1
Med Surg 2 All Exam Questions
Exam 1, 2 & 3
1. A client is sent home with a Holter monitor. The most important information the client should
receive from the nurse
a. Keep a record of daily activities
2. A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following
assessments is most critical before the procedure?
a. Allergy to iodine or shellfish.
3. In developing a standard teaching plan for the outpatient unit where stress testing is performed,
the nurse should include information that:
a. The test may cause the client to experience chest pain
4. The diagnostic study that should provide the nurse with the most relevant information related to
cardiac perfusion is
a. Thallium 201 scintigoraphy
5. In advising a client with higher levels of HDL in proportion to LDL, an appropriate outcome is
that this client:
a. Is less likely to develop CAD
6. Nursing care of a client immediately after a PTCA should include:
a. Encouraging oral fluids for the client
7. A nurse is caring for a client who has had angiography with the entrance site in the left femoral
artery. 2 hours after the procedure, the nurse is unable to palpate the left pedal pulse. The priority
action at this time would be to:
a. Attempt to locate pulse using a Doppler
8. The client participates in a thallium imaging during exercise. The nuclear camera results obtained
10 minutes later show diffuse uptake of the thallium in all areas of the heart. What does this mean
for the nurse?
a. The test shows no myocardial scarring or impairment of myocardial perfusion
9. The CK-MB level is markedly elevated in a client with chest pain 12 hours after admission. The
nurse interprets this finding as evidence of:
a. Cellular tissue necrosis
10. CK-MB and troponin levels are ordered for a client. The client asks the nurse for the test. The
nurse bases the response on the knowledge that:
a. The presence of myocardial damage occurring several days earlier can be validated best by the
troponin level. (P.743 text: often as long as 3 weeks, and it therefore can be used to detect recent
myocardial damage)
11. The nurse is about to perform a physical assessment of the distal extremities for a client with
Buerger’s disease. What clinical manifestations should the nurse expect to see in this client?
a. Extremities are reddened and distal pulses are diminished
12. A nurse caring for a client who is overweight, HTN, and smokes is newly diagnosed with
thromboangitis obliterans (Buerger’s disease). The priority for teaching should focus on:
, 2
a. Smoking cessation
, 3
13. After walking one block the client complains of muscular, cramp-like pain to his lower extremities
that is relieved by rest. Based on the clinical findings, the nurse should further assess the patient
for possible:
a. Peripheral arterial disease
14. A client comes to the health care provider with complaints of pain after walking five blocks is
experiencing intermittent claudication, the nurse should ask:
a. Does pain always occur when you walk that distance?
15. A female client with severe arterial disease has difficulty falling asleep due to pain in her legs. The
first action by the nurse would be to:
a. Assist the client to dangle her legs
16. A nurse is educating a client who has Raynaud’s disease. Which intervention is aimed at
preventing complications?
a. Wear warm clothing when exposed to cool temperature
17. A client who has returned to the unit after arterial revascularization states, “The pain is similar to
the pain felt before the procedure.” What would be the nurse’s priority action?
a. Assess peripheral pulses of the extremities
18. A client recovering from aortofemoral bypass surgery has developed swelling, pain, and complains
of tightness of the operative limb. What complication of the procedure is most likely the cause of
the client’s symptoms?
a. Compartment syndrome
19. A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit
4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The nurse interprets that the neurovascular status is:
a. Normal because of increased blood flow through the leg
20. A nurse is caring for a client who has early peripheral vascular disease. While inspecting the lower
extremities the nurse should expect to find:
a. Decreased peripheral pulse
21. A nurse is caring for a young client who is brought to the ED after experiencing a rapid heart rate
and chest discomfort. The client reports using cocaine adding that “everybody always tells me
coke is bad for your heart. What does cocaine do?” The nurse should respond:
a. “a fight or flight reaction occurs when cocaine is used, stressing the heart, often beyond its
capacity.
22. A nurse is caring for a client who has an MI. The client reports chest pain and EKG shows
intermittent premature ventricular contractions. The nurse’s first priority for this client would be
to:
a. Relief of pain and pain management
23. A client is admitted to the tele unit with a diagnosis of MI within the last 24 hours. The immediate
care plan for this client should include which of the following measure:
a. Use a bedpan commode for bowel movement
24. The client is undergoing progressive ambulation on the third day after an MI. Which clinical
manifestation should indicate to the nurse that the client should not be advanced yet to the next
, 4
level? a. Onset of chest pain
25. The nurse is caring for a client who had PTCA 1 hour ago. Which of the following is a priority
assessment at this time?
