MEDSURG 2 FINAL EXAM QUIZ 1-9|ANSWERED|2025-2026
1.A patient presents to the emergency department with reports of chest pain for 3 hours. What component of
his blood work is most clearly indicative of a myocardial infarction (MI)?
a. CK-MB
b. Troponin
c. Myoglobin
d. C-reactive protein
2. Two days after an acute myocardial infarction (MI), a patient complains of stabbing chest pain that
increases with a deep breath. Which action will the nurse take first?
a. Auscultate the heart sounds.
b. Check the patient's temperature.
c. Give the PRN acetaminophen (Tylenol).
d. Notify the patient's health care provider.
3. When planning emergent care for a patient with a suspected MI, what should the nurse anticipate
administrating?
A Oxygen, nitroglycerin, aspirin, and morphine
B Oxygen, furosemide (Lasix), nitroglycerin, and meperidine
C Aspirin, nitroprusside (Nipride), dopamine (Intropin), and oxygen
D Nitroglycerin, lorazepam (Ativan), oxygen, and warfarin (Coumadin)
4. The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation
myocardial infarction (STEMI) 2 days previously. Which information is most important to report to the
health care provider?
a. The troponin level is elevated.
b. The patient denies ever having a heart attack.
c. Bilateral crackles are auscultated in the mid-lower lobes.
d. The patient has occasional premature atrial contractions (PACs).
5. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and
fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
6. You are caring for a patient admitted with heart failure. The morning laboratory results reveal a serum
potassium level of 2.9 mEq/L. Which classification of medications should you withhold until consulting with
the physician?
,a.Antibiotics
b.Loop diuretics
c.Bronchodilators
d.Antihypertensives
7. During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient
has ankle edema, a 2-kg weight gain over the past 2 days, and complains of "feeling too tired to get out of
bed." Based on these data, a correct nursing diagnosis for the patient is
a. activity intolerance related to fatigue.
b. impaired skin integrity related to edema.
c. disturbed body image related to weight gain.
d. impaired gas exchange related to dyspnea on exertion.
8. Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF) requires
the most immediate action by the nurse.
a. oxygen saturation of 88%
b. weight gain of 1 kg (2.2lb)
c. heart rate of 106
d. urine output of 50 mL over 2 hours
9. When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet, the nurse
explains that foods to be restricted include
A.canned and frozen product
B.natural fruits
C.vegetables
D.eggs and other high protein foods
milk, yogurt, and other milk products.
I think its either b or c
10. Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of
coronary artery disease?
a. Decrease anxiety
b. Enhance myocardial oxygenation
c. Administer sublingual nitroglycerin
d. Educate the client about his symptoms
11. Which of the following is the most common symptom of myocardial infarction (mi)?
,a. Chest pain
b. Dyspnea
c. Edema
d. Palpitations
12. Which of the following conditions is most commonly responsible for myocardial infarction?
A. Aneurysm
B. myocardial infarction
C.Heart failure
D. Coronary artery thrombosis
D. diabetes
13. After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation
of crackles in the lungs?
A) Left-sided heart failure
B) Pulmonic valve malfunction
C) Right-sided heart failure
D) Tricuspid valve malfunction
14. A patient is complaining of a nagging cough that is continuous. Which medication below can cause this
side effect?
a. Lisinopril
b. Losartan
C. Cardizem
D. Lipitor
15. Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in
urine output?
A. Angina pectoris
B. Cardiomyopathy
C. Left-sided heart failure
D. Right-sided heart failure
16. Dyspnea, cough, expectoration, weakness, & edema are classic signs & symptoms of which of the following
conditions?
a. Pericarditis
b. Hypertension
, c. MI
d. Heart failure
17. Which of the following interventions should be the first priority when treating a client experiencing chest
pain while walking?
A. Sit the client down
B. Get the client back to bed
C. Obtain an ECG
D. Administer sublingual nitroglycerin
18. The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients
should the on-duty nurse assess first?
a. The 58-year-old client who was admitted 2 days ago with heart failure, BP of 126/76, and a respiratory rate of 21
breaths a minute.
b. The 88-year-old client with end-stage right-sided heart failure, BP of 78/50, and a DNR order.
c. The 62-year-old client who was admitted one day ago with thrombophlebitis and receiving IV heparin.
d. A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV
diltiazem (Cardizem).
