NURS 4581 COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
◉ two risk factors for CAD that increase the workload of the heart and
increase myocardial oxygen demand are: Answer: HTN and smoking
◉ angina pectoris is the most common manifestation of: Answer:
oxygen supply not meeting demand of the heart muscle
◉ teaching about implementing dietary changes to decrease the risk of
CAD has been effective when the patient says: Answer: most of my fat
intake should be from olive oil or the oils in nuts
◉ what serum levels should be monitored in a client who has been
prescribed atorvastatin? Answer: liver enzymes
◉ the treatment goal for a client having chest pain is: Answer: -
increase oxygen supply
- decrease oxygen demand
◉ management goals in the treatment of CAD include: Answer: -
increasing oxygen supply while decreasing oxygen demand
- reperfusion post-interventional therapy
,- decrease modifiable risk factors
◉ complications of CAD include: Answer: - acute coronary syndrome
- dysrhythmias
- heart failure
◉ which of the following are the diagnostic procedures used in
identifying cardiovascular disease? Answer: - history and physical
- 12-lead EKG
- echocardiogram
- cardiac catheterization
- chest x-ray
- labs
- exercise stress test
- MRI/CT
◉ which of the following labs are used to diagnose cardiovascular
disease? Answer: - lipid profile
- troponin, CK-mb
- BNP
- basic metabolic profile
, ◉ a client arrived to the ED 48hrs after chest pains started. the nurse
would anticipate which lab to be positive for an MI? Answer: troponin
T
◉ ST changes on a 12-lead EKG indicates the client may be having:
Answer: ischemia/infarction
◉ which of the following interventions are needed post-cardiac cath?
Answer: - monitor site for bleeding
- assess pulses distal to insertion site
- screen for dysrhythmias
- maintain bedrest for 2-6 hrs
◉ a client returns post-cardiac cath. which of the following assessments
would require immediate action by the nurse? Answer: - burning at the
insertion site
- ST-segment elevation develops on EKG
◉ key assessment priorities when a client is admitted with possible
ACS/MI include: Answer: - chest pain
- ST changes
- positive biomarkers
QUESTIONS AND ANSWERS 100% CORRECT
◉ two risk factors for CAD that increase the workload of the heart and
increase myocardial oxygen demand are: Answer: HTN and smoking
◉ angina pectoris is the most common manifestation of: Answer:
oxygen supply not meeting demand of the heart muscle
◉ teaching about implementing dietary changes to decrease the risk of
CAD has been effective when the patient says: Answer: most of my fat
intake should be from olive oil or the oils in nuts
◉ what serum levels should be monitored in a client who has been
prescribed atorvastatin? Answer: liver enzymes
◉ the treatment goal for a client having chest pain is: Answer: -
increase oxygen supply
- decrease oxygen demand
◉ management goals in the treatment of CAD include: Answer: -
increasing oxygen supply while decreasing oxygen demand
- reperfusion post-interventional therapy
,- decrease modifiable risk factors
◉ complications of CAD include: Answer: - acute coronary syndrome
- dysrhythmias
- heart failure
◉ which of the following are the diagnostic procedures used in
identifying cardiovascular disease? Answer: - history and physical
- 12-lead EKG
- echocardiogram
- cardiac catheterization
- chest x-ray
- labs
- exercise stress test
- MRI/CT
◉ which of the following labs are used to diagnose cardiovascular
disease? Answer: - lipid profile
- troponin, CK-mb
- BNP
- basic metabolic profile
, ◉ a client arrived to the ED 48hrs after chest pains started. the nurse
would anticipate which lab to be positive for an MI? Answer: troponin
T
◉ ST changes on a 12-lead EKG indicates the client may be having:
Answer: ischemia/infarction
◉ which of the following interventions are needed post-cardiac cath?
Answer: - monitor site for bleeding
- assess pulses distal to insertion site
- screen for dysrhythmias
- maintain bedrest for 2-6 hrs
◉ a client returns post-cardiac cath. which of the following assessments
would require immediate action by the nurse? Answer: - burning at the
insertion site
- ST-segment elevation develops on EKG
◉ key assessment priorities when a client is admitted with possible
ACS/MI include: Answer: - chest pain
- ST changes
- positive biomarkers
