COMPLETE EXAM SCRIPT 50 QUESTIONS
WITH VERIFIED ANSWERS
⩥ What are the primary causes of myocardial infarction? Answer:
Coronary artery thrombosis, plaque fissure or hemorrhage, and coronary
artery spasm.
⩥ What EKG change indicates ischemia during an acute myocardial
infarction? Answer: T-wave inversion.
⩥ What EKG change indicates injury during an acute myocardial
infarction? Answer: ST segment elevation.
⩥ What EKG change indicates infarction during an acute myocardial
infarction? Answer: The presence of pathological Q waves.
⩥ What is the time frame for ED evaluation in myocardial infarction?
Answer: 10 minutes for a 12 lead EKG.
⩥ What is the door-to-needle time for administering thrombolytics?
Answer: 30 minutes.
, ⩥ What is the door-to-balloon time for percutaneous coronary
intervention? Answer: 90 minutes.
⩥ What is the time frame for administering fibrinolytics after symptom
onset? Answer: 3 hours.
⩥ What nursing interventions are important for a patient experiencing
myocardial infarction? Answer: Interventions designed to decrease
cardiac workload and improve myocardial tissue perfusion.
⩥ What should be included in a post-operative care plan for a patient
undergoing coronary artery bypass surgery? Answer: Monitoring vital
signs, managing pain, and ensuring proper wound care.
⩥ What should a teaching plan for a patient being discharged after an
acute myocardial infarction include? Answer: Information on lifestyle
changes, medication adherence, and recognizing symptoms of
recurrence.
⩥ What is the time limit for revascularization therapies after symptom
onset in myocardial infarction? Answer: 12 hours
⩥ What initial tests are used to stratify patients in the emergency
department for myocardial infarction? Answer: 12 lead EKG, physical
exam, and cardiac biomarkers (Troponin-I)