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NCLEX-RN (Registered Nurse) Practice Exam · Question

A patient reports crushing chest pain radiating to the left arm. The FIRST nursing action is:

Suspected MI requires immediate 12-lead ECG, oxygen if SpO2<90, aspirin, nitroglycerin per protocol, and rapid provider notification. Time is muscle.

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Question: A patient reports crushing chest pain radiating to the left arm. The FIRST nursing action is:

Answer options: ✅ Obtain a 12-lead ECG and notify provider

  • Document the pain in the chart
  • Offer the patient water
  • Reposition the patient prone

Correct answer: Obtain a 12-lead ECG and notify provider

Explanation: Suspected MI requires immediate 12-lead ECG, oxygen if SpO2<90, aspirin, nitroglycerin per protocol, and rapid provider notification. Time is muscle.

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