MED-SURG EXAM 2 JERSEY COLLEGE QUESTIONS WITH
CORRECT ANSWERS 2025/2026 RATED A+
Angina could be triggered by ? - correct answer -eating a heavy meal
Exp: blood shunted to the gi area which decreases blood availability to the myocardium
Locations of chest pain? - correct answer -typically felt behind the sternum and may radiate
to:neck, jaw, shoulders, and along the inner aspect of the left arm.
What is the classic finding of angina? - correct answer -it is relieved with rest or nitroglycerine
Pt. Education for nitroglycerin? - correct answer -1. Keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. Can take every 5 minutes x 3 doses
5. Call 911 after the first dose if pain is not relieved
Decrease in cardiac output, expect the pulse to be? - correct answer -weak, thready pulse
Signs of hypokalemia? - correct answer -muscle weakness
Fatigue
Muscle cramps
Constipation
Inverted t waves and a u wave on ekg
Metabolic syndrome increases the risk of? - correct answer -heart disease
,Spironolactone is a potassium sparing diuretic that could? - correct answer -potentiate fluid and
electrolyte imbalances ( if given with potassium supplements, hyperkalemia can occur)
How do bet-blockers work? End in -olol - correct answer -decreases heart rate and blood
pressure. Mask the signs of hypoglycemia or worsen asthma because of bronchoconstriction
Why should you avoid discontinuing anti-hypertensives medications abruptly? - correct answer -
increase risk for rebound hypertension
Ace inhibitors and angiotensin 2 receptor blockers (arbs) increase the risk of? - correct answer -
hyperkalemia
Ace inhibitors, how do they work? Ends in -pril - correct answer -stop angiotensin 1 from
converting to angiotensin 2 (powerful vasoconstrictor) thereby lowering total peripheral
vascular resistance and blood pressure
How to take a proper blood pressure reading? - correct answer -instruct pt. To not eat or drink
for 30 mins
Support arm at heart level
Make sure both feet are flat on the floor
The target organs affected by long standing hypertension? - correct answer -retinopathy
Neuropathy
Nephropathy
Decrease in output could cause what? - correct answer -decrease in tissue perfusion which
results in organ failure
,Following a pulmonary artery pressure reading you should deflate the balloon. Why? - correct
answer -to restore the blood flow through the pulmonary artery
Straining with bowel movements is not good because? - correct answer -it triggers the valsalva
maneuver which increases intrathoracic pressure decreasing the venous blood flow to the heart
and results in decrease cardiac output.
Change patients position slowly to prebent? - correct answer -orthostatic hypotension
Low central venous pressure levels could suggests? - correct answer -could suggest dehydration
or overdiuresis
Increase central venous pressure could suggest? - correct answer -heart failure
Increase central venous pressure provides a measurement of what? - correct answer -
measurement of the volume of blood that returned to the right side of the heart (2-6 mm hg)
Hemodynamic monitoring is performed where? - correct answer -in icu and allows for direct
cardiac monitoring
Homocysteine - correct answer -damage the endothelial lining of the arteries
Increase risk for thrombus formation and lead to stroke, cad, and peripheral artery disease
The radiology procedure echocardiogram shows what about the heart? - correct answer -
direction of blood flow
Heart shape and size
Ventricular function
Ejection fraction
, The purpose of a cardiac stress test? - correct answer -to determine the hearts ability to
respond to increase oxygen demand
This protein triggers sodium excretion and a decrease in volume? - correct answer -brain
natriuretic peptide (bnp)
These protein levels increase as ventricular pressure increase in order to rid the body of excess
fluid? - correct answer -brain natriuretic peptide (bnp)
Bnp level greater than _____ suggests what? - correct answer -bnp levels greater than 100
suggest heart failure
Contrast medium is contraindicated in what type of patients? - correct answer -patients who are
allergic to iodine, shellfish or seafood
Patients who are pregnant or has elevated creatinine levels
Contrast medium is? - correct answer -nephrotoxic
Premature ventricular contractions could trigger ? - correct answer -life threatening dysrthymias
Therapeutic inr levels for coumadin when used for a-fib is? - correct answer -inr 2-3
Complication that may occur following cardiac catherization? - correct answer -fatal
dysrhythmias
Adventitious sound heard of the lower airway narrowing? - correct answer -wheezing
CORRECT ANSWERS 2025/2026 RATED A+
Angina could be triggered by ? - correct answer -eating a heavy meal
Exp: blood shunted to the gi area which decreases blood availability to the myocardium
Locations of chest pain? - correct answer -typically felt behind the sternum and may radiate
to:neck, jaw, shoulders, and along the inner aspect of the left arm.
