MED SURG II EXAM 2 ACTUAL EXAM AND FINAL EXAM
NEWEST 2026 TEST BANK| MED SURG 2 - EXAM 2 NCLEX
EXAM WITH COMPLETE 70 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES/
ALREADY GRADED A+ (MOST RECENT!!)
A patient's ECG strip is irregular. Which method does the nurse use for an
accurate assessment?
a. 6 second strip
b. memory method
c. big block method
d. commercial ECG rater ruler - CORRECT ANSWER ✔✔- a. 6 second strip
The nurse is assessing a patient's ECG rhythm strip and analyzing the P waves.
Which questions does the nurse use to evaluate the P waves? ( select all that
apply)
a Are P waves present?
b Are P waves occurring regularly?
c Does one P wave follow each QRS complex?
d Are the P waves greater than .20 seconds?
e Do all P waves look similar?
f Are the P waves smooth, round and upright in appearance? - CORRECT ANSWER
✔✔- a. Are P waves present?
e. Do all P waves look similar?
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,f. Are the P waves smooth, round and upright in appearance?
The heart monitor of a patient shows a rhythm that appears as a wandering or
fuzzy baseline. What is the priority action for the nurse?
a Immediately obtain a 12 lead ECG to assess the actual rhythm.
b Assess the patient to differentiate artifact from actual lethal rhythms.
c Check to see if the patient has a do not resuscitate order.
d Ask the patient care technician to take vital signs on the patient. - CORRECT
ANSWER ✔✔- b Assess the patient to differentiate artifact from actual lethal
rhythms.
The client has developed atrial fibrillation, with a ventricular rate of 150 beats per
minute. Which associated findings would the nurse anticipate in the assessment?
SATA
1. Syncope
2. Dizziness
3. Palpitations
4. Hypertension
5. Flat neck veins - CORRECT ANSWER ✔✔- 1. Syncope
2. Dizziness
3. Palpitations
rationale: the client with uncontrolled atrial fibrillation with a ventricular rate
more than 100 bpm is at risk for low cardiac output because of loss of atrial kick.
The nurse assess the client for palpitations, chest pain or discomfort,
hypotension, pulse deficit, fatigue, weakness, dizziness, syncope, shortness of
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,breath, and distended neck veins. Hypertension and flat neck veins are not
associated with the loss of cardiac output
The nurse is evaluating a client's response to cardioversion. Which assessment
would be the priority?
1. Blood pressure
2. Airway patency
3. Oxygen flow rate
4. level of consciousness - CORRECT ANSWER ✔✔- 2. Airway patency
rationale: nursing responsibilities after cardioversion include maintenance first of
a patent airway, and then oxygen administration, assessment of vital signs and
level of consciousness, and dysrhythmia detection
Which dysrhythmia results in the asynchrony of atrial contraction and decreased
cardiac output?
a Sinus tachycardia
b Atrial flutter
c Atrial fibrillation
d First degree AV block - CORRECT ANSWER ✔✔- c Atrial fibrillation
Which dysrhythmia causes the ventricles to quiver, resulting in the absence of
cardiac output?
a Ventricular tachycardia
b Ventricular fibrillation
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, c Asystole
d Third degree heart block - CORRECT ANSWER ✔✔- b Ventricular fibrillation
Excessive vagal stimulation can result from which activities? ( Select all that apply)
a Jogging
b Carotid sinus massage
c Suctioning
d Voiding
e Valsalva maneuver - CORRECT ANSWER ✔✔- b Carotid sinus massage
c Suctioning
e Valsalva maneuver
Traditionally, what medications will most likely be ordered for a patient with a
fib? (Select all that apply)
a Diltiazem ( Cardizem)
b Furosemide ( Lasix)
c Heparin
d Enoxaparin ( Lovenox)
e Warfarin ( Coumadin) - CORRECT ANSWER ✔✔- a Diltiazem ( Cardizem)
c Heparin
d Enoxaparin ( Lovenox)
e Warfarin ( Coumadin)
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NEWEST 2026 TEST BANK| MED SURG 2 - EXAM 2 NCLEX
EXAM WITH COMPLETE 70 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES/
ALREADY GRADED A+ (MOST RECENT!!)
