1. A patient with acute myocardial infarction is experiencing severe chest
pain unrelieved by nitroglycerin. Which medication should the nurse
anticipate administering?
A. Morphine sulfate
B. Atropine sulfate
C. Furosemide
D. Metoprolol
Answer: A. Morphine sulfate
Rationale: Morphine sulfate is an opioid analgesic that helps to decrease
myocardial oxygen demand, reduce preload and afterload, and alleviate
pain, which is crucial in the management of acute myocardial infarction.
2. During the assessment of a patient with pericarditis, the nurse expects to
find which clinical manifestation?
A. Jugular vein distention
B. A friction rub
C. Pulsus paradoxus
D. Kussmaul's sign
Answer: B. A friction rub
Rationale: A friction rub is a classic sign of pericarditis and is caused by
the inflamed layers of the pericardium rubbing against each other.
3. A nurse is caring for a patient post-cardiac catheterization. Which
finding would require immediate intervention?
A. A small hematoma at the catheter insertion site
B. A pulse distal to the catheter insertion site
C. Complaints of mild discomfort at the insertion site
D. Bleeding from the catheter insertion site
Answer: D. Bleeding from the catheter insertion site
Rationale: Bleeding from the catheter insertion site can indicate vascular
complications and requires immediate intervention to prevent significant
blood loss and other complications.
4. When planning care for a patient with congestive heart failure, which
goal is the priority?
A. Enhance myocardial oxygenation
B. Increase activity tolerance
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