Med Surg 2 Exam 1 ACTUAL EXAM
MED SURG 2 EXAM 1 ACTUAL EXAM NEWEST 2025/2026
COMPLETE 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse observes a student nurse who is providing thrombolytic therapy to a
patient three hours after the patient's report of chest pain. Which action
performed by the student nurse indicates the need for the nurse to intervene?
A. Monitors patient for blood in the urine
B. Assess regularly for neurologic status change
C. Draws blood samples from patient before therapy initiation
D. Reduces the dose of thrombolytic agent during episodes of chest pain -
ANSWER-D. Reduces the dose of thrombolytic agent during episodes of chest pain
The nurse provides information to a patient about preventing coronary artery
disease (CAD) by maintaining healthy serum low-density lipoproteins (LDL) and
high-density lipoprotein (HDL) levels. The nurse should include what goals?
A. Decreased LDLs; decreased HDLs
B. Decreased LDLs; increased HDLs
C. Increased LDLs; decreased HDLs
D. Increased LDLs; increased HDLs - ANSWER-B. Decreased LDLs; increased HDLs
Which statement made by the student nurse indicates effective learning regarding
the instructions to be given to a patient that receives a prescription for
nitroglycerin?
A. I should direct to inhale the spray containing medication
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, Med Surg 2 Exam 1 ACTUAL EXAM
B. I should ask the patient to change positions rapidly after medication use
C. I should instruct the patient to report changes in the pattern of their pain to the
HCP
D. I should encourage the patient to administer the medication every 30 min
sublingually if symptoms persist - ANSWER-C. I should instruct the patient to
report changes in the pattern of their pain to the HCP
The nurse teaches a student nurse about diagnostic studies used for acute
coronary syndrome. Which statement made by the student nurse indicates
effective learning?
A. A nitroprusside stress echocardiogram is used for patients with acute
pericarditis
B. A pathogenic Q wave is always present in the ECG of patients with unstable
angina
C. Serum cardiac markers are proteins released from necrotic heart muscle
D. Coronary angiography is the only way to confirm the diagnosis of unstable
angina - ANSWER-C. Serum cardiac markers are proteins released from necrotic
heart muscle
Which symptoms should the nurse recognize as unstable angina in a
perimenopausal client?
A. Dyspnea, hyperglycemia, polyuria
B. Fatigue, indigestion, SOB
C. Peripheral edema with decreased urinary output
D. Altered mentation with difficulty breathing - ANSWER-B. Fatigue, indigestion,
SOB
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, Med Surg 2 Exam 1 ACTUAL EXAM
A patient in teh coronary care unit develops Vfib. The first action the nurse should
take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per protocol - ANSWER-B. Initiate CPR
A patient has a diagnosis of acute MI, and his cardiac rhythm is sinus bradycardia
with 6-8 PVCs per minute. The pattern that the nurse recognizes as the most
characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval - ANSWER-C. A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a HR of 34 bpm. If the
bradycardia is symptomatic, the nurse would expect the patient to exhibit
A. Palpitations
B. HTN
C. Warm, flushed skin
D. SOB - ANSWER-D. SOB
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MED SURG 2 EXAM 1 ACTUAL EXAM NEWEST 2025/2026
COMPLETE 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse observes a student nurse who is providing thrombolytic therapy to a
patient three hours after the patient's report of chest pain. Which action
performed by the student nurse indicates the need for the nurse to intervene?
A. Monitors patient for blood in the urine
B. Assess regularly for neurologic status change
C. Draws blood samples from patient before therapy initiation
D. Reduces the dose of thrombolytic agent during episodes of chest pain -
ANSWER-D. Reduces the dose of thrombolytic agent during episodes of chest pain
The nurse provides information to a patient about preventing coronary artery
disease (CAD) by maintaining healthy serum low-density lipoproteins (LDL) and
high-density lipoprotein (HDL) levels. The nurse should include what goals?
A. Decreased LDLs; decreased HDLs
B. Decreased LDLs; increased HDLs
C. Increased LDLs; decreased HDLs
D. Increased LDLs; increased HDLs - ANSWER-B. Decreased LDLs; increased HDLs
Which statement made by the student nurse indicates effective learning regarding
the instructions to be given to a patient that receives a prescription for
nitroglycerin?
A. I should direct to inhale the spray containing medication
1|Page
, Med Surg 2 Exam 1 ACTUAL EXAM
B. I should ask the patient to change positions rapidly after medication use
C. I should instruct the patient to report changes in the pattern of their pain to the
HCP
D. I should encourage the patient to administer the medication every 30 min
sublingually if symptoms persist - ANSWER-C. I should instruct the patient to
report changes in the pattern of their pain to the HCP
The nurse teaches a student nurse about diagnostic studies used for acute
coronary syndrome. Which statement made by the student nurse indicates
effective learning?
A. A nitroprusside stress echocardiogram is used for patients with acute
pericarditis
B. A pathogenic Q wave is always present in the ECG of patients with unstable
angina
C. Serum cardiac markers are proteins released from necrotic heart muscle
D. Coronary angiography is the only way to confirm the diagnosis of unstable
angina - ANSWER-C. Serum cardiac markers are proteins released from necrotic
heart muscle
Which symptoms should the nurse recognize as unstable angina in a
perimenopausal client?
A. Dyspnea, hyperglycemia, polyuria
B. Fatigue, indigestion, SOB
C. Peripheral edema with decreased urinary output
D. Altered mentation with difficulty breathing - ANSWER-B. Fatigue, indigestion,
SOB
2|Page
, Med Surg 2 Exam 1 ACTUAL EXAM
A patient in teh coronary care unit develops Vfib. The first action the nurse should
take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per protocol - ANSWER-B. Initiate CPR
A patient has a diagnosis of acute MI, and his cardiac rhythm is sinus bradycardia
with 6-8 PVCs per minute. The pattern that the nurse recognizes as the most
characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval - ANSWER-C. A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a HR of 34 bpm. If the
bradycardia is symptomatic, the nurse would expect the patient to exhibit
A. Palpitations
B. HTN
C. Warm, flushed skin
D. SOB - ANSWER-D. SOB
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