NUR 3219C
Adult Care Conditions
Midterms Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A patient with acute myocardial infarction is
prescribed a beta-blocker. What is the primary therapeutic goal of
this medication in the acute setting?
A. Reduce preload
B. Decrease myocardial oxygen demand
C. Lower platelet aggregation
D. Prevent ventricular arrhythmias
ANS: B
©2025
, Rationale: Beta-blockers reduce myocardial oxygen demand by
lowering heart rate and contractility, which is crucial in managing
acute myocardial infarction.
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2. Fill-in-the-Blank
Question: The hallmark clinical presentation of acute
pancreatitis includes severe abdominal pain that radiates to the
____________.
ANS: back
Rationale: Pain from acute pancreatitis commonly radiates to
the back due to the anatomical location of the pancreas.
---
3. True/False
Question: In acute stroke management, tissue plasminogen
activator (tPA) should be administered within 24 hours of
symptom onset.
ANS: False
©2025
, Rationale: tPA is most effective when administered within 3-
4.5 hours of symptom onset to achieve optimal outcomes.
---
4. Multiple Response
Question: Which of the following are clinical signs of acute
kidney injury (AKI)? (Select all that apply)
- A. Decreased urine output
- B. Elevated serum creatinine
- C. Hypercalcemia
- D. Fluid overload
ANS: A, B, D
Rationale: AKI is characterized by decreased urine output,
elevated serum creatinine, and fluid overload. Hypercalcemia is
not typically associated with AKI.
---
5. Multiple Choice
©2025
Adult Care Conditions
Midterms Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A patient with acute myocardial infarction is
prescribed a beta-blocker. What is the primary therapeutic goal of
this medication in the acute setting?
A. Reduce preload
B. Decrease myocardial oxygen demand
C. Lower platelet aggregation
D. Prevent ventricular arrhythmias
ANS: B
©2025
, Rationale: Beta-blockers reduce myocardial oxygen demand by
lowering heart rate and contractility, which is crucial in managing
acute myocardial infarction.
---
2. Fill-in-the-Blank
Question: The hallmark clinical presentation of acute
pancreatitis includes severe abdominal pain that radiates to the
____________.
ANS: back
Rationale: Pain from acute pancreatitis commonly radiates to
the back due to the anatomical location of the pancreas.
---
3. True/False
Question: In acute stroke management, tissue plasminogen
activator (tPA) should be administered within 24 hours of
symptom onset.
ANS: False
©2025
, Rationale: tPA is most effective when administered within 3-
4.5 hours of symptom onset to achieve optimal outcomes.
---
4. Multiple Response
Question: Which of the following are clinical signs of acute
kidney injury (AKI)? (Select all that apply)
- A. Decreased urine output
- B. Elevated serum creatinine
- C. Hypercalcemia
- D. Fluid overload
ANS: A, B, D
Rationale: AKI is characterized by decreased urine output,
elevated serum creatinine, and fluid overload. Hypercalcemia is
not typically associated with AKI.
---
5. Multiple Choice
©2025
