NUR 209 EXAM 2 / NUR 209 - MEDICAL SURGICAL
NURSING II EXAM 2 - (60 QUESTIONS) UP-TO-DATE
ACTUAL EXAM QUESTIONS AND 100% ACCURATE
SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD
Candidate Name: ________________________________
Candidate ID: _________________________________
Date: ________________________________________
Examination Centre: ____________________________
Core Competency Domains
• Cardiovascular Disorders & Acute Coronary Syndromes
• Respiratory Disorders & Critical Care Nursing
• Renal & Electrolyte Imbalances
• Endocrine Disorders
• Neurological Conditions
• Gastrointestinal & Hepatic Disorders
• Perioperative & Postoperative Care
• Emergency and Critical Care Interventions
Instructions to Candidates
You are required to complete this assessment within 90 minutes. The
examination consists of approximately 60 multiple-choice questions designed
to evaluate advanced clinical reasoning, prioritization, and application of
medical-surgical nursing principles. Read each question carefully and select
the most appropriate answer. Only one answer is correct for each question.
Ensure all responses are marked clearly.
Disclaimer
,This examination is an original simulation developed for educational purposes.
It reflects the structure, tone, and complexity typical of Medical-Surgical
Nursing II assessments but does not replicate any official or proprietary exam.
This assessment evaluates the student’s ability to apply advanced nursing
knowledge in complex patient care scenarios. Emphasis is placed on clinical
judgment, prioritization, pathophysiology integration, and safe evidence-
based interventions across multiple body systems commonly encountered in
acute and critical care settings.
Q1. A patient admitted with acute myocardial infarction suddenly develops
chest pain unrelieved by nitroglycerin and shows ST elevation on ECG. What is
the nurse’s priority action?
A. Administer morphine sulfate
B. Prepare the patient for immediate percutaneous coronary intervention
C. Obtain vital signs every 15 minutes
D. Start oxygen at 2 L/min
Correct Answer: B. Prepare the patient for immediate percutaneous
coronary intervention
Explanation: STEMI requires rapid reperfusion via PCI to restore coronary
blood flow. Morphine (A) is secondary for pain, oxygen (D) only if hypoxic, and
monitoring (C) is important but not priority over reperfusion. Delays increase
myocardial damage.
Q2. A patient with heart failure presents with crackles, dyspnea, and edema.
Which medication is most appropriate for immediate symptom relief?
A. Digoxin
,B. Furosemide
C. Lisinopril
D. Metoprolol
Correct Answer: B. Furosemide
Explanation: Furosemide is a loop diuretic that rapidly reduces fluid
overload. Digoxin improves contractility but is slower. ACE inhibitors (C) and
beta-blockers (D) are long-term therapies, not immediate relief.
Q3. A nurse is caring for a patient with COPD exacerbation. Which ABG
finding indicates respiratory acidosis?
A. pH 7.48, PaCO₂ 30 mmHg
B. pH 7.32, PaCO₂ 55 mmHg
C. pH 7.40, PaCO₂ 40 mmHg
D. pH 7.50, PaCO₂ 28 mmHg
Correct Answer: B. pH 7.32, PaCO₂ 55 mmHg
Explanation: Low pH and high CO₂ indicate respiratory acidosis due to
hypoventilation. Options A and D indicate respiratory alkalosis, and C is
normal.
Q4. A postoperative patient develops sudden shortness of breath and chest pain.
What is the nurse’s first suspicion?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Bronchitis
, Correct Answer: B. Pulmonary embolism
Explanation: Sudden dyspnea and chest pain post-op strongly suggest PE.
Pneumonia and bronchitis develop gradually; atelectasis causes mild
symptoms, not sudden severe distress.
Q5. A patient with chronic kidney disease has hyperkalemia. Which ECG
change should the nurse monitor for?
A. Flattened T waves
B. U waves
C. Peaked T waves
D. ST depression
Correct Answer: C. Peaked T waves
Explanation: Hyperkalemia causes tall, peaked T waves and can lead to
fatal arrhythmias. Flattened T waves and U waves are seen in hypokalemia.
Q6. A diabetic patient presents with confusion, fruity breath, and Kussmaul
respirations. What condition is suspected?
A. Hypoglycemia
B. Diabetic ketoacidosis
C. Hyperosmolar hyperglycemic state
D. Lactic acidosis
Correct Answer: B. Diabetic ketoacidosis
Explanation: DKA presents with metabolic acidosis, fruity breath, and deep
respirations. HHS lacks ketosis. Hypoglycemia presents differently.
NURSING II EXAM 2 - (60 QUESTIONS) UP-TO-DATE
ACTUAL EXAM QUESTIONS AND 100% ACCURATE
SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD
Candidate Name: ________________________________
Candidate ID: _________________________________
Date: ________________________________________
Examination Centre: ____________________________
Core Competency Domains
• Cardiovascular Disorders & Acute Coronary Syndromes
• Respiratory Disorders & Critical Care Nursing
• Renal & Electrolyte Imbalances
• Endocrine Disorders
• Neurological Conditions
• Gastrointestinal & Hepatic Disorders
• Perioperative & Postoperative Care
• Emergency and Critical Care Interventions
Instructions to Candidates
You are required to complete this assessment within 90 minutes. The
examination consists of approximately 60 multiple-choice questions designed
to evaluate advanced clinical reasoning, prioritization, and application of
medical-surgical nursing principles. Read each question carefully and select
the most appropriate answer. Only one answer is correct for each question.
Ensure all responses are marked clearly.
Disclaimer
,This examination is an original simulation developed for educational purposes.
It reflects the structure, tone, and complexity typical of Medical-Surgical
Nursing II assessments but does not replicate any official or proprietary exam.
This assessment evaluates the student’s ability to apply advanced nursing
knowledge in complex patient care scenarios. Emphasis is placed on clinical
judgment, prioritization, pathophysiology integration, and safe evidence-
based interventions across multiple body systems commonly encountered in
acute and critical care settings.
Q1. A patient admitted with acute myocardial infarction suddenly develops
chest pain unrelieved by nitroglycerin and shows ST elevation on ECG. What is
the nurse’s priority action?
A. Administer morphine sulfate
B. Prepare the patient for immediate percutaneous coronary intervention
C. Obtain vital signs every 15 minutes
D. Start oxygen at 2 L/min
Correct Answer: B. Prepare the patient for immediate percutaneous
coronary intervention
Explanation: STEMI requires rapid reperfusion via PCI to restore coronary
blood flow. Morphine (A) is secondary for pain, oxygen (D) only if hypoxic, and
monitoring (C) is important but not priority over reperfusion. Delays increase
myocardial damage.
Q2. A patient with heart failure presents with crackles, dyspnea, and edema.
Which medication is most appropriate for immediate symptom relief?
A. Digoxin
,B. Furosemide
C. Lisinopril
D. Metoprolol
Correct Answer: B. Furosemide
Explanation: Furosemide is a loop diuretic that rapidly reduces fluid
overload. Digoxin improves contractility but is slower. ACE inhibitors (C) and
beta-blockers (D) are long-term therapies, not immediate relief.
Q3. A nurse is caring for a patient with COPD exacerbation. Which ABG
finding indicates respiratory acidosis?
A. pH 7.48, PaCO₂ 30 mmHg
B. pH 7.32, PaCO₂ 55 mmHg
C. pH 7.40, PaCO₂ 40 mmHg
D. pH 7.50, PaCO₂ 28 mmHg
Correct Answer: B. pH 7.32, PaCO₂ 55 mmHg
Explanation: Low pH and high CO₂ indicate respiratory acidosis due to
hypoventilation. Options A and D indicate respiratory alkalosis, and C is
normal.
Q4. A postoperative patient develops sudden shortness of breath and chest pain.
What is the nurse’s first suspicion?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Bronchitis
, Correct Answer: B. Pulmonary embolism
Explanation: Sudden dyspnea and chest pain post-op strongly suggest PE.
Pneumonia and bronchitis develop gradually; atelectasis causes mild
symptoms, not sudden severe distress.
Q5. A patient with chronic kidney disease has hyperkalemia. Which ECG
change should the nurse monitor for?
A. Flattened T waves
B. U waves
C. Peaked T waves
D. ST depression
Correct Answer: C. Peaked T waves
Explanation: Hyperkalemia causes tall, peaked T waves and can lead to
fatal arrhythmias. Flattened T waves and U waves are seen in hypokalemia.
Q6. A diabetic patient presents with confusion, fruity breath, and Kussmaul
respirations. What condition is suspected?
A. Hypoglycemia
B. Diabetic ketoacidosis
C. Hyperosmolar hyperglycemic state
D. Lactic acidosis
Correct Answer: B. Diabetic ketoacidosis
Explanation: DKA presents with metabolic acidosis, fruity breath, and deep
respirations. HHS lacks ketosis. Hypoglycemia presents differently.
