Patient Data

The healthcare provider (HCP) places prescriptions for further diagnostics.

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.

Epigastric distress

Chest pain radiating down arm

Feelings of fear

Occurring without cause

Pain relived by nitroglycerin

Pain only relieved by opioids

Answer and Explanation

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

• Epigastric distress: Can occur in both angina and myocardial infarction (MI), especially in atypical presentations, more common in older adults or clients with diabetes.

• Chest pain radiating down arm: Classic MI symptom due to myocardial ischemia and nerve involvement; less common in stable angina.

• Feelings of fear: MI often triggers anxiety or a sense of impending doom because of severe, unrelieved chest pain.

• Occurring without cause: Unstable angina and MI can both occur at rest or without clear exertional triggers. Stable angina usually occurs with exertion.

• Pain relieved by nitroglycerin: Angina pain, especially stable angina, typically responds to nitroglycerin, which dilates coronary arteries and improves blood flow.

• Pain only relieved by opioids: Severe, unrelieved pain that does not respond to nitroglycerin suggests myocardial infarction. Opioids are often required for pain relief in MI.

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Correct Answer is A

Explanation

A. Laboratory results have returned to normal levels indicate that the client’s physiological status has improved and the health problem is resolving. This is a direct measure of improved health outcomes and demonstrates that the interventions were effective in achieving the intended goal.

B. Client satisfaction reflects the quality of care from the client’s perspective but does not necessarily indicate improvement in the client’s health status. A client may be satisfied with care even if health outcomes are not optimal.

C. Ensuring that nursing diagnoses are consistent with the client’s needs reflects accurate assessment and planning but does not confirm that health outcomes have been achieved. It demonstrates proper process rather than actual improvement in health.

D. Delivering interventions safely and on time ensures quality and safety of care, but it measures process adherence, not whether the client’s health has improved. A client could receive all interventions correctly and still not achieve the desired health outcomes.

A. A peanut butter sandwich with soda and cookies. B. A salad with three kinds of lettuce and fruit. C. Vegetable soup, crackers, and milk. D. A tuna fish sandwich with chips and ice cream.

Correct Answer is D

Explanation

A. This option is incorrect because although peanut butter does contain some protein, the overall meal is not the best high-protein choice. Soda and cookies provide mainly sugar and empty calories with little nutritional value. This meal lacks sufficient high-quality protein needed for optimal wound healing.

B. This option is incorrect because a salad made primarily of lettuce and fruit is very low in protein. While it provides vitamins and fiber, it does not meet the increased protein needs required for tissue repair and wound healing.

C. This option is incorrect because although milk contains some protein, vegetable soup and crackers are primarily carbohydrates and provide minimal protein. This meal does not supply enough protein to support healing.

D. This option is correct because tuna is a high-quality protein source, which is essential for tissue repair, collagen formation, and wound healing. While chips and ice cream are not ideal nutritionally, the presence of a significant protein source (tuna) makes this the best choice among the options.

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Patient Data The healthcare provider (HCP) places prescriptions for further diagnostics. 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

The nurse is evaluating a client's outcomes. Which statement indicates a client has achieved improved health?

Correct Answer is A

Explanation

Patient Data The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client indicates that the teaching was effective?

Correct Answer is D

Explanation

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?

A 71-year-old client is concerned about an elevated prostate-specific antigen (PSA) level because he understands that an elevated PSA is a possible indication of prostate cancer. Which factor should the nurse explain can also cause an elevated PSA level?

Which environmental factor is most significant when planning care for a client with osteomalacia?

Patient Data Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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?

A client in the third trimester of pregnancy reports that she feels some "lumpy places" in her breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in two weeks. Which action should the nurse take?

Patient Data

The healthcare provider (HCP) places prescriptions for further diagnostics.

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.