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NRSG 327 ACS EXAM QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Nursing

A collection of questions and answers related to acute coronary syndrome (acs), a critical medical condition. It covers various aspects of acs, including its types, symptoms, diagnosis, treatment, and complications. Designed to help students in the field of nursing prepare for exams and gain a deeper understanding of acs.

Typology: Exams

2024/2025

Available from 03/18/2025

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NRSG 327 ACS EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
What heart sounds would you hear instable angina? -- Answer ✔✔ pericardial friction
rub
-pericarditis pain relieved when sitting forward
Call 911 after ____ doses of nitro q5min doesn't relieve angina -- Answer ✔✔ 3
MI meds (MONA) -- Answer ✔✔ Morphine sulphate, Oxygen, Nitro, ASA
What is the most common complication for STEMI -- Answer ✔✔ dysrhythmia
Why is smoking bad for heart -- Answer ✔✔ carbon monoxide binds to hgb better than
o2 making less O2 transported
Nicotine increases HR
T/f statins are 100% effective in lowering cholesterol -- Answer ✔✔ false
Especially not women
Stable angina vs unstable angina -- Answer ✔✔ stable= consistent, predictable, resolved
with rest or nitro
Unstable= unpredictable at rest, not resolved with rest or nitro
Variant/prinzmetals angina -- Answer ✔✔ spasm close to blockage, at night/morning, tx
with ccbs
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NRSG 327 ACS EXAM QUESTIONS WITH COMPLETE

SOLUTIONS

What heart sounds would you hear instable angina? -- Answer ✔✔ pericardial friction rub

  • pericarditis pain relieved when sitting forward Call 911 after ____ doses of nitro q5min doesn't relieve angina -- Answer ✔✔ 3 MI meds (MONA) -- Answer ✔✔ Morphine sulphate, Oxygen, Nitro, ASA What is the most common complication for STEMI -- Answer ✔✔ dysrhythmia Why is smoking bad for heart -- Answer ✔✔ carbon monoxide binds to hgb better than o2 making less O2 transported Nicotine increases HR T/f statins are 100% effective in lowering cholesterol -- Answer ✔✔ false Especially not women Stable angina vs unstable angina -- Answer ✔✔ stable= consistent, predictable, resolved with rest or nitro Unstable= unpredictable at rest, not resolved with rest or nitro Variant/prinzmetals angina -- Answer ✔✔ spasm close to blockage, at night/morning, tx with ccbs

NSTEMI -- Answer ✔✔ decreased myocardial perfusion secondary to narrowing caused by a NON-occlusive thrombus, troponin elevated, no elevated ST on ECG STEMI -- Answer ✔✔ decreased myocardial perfusion secondary to narrowing caused by an OCCLUSIVE thrombus, troponin elevated and ECG changes Collateral circulation -- Answer ✔✔ arterial branching Develops over time in response to chronic ischemia Some people have developed so much that MI doesn't affect them Takes about 2 days Why might a pt with ACS have nausea and vomiting? -- Answer ✔✔ diversion of blood from GI system, or if MI is close to diaphragm it may irritate the nerve Difference in assessment with MI and PE -- Answer ✔✔ PE pain increases with breathing, is in different location, cough, DVT?, Virchow’s T/f ECG changes occur in an NSTEMI -- Answer ✔✔ false What is the gold standard biomarker for MI -- Answer ✔✔ troponin What is easier to fix: ST elevation or ST depression -- Answer ✔✔ ST depression (not permanent) Caused by decreased O2 supply CK -- Answer ✔✔ muscle damage Nonspecific (also elevated in rhabdomyolysis) When does troponin begin to rise? -- Answer ✔✔ 4 - 6 hours after MI