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Kaplan MedSurg Exit Exam Test
Bank 2025/2026 by Kaplan Nursing |
Verified Questions & Answers
*1. A patient with heart failure has jugular venous distention, 3+ pitting
edema, and crackles. Which PRN medication should the nurse give
first?**
- **A.** Digoxin 0.125 mg PO
- **B.** Furosemide 40 mg IV
- **C.** Metoprolol 25 mg PO
- **D.** Nitroglycerin 0.4 mg SL
- **Correct Answer: B.** Furosemide IV is the priority because rapid
diuresis reduces preload, relieving pulmonary congestion immediately.
Digoxin and metoprolol are not typically PRN for acute overload .
**2. A patient with COPD has an SpO2 of 88% on 2L NC. What should
the nurse do first?**
- **A.** Increase O2 to 4L NC
- **B.** Encourage pursed-lip breathing
- **C.** Check ABGs
- **D.** Notify respiratory therapy
,- **Correct Answer: B.** Encouraging pursed-lip breathing helps
improve gas exchange and prevent airway collapse. Increasing oxygen
may worsen CO2 retention in some COPD patients .
**3. A post-op patient reports sudden chest pain and dyspnea. HR 120,
RR 32, BP 100/70, O2 sat 89%. First action?**
- **A.** Give aspirin 324 mg PO
- **B.** Administer O2 via non-rebreather
- **C.** Obtain 12-lead ECG
- **D.** Call rapid response
- **Correct Answer: B.** Administer oxygen. The ABCs (Airway,
Breathing, Circulation) are the priority. Suspecting a PE or MI,
oxygenation comes before diagnostic tests .
**4. Which lab finding in a patient with chest pain is most specific for
myocardial infarction?**
- **A.** CK-MB 5%
- **B.** Troponin I 4.2 ng/mL
- **C.** Myoglobin 110 ng/mL
- **D.** AST 45 U/L
- **Correct Answer: B.** Troponin I is cardiac-specific and the gold
standard for diagnosing MI. CK-MB and myoglobin are less specific .
**5. S/S of digitalis toxicity**
, - **Correct Answer:** Anorexia, nausea/vomiting, blurred vision,
bradycardia .
**6. Normal digoxin level**
- **Correct Answer:** 0.5 - 2 ng/mL .
**7. How does Nitroglycerin help with angina pectoris?**
- **Correct Answer:** It decreases preload by dilating vessels and
lowering blood pressure .
**8. Warfarin antagonist**
- **Correct Answer:** Vitamin K .
**9. Heparin antagonist**
- **Correct Answer:** Protamine sulfate .
**10. What is the intended action for cardioversion and
defibrillation?**
- **Correct Answer:** Depolarize myocardial cells so the SA node can
take over .
**11. Intermittent claudication**
Kaplan MedSurg Exit Exam Test
Bank 2025/2026 by Kaplan Nursing |
Verified Questions & Answers
*1. A patient with heart failure has jugular venous distention, 3+ pitting
edema, and crackles. Which PRN medication should the nurse give
first?**
- **A.** Digoxin 0.125 mg PO
- **B.** Furosemide 40 mg IV
- **C.** Metoprolol 25 mg PO
- **D.** Nitroglycerin 0.4 mg SL
- **Correct Answer: B.** Furosemide IV is the priority because rapid
diuresis reduces preload, relieving pulmonary congestion immediately.
Digoxin and metoprolol are not typically PRN for acute overload .
**2. A patient with COPD has an SpO2 of 88% on 2L NC. What should
the nurse do first?**
- **A.** Increase O2 to 4L NC
- **B.** Encourage pursed-lip breathing
- **C.** Check ABGs
- **D.** Notify respiratory therapy
,- **Correct Answer: B.** Encouraging pursed-lip breathing helps
improve gas exchange and prevent airway collapse. Increasing oxygen
may worsen CO2 retention in some COPD patients .
**3. A post-op patient reports sudden chest pain and dyspnea. HR 120,
RR 32, BP 100/70, O2 sat 89%. First action?**
- **A.** Give aspirin 324 mg PO
- **B.** Administer O2 via non-rebreather
- **C.** Obtain 12-lead ECG
- **D.** Call rapid response
- **Correct Answer: B.** Administer oxygen. The ABCs (Airway,
Breathing, Circulation) are the priority. Suspecting a PE or MI,
oxygenation comes before diagnostic tests .
**4. Which lab finding in a patient with chest pain is most specific for
myocardial infarction?**
- **A.** CK-MB 5%
- **B.** Troponin I 4.2 ng/mL
- **C.** Myoglobin 110 ng/mL
- **D.** AST 45 U/L
- **Correct Answer: B.** Troponin I is cardiac-specific and the gold
standard for diagnosing MI. CK-MB and myoglobin are less specific .
**5. S/S of digitalis toxicity**
, - **Correct Answer:** Anorexia, nausea/vomiting, blurred vision,
bradycardia .
**6. Normal digoxin level**
- **Correct Answer:** 0.5 - 2 ng/mL .
**7. How does Nitroglycerin help with angina pectoris?**
- **Correct Answer:** It decreases preload by dilating vessels and
lowering blood pressure .
**8. Warfarin antagonist**
- **Correct Answer:** Vitamin K .
**9. Heparin antagonist**
- **Correct Answer:** Protamine sulfate .
**10. What is the intended action for cardioversion and
defibrillation?**
- **Correct Answer:** Depolarize myocardial cells so the SA node can
take over .
**11. Intermittent claudication**
