NMNC 4410 – Evidence-Based Practice | University of New Mexico | Exam 1: Key Concepts
and Questions with Answers
A patient taking Zocor is reporting muscle pain. You are evaluating the patient's lab work and
note that which of the following findings could cause muscle pain?*
A. Elevated potassium level
B. Elevated CPK (creatine kinase level)
C. Decreased potassium level
D. Decreased CPK (creatine kinase level) B. Elevated CPK (creatine kinase level)
A patient who has diabetes will be started on Metoprolol for medical management of coronary
artery disease. Which of the following will you include in your discharge teaching about this
medication?*
A. Check your heart rate regularly because Metoprolol can cause an irregular heart rate.
B. Check your glucose regularly because this medication can cause hyperglycemia.
C. Check your blood pressure regularly because this medication can cause hypertension.
D. Check your glucose regularly because this medication can mask the typical signs and
symptoms of hypoglycemia. D. Check your glucose regularly because this medication can
mask the typical signs and symptoms of hypoglycemia.
True or False: ACE inhibitors work to decrease the workload on the heart by blocking the
conversion of Angiotensin II to Angiotensin I which causes vasodilation.*
True
False False
You're educating a patient about the causes of a myocardial infarction. Which statement by the
patient indicates they misunderstood your teaching and requires you to re-educate them?* A.
Coronary artery dissection can happen spontaneously and occurs more in women.
B. The most common cause of a myocardial infarction is a coronary spasm from illicit drug use
or hypertension.
, C. Patients who have coronary artery disease are at high risk for developing a myocardial
infarction.
D. Both A and B are incorrect. The most common cause of a myocardial infarction is a
coronary spasm from illicit drug use or hypertension.
You note in the patient's chart that the patient recently had a myocardial infarction due to a
blockage in the left coronary artery. You know that which of the following is true about this
type of blockage?* A. A blockage in the left coronary artery causes the least amount of damage
to the heart muscle.
B. Left coronary artery blockages can cause anterior wall death which affects the left ventricle.
C. Left coronary artery blockage can cause posterior wall death which affects the right ventricle.
D. The left anterior descending artery is least likely to be affected by coronary artery disease.
Left coronary artery blockages can cause anterior wall death which affects the left ventricle.
A patient is 36 hours status post a myocardial infarction. The patient is starting to complain of
chest pain when they lay flat or cough. You note on auscultation of the heart a grating, harsh
sound. What complication is this patient mostly likely suffering from?*
A. Cardiac dissection
B. Ventricular septum rupture
C. Mitral valve prolapse
D. Pericarditis Pericarditis
After a myocardial infraction, at what time (approximately) do the macrophages present at the
site of injury to perform granulation of the tissue?*
A. 24 hours
B. 2 days
C. 10 days
D. 6 hours 10 days
,24-36 hours after a myocardial infarction _____________ congregate at the site during the
inflammation phase.*
A. Neutrophils
B. Eosinophils
C. Platelets
D. Macrophages Neutrophils
A patient is complaining of chest pain. You obtain a 12-lead EKG and see ST elevation in leads II,
III, AVF. What area of the heart does this represent?*
A. Lateral
B. Septal
C. Anterior
D. Inferior inferior
On an EKG, the lateral view of the heart is represented with leads?* A. V1, V2, V3
B. II, II, AVF
C. I, AVL, V5, V6
D. V1, V2, V6 I, AVL, V5, V6
A patient is admitted with chest pain to the ER. The patient has been in the ER for 5 hours and
is being admitted to your unit for overnight observation. From the options below, what is the
most IMPORTANT information to know about this patient at this time?*
A. Troponin result and when the next troponin level is due to be collected
B. Diet status
C. Last consumption of caffeine
D. CK result and when the next CK level is due to be collected Troponin result and when the
next troponin level is due to be collected
, A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know
that _____________ levels elevate 2-4 hours after injury to the heart and is the most regarded
marker by providers.*
A. Myoglobin
B. CK-MB
C. CK
D. Troponin Troponin
A patient is complaining of chest pain. On the bedside cardiac monitor you observe pronounce
T-wave inversion. You obtain the patient's vital signs and find the following: Blood pressure
190/98, HR 110, oxygen saturation 96% on room air, and respiratory rate 20. Select-all-that-
apply in regards to the MOST IMPORTANT nursing interventions you will provide based on the
patient's current status:* A. Obtain a 12-lead EKG
B. Place the patient in supine position
C. Assess urinary output
D. Administer Nitroglycerin sublingual as ordered per protocol
E. Collect cardiac enzymes as ordered per protocol
F. Encourage patient to cough and deep breath
G. Administer Morphine IV as ordered per protocol
H. Place patient on oxygen via nasal cannula
I. No interventions are needed at this time A. Obtain a 12-lead EKG
D. Administer Nitroglycerin sublingual as ordered per protocol
E. Collect cardiac enzymes as ordered per protocol
G. Administer Morphine IV as ordered per protocol
H. Place patient on oxygen via nasal cannula
and Questions with Answers
A patient taking Zocor is reporting muscle pain. You are evaluating the patient's lab work and
note that which of the following findings could cause muscle pain?*
A. Elevated potassium level
B. Elevated CPK (creatine kinase level)
C. Decreased potassium level
D. Decreased CPK (creatine kinase level) B. Elevated CPK (creatine kinase level)
A patient who has diabetes will be started on Metoprolol for medical management of coronary
artery disease. Which of the following will you include in your discharge teaching about this
