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NCLEX Review & Nursing School

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Some NCLEX Questions

What is the primary reason for administering morphine to a client with MI?

  1. To sedate the client
  2. to decrease the client’s pain
  3. decrease the client’s anxiety
  4. decrease oxygen demand on the client’s heart

Answer:

  • #4  Morphine is administered because it decreases myocardial oxygen demand.

Which diagnostic tool is used to determine the location of myocardial damage for a patient with a myocardial infarction (MI) ?

  1. Cardiac catheterization
  2. Cardiac enzymes
  3. Echocardiagram
  4. Electrocardiogram (ECG)

Answer:

  • #4 Elctrocardiogram (ECG) is the quickest, most accurate and most widely used tool to determine the location of a myocardial infarction (MI)

What is the first intervention for a client experiencing myocardial infarction (MI) ?

  1. Administer morphine
  2. Administer oxygen
  3. Administer sublingual nitroglycerin
  4. Obtain an electrocardiogram (ECG)

Answer:

  • #2 Adminstering supplemental oxygen to the client is the number one priority of care.

A client with a myocardial infarction os admitted to the cardiac unit.  The nurse can best determine the effectiveness of the client’s ventricular contractions by:

  1. Observing anxiety levels
  2. Evaluating enzyme results
  3. Monitoring urinary output hourly
  4. Assessing breath sounds frequently

Answer:

  • #3 Monitoring urinary ouput hourly.
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