NCLEX MI & Vascular Quiz

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MI and peripheral vascular disorders essentials.

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Danielle Kendricks

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NCLEX MI & Vascular Quiz


NCLEX MI & Vascular QuizVersión en línea MI and peripheral vascular disorders essentials. por Danielle Kendricks 1 What is the primary consequence of a completely occluded coronary artery? a Myocardial hypertrophy b Venous thrombosis c Reversible ischemia d Irreversible myocardial necrosis 2 What decreases after MI due to reduced contractility? a Systemic vascular resistance b Stroke volume c Cardiac output d Heart rate 3 Classic MI pain is best described as? a Pain relieved by nitro b Jaw swelling with redness c Intermittent chest tightness d Severe chest pain unrelieved by rest or nitro 4 Which symptom is more common in women with MI? a Nasal congestion b Fatigue and GI upset c Visible chest rash d Severe chest pain only 5 Troponin is considered what in MI? a Non-specific marker b Only present after 48h c A lipid marker d Most sensitive and specific biomarker 6 STEMI on ECG shows what finding? a T-wave inversion b ST elevation c QT prolongation d ST depression 7 NSTEMI ECG usually shows? a ST depression or T-wave inversion b QRS widening c ST elevation d Normal tracing 8 Initial medical management for acute MI is often abbreviated as MONA. Which is correct order variant? a Morphine first b Oxygen, Nitroglycerin, Morphine, Aspirin c Diuretics before nitrates d Aspirin only 9 Which drug class is used in AMI to reduce workload and remodeling? a Beta-blockers only at discharge b Anticoagulants c ACE inhibitors d Calcium supplements 10 What is a key reperfusion goal for PCI after MI? a Ambulatory follow-up in 1 week b Time to discharge ≤ 24 hours c Door-to-needle time ≤ 30 minutes d Door-to-balloon time ≤ 90 minutes 11 Thrombolytics are used when PCI is unavailable. This is to? a Dilate arteries with stents b Lower cholesterol immediately c Restore blood flow d Prevent infection 12 Which finding increases risk for cardiogenic shock after MI? a BP drop with signs of poor perfusion b High urine output c Elevated bilirubin d Hyperglycemia only 13 Nursing priority after MI includes monitoring for which complication? a Skin rash b Hyperkalemia without symptoms c Nasal bleeding d Dysrhythmias 14 S3 sound after MI may indicate? a Aortic stenosis b Pulmonary embolism c Pericarditis d Heart failure 15 What non-pharmacologic measure supports MI recovery? a No rest required b Continuous cardiac monitoring c Daily sunbathing d Heavy exercise immediately 16 Chronic Venous Disease primarily involves which process? a Lymphatic blockage b Muscle atrophy c Valve incompetence with venous reflux d Arterial obstruction 17 What symptom is typical of Chronic Venous Disease? a Intermittent claudication b Cold extremities c Edema that worsens with the day d Severe nocturnal cough 18 Which diagnostic checks vein function & reflux? a Duplex ultrasound b EKG c CT angiography d MRI brain 19 Foam sclerotherapy is a treatment for what? a Chronic venous disease b Acute MI only c Myocardial infarction d Arterial occlusion 20 What is a primary non-pharmacologic measure for CVD? a Continuous standing b Avoid walking c Leg elevation d High-sodium diet 21 Which is a common procedure for varicose veins? a Laparoscopy b Laser ablation c Radiation therapy d Coronary bypass 22 Nursing management for CVD includes? a Educate compression compliance b Prescribe surgery c Disallow ambulation d Avoid skin checks Feedback 1 Occlusion causes irreversible necrosis if blood flow isn't restored. 2 Contractility loss lowers stroke volume and CO. 3 Classic MI pain persists despite rest and nitro. 4 Atypical MI in women includes fatigue and GI symptoms. 5 Troponin elevation is highly specific for myocardial injury. 6 ST elevation indicates STEMI requiring urgent reperfusion. 7 NSTEMI lacks ST elevation; may have depression or T inversion. 8 MONA themes can vary; commonly Morphine, Oxygen, Nitroglycerin, Aspirin in sequence. 9 ACE inhibitors help after MI to prevent remodeling. 10 PCI should be performed quickly to minimize myocardial damage. 11 Thrombolytics dissolve clots to reflow ischemic tissue when PCI cannot be done. 12 Cardiogenic shock involves hypotension and reduced perfusion. 13 Dysrhythmias are common and dangerous post-MI. 14 S3 suggests volume overload and possible HF. 15 Monitoring detects arrhythmias early; bed rest is initially advised. 16 VALVE incompetence causes reflux and venous stasis. 17 Venous edema tends to accumulate with prolonged standing or day progression. 18 Duplex ultrasound assesses valve function and reflux in veins. 19 Sclerotherapy targets varicose veins to close abnormal veins. 20 Leg elevation reduces venous pressure and edema. 21 Laser ablation closes dilated veins with minimal invasion. 22 Compression therapy and skin care reduce ulcers and edema.

NCLEX MI & Vascular Quiz

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NCLEX MI & Vascular QuizVersión en línea

por Danielle Kendricks

What is the primary consequence of a completely occluded coronary artery?

What decreases after MI due to reduced contractility?

Classic MI pain is best described as?

Which symptom is more common in women with MI?

Troponin is considered what in MI?

STEMI on ECG shows what finding?

NSTEMI ECG usually shows?

Initial medical management for acute MI is often abbreviated as MONA. Which is correct order variant?

Which drug class is used in AMI to reduce workload and remodeling?

What is a key reperfusion goal for PCI after MI?

Thrombolytics are used when PCI is unavailable. This is to?

Which finding increases risk for cardiogenic shock after MI?

Nursing priority after MI includes monitoring for which complication?

S3 sound after MI may indicate?

What non-pharmacologic measure supports MI recovery?

Chronic Venous Disease primarily involves which process?

What symptom is typical of Chronic Venous Disease?

Which diagnostic checks vein function & reflux?

Foam sclerotherapy is a treatment for what?

What is a primary non-pharmacologic measure for CVD?

Which is a common procedure for varicose veins?

Nursing management for CVD includes?