Acute Coronary Syndrome Nclex
Comprehensive Resource To Help You Ace
2026-2027 Includes Frequently Tested
Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
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1. 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 __________ - ANSWER low activity level the patient reports.
2. To assist the patient with CAD to make the appropriate dietary changes,
which of these nursing interventions will be most effective? - ANSWER
Assist the patient to modify favorite high-fat recipes by using
monosaturated oils when possible.
3. 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)? -
ANSWER The pain has persisted longer than 30 minutes.
4. 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
________________________ - ANSWER visualize any coronary artery
blockages and dilate any obstructed arteries.
5. Which information given by a patient admitted with chronic stable angina
will help the nurse confirm this diagnosis? - ANSWER The patient
indicates that the pain is resolved after taking one sublingual nitroglycerin
tablet.
6. Which electrocardiographic (ECG) change will be of most concern to the
nurse when admitting a patient with chest pain? - ANSWER ST-segment
elevation
7. When caring for a patient with ACS who has returned to the coronary care
unit after having a PCI, the nurse obtains these assessment data. Which
data indicate the need for immediate intervention by the nurse? - ANSWER
Chest pain level 8 on a 10-point scale
8. In developing a teaching plan for a patient who has stable angina and is
started on sublingual nitroglycerin (Nitrostat), the nurse identifies an
expected patient outcome of - ANSWER identifying the need to call the
emergency medical services (EMS) if chest pain persists 5 minutes after
taking nitroglycerin.
9. Which of these statements made by a patient after the nurse has completed
teaching about the TLC diet indicates that further teaching is needed? -
ANSWER "I will miss being able to eat peanut butter sandwiches."
,10.After the nurse teaches the patient about the use of atenolol (Tenormin) in
preventing anginal episodes, which statement by a patient indicates that
the teaching has been effective? - ANSWER "It is important not to
suddenly stop taking the atenolol."
11.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? - ANSWER Troponin levels
12.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 ____________ - ANSWER
decrease spasm of the coronary arteries.
13.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 __________________ - ANSWER the cardiac
monitor shows a heart rate of 45.
14.Nadolol (Corgard) is prescribed for a patient with angina. In evaluating the
effectiveness of the drug, the nurse will monitor for _________________ -
ANSWER ability to do daily activities without chest discomfort.
15.A patient admitted to the coronary care unit (CCU) with an MI and frequent
premature ventricular contractions (PVCs) has health care provider orders
, for continuous amiodarone infusion, IV nitroglycerin infusion, and morphine
sulfate 2 mg IV every 10 minutes until there is relief of pain. The patient
says, "This is the worst pain I have ever had. Am I going to die?" Based on
these data, the nurse identifies a priority nursing diagnosis of
___________________ - ANSWER acute pain related to myocardial
ischemia.
16.A patient with a non-ST segment elevation myocardial infarction (NSTEMI) is
receiving heparin. What is the purpose of the heparin? - ANSWER
Heparin will prevent the development of clots in the coronary arteries.
17.While admitting a patient with an AMI, which action should the nurse carry
out first? - ANSWER Attach the cardiac monitor.
18.The nurse administers IV nitroglycerin to a patient with an MI. In evaluating
the effect of this intervention, the nurse should monitor for
_______________ - ANSWER relief of chest discomfort.
19.A patient with ST-segment elevation in several ECG leads is admitted to the
ED and diagnosed as having an AMI. Which question should the nurse ask
to determine whether the patient is a candidate for fibrinolytic therapy? -
ANSWER "What time did your chest pain begin?"
20.Following an AMI, a patient ambulates in the hospital hallway. When the
nurse is evaluating the patient's response, which of these assessment data
would indicate that the exercise level should be decreased? - ANSWER
Heart rate increases from 66 to 90 beats/min.