A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

NSTEMI

Stable Angina

STEMI

Unstable Angina

Answer and Explanation

The Correct Answer is C

Rationale:

A. This is wrong because the ECG leads show ST segment elevation.

B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.

C. This is correct because of the ST segment elevation.

D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.

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Correct Answer is A

Explanation

Rationale:

A. Elevated Troponins indicate myocardial injury or infarction.

B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.

C. Elevated Hemoglobin is not specific to cardiac injury.

D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.

A. Obstructive sleep apnea (OSA) B. Taking benazepril C. High-density lipoprotein (HDL) level of 70 mg/dL D. A regular exercise routine

Correct Answer is A

Explanation

Rationale:

A. Obstructive sleep apnea is a risk factor for the development of hypertension.

B. Benazepril is an antihypertensive medication and is not a risk factor for hypertension.

C. A high HDL level is a protective factor against the development of hypertension.

D. A regular exercise routine is a protective factor against the development of hypertension.

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A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

Correct Answer is A

Explanation

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Correct Answer is A

Explanation

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

Identify the following Cardiac Rhythm:

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?