Cardiac Nursing
Practice
ACCOMPANIED BY
QUALIFIED QUESTIONS
AND
LATTIFIED ANSWERS
100% CORRECT.
1.
,A client with chest pain is suspected of having myocardial
infarction. Which biomarker rises first?
A. Troponin I
B. CK-MB
C. Myoglobin
D. BNP
Answer: C. Myoglobin
Rationale: Myoglobin rises within 1–2 hours, making it
the earliest marker, though not cardiac-specific.
2.
Which ECG change is most specific for acute myocardial
infarction?
A. ST depression
B. T-wave inversion
C. ST elevation
D. U waves
Answer: C. ST elevation
Rationale: ST elevation indicates acute injury and is
characteristic of STEMI.
,3.
A patient is receiving nitroglycerin infusion. What is the
priority assessment?
A. Heart rate
B. Blood pressure
C. Respiratory rate
D. Temperature
Answer: B. Blood pressure
Rationale: Nitroglycerin causes vasodilation and can lead
to hypotension.
4.
Which condition is a contraindication for beta-blockers?
A. Hypertension
B. Tachycardia
C. Asthma
D. Angina
Answer: C. Asthma
Rationale: Beta-blockers can cause bronchoconstriction,
worsening asthma.
, 5.
A client with heart failure has crackles and edema. Which
medication is priority?
A. Digoxin
B. Furosemide
C. Metoprolol
D. Aspirin
Answer: B. Furosemide
Rationale: Diuretics reduce fluid overload quickly.
6.
Which heart sound indicates heart failure?
A. S1
B. S2
C. S3
D. S4
Answer: C. S3
Rationale: S3 is associated with volume overload and
heart failure.