MED SURG PROCTORED EXAM 2 2026
MEDICAL SURGICAL NURSING ASSESSMENT
QUESTIONS SOLUTIONS GRADED A+
◉ Which of the following is an example of a female patient
experiencing angina?
Answer: "I feel really nauseated and I have terrible pain between my
shoulder blades."
◉ A patient presents to the hospital with right sided chest pain. The
patient's assessment data is the following: A&O x 3, BP 110/60 mm
Hg, HR 105, RR 22, SpO2 88%, temperature 37.5 C, S1S2 WNL, S3
present, +heave, bilateral crackles to bases, cap refill +5 sec. Based
on these findings, the nurse will first:
Answer: Administer oxygen via nasal canula.
◉ The nurse is educating the patient with MI on the primary reason
for administering morphine? Which statement by the nurse is
correct?
Answer: "Your chest pain will decrease"
◉ A patient diagnosed with a large left anterior MI asks the nurse if
he is going to die. What is the best reply from the nurse?
,Answer: "What makes you think that you will die?"
◉ Which of the following patients is most likely to suffer from an
impending MI?
Answer: A 65-year old man who has not experienced chest pain
relief after a third sublingual Nitro tablet.
◉ A patient with history of obesity is admitted with a diagnosis of
acute myocardial infarction. When considering discharge teaching
after MI, the nurse will include which one of the following admission
laboratory test results?
A. Troponin of 2.0 mg/dl
B. AST of 20
C. LDL of 200 mg/dl
D. Creatinine of 1.0 mg/dl
Answer: LDL of 200 mg/dl
◉ The physician orders continuous intravenous nitroglycerin
infusion for the client with MI. Essential nursing actions include
which of the following?
A. Obtaining an infusion pump for the medication.
B. Monitoring BP q8h.
C. Monitoring urine output hourly.
, D. Obtaining serum potassium levels daily.
Answer: A: Obtaining an infusion pump for the medication.
◉ Which of the following is an expected outcome for a client on the
second day of hospitalization after an MI?
Answer: Can perform self care activities without pain.
◉ Which of the following meals are appropriate for the patient post
cardiac catheterization?
Answer: A boiled egg, one slice of toasted bread with margarine, and
a cup of low fat yogurt.
◉ The nurse observes a streak of blood flowing from the transradial
band of the patient who had cardiac catheterization 4 hours ago.
What is the next nursing action?
Answer: Inflate with 3 cc, wait 30 min and start deflating.
◉ There are multiple tests results for Mrs. Burns. Which ones are
most indicative of acute myocardial infarction? Select all that apply.
A. Troponin I of 1.5 ng/ml.
B. CK-MB 12.
C. BNP of 300.
D. Lactic acid of 3.0.
MEDICAL SURGICAL NURSING ASSESSMENT
QUESTIONS SOLUTIONS GRADED A+
◉ Which of the following is an example of a female patient
experiencing angina?
Answer: "I feel really nauseated and I have terrible pain between my
shoulder blades."
◉ A patient presents to the hospital with right sided chest pain. The
patient's assessment data is the following: A&O x 3, BP 110/60 mm
Hg, HR 105, RR 22, SpO2 88%, temperature 37.5 C, S1S2 WNL, S3
present, +heave, bilateral crackles to bases, cap refill +5 sec. Based
on these findings, the nurse will first:
Answer: Administer oxygen via nasal canula.
◉ The nurse is educating the patient with MI on the primary reason
for administering morphine? Which statement by the nurse is
correct?
Answer: "Your chest pain will decrease"
◉ A patient diagnosed with a large left anterior MI asks the nurse if
he is going to die. What is the best reply from the nurse?
,Answer: "What makes you think that you will die?"
◉ Which of the following patients is most likely to suffer from an
impending MI?
Answer: A 65-year old man who has not experienced chest pain
relief after a third sublingual Nitro tablet.
◉ A patient with history of obesity is admitted with a diagnosis of
acute myocardial infarction. When considering discharge teaching
after MI, the nurse will include which one of the following admission
laboratory test results?
A. Troponin of 2.0 mg/dl
B. AST of 20
C. LDL of 200 mg/dl
D. Creatinine of 1.0 mg/dl
Answer: LDL of 200 mg/dl
◉ The physician orders continuous intravenous nitroglycerin
infusion for the client with MI. Essential nursing actions include
which of the following?
A. Obtaining an infusion pump for the medication.
B. Monitoring BP q8h.
C. Monitoring urine output hourly.
, D. Obtaining serum potassium levels daily.
Answer: A: Obtaining an infusion pump for the medication.
◉ Which of the following is an expected outcome for a client on the
second day of hospitalization after an MI?
Answer: Can perform self care activities without pain.
◉ Which of the following meals are appropriate for the patient post
cardiac catheterization?
Answer: A boiled egg, one slice of toasted bread with margarine, and
a cup of low fat yogurt.
◉ The nurse observes a streak of blood flowing from the transradial
band of the patient who had cardiac catheterization 4 hours ago.
What is the next nursing action?
Answer: Inflate with 3 cc, wait 30 min and start deflating.
◉ There are multiple tests results for Mrs. Burns. Which ones are
most indicative of acute myocardial infarction? Select all that apply.
A. Troponin I of 1.5 ng/ml.
B. CK-MB 12.
C. BNP of 300.
D. Lactic acid of 3.0.
