Med Surg 2 Exam 1 Practice Questions
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1. A patient who has received a maximum dose of nitroglycerin continues to
report chest pain. What is the next medication that the nurse should adminis-
ter to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol: B. Morphine Sulfate
2. When planning emergent care for a patient with a suspected myocardial
infarction (MI), what should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine: A. Oxygen, nitroglycerin, as-
pirin, morphine
3. A patient is classified as having stage 2 hypertension on the basis of the
blood pressure recorded. The nurse notes that the primary goal of therapy for
the patient is to normalize the blood pressure. What should be the patient's
target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90: B. less than 120/80
4. The nurse assesses a patient with papillary muscle dysfunction. Which
observation supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border: C. Murmur
at the cardiac apex
5. Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima: A. Platelet aggregation and adhesion
6. Which statement by an 84-year-old patient with coronary artery disease
(CAD) indicates understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared
with younger people
, Med Surg 2 Exam 1 Practice Questions
Study online at https://quizlet.com/_7v9su8
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions: D. I will use longer
rest periods between exercise sessions
7. The nurse is providing teaching to a patient recovering from a myocardial
infarction (MI). How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material: B. Discussed
along with other physical activities
8. The nurse provides information to a patient about ways to decrease risk
factors for coronary artery disease (CAD). Which statement by the patient
indicates understanding of the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress: D. I will
change my lifestyle to alter patterns that add to my stress
9. The nurse is preparing an initial care plan for a patient that presents with
chest pain. What is the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness: A. Monitor the patient's
ECG
10. During the 48 hours after a myocardial infarction (MI), a nurse should
assign the highest priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects: A. Dysrhythmias
11. A patient experiences anginal pain. What is an appropriate nursing inter-
vention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises: C. Position the patient
upright and administer oxygen
, Med Surg 2 Exam 1 Practice Questions
Study online at https://quizlet.com/_7v9su8
12. A patient with chronic stable angina has received a prescription for sublin-
gual (SL) nitroglycerin. The nurse tells the patient that orthostatic hypotension
is a side effect of the drug. What should the nurse include in the patient's
teaching about preventing complications associated with the side effect?
A. Take your BP daily and record the measurement
B. Take the medication with each meal while you are seated
C. Avoid sudden changes in position after taking nitroglycerin to prevent falls
D. If the medication causes a tingling sensation, this indicates that hypoten-
sion will be more severe: C. Avoid sudden changes in position after taking nitro-
glycerin to prevent falls
13. The nurse provides medication teaching to a patient who has been pre-
scribed sublingual nitroglycerin tablets. Which statement made by the patient
indicates the need for further education?
A. When I put the tablet under my tongue, I should feel a tingling sensation
B. I can take as many tablets as needed until the pain goes away, each five
minutes apart
C. I will need to be careful when I stand up because nitroglycerin can cause
dizziness
D. If chest pain occurs, I will stop what I'm doing and put a tablet under my
tongue: B. I can take as many tablets as needed until the pain goes away, each five
minutes apart
14. A patient that is being discharged from the hospital after acute coronary
syndrome will be participating in cardiac rehabilitation. What information
should the nurse provide about the early recovery phase of rehabilitation?
A. Therapeutic lifestyle changes should become lifelong habits
B. Physical activity always begins in the hospital and continued at home
C. Activity is increased gradually with supervision by the rehab team and with
ECG monitoring
D. The focus of rehab will be on management of chest pain, anxiety, dysrhyth-
mias, and other complications: C. Activity is increased gradually with supervision
by the rehab team and with ECG monitoring
15. Which type of angina increases in frequency, duration, and severity as the
time progresses?
