable while at rest but experiences
palpitations and dyspnea when walking to the bathroom. Which
classification of heart failure is appropriate based on these
symptoms?
NSG554 EXAM 2 /NSG 554 PRIMARY CARE EXAM 2 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A patient reports recurrent chest pain that occurs regardless of
activity and is not relieved by rest. The provider administers a
nitroglycerin tablet which does not relieve the discomfort. What is
the next action?
a. Administer a second nitroglycerin tablet.
b. Give the patient a beta blocker medication.
c. Prescribe a calcium channel blocker mediation.
d. Start aspirin therapy and refer the patient to a cardiologist. -
ANSWER-ANS: B
Patient with these symptoms who do not respond to nitroglycerin
is likely to have microvascular angina. Treatment is effective with
beta blockers. These symptoms are not characteristic of acute MI,
so aspirin is not given. A second nitroglycerin tablet is used for
classic angina. Calcium channel blockers are not indicated.
,2|Page
A patient is brought to an emergency department with symptoms
of acute ST-segment elevation MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
a. Administer heparin.
b. Give the patient an oral beta blocker.
c. Initiate fibrinolytic treatment.
d. Transfer to the PCI-capable institution. - ANSWER-ANS: C
Fibrinolytic therapy should be administered to any patient with
evolving STEMI within 30 minutes of the time of first medical
contact. Patients more than 120 minutes away from a PCI-
capable hospital should be given fibrinolytic therapy since PCI
should be performed within 90 minutes if possible. Giving heparin
or beta blockers is not helpful.
Which patient meets the criteria for statin therapy to help prevent
atherosclerotic cardiovascular disease? (Select all that apply.)
,3|Page
a. A 55-year old with a history of congestive health failure (CHF)
b. A 70-year old nondiabetic with a 10-year risk score of 7.5% with
an LDL-C of 80
mg/dL
c. An otherwise healthy 25-year old with a low-density lipoprotein
(LDL-C) level of
196 mg/dL
d. A 45-year old diabetic with an LDL-C of 150 mg/dL
e. A 60-year old with a history of myocardial infarction - ANSWER-
ANS: B, C, D, E
Adults with a history of known cardiovascular disease, including
stroke, caused by atherosclerosis; those with LDL-C level of
greater than 190 mg/dL; adults 40 to 75 years, with diabetes;
adults 40 to 75 years, with LDL-C level of 70 to 189 mg/dL and a
5% to 19.9% 10-year risk of developing cardiovascular disease
from atherosclerosis, with risk enhancing factors; adults 40 to 75
years, with LDL-C level of 70 to 189 mg/dL and a 20% or greater
10-year risk of developing cardiovascular disease from
atherosclerosis.
, 4|Page
A patient experiencing heart failure with reduced ejection fraction
will have which symptoms?
a. Dyspnea and fatigue without volume overload
b. Impairment of ventricular filling and relaxation
c. Mild, exertionally related dyspnea
d. Pump failure from left ventricular systolic dysfunction -
ANSWER-ANS: D
Heart failure with reduced ejection fraction results in pump failure
from ventricular systolic dysfunction. Heart failure with preserved
ejection fraction may have milder symptoms and is associated
with impairment of ventricular filling and relaxation.
A patient who has been diagnosed with heart failure for over a
year reports being comfortable while at rest but experiences
palpitations and dyspnea when walking to the bathroom. Which
classification of heart failure is appropriate based on these
symptoms?
