Medical-Surgical Nursing Certification
Exam Study Questions -Solved
A 68 year old female is admitted with a diagnosis of heart failure and ischemic
cardiomyopathy. Her cardiac history includes three previous MIs and three coronary
artery bypass grafts. The patient's appetite is unchanged. Which dietary restriction
would be the highest priority for this patient?
a. Low cholesterol
b. Reduced calorie
c. Low fat
d. Restricted sodium - ANSWER-d. Restricted sodium
A male patient tells the nurse he has stopped taking his beta blocker because it
interfered with his social life. Which comment by the nurse is most appropriate in
response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can correct this side
effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to changes in sexual
functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this can be
dangerous." - ANSWER-c. "Many men stop taking their blood pressure medications due
to changes in sexual functioning . Have you had this problem?"
A patient scheduled for heart catheterization learns the right radial artery will be
accessed rather than the femoral artery. The patient asks the nurse, "Could you tell me
about the two access options?" The nurse's response is based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral catheterization.
d. the patient can resume normal activity immediately after radial catheterization. -
ANSWER-b. external bleeding can be easily controlled with radial catheterization.
A patient with hypercholesterolemia was prescribed pravastatin (Prevachol). The nurse
should teach the patent about which of the following side effects for this medication?
a. Muscle weakness
b. Flushing
c. Itching
d. Hypotension - ANSWER-a. Muscle weakness
A patient with mitral valve disease is admitted to a medical unit with fever, chills, SOB,
malaise and a newly developed cardiac murmur. Based on the patient's new diagnosis
of endocarditis, the nurse will begin preparing him for discharge by teaching about:
a. lifestyle modifications.
Exam Study Questions -Solved
A 68 year old female is admitted with a diagnosis of heart failure and ischemic
cardiomyopathy. Her cardiac history includes three previous MIs and three coronary
artery bypass grafts. The patient's appetite is unchanged. Which dietary restriction
would be the highest priority for this patient?
a. Low cholesterol
b. Reduced calorie
c. Low fat
d. Restricted sodium - ANSWER-d. Restricted sodium
A male patient tells the nurse he has stopped taking his beta blocker because it
interfered with his social life. Which comment by the nurse is most appropriate in
response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can correct this side
effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to changes in sexual
functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this can be
dangerous." - ANSWER-c. "Many men stop taking their blood pressure medications due
to changes in sexual functioning . Have you had this problem?"
A patient scheduled for heart catheterization learns the right radial artery will be
accessed rather than the femoral artery. The patient asks the nurse, "Could you tell me
about the two access options?" The nurse's response is based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral catheterization.
d. the patient can resume normal activity immediately after radial catheterization. -
ANSWER-b. external bleeding can be easily controlled with radial catheterization.
A patient with hypercholesterolemia was prescribed pravastatin (Prevachol). The nurse
should teach the patent about which of the following side effects for this medication?
a. Muscle weakness
b. Flushing
c. Itching
d. Hypotension - ANSWER-a. Muscle weakness
A patient with mitral valve disease is admitted to a medical unit with fever, chills, SOB,
malaise and a newly developed cardiac murmur. Based on the patient's new diagnosis
of endocarditis, the nurse will begin preparing him for discharge by teaching about:
a. lifestyle modifications.