A. Unstable
B. Prinzmetal's
C. Chronic stable
D. Microvascular: A. Unstable angina
16. The nurse provides discharge teaching to a patient who is newly diagnosed
with coronary artery disease (CAD). Which statement made by the patient indi-
Study online at https://quizlet.com/_7v9su8
1. A patient who has received a maximum dose of nitroglycerin continues to
report chest pain. What is the next medication that the nurse should adminis-
ter to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol: B. Morphine Sulfate
2. When planning emergent care for a patient with a suspected myocardial
infarction (MI), what should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine: A. Oxygen, nitroglycerin, as-
pirin, morphine
3. A patient is classified as having stage 2 hypertension on the basis of the
blood pressure recorded. The nurse notes that the primary goal of therapy for
the patient is to normalize the blood pressure. What should be the patient's
target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90: B. less than 120/80
4. The nurse assesses a patient with papillary muscle dysfunction. Which
observation supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border: C. Murmur
at the cardiac apex
5. Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima: A. Platelet aggregation and adhesion
6. Which statement by an 84-year-old patient with coronary artery disease
(CAD) indicates understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared
with younger people
, Med Surg 2 Exam 1 Practice Questions
Study online at https://quizlet.com/_7v9su8
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions: D. I will use longer
rest periods between exercise sessions
7. The nurse is providing teaching to a patient recovering from a myocardial
infarction (MI). How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material: B. Discussed
along with other physical activities
8. The nurse provides information to a patient about ways to decrease risk
factors for coronary artery disease (CAD). Which statement by the patient
indicates understanding of the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress: D. I will
change my lifestyle to alter patterns that add to my stress
9. The nurse is preparing an initial care plan for a patient that presents with
chest pain. What is the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness: A. Monitor the patient's
ECG
10. During the 48 hours after a myocardial infarction (MI), a nurse should
assign the highest priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects: A. Dysrhythmias
11. A patient experiences anginal pain. What is an appropriate nursing inter-
vention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises: C. Position the patient
upright and administer oxygen
, Med Surg 2 Exam 1 Practice Questions
Study online at https://quizlet.com/_7v9su8
12. A patient with chronic stable angina has received a prescription for sublin-
gual (SL) nitroglycerin. The nurse tells the patient that orthostatic hypotension
is a side effect of the drug. What should the nurse include in the patient's
teaching about preventing complications associated with the side effect?
A. Take your BP daily and record the measurement
B. Take the medication with each meal while you are seated
C. Avoid sudden changes in position after taking nitroglycerin to prevent falls
D. If the medication causes a tingling sensation, this indicates that hypoten-
sion will be more severe: C. Avoid sudden changes in position after taking nitro-
glycerin to prevent falls
13. The nurse provides medication teaching to a patient who has been pre-
scribed sublingual nitroglycerin tablets. Which statement made by the patient
indicates the need for further education?
A. When I put the tablet under my tongue, I should feel a tingling sensation
B. I can take as many tablets as needed until the pain goes away, each five
minutes apart
C. I will need to be careful when I stand up because nitroglycerin can cause
dizziness
D. If chest pain occurs, I will stop what I'm doing and put a tablet under my
tongue: B. I can take as many tablets as needed until the pain goes away, each five
minutes apart
14. A patient that is being discharged from the hospital after acute coronary
syndrome will be participating in cardiac rehabilitation. What information
should the nurse provide about the early recovery phase of rehabilitation?
A. Therapeutic lifestyle changes should become lifelong habits
B. Physical activity always begins in the hospital and continued at home
C. Activity is increased gradually with supervision by the rehab team and with
ECG monitoring
D. The focus of rehab will be on management of chest pain, anxiety, dysrhyth-
mias, and other complications: C. Activity is increased gradually with supervision
by the rehab team and with ECG monitoring
15. Which type of angina increases in frequency, duration, and severity as the
time progresses?
A. Unstable
B. Prinzmetal's
C. Chronic stable
D. Microvascular: A. Unstable angina
16. The nurse provides discharge teaching to a patient who is newly diagnosed
with coronary artery disease (CAD). Which statement made by the patient indi-
