Med Surg 2 Final Exam
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
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1. The nurse is caring for a patient diagnosed with septic shock. Which
pharmacological intervention should the nurse administer?
a. Amoxicillin 1000mg po every 8 hours
b. solu-cortef to reduce inflammation
c. 0.45% NS to increase intravascular volume
d. norepinepherine (levophed) to increase blood pressure - Correct
Answer: d.
2. A patient comes to the emergency room complaining of heartburn/ The
nurse connected the patient to telemetry. What would the nurse identify
the following strip as?
a. Ventricular tachycardia
b. Atrial fibrillation
c. sinus tachycardia
d. ventricular fibrillation - Correct Answer: a.
3. The nurse is caring for a hispanic female. The nurse notices the patient's
husband is answering the questions the nurse is directing to the patient.
What should the nurse do?
, a. request that the husband step out of the room
b. ask the patient to respond and not have the husband speak for her
c. leave the room and return when the husband leaves
d. recognize the couple is demonstrating a cultural behavior -
Correct Answer: d.
4. The nurse is caring for a patient experiencing continuous severe pain. What
is the best treatment option for this patient's pain management?
a. administer large doses of opioids initially to the patient who have not
taken the medication previously.
b. Focus on intramuscular administration of analgesics
c. administer opioid with non- opioid analgesics for severe pain
experiences
d. waiting for the pain to become more intense before administering
opioids. - Correct Answer: c.
5. Nadolol is prescribed for treatment of stable angina. What change in the
patient best demonstrates that the nadolol has been effective?
a. improvement in the quality of peripheral pulses
b. fewer complaints of having cold hands and feet
c. the ability to do activities without chest pain
d. decreased blood pressure and apical pulse - Correct Answer: c.
6. The nurse is caring for the patient diagnosed with chronic stable angina.
Which is most likely to be reported by the patient?
a. the patient states that the pain is usually 3 on a scale of 10
b. the patient states that the pain wakes me up at night
c. the patient states that the pain is relieved by sublingual nitroglycerin
d. the patient says that the frequency of pain is increasing. - Correct
Answer: c.
,7. The nurse is caring for a patient diagnoses with tachypnea and orthopnea.
Which level indicates the patient is having hypercapnia?
a. PaCO2-35
b. PaCO2-60
c. PaCO2-47
d. PaO2-52 - Correct Answer: c.
8. The nurse is caring for a patient with chronic atrial fibrillation. The patient
has been receiving warfarin for 2 years. The nurse is reviewing the INR was
6.5. What would the nurse anticipate the physician to order?
a. sodium bicarbonate
b. Vitamin K
c. Calcium Gluconate
d. sodium polystyrene - Correct Answer: b.
9. The patient returned to the cardiac unit after having a permanent
pacemaker implantation. For which potential complication should the nurse
assess for?
a. chest pain
b. bleeding at the implantation site
c. bradycardia
d. malignant hypertension - Correct Answer: b.
10.When assessing a patient admitted to the emergency department with a
broken arm and facial bruises, the nurse notes multiple additional bruises in
, various stages of healing. Which statement or question by the nurse is most
appropriate?
a. is someone at home hurting you
b. you should not return to your home
c. I have to report this abuse to the police
d. would you like to see a social worker? - Correct Answer: a.
11.The nurse teaches a patient with chronic stable angina how to use the
prescribed short acting and longacting nitrates. Which statements by the
patient indicates the teaching has been effective?
a. I will stop what I am doing and sit down before i put the pill in my
mouth
b. I will put on the nitroglycerine patch as soon as I develop any chest
pain
c. I will be sure to remove the nitro patch before using any sublingual
nitro
d. I will check my pulse rate in my wrists before I take nitro - Correct
Answer: a.
12.The patient with stable angina is to receive a dose of metoprolol. Which of
the following would indicate that metoprolol should not be given?
a. the blood pressure is 106/60
b. the patient is restless or agitated
c. the cardiac monitor shows a HR of 45
d. the patient complains of feeling anxious - Correct Answer: c.
13.The nurse is providing a community program on the different types of skin
cancer.Which patient is high risk for developing basal cell skin cancer?
