NIGHTINGALE BSN 346 MED SURGICAL II EXAM
4|QUESTIONS AND ASWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. Priority in respiratory distress
A patient is using accessory muscles and SpO₂ is 86%. What is the priority action?
A. Obtain chest X-ray
B. Apply oxygen
C. Start IV fluids
D. Encourage coughing
Answer: B
Rationale: Hypoxia is immediate threat; oxygen is first intervention.
2. Acute heart failure finding
A. Dry skin
B. Crackles in lungs
C. Bradycardia only
D. Hypoglycemia
Answer: B
Rationale: Pulmonary congestion causes crackles.
3. Cardiogenic shock sign
A. Warm skin
B. Hypotension with tachycardia
C. Increased urine output
D. Fever
Answer: B
Rationale: Pump failure leads to low BP and compensatory tachycardia.
4. MI complication
A. Dysrhythmia
B. Appendicitis
,C. Pneumonia only
D. Kidney stones
Answer: A
Rationale: Ischemic myocardium disrupts conduction.
5. Stroke priority
A. Give aspirin
B. CT scan
C. Encourage fluids
D. Bed rest only
Answer: B
Rationale: Must rule out hemorrhage before treatment.
6. Increased ICP intervention
A. Trendelenburg position
B. Head elevated 30°
C. Flat position
D. High stimulation
Answer: B
Rationale: Promotes venous drainage.
7. Seizure emergency care
A. Restrain patient
B. Place tongue depressor
C. Protect airway
D. Give oral fluids
Answer: C
Rationale: Airway protection is priority.
8. Meningitis precaution
A. Airborne
B. Droplet
, C. Contact
D. None
Answer: B
Rationale: Spread via respiratory droplets.
9. DKA lab finding
A. Low glucose
B. High glucose
C. Low potassium only
D. Low sodium only
Answer: B
Rationale: Severe hyperglycemia defines DKA.
10. Hypoglycemia treatment
A. IV insulin
B. Oral glucose
C. Fluid restriction
D. Diuretics
Answer: B
Rationale: Rapid glucose replacement needed.
11. Hyperkalemia ECG
A. Flat T wave
B. Peaked T wave
C. ST elevation
D. U waves
Answer: B
Rationale: Classic early sign.
12. COPD oxygen goal
A. 100%
B. 70%
4|QUESTIONS AND ASWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. Priority in respiratory distress
A patient is using accessory muscles and SpO₂ is 86%. What is the priority action?
A. Obtain chest X-ray
B. Apply oxygen
C. Start IV fluids
D. Encourage coughing
Answer: B
Rationale: Hypoxia is immediate threat; oxygen is first intervention.
2. Acute heart failure finding
A. Dry skin
B. Crackles in lungs
C. Bradycardia only
D. Hypoglycemia
Answer: B
Rationale: Pulmonary congestion causes crackles.
3. Cardiogenic shock sign
A. Warm skin
B. Hypotension with tachycardia
C. Increased urine output
D. Fever
Answer: B
Rationale: Pump failure leads to low BP and compensatory tachycardia.
4. MI complication
A. Dysrhythmia
B. Appendicitis
,C. Pneumonia only
D. Kidney stones
Answer: A
Rationale: Ischemic myocardium disrupts conduction.
5. Stroke priority
A. Give aspirin
B. CT scan
C. Encourage fluids
D. Bed rest only
Answer: B
Rationale: Must rule out hemorrhage before treatment.
6. Increased ICP intervention
A. Trendelenburg position
B. Head elevated 30°
C. Flat position
D. High stimulation
Answer: B
Rationale: Promotes venous drainage.
7. Seizure emergency care
A. Restrain patient
B. Place tongue depressor
C. Protect airway
D. Give oral fluids
Answer: C
Rationale: Airway protection is priority.
8. Meningitis precaution
A. Airborne
B. Droplet
, C. Contact
D. None
Answer: B
Rationale: Spread via respiratory droplets.
9. DKA lab finding
A. Low glucose
B. High glucose
C. Low potassium only
D. Low sodium only
Answer: B
Rationale: Severe hyperglycemia defines DKA.
10. Hypoglycemia treatment
A. IV insulin
B. Oral glucose
C. Fluid restriction
D. Diuretics
Answer: B
Rationale: Rapid glucose replacement needed.
11. Hyperkalemia ECG
A. Flat T wave
B. Peaked T wave
C. ST elevation
D. U waves
Answer: B
Rationale: Classic early sign.
12. COPD oxygen goal
A. 100%
B. 70%
