NSG 223 Med Surg II Final Exam
Medical-Surgical Nursing II | Brand New
Version with Questions and Correct
Answers | Comprehensive Final Exam
**NSG 223 – Med Surg II
Cardiovascular Disorders
Q1. A patient with heart failure presents with crackles and peripheral edema. These findings are
caused by:
a) Decreased preload
b) Fluid volume overload
c) Reduced afterload
✅
d) Increased oxygen demand
Answer: b) Fluid volume overload
Q2. Which medication decreases mortality in heart failure?
a) Furosemide
b) Digoxin
c) ACE inhibitors
✅
d) Calcium channel blockers
Answer: c) ACE inhibitors
Q3. A patient with left-sided heart failure is most likely to experience:
a) Ascites
,b) Peripheral edema
c) Pulmonary congestion
✅
d) Jugular vein distention
Answer: c) Pulmonary congestion
Q4. The priority assessment for a patient with acute myocardial infarction is:
a) Pain level
b) Heart rate
c) Oxygen saturation
✅
d) Blood pressure
Answer: c) Oxygen saturation
Q5. Which ECG change is associated with myocardial ischemia?
a) ST elevation
b) ST depression
c) Peaked T waves
✅
d) Prolonged PR interval
Answer: b) ST depression
Q6. Nitroglycerin relieves chest pain by:
a) Increasing heart rate
b) Dilating coronary arteries
c) Increasing preload
✅
d) Increasing oxygen demand
Answer: b) Dilating coronary arteries
Q7. Which finding indicates worsening cardiogenic shock?
a) Warm, flushed skin
b) Decreased urine output
c) Elevated blood pressure
✅
d) Increased appetite
Answer: b) Decreased urine output
Q8. A patient with hypertension should be taught to:
a) Increase sodium intake
b) Stop medication when BP improves
, c) Exercise regularly
✅
d) Avoid potassium-rich foods
Answer: c) Exercise regularly
Q9. Which medication is used for rate control in atrial fibrillation?
a) Atropine
b) Metoprolol
c) Epinephrine
✅
d) Dopamine
Answer: b) Metoprolol
Q10. The main risk of atrial fibrillation is:
a) Heart failure
b) Stroke
c) Bradycardia
✅
d) Hypotension
Answer: b) Stroke
Respiratory Disorders
Q11. A patient with COPD should receive oxygen at:
a) High flow to maintain SpO₂ at 100%
b) Low flow to maintain SpO₂ 88–92%
c) No oxygen therapy
✅
d) Only during sleep
Answer: b) Low flow to maintain SpO₂ 88–92%
Q12. Which finding indicates respiratory distress?
a) RR 12/min
b) Use of accessory muscles
c) Pink nail beds
✅
d) Calm behavior
Answer: b) Use of accessory muscles
Medical-Surgical Nursing II | Brand New
Version with Questions and Correct
Answers | Comprehensive Final Exam
**NSG 223 – Med Surg II
Cardiovascular Disorders
Q1. A patient with heart failure presents with crackles and peripheral edema. These findings are
caused by:
a) Decreased preload
b) Fluid volume overload
c) Reduced afterload
✅
d) Increased oxygen demand
Answer: b) Fluid volume overload
Q2. Which medication decreases mortality in heart failure?
a) Furosemide
b) Digoxin
c) ACE inhibitors
✅
d) Calcium channel blockers
Answer: c) ACE inhibitors
Q3. A patient with left-sided heart failure is most likely to experience:
a) Ascites
,b) Peripheral edema
c) Pulmonary congestion
✅
d) Jugular vein distention
Answer: c) Pulmonary congestion
Q4. The priority assessment for a patient with acute myocardial infarction is:
a) Pain level
b) Heart rate
c) Oxygen saturation
✅
d) Blood pressure
Answer: c) Oxygen saturation
Q5. Which ECG change is associated with myocardial ischemia?
a) ST elevation
b) ST depression
c) Peaked T waves
✅
d) Prolonged PR interval
Answer: b) ST depression
Q6. Nitroglycerin relieves chest pain by:
a) Increasing heart rate
b) Dilating coronary arteries
c) Increasing preload
✅
d) Increasing oxygen demand
Answer: b) Dilating coronary arteries
Q7. Which finding indicates worsening cardiogenic shock?
a) Warm, flushed skin
b) Decreased urine output
c) Elevated blood pressure
✅
d) Increased appetite
Answer: b) Decreased urine output
Q8. A patient with hypertension should be taught to:
a) Increase sodium intake
b) Stop medication when BP improves
, c) Exercise regularly
✅
d) Avoid potassium-rich foods
Answer: c) Exercise regularly
Q9. Which medication is used for rate control in atrial fibrillation?
a) Atropine
b) Metoprolol
c) Epinephrine
✅
d) Dopamine
Answer: b) Metoprolol
Q10. The main risk of atrial fibrillation is:
a) Heart failure
b) Stroke
c) Bradycardia
✅
d) Hypotension
Answer: b) Stroke
Respiratory Disorders
Q11. A patient with COPD should receive oxygen at:
a) High flow to maintain SpO₂ at 100%
b) Low flow to maintain SpO₂ 88–92%
c) No oxygen therapy
✅
d) Only during sleep
Answer: b) Low flow to maintain SpO₂ 88–92%
Q12. Which finding indicates respiratory distress?
a) RR 12/min
b) Use of accessory muscles
c) Pink nail beds
✅
d) Calm behavior
Answer: b) Use of accessory muscles
