10 Nursing Care and Pathophysiology of Myocardial Infarction (MI) NCLEX Style Questions

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Question 1 of 10

The nurse is caring for a client who suffered a myocardial infarction. Which of the following is NOT a complication due to an MI?


Question 2 of 10

A client has a family history of myocardial infarction and has been experiencing multiple episodes of chest pain. The client is prescribed a medication to prevent heart attacks. Which of the following medications is appropriate for this condition?


Question 3 of 10

A 74-year-old client has suffered a myocardial infarction; the critical care team places the client into a state of hypothermia as part of treatment. Which best describes why hypothermia is used after cardiac arrest?


Question 4 of 10

The nurse is admitting a client who states, “When I was pregnant I would get heartburn so bad, I was eating antacids like crazy. I now feel the same way, except I am not pregnant. The antacids aren’t helping me and now I have this pain between my shoulder blades.” Which part of this statement is most concerning and must be investigated further?


Question 5 of 10

A 77-year-old client is seen in the ED for chest pain. The provider orders lab work to determine if damage has been done to the heart muscle. Which lab test is a cardiac enzyme that would be ordered to check for heart damage?


Question 6 of 10

A client presents to the emergency department with chest pain and difficulty breathing. The provider orders an ECG and the client is diagnosed with a STEMI. Based on the nurse’s knowledge of this condition, the nurse would expect what type of treatment for this client? Select all that apply.


Question 7 of 10

A client presents to the emergency department with complaints of chest pain. The EKG shows normal sinus rhythm, but the client’s troponin comes back at 3.4 ng/mL. The nurse knows this client is most likely experiencing an N-STEMI and prepares which medication to give to the client?


Question 8 of 10

The nurse is caring for a client following an acute episode of a myocardial infarction. Which of the following nursing interventions are appropriate in caring for this client? Select all that apply.


Question 9 of 10

A nurse is caring for a client complaining of chest pain. A 12-lead EKG (ECG) shows normal sinus rhythm. After 30 minutes, the client’s lab work results and shows elevated troponin. What are the priority interventions at this time? Select all that apply.


Question 10 of 10

A nurse is caring for a client who is recovering from a myocardial infarction and has many medications and procedures scheduled. The nurse must delegate some of the client care tasks to an LPN who is also working on the unit. Which of the following components must the nurse consider when deciding what to delegate?