A client is experiencing chest pain and seeks medical attention. The nurse asks the client about the nature of the pain. Which characteristic is most consistent with angina pectoris?

Sharp, stabbing pain.

Constant, burning pain.

Crushing or pressure-like pain.

Radiating pain to the left arm.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because sharp, stabbing pain is not typically associated with angina pectoris. It may be more characteristic of conditions like pleuritis or musculoskeletal pain.

B) This choice is incorrect because constant, burning pain is not typical of angina pectoris. It may be associated with conditions like heartburn or gastroesophageal reflux disease (GERD).

C) This choice is correct. Angina pectoris is often described as a crushing or pressure-like pain in the chest, which can be triggered by exertion or emotional stress. The pain may also radiate to the neck, jaw, or left arm.

D) This choice is incorrect because radiating pain to the left arm is associated with both angina pectoris and myocardial infarction (MI), but it is not specific enough to differentiate between the two conditions.

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Correct Answer is A

Explanation

A) This choice is correct. The sudden onset of chest pain lasting for 30 minutes is a typical clinical manifestation of myocardial infarction (MI). The duration and intensity of chest pain are important indicators that suggest an acute cardiac event.

B) This choice is incorrect because chest discomfort lasting for a few days may be more characteristic of unstable angina, not an MI. Unstable angina is also a serious condition that requires prompt medical attention, but it is not synonymous with MI.

C) This choice is incorrect because chest pain that comes and goes, lasting only a few seconds at a time, is not typical of an MI. Such symptoms may indicate other non-cardiac conditions or stable angina.

D) This choice is incorrect because a similar episode of chest pain a few months ago is not indicative of the current acute event. The nurse should focus on the client's current symptoms and their acute presentation to determine the appropriate interventions.

A. Sharp, stabbing chest pain. B. Chest pain relieved by rest and nitroglycerin. C. Sudden, severe chest pain radiating to the back. D. Mild, intermittent chest discomfort during activity.

Correct Answer is C

Explanation

A) This choice is incorrect because sharp, stabbing chest pain is not the typical presentation of an acute MI. It is more common in conditions like pleuritis or pneumothorax.

B) This choice is incorrect because chest pain relieved by rest and nitroglycerin is more characteristic of stable angina, not an acute MI. Acute MI pain is typically not relieved by these measures.

C) This choice is correct. Sudden, severe chest pain that radiates to the back is a classic presentation of an acute myocardial infarction. The pain is often described as crushing or pressure-like and may be accompanied by other symptoms such as shortness of breath, diaphoresis, and nausea.

D) This choice is incorrect because mild, intermittent chest discomfort during activity is more typical of stable angina, not an acute MI. Acute MI pain is usually more severe, prolonged, and occurs at rest or with minimal exertion.

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A client is experiencing chest pain and seeks medical attention. The nurse asks the client about the nature of the pain. Which characteristic is most consistent with angina pectoris?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected myocardial infarction (MI) is admitted to the emergency department. The nurse asks the client about the onset and duration of chest pain. Which response should the nurse consider as indicative of an MI?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected myocardial infarction (MI). Which assessment finding is most indicative of an acute MI?

Correct Answer is C

Explanation

A nurse is providing education to a client with angina pectoris. What is the nurse's priority teaching point about managing angina episodes?

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A client is admitted with chest pain, and the nurse is assessing for clinical manifestations of myocardial infarction (MI). Which sign is characteristic of an MI but not usually seen in stable angina?

A client comes to the emergency department with chest pain, and the nurse suspects a myocardial infarction (MI). What is the priority action for the nurse?

A client with unstable angina is prescribed heparin therapy. The client asks the nurse about the purpose of this medication. How should the nurse respond?

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

A client with angina pectoris is prescribed sublingual nitroglycerin for chest pain episodes. The nurse educates the client about its administration. Which statement by the client indicates understanding of the instructions?