medication?*
A. Check your heart rate regularly because Metoprolol can cause an irregular heart rate.
B. Check your glucose regularly because this medication can cause hyperglycemia.
C. Check your blood pressure regularly because this medication can cause hypertension.
D. Check your glucose regularly because this medication can mask the typical signs and
symptoms of hypoglycemia. D. Check your glucose regularly because this medication can
mask the typical signs and symptoms of hypoglycemia.
True or False: ACE inhibitors work to decrease the workload on the heart by blocking the
conversion of Angiotensin II to Angiotensin I which causes vasodilation.*
True
False False
You're educating a patient about the causes of a myocardial infarction. Which statement by the
patient indicates they misunderstood your teaching and requires you to re-educate them?* A.
Coronary artery dissection can happen spontaneously and occurs more in women.
B. The most common cause of a myocardial infarction is a coronary spasm from illicit drug use
or hypertension.
, C. Patients who have coronary artery disease are at high risk for developing a myocardial
infarction.
D. Both A and B are incorrect. The most common cause of a myocardial infarction is a
coronary spasm from illicit drug use or hypertension.
You note in the patient's chart that the patient recently had a myocardial infarction due to a
blockage in the left coronary artery. You know that which of the following is true about this
type of blockage?* A. A blockage in the left coronary artery causes the least amount of damage
to the heart muscle.
B. Left coronary artery blockages can cause anterior wall death which affects the left ventricle.
C. Left coronary artery blockage can cause posterior wall death which affects the right ventricle.
D. The left anterior descending artery is least likely to be affected by coronary artery disease.
Left coronary artery blockages can cause anterior wall death which affects the left ventricle.
A patient is 36 hours status post a myocardial infarction. The patient is starting to complain of
chest pain when they lay flat or cough. You note on auscultation of the heart a grating, harsh
sound. What complication is this patient mostly likely suffering from?*
A. Cardiac dissection
B. Ventricular septum rupture
C. Mitral valve prolapse
D. Pericarditis Pericarditis
After a myocardial infraction, at what time (approximately) do the macrophages present at the
site of injury to perform granulation of the tissue?*
A. 24 hours
B. 2 days
C. 10 days
D. 6 hours 10 days
,24-36 hours after a myocardial infarction _____________ congregate at the site during the
inflammation phase.*
A. Neutrophils
B. Eosinophils
C. Platelets
D. Macrophages Neutrophils
A patient is complaining of chest pain. You obtain a 12-lead EKG and see ST elevation in leads II,
III, AVF. What area of the heart does this represent?*
A. Lateral
B. Septal
C. Anterior
D. Inferior inferior
On an EKG, the lateral view of the heart is represented with leads?* A. V1, V2, V3
B. II, II, AVF
C. I, AVL, V5, V6
D. V1, V2, V6 I, AVL, V5, V6
A patient is admitted with chest pain to the ER. The patient has been in the ER for 5 hours and
is being admitted to your unit for overnight observation. From the options below, what is the
most IMPORTANT information to know about this patient at this time?*
A. Troponin result and when the next troponin level is due to be collected
B. Diet status
C. Last consumption of caffeine
D. CK result and when the next CK level is due to be collected Troponin result and when the
next troponin level is due to be collected
, A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know
that _____________ levels elevate 2-4 hours after injury to the heart and is the most regarded
marker by providers.*
A. Myoglobin
B. CK-MB
C. CK
D. Troponin Troponin
A patient is complaining of chest pain. On the bedside cardiac monitor you observe pronounce
T-wave inversion. You obtain the patient's vital signs and find the following: Blood pressure
190/98, HR 110, oxygen saturation 96% on room air, and respiratory rate 20. Select-all-that-
apply in regards to the MOST IMPORTANT nursing interventions you will provide based on the
patient's current status:* A. Obtain a 12-lead EKG
B. Place the patient in supine position
C. Assess urinary output
D. Administer Nitroglycerin sublingual as ordered per protocol
E. Collect cardiac enzymes as ordered per protocol
F. Encourage patient to cough and deep breath
G. Administer Morphine IV as ordered per protocol
H. Place patient on oxygen via nasal cannula
I. No interventions are needed at this time A. Obtain a 12-lead EKG
D. Administer Nitroglycerin sublingual as ordered per protocol
E. Collect cardiac enzymes as ordered per protocol
G. Administer Morphine IV as ordered per protocol
H. Place patient on oxygen via nasal cannula
