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NUR 242 Med Surg Exam verified questions and answers latest update 2026

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NUR 242 Med Surg Exam verified questions and answers latest update 2026

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NUR 242 Med Surg Exam verified questions
and answers latest update 2026




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 - ANSWER-B

Enhancing myocardial oxygenation is always the first priority when a client exhibits

signs or symptoms of cardiac compromise. Without adