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NUR209 Exam 2 Medical Surgical Nursing 2 Fortis
Latest 2026/2027 Comprehensive Questions with
Verified Answers and Rationales Grade A
1. A nurse is assigned to care for a client with a terminal cardiovascular
illness. When developing the client's plan of care, which outcome would
the nurse identify as most realistic for this client?
A) Adaptation to living with limitations
B) Maintenance of adequate comfort
C) Acceptance of changes in lifestyle
D) Recovery from the cardiovascular problem
Correct Answer: B) Maintenance of adequate comfort
Rationale:
1. The realistic outcome for a client with terminal cardiovascular disease is
maintenance of adequate comfort and acceptance of impending death.
2. Realistic outcomes for the client with chronic cardiovascular disease focus
on helping the client to live within limitations imposed by the disease and to
improve acceptance of changes in lifestyle and self-concept.
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3. Outcomes pertinent to the client who is admitted with an acute problem focus
on recovery from the cardiovascular problem without residual complications.
2. Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes immediately,
placing the client in which position?
A) Sitting
B) Standing upright
C) Flat with legs raised 20 to 30 degrees
D) Supine
Correct Answer: A) Sitting
Rationale:
1. The nurse should make the client comfortable in a sitting position.
2. A supine position inhibits full chest expansion and limits gas exchange in the
lung, so this position should be avoided.
3. Since the heart works harder in the supine position than in the upright
position, the supine position is not recommended.
4. The hypotensive client is positioned with legs elevated 20 to 30 degrees.
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3. Which of the following is a noninvasive procedure assisting the nurse
in cardiovascular care?
A) Electrocardiography
B) Pulmonary artery monitoring
C) Swan-Ganz catheterization
D) Cardiac output determination
Correct Answer: A) Electrocardiography
Rationale:
1. Noninvasive heart monitoring involves electrocardiography and cardiac
monitoring.
2. Invasive techniques, such as pulmonary artery monitoring, Swan-Ganz
catheterization, cardiac output determination, and cardiac support via an
intraaortic balloon pump (IABP), typically are used by trained critical care
personnel to provide additional monitoring and support.
4. A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional education is
needed if the client states:
A) "I should wait at least an hour after eating before exercising."
B) "I need to call the doctor if it feels like my heart is racing."
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C) "I need to start my routine with my warm-up exercises."
D) "I should stop exercising if my pulse is below my target zone."
Correct Answer: D) "I should stop exercising if my pulse is below my
target zone."
Rationale:
1. For the client, the goal of the exercise program is to achieve the target heart
rate.
2. The client should stop exercising if his pulse rate exceeds his target zone, not
below it.
5. A nursing instructor is developing a class presentation about reasons
people with cardiovascular problems seek medical care. Which of the
following would the instructor include as the most common reason?
A) Lower extremity swelling
B) Persistent cough
C) Chest pain
D) Hypertension
Correct Answer: C) Chest pain
Rationale:
1. Although a person with cardiovascular dysfunction may have hypertension,
NUR209 Exam 2 Medical Surgical Nursing 2 Fortis
Latest 2026/2027 Comprehensive Questions with
Verified Answers and Rationales Grade A
1. A nurse is assigned to care for a client with a terminal cardiovascular
illness. When developing the client's plan of care, which outcome would
the nurse identify as most realistic for this client?
A) Adaptation to living with limitations
B) Maintenance of adequate comfort
C) Acceptance of changes in lifestyle
D) Recovery from the cardiovascular problem
Correct Answer: B) Maintenance of adequate comfort
Rationale:
1. The realistic outcome for a client with terminal cardiovascular disease is
maintenance of adequate comfort and acceptance of impending death.
2. Realistic outcomes for the client with chronic cardiovascular disease focus
on helping the client to live within limitations imposed by the disease and to
improve acceptance of changes in lifestyle and self-concept.
,2|Page
3. Outcomes pertinent to the client who is admitted with an acute problem focus
on recovery from the cardiovascular problem without residual complications.
2. Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes immediately,
placing the client in which position?
A) Sitting
B) Standing upright
C) Flat with legs raised 20 to 30 degrees
D) Supine
Correct Answer: A) Sitting
Rationale:
1. The nurse should make the client comfortable in a sitting position.
2. A supine position inhibits full chest expansion and limits gas exchange in the
lung, so this position should be avoided.
3. Since the heart works harder in the supine position than in the upright
position, the supine position is not recommended.
4. The hypotensive client is positioned with legs elevated 20 to 30 degrees.
,3|Page
3. Which of the following is a noninvasive procedure assisting the nurse
in cardiovascular care?
A) Electrocardiography
B) Pulmonary artery monitoring
C) Swan-Ganz catheterization
D) Cardiac output determination
Correct Answer: A) Electrocardiography
Rationale:
1. Noninvasive heart monitoring involves electrocardiography and cardiac
monitoring.
2. Invasive techniques, such as pulmonary artery monitoring, Swan-Ganz
catheterization, cardiac output determination, and cardiac support via an
intraaortic balloon pump (IABP), typically are used by trained critical care
personnel to provide additional monitoring and support.
4. A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional education is
needed if the client states:
A) "I should wait at least an hour after eating before exercising."
B) "I need to call the doctor if it feels like my heart is racing."
, 4|Page
C) "I need to start my routine with my warm-up exercises."
D) "I should stop exercising if my pulse is below my target zone."
Correct Answer: D) "I should stop exercising if my pulse is below my
target zone."
Rationale:
1. For the client, the goal of the exercise program is to achieve the target heart
rate.
2. The client should stop exercising if his pulse rate exceeds his target zone, not
below it.
5. A nursing instructor is developing a class presentation about reasons
people with cardiovascular problems seek medical care. Which of the
following would the instructor include as the most common reason?
A) Lower extremity swelling
B) Persistent cough
C) Chest pain
D) Hypertension
Correct Answer: C) Chest pain
Rationale:
1. Although a person with cardiovascular dysfunction may have hypertension,