A patient's ECG strip is irregular. Which method does the nurse use for an
accurate assessment?
a. 6 second strip
b. memory method
c. big block method
d. commercial ECG rater ruler - CORRECT ANSWER ✔✔- a. 6 second strip
The nurse is assessing a patient's ECG rhythm strip and analyzing the P waves.
Which questions does the nurse use to evaluate the P waves? ( select all that
apply)
a Are P waves present?
b Are P waves occurring regularly?
c Does one P wave follow each QRS complex?
d Are the P waves greater than .20 seconds?
e Do all P waves look similar?
f Are the P waves smooth, round and upright in appearance? - CORRECT ANSWER
✔✔- a. Are P waves present?
e. Do all P waves look similar?
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,f. Are the P waves smooth, round and upright in appearance?
The heart monitor of a patient shows a rhythm that appears as a wandering or
fuzzy baseline. What is the priority action for the nurse?
a Immediately obtain a 12 lead ECG to assess the actual rhythm.
b Assess the patient to differentiate artifact from actual lethal rhythms.
c Check to see if the patient has a do not resuscitate order.
d Ask the patient care technician to take vital signs on the patient. - CORRECT
ANSWER ✔✔- b Assess the patient to differentiate artifact from actual lethal
rhythms.
The client has developed atrial fibrillation, with a ventricular rate of 150 beats per
minute. Which associated findings would the nurse anticipate in the assessment?
SATA
1. Syncope
2. Dizziness
3. Palpitations
4. Hypertension
5. Flat neck veins - CORRECT ANSWER ✔✔- 1. Syncope
2. Dizziness
3. Palpitations
rationale: the client with uncontrolled atrial fibrillation with a ventricular rate
more than 100 bpm is at risk for low cardiac output because of loss of atrial kick.
The nurse assess the client for palpitations, chest pain or discomfort,
hypotension, pulse deficit, fatigue, weakness, dizziness, syncope, shortness of
2|Page
,breath, and distended neck veins. Hypertension and flat neck veins are not
associated with the loss of cardiac output
The nurse is evaluating a client's response to cardioversion. Which assessment
would be the priority?
1. Blood pressure
2. Airway patency
3. Oxygen flow rate
4. level of consciousness - CORRECT ANSWER ✔✔- 2. Airway patency
rationale: nursing responsibilities after cardioversion include maintenance first of
a patent airway, and then oxygen administration, assessment of vital signs and
level of consciousness, and dysrhythmia detection
Which dysrhythmia results in the asynchrony of atrial contraction and decreased
cardiac output?
a Sinus tachycardia
b Atrial flutter
c Atrial fibrillation
d First degree AV block - CORRECT ANSWER ✔✔- c Atrial fibrillation
Which dysrhythmia causes the ventricles to quiver, resulting in the absence of
cardiac output?
a Ventricular tachycardia
b Ventricular fibrillation
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, c Asystole
d Third degree heart block - CORRECT ANSWER ✔✔- b Ventricular fibrillation
Excessive vagal stimulation can result from which activities? ( Select all that apply)
a Jogging
b Carotid sinus massage
c Suctioning
d Voiding
e Valsalva maneuver - CORRECT ANSWER ✔✔- b Carotid sinus massage
c Suctioning
e Valsalva maneuver
Traditionally, what medications will most likely be ordered for a patient with a
fib? (Select all that apply)
a Diltiazem ( Cardizem)
b Furosemide ( Lasix)
c Heparin
d Enoxaparin ( Lovenox)
e Warfarin ( Coumadin) - CORRECT ANSWER ✔✔- a Diltiazem ( Cardizem)
c Heparin
d Enoxaparin ( Lovenox)
e Warfarin ( Coumadin)
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