NUR 2214 Med-Surg 2 Practice Exam (2026 Prep)
100% questions with correct answers graded A+
1.
A patient with heart failure is prescribed furosemide. Which finding indicates the medication is
effective?
A. Weight gain of 2 kg
B. Decreased peripheral edema
C. Increased blood pressure
D. Elevated potassium
Answer: B
Rationale: Furosemide is a diuretic; effectiveness is shown by fluid reduction (less edema).
2.
Which symptom is most concerning in a patient with myocardial infarction?
A. Mild headache
B. Chest pain radiating to left arm
C. Nausea
D. Anxiety
Answer: B
Rationale: Classic MI symptom is chest pain radiating to arm/jaw.
3.
,A patient with COPD should be positioned:
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Side-lying
Answer: C
Rationale: High Fowler’s maximizes lung expansion.
4.
Which ABG indicates respiratory acidosis?
A. pH 7.25, CO₂ 55
B. pH 7.45, CO₂ 30
C. pH 7.50, HCO₃ 30
D. pH 7.35, CO₂ 40
Answer: A
Rationale: Low pH + high CO₂ = respiratory acidosis.
5.
What is the priority intervention for a patient with a tension pneumothorax?
A. Oxygen therapy
B. Chest tube insertion
C. IV fluids
D. Pain medication
Answer: B
Rationale: Chest tube relieves trapped air—life-saving.
6.
Which finding indicates worsening heart failure?
A. Clear lung sounds
B. Decreased urine output
, C. Weight loss
D. Improved appetite
Answer: B
Rationale: Reduced kidney perfusion decreases urine output.
7.
A patient with stroke has right-sided weakness. Which brain area is affected?
A. Right hemisphere
B. Left hemisphere
C. Cerebellum
D. Brainstem
Answer: B
Rationale: Left brain controls right body side.
8.
Priority care for a seizure patient:
A. Restrain limbs
B. Insert oral airway
C. Turn patient on side
D. Give water
Answer: C
Rationale: Prevent aspiration.
9.
Which electrolyte imbalance causes arrhythmias?
A. Hyperkalemia
B. Hypercalcemia
C. Hypoglycemia
D. Hypernatremia
100% questions with correct answers graded A+
1.
A patient with heart failure is prescribed furosemide. Which finding indicates the medication is
effective?
A. Weight gain of 2 kg
B. Decreased peripheral edema
C. Increased blood pressure
D. Elevated potassium
Answer: B
Rationale: Furosemide is a diuretic; effectiveness is shown by fluid reduction (less edema).
2.
Which symptom is most concerning in a patient with myocardial infarction?
A. Mild headache
B. Chest pain radiating to left arm
C. Nausea
D. Anxiety
Answer: B
Rationale: Classic MI symptom is chest pain radiating to arm/jaw.
3.
,A patient with COPD should be positioned:
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Side-lying
Answer: C
Rationale: High Fowler’s maximizes lung expansion.
4.
Which ABG indicates respiratory acidosis?
A. pH 7.25, CO₂ 55
B. pH 7.45, CO₂ 30
C. pH 7.50, HCO₃ 30
D. pH 7.35, CO₂ 40
Answer: A
Rationale: Low pH + high CO₂ = respiratory acidosis.
5.
What is the priority intervention for a patient with a tension pneumothorax?
A. Oxygen therapy
B. Chest tube insertion
C. IV fluids
D. Pain medication
Answer: B
Rationale: Chest tube relieves trapped air—life-saving.
6.
Which finding indicates worsening heart failure?
A. Clear lung sounds
B. Decreased urine output
, C. Weight loss
D. Improved appetite
Answer: B
Rationale: Reduced kidney perfusion decreases urine output.
7.
A patient with stroke has right-sided weakness. Which brain area is affected?
A. Right hemisphere
B. Left hemisphere
C. Cerebellum
D. Brainstem
Answer: B
Rationale: Left brain controls right body side.
8.
Priority care for a seizure patient:
A. Restrain limbs
B. Insert oral airway
C. Turn patient on side
D. Give water
Answer: C
Rationale: Prevent aspiration.
9.
Which electrolyte imbalance causes arrhythmias?
A. Hyperkalemia
B. Hypercalcemia
C. Hypoglycemia
D. Hypernatremia
