1. A patient with a history of hypertension and smoking is admitted with a
diagnosis of acute myocardial infarction (AMI). Which of the following
lab results would be most indicative of AMI?
A. Elevated white blood cell count
B. Elevated troponin I and T levels
C. Decreased red blood cell count
D. Elevated blood urea nitrogen levels
Answer: B. Elevated troponin I and T levels
Rationale: Troponin I and T are cardiac markers that are highly specific
for myocardial injury and are elevated in the blood within hours of an
AMI.
2. A 67-year-old male with chronic atrial fibrillation is on anticoagulation
therapy. What is the primary reason for this treatment?
A. To prevent arterial plaque formation
B. To reduce the risk of thromboembolic events
C. To control heart rate
D. To decrease blood pressure
Answer: B. To reduce the risk of thromboembolic events
Rationale: Patients with atrial fibrillation have an increased risk of
forming clots in the atria due to stagnant blood flow, which can lead to
thromboembolic events such as stroke.
3. A nursing student is reviewing a case of a patient with anemia. Which
of the following is a common sign of anemia?
A. Hypertension
B. Jaundice
C. Pallor
D. Polycythemia
Answer: C. Pallor
Rationale: Pallor, or paleness of the skin, is a common sign of anemia
due to the reduced hemoglobin and red blood cell count.
4. In assessing a patient with peripheral arterial disease (PAD), which
symptom would you expect to find?
A. Intermittent claudication
B. Productive cough
C. Wheezing
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