Click to indicate if the listed symptoms are consistent with angina, myocardial infarction, or both. Each column must have at least one response option selected

Pain relived by nitroglycerin

Epigastric distress

Pain only relieved by opioids

Chest pain radiating down arm

Occurring without cause

Feelings of fear

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"},"F":{"answers":"A"}}

Pain relieved by nitroglycerin (Angina): Nitroglycerin works by dilating coronary arteries and reducing myocardial oxygen demand. In stable angina, the underlying problem is temporary myocardial ischemia (reduced blood flow without tissue death). Because the myocardium is still viable, improving blood flow quickly relieves the pain. In contrast, during a myocardial infarction (MI), there is prolonged ischemia with myocardial cell death, so nitroglycerin may provide little or only partial relief.
Epigastric distress (Both): Both angina and MI can present with atypical symptoms, especially involving the gastrointestinal system. Reduced oxygen supply to the heart can stimulate the vagus nerve, leading to symptoms such as epigastric pain, nausea, or indigestion-like discomfort. This overlap makes it important not to dismiss GI symptoms, particularly in cardiac-risk clients.
Pain only relieved by opioids (Myocardial Infarction): In MI, the pain is typically severe, persistent, and unrelenting, due to actual myocardial tissue injury and necrosis. Nitroglycerin is often insufficient. Opioids (e.g., morphine) are required because they reduce pain, decrease anxiety, and lower sympathetic workload, helping reduce cardiac oxygen demand.
Chest pain radiating down arm (Myocardial Infarction): MI pain commonly radiates to the left arm, jaw, neck, or back due to shared nerve pathways (referred pain). While angina can occasionally radiate, this classic radiation pattern—especially when severe and prolonged—is more strongly associated with MI.
Occurring without cause: Unstable angina and MI can both occur at rest or without clear exertional triggers. Stable angina usually occurs with exertion.
Feelings of fear (Myocardial Infarction): Clients experiencing MI often report a sense of impending doom. This is caused by a strong sympathetic nervous system response (release of catecholamines like epinephrine), along with severe pain and decreased cardiac output. This psychological and physiological response is much more intense than what is typically seen in angina.

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Correct Answer is D

Explanation

A. While prostate regrowth can occur over time due to dihydrotestosterone, this is a long-term process and unlikely to explain acute postoperative urinary and erectile difficulties immediately following TURP.

B. Excess testosterone does not “overwhelm the bladder” or directly reduce penile perfusion. This explanation is physiologically inaccurate and not supported by current evidence.

C. Androgen-sensitive tumors are associated with prostate cancer, not benign prostatic hyperplasia. The client underwent TURP for BPH, so tumor obstruction is not relevant in this context.

D. TURP involves resection near the prostatic urethra and surrounding nerve fibers (especially the cavernous nerves responsible for erectile function). Postoperative inflammation and temporary nerve irritation can cause weak urinary stream, urgency, and erectile dysfunction. These symptoms are typically transient but may require monitoring and supportive interventions.

A. Client demonstrates proper use of an incentive spirometer. B. Client reports using the incentive spirometer every hour while awake. C. Client exhibits a frequent productive cough. D. Client's breath sounds are clear to auscultation bilaterally.

Correct Answer is D

Explanation

A. Demonstrating proper use of the incentive spirometer indicates that the client understands how to use the device, but it does not confirm that the intervention has achieved its intended physiological outcome.

B. Reporting regular use shows adherence to the prescribed frequency, but self-report alone does not guarantee improved lung function or prevention of complications.

C. A frequent productive cough may indicate retained secretions or an underlying pulmonary issue. While coughing can help clear secretions, its presence alone does not confirm the effectiveness of the incentive spirometer.

D. This is the best outcome statement because the ultimate goal of incentive spirometry is to improve lung expansion, prevent atelectasis, and maintain clear airways. Clear bilateral breath sounds on auscultation indicate that the intervention has been physiologically effective in promoting adequate ventilation and oxygenation, demonstrating a successful outcome of the intervention.

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Click to indicate if the listed symptoms are consistent with angina, myocardial infarction, or both. Each column must have at least one response option selected

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who underwent transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) reports a weak urinary stream, urgency, and difficulty achieving erections. Which statement by the nurse describes the reason for these symptoms?

Correct Answer is D

Explanation

The nurse is evaluating the effectiveness of the incentive spirometer implemented in the client's plan of care. Which outcome statement best describes the effectiveness of the incentive spirometer?

Correct Answer is D

Explanation

Chart is reviewed. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is most at risk for dropdownevidenced by dropdown

The lead nurse is preparing a staffing plan and has determined that the unit requires 34 full-time equivalents (FTEs). How many hours of productive and nonproductive time will the unit be accountable for annually?

The school nurse is implementing standards to manage students and provide a safe and healthy school setting. Which action is most important for the nurse to implement?

During the administration of albuterol per nebulizer, the client reports shakiness. The client's vital signs are heart rate 120 beats/minutes, respirations 20 breaths/minute, blood pressure 140/88 mm Hg. Which action should the nurse take?

The nurse has provided discharge teaching to the client to manage his chest pain at home. Which 2 statements from the client should the nurse recognize as a need for further education?

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?