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. The nurse is caring for a patient diagnosed with septic shock. Which
pharmacological intervention should the nurse administer?
a. Amoxicillin 1000mg po every 8 hours
b. solu-cortef to reduce inflammation
c. 0.45% NS to increase intravascular volume
d. norepinepherine (levophed) to increase blood pressure - Correct
Answer: d.
2. A patient comes to the emergency room complaining of heartburn/ The
nurse connected the patient to telemetry. What would the nurse identify
the following strip as?
a. Ventricular tachycardia
b. Atrial fibrillation
c. sinus tachycardia
d. ventricular fibrillation - Correct Answer: a.
3. The nurse is caring for a hispanic female. The nurse notices the patient's
husband is answering the questions the nurse is directing to the patient.
What should the nurse do?
, a. request that the husband step out of the room
b. ask the patient to respond and not have the husband speak for her
c. leave the room and return when the husband leaves
d. recognize the couple is demonstrating a cultural behavior -
Correct Answer: d.
4. The nurse is caring for a patient experiencing continuous severe pain. What
is the best treatment option for this patient's pain management?
a. administer large doses of opioids initially to the patient who have not
taken the medication previously.
b. Focus on intramuscular administration of analgesics
c. administer opioid with non- opioid analgesics for severe pain
experiences
d. waiting for the pain to become more intense before administering
opioids. - Correct Answer: c.
5. Nadolol is prescribed for treatment of stable angina. What change in the
patient best demonstrates that the nadolol has been effective?
a. improvement in the quality of peripheral pulses
b. fewer complaints of having cold hands and feet
c. the ability to do activities without chest pain
d. decreased blood pressure and apical pulse - Correct Answer: c.
6. The nurse is caring for the patient diagnosed with chronic stable angina.
Which is most likely to be reported by the patient?
a. the patient states that the pain is usually 3 on a scale of 10
b. the patient states that the pain wakes me up at night
c. the patient states that the pain is relieved by sublingual nitroglycerin
d. the patient says that the frequency of pain is increasing. - Correct
Answer: c.
,7. The nurse is caring for a patient diagnoses with tachypnea and orthopnea.
Which level indicates the patient is having hypercapnia?
a. PaCO2-35
b. PaCO2-60
c. PaCO2-47
d. PaO2-52 - Correct Answer: c.
8. The nurse is caring for a patient with chronic atrial fibrillation. The patient
has been receiving warfarin for 2 years. The nurse is reviewing the INR was
6.5. What would the nurse anticipate the physician to order?
a. sodium bicarbonate
b. Vitamin K
c. Calcium Gluconate
d. sodium polystyrene - Correct Answer: b.
9. The patient returned to the cardiac unit after having a permanent
pacemaker implantation. For which potential complication should the nurse
assess for?
a. chest pain
b. bleeding at the implantation site
c. bradycardia
d. malignant hypertension - Correct Answer: b.
10.When assessing a patient admitted to the emergency department with a
broken arm and facial bruises, the nurse notes multiple additional bruises in
, various stages of healing. Which statement or question by the nurse is most
appropriate?
a. is someone at home hurting you
b. you should not return to your home
c. I have to report this abuse to the police
d. would you like to see a social worker? - Correct Answer: a.
11.The nurse teaches a patient with chronic stable angina how to use the
prescribed short acting and longacting nitrates. Which statements by the
patient indicates the teaching has been effective?
a. I will stop what I am doing and sit down before i put the pill in my
mouth
b. I will put on the nitroglycerine patch as soon as I develop any chest
pain
c. I will be sure to remove the nitro patch before using any sublingual
nitro
d. I will check my pulse rate in my wrists before I take nitro - Correct
Answer: a.
12.The patient with stable angina is to receive a dose of metoprolol. Which of
the following would indicate that metoprolol should not be given?
a. the blood pressure is 106/60
b. the patient is restless or agitated
c. the cardiac monitor shows a HR of 45
d. the patient complains of feeling anxious - Correct Answer: c.
13.The nurse is providing a community program on the different types of skin
cancer.Which patient is high risk for developing basal cell skin cancer?