What is the classic finding of angina? - correct answer -it is relieved with rest or nitroglycerine
Pt. Education for nitroglycerin? - correct answer -1. Keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. Can take every 5 minutes x 3 doses
5. Call 911 after the first dose if pain is not relieved
Decrease in cardiac output, expect the pulse to be? - correct answer -weak, thready pulse
Signs of hypokalemia? - correct answer -muscle weakness
Fatigue
Muscle cramps
Constipation
Inverted t waves and a u wave on ekg
Metabolic syndrome increases the risk of? - correct answer -heart disease
,Spironolactone is a potassium sparing diuretic that could? - correct answer -potentiate fluid and
electrolyte imbalances ( if given with potassium supplements, hyperkalemia can occur)
How do bet-blockers work? End in -olol - correct answer -decreases heart rate and blood
pressure. Mask the signs of hypoglycemia or worsen asthma because of bronchoconstriction
Why should you avoid discontinuing anti-hypertensives medications abruptly? - correct answer -
increase risk for rebound hypertension
Ace inhibitors and angiotensin 2 receptor blockers (arbs) increase the risk of? - correct answer -
hyperkalemia
Ace inhibitors, how do they work? Ends in -pril - correct answer -stop angiotensin 1 from
converting to angiotensin 2 (powerful vasoconstrictor) thereby lowering total peripheral
vascular resistance and blood pressure
How to take a proper blood pressure reading? - correct answer -instruct pt. To not eat or drink
for 30 mins
Support arm at heart level
Make sure both feet are flat on the floor
The target organs affected by long standing hypertension? - correct answer -retinopathy
Neuropathy
Nephropathy
Decrease in output could cause what? - correct answer -decrease in tissue perfusion which
results in organ failure
,Following a pulmonary artery pressure reading you should deflate the balloon. Why? - correct
answer -to restore the blood flow through the pulmonary artery
Straining with bowel movements is not good because? - correct answer -it triggers the valsalva
maneuver which increases intrathoracic pressure decreasing the venous blood flow to the heart
and results in decrease cardiac output.
Change patients position slowly to prebent? - correct answer -orthostatic hypotension
Low central venous pressure levels could suggests? - correct answer -could suggest dehydration
or overdiuresis
Increase central venous pressure could suggest? - correct answer -heart failure
Increase central venous pressure provides a measurement of what? - correct answer -
measurement of the volume of blood that returned to the right side of the heart (2-6 mm hg)
Hemodynamic monitoring is performed where? - correct answer -in icu and allows for direct
cardiac monitoring
Homocysteine - correct answer -damage the endothelial lining of the arteries
Increase risk for thrombus formation and lead to stroke, cad, and peripheral artery disease
The radiology procedure echocardiogram shows what about the heart? - correct answer -
direction of blood flow
Heart shape and size
Ventricular function
Ejection fraction
, The purpose of a cardiac stress test? - correct answer -to determine the hearts ability to
respond to increase oxygen demand
This protein triggers sodium excretion and a decrease in volume? - correct answer -brain
natriuretic peptide (bnp)
These protein levels increase as ventricular pressure increase in order to rid the body of excess
fluid? - correct answer -brain natriuretic peptide (bnp)
Bnp level greater than _____ suggests what? - correct answer -bnp levels greater than 100
suggest heart failure
Contrast medium is contraindicated in what type of patients? - correct answer -patients who are
allergic to iodine, shellfish or seafood
Patients who are pregnant or has elevated creatinine levels
Contrast medium is? - correct answer -nephrotoxic
Premature ventricular contractions could trigger ? - correct answer -life threatening dysrthymias
Therapeutic inr levels for coumadin when used for a-fib is? - correct answer -inr 2-3
Complication that may occur following cardiac catherization? - correct answer -fatal
dysrhythmias
Adventitious sound heard of the lower airway narrowing? - correct answer -wheezing
