NUR 202 Medical-Surgical Nursing II (ATI/NCLEX-Style
Practice Exam) Comprehensive Mock Exam (Original
Questions) 200 QUESTIONS AND ANSWERS
QUESTIONS 1–50 (Cardiac + Vascular + Shock)
1. A patient in cardiogenic shock will most likely present with:
A. Warm flushed skin
B. Hypotension and weak pulses
C. High urine output
D. Bradycardia with hypertension
Answer: B
Rationale: Cardiogenic shock results in poor cardiac output → hypotension and weak, thready
pulses.
2. The priority medication in acute pulmonary edema is:
A. Insulin
B. Furosemide
C. Heparin
D. Amoxicillin
Answer: B
3. A key sign of left-sided heart failure is:
A. Ascites
B. Pulmonary crackles
,C. JVD
D. Hepatomegaly
Answer: B
4. Nitroglycerin is contraindicated if:
A. HR is 80
B. BP is 90/50
C. RR is 20
D. Temp is normal
Answer: B
5. The most dangerous complication of atrial fibrillation is:
A. Hypoglycemia
B. Stroke
C. UTI
D. Hypertension
Answer: B
6. A patient with MI is most likely to report:
A. Sharp pain relieved by movement
B. Crushing chest pain radiating to arm
C. Pain only with breathing
D. Abdominal pain only
Answer: B
7. First-line treatment for acute MI includes:
A. Oxygen, aspirin, nitroglycerin
B. Antibiotics
C. Insulin only
D. Diuretics
,Answer: A
8. BNP is elevated in:
A. Kidney stones
B. Heart failure
C. Liver failure
D. Diabetes
Answer: B
9. Shock is defined as:
A. High blood pressure
B. Inadequate tissue perfusion
C. Excess oxygenation
D. Hyperglycemia
Answer: B
10. The earliest sign of shock is:
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Answer: B
11. Cardiogenic shock is caused by:
A. Infection
B. Pump failure
C. Fluid loss
D. Allergy
Answer: B
, 12. Distributive shock includes:
A. Hemorrhage
B. Septic shock
C. MI
D. Burns only
Answer: B
13. The priority in all shock states:
A. IV fluids and oxygen
B. Oral intake
C. Exercise
D. Diet control
Answer: A
14. Normal cardiac output depends on:
A. HR × stroke volume
B. BP × HR
C. RR × BP
D. Oxygen × glucose
Answer: A
15. Peripheral edema indicates:
A. Left heart failure
B. Right heart failure
C. Asthma
D. MI
Answer: B
RESPIRATORY FAILURE (16–25)
Practice Exam) Comprehensive Mock Exam (Original
Questions) 200 QUESTIONS AND ANSWERS
QUESTIONS 1–50 (Cardiac + Vascular + Shock)
1. A patient in cardiogenic shock will most likely present with:
A. Warm flushed skin
B. Hypotension and weak pulses
C. High urine output
D. Bradycardia with hypertension
Answer: B
Rationale: Cardiogenic shock results in poor cardiac output → hypotension and weak, thready
pulses.
2. The priority medication in acute pulmonary edema is:
A. Insulin
B. Furosemide
C. Heparin
D. Amoxicillin
Answer: B
3. A key sign of left-sided heart failure is:
A. Ascites
B. Pulmonary crackles
,C. JVD
D. Hepatomegaly
Answer: B
4. Nitroglycerin is contraindicated if:
A. HR is 80
B. BP is 90/50
C. RR is 20
D. Temp is normal
Answer: B
5. The most dangerous complication of atrial fibrillation is:
A. Hypoglycemia
B. Stroke
C. UTI
D. Hypertension
Answer: B
6. A patient with MI is most likely to report:
A. Sharp pain relieved by movement
B. Crushing chest pain radiating to arm
C. Pain only with breathing
D. Abdominal pain only
Answer: B
7. First-line treatment for acute MI includes:
A. Oxygen, aspirin, nitroglycerin
B. Antibiotics
C. Insulin only
D. Diuretics
,Answer: A
8. BNP is elevated in:
A. Kidney stones
B. Heart failure
C. Liver failure
D. Diabetes
Answer: B
9. Shock is defined as:
A. High blood pressure
B. Inadequate tissue perfusion
C. Excess oxygenation
D. Hyperglycemia
Answer: B
10. The earliest sign of shock is:
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Answer: B
11. Cardiogenic shock is caused by:
A. Infection
B. Pump failure
C. Fluid loss
D. Allergy
Answer: B
, 12. Distributive shock includes:
A. Hemorrhage
B. Septic shock
C. MI
D. Burns only
Answer: B
13. The priority in all shock states:
A. IV fluids and oxygen
B. Oral intake
C. Exercise
D. Diet control
Answer: A
14. Normal cardiac output depends on:
A. HR × stroke volume
B. BP × HR
C. RR × BP
D. Oxygen × glucose
Answer: A
15. Peripheral edema indicates:
A. Left heart failure
B. Right heart failure
C. Asthma
D. MI
Answer: B
RESPIRATORY FAILURE (16–25)