19. A client with pulmonary edema has been on diuretic therapy. The client has an order for additional
furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on Digoxin
(Lanoxin), a nurse checks the client's most recent:
A. Digoxin level
B. Sodium level
C. Potassium level
D. Creatinine level
24. When taking care of post catheterization patient which is the most important intervention to initiate first?
A.assess site for bruising or hematoma
B.urinary output
C.medications ordered for pain
D. check history of the patient
25. Where is the sa node located?
A.right atrium
1.A patient presents to the emergency department with reports of chest pain for 3 hours. What component of
his blood work is most clearly indicative of a myocardial infarction (MI)?
a. CK-MB
b. Troponin
c. Myoglobin
d. C-reactive protein
2. Two days after an acute myocardial infarction (MI), a patient complains of stabbing chest pain that
increases with a deep breath. Which action will the nurse take first?
a. Auscultate the heart sounds.
b. Check the patient's temperature.
c. Give the PRN acetaminophen (Tylenol).
d. Notify the patient's health care provider.
3. When planning emergent care for a patient with a suspected MI, what should the nurse anticipate
administrating?
A Oxygen, nitroglycerin, aspirin, and morphine
B Oxygen, furosemide (Lasix), nitroglycerin, and meperidine
C Aspirin, nitroprusside (Nipride), dopamine (Intropin), and oxygen
D Nitroglycerin, lorazepam (Ativan), oxygen, and warfarin (Coumadin)
4. The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation
myocardial infarction (STEMI) 2 days previously. Which information is most important to report to the
health care provider?
a. The troponin level is elevated.
b. The patient denies ever having a heart attack.
c. Bilateral crackles are auscultated in the mid-lower lobes.
d. The patient has occasional premature atrial contractions (PACs).
5. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and
fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
6. You are caring for a patient admitted with heart failure. The morning laboratory results reveal a serum
potassium level of 2.9 mEq/L. Which classification of medications should you withhold until consulting with
the physician?
,a.Antibiotics
b.Loop diuretics
c.Bronchodilators
d.Antihypertensives
7. During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient
has ankle edema, a 2-kg weight gain over the past 2 days, and complains of "feeling too tired to get out of
bed." Based on these data, a correct nursing diagnosis for the patient is
a. activity intolerance related to fatigue.
b. impaired skin integrity related to edema.
c. disturbed body image related to weight gain.
d. impaired gas exchange related to dyspnea on exertion.
8. Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF) requires
the most immediate action by the nurse.
a. oxygen saturation of 88%
b. weight gain of 1 kg (2.2lb)
c. heart rate of 106
d. urine output of 50 mL over 2 hours
9. When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet, the nurse
explains that foods to be restricted include
A.canned and frozen product
B.natural fruits
C.vegetables
D.eggs and other high protein foods
milk, yogurt, and other milk products.
I think its either b or c
10. Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of
coronary artery disease?
a. Decrease anxiety
b. Enhance myocardial oxygenation
c. Administer sublingual nitroglycerin
d. Educate the client about his symptoms
11. Which of the following is the most common symptom of myocardial infarction (mi)?
,a. Chest pain
b. Dyspnea
c. Edema
d. Palpitations
12. Which of the following conditions is most commonly responsible for myocardial infarction?
A. Aneurysm
B. myocardial infarction
C.Heart failure
D. Coronary artery thrombosis
D. diabetes
13. After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation
of crackles in the lungs?
A) Left-sided heart failure
B) Pulmonic valve malfunction
C) Right-sided heart failure
D) Tricuspid valve malfunction
14. A patient is complaining of a nagging cough that is continuous. Which medication below can cause this
side effect?
a. Lisinopril
b. Losartan
C. Cardizem
D. Lipitor
15. Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in
urine output?
A. Angina pectoris
B. Cardiomyopathy
C. Left-sided heart failure
D. Right-sided heart failure
16. Dyspnea, cough, expectoration, weakness, & edema are classic signs & symptoms of which of the following
conditions?
a. Pericarditis
b. Hypertension
, c. MI
d. Heart failure
17. Which of the following interventions should be the first priority when treating a client experiencing chest
pain while walking?
A. Sit the client down
B. Get the client back to bed
C. Obtain an ECG
D. Administer sublingual nitroglycerin
18. The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients
should the on-duty nurse assess first?
a. The 58-year-old client who was admitted 2 days ago with heart failure, BP of 126/76, and a respiratory rate of 21
breaths a minute.
b. The 88-year-old client with end-stage right-sided heart failure, BP of 78/50, and a DNR order.
c. The 62-year-old client who was admitted one day ago with thrombophlebitis and receiving IV heparin.
d. A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV
diltiazem (Cardizem).
19. A client with pulmonary edema has been on diuretic therapy. The client has an order for additional
furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on Digoxin
(Lanoxin), a nurse checks the client's most recent:
A. Digoxin level
B. Sodium level
C. Potassium level
D. Creatinine level
24. When taking care of post catheterization patient which is the most important intervention to initiate first?
A.assess site for bruising or hematoma
B.urinary output
C.medications ordered for pain
D. check history of the patient
25. Where is the sa node located?
A.right atrium