Med Surg 2 All Exam Questions
Exam 1, 2 & 3
1. A client is sent home with a Holter monitor. The most important information the client should
receive from the nurse
a. Keep a record of daily activities
2. A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following
assessments is most critical before the procedure?
a. Allergy to iodine or shellfish.
3. In developing a standard teaching plan for the outpatient unit where stress testing is performed,
the nurse should include information that:
a. The test may cause the client to experience chest pain
4. The diagnostic study that should provide the nurse with the most relevant information related to
cardiac perfusion is
a. Thallium 201 scintigoraphy
5. In advising a client with higher levels of HDL in proportion to LDL, an appropriate outcome is
that this client:
a. Is less likely to develop CAD
6. Nursing care of a client immediately after a PTCA should include:
a. Encouraging oral fluids for the client
7. A nurse is caring for a client who has had angiography with the entrance site in the left femoral
artery. 2 hours after the procedure, the nurse is unable to palpate the left pedal pulse. The priority
action at this time would be to:
a. Attempt to locate pulse using a Doppler
8. The client participates in a thallium imaging during exercise. The nuclear camera results obtained
10 minutes later show diffuse uptake of the thallium in all areas of the heart. What does this mean
for the nurse?
a. The test shows no myocardial scarring or impairment of myocardial perfusion
9. The CK-MB level is markedly elevated in a client with chest pain 12 hours after admission. The
nurse interprets this finding as evidence of:
a. Cellular tissue necrosis
10. CK-MB and troponin levels are ordered for a client. The client asks the nurse for the test. The
nurse bases the response on the knowledge that:
a. The presence of myocardial damage occurring several days earlier can be validated best by the
troponin level. (P.743 text: often as long as 3 weeks, and it therefore can be used to detect recent
myocardial damage)
11. The nurse is about to perform a physical assessment of the distal extremities for a client with
Buerger’s disease. What clinical manifestations should the nurse expect to see in this client?
a. Extremities are reddened and distal pulses are diminished
12. A nurse caring for a client who is overweight, HTN, and smokes is newly diagnosed with
thromboangitis obliterans (Buerger’s disease). The priority for teaching should focus on:
, 2
a. Smoking cessation
, 3
13. After walking one block the client complains of muscular, cramp-like pain to his lower extremities
that is relieved by rest. Based on the clinical findings, the nurse should further assess the patient
for possible:
a. Peripheral arterial disease
14. A client comes to the health care provider with complaints of pain after walking five blocks is
experiencing intermittent claudication, the nurse should ask:
a. Does pain always occur when you walk that distance?
15. A female client with severe arterial disease has difficulty falling asleep due to pain in her legs. The
first action by the nurse would be to:
a. Assist the client to dangle her legs
16. A nurse is educating a client who has Raynaud’s disease. Which intervention is aimed at
preventing complications?
a. Wear warm clothing when exposed to cool temperature
17. A client who has returned to the unit after arterial revascularization states, “The pain is similar to
the pain felt before the procedure.” What would be the nurse’s priority action?
a. Assess peripheral pulses of the extremities
18. A client recovering from aortofemoral bypass surgery has developed swelling, pain, and complains
of tightness of the operative limb. What complication of the procedure is most likely the cause of
the client’s symptoms?
a. Compartment syndrome
19. A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit
4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The nurse interprets that the neurovascular status is:
a. Normal because of increased blood flow through the leg
20. A nurse is caring for a client who has early peripheral vascular disease. While inspecting the lower
extremities the nurse should expect to find:
a. Decreased peripheral pulse
21. A nurse is caring for a young client who is brought to the ED after experiencing a rapid heart rate
and chest discomfort. The client reports using cocaine adding that “everybody always tells me
coke is bad for your heart. What does cocaine do?” The nurse should respond:
a. “a fight or flight reaction occurs when cocaine is used, stressing the heart, often beyond its
capacity.
22. A nurse is caring for a client who has an MI. The client reports chest pain and EKG shows
intermittent premature ventricular contractions. The nurse’s first priority for this client would be
to:
a. Relief of pain and pain management
23. A client is admitted to the tele unit with a diagnosis of MI within the last 24 hours. The immediate
care plan for this client should include which of the following measure:
a. Use a bedpan commode for bowel movement
24. The client is undergoing progressive ambulation on the third day after an MI. Which clinical
manifestation should indicate to the nurse that the client should not be advanced yet to the next
, 4
level? a. Onset of chest pain
25. The nurse is caring for a client who had PTCA 1 hour ago. Which of the following is a priority
assessment at this time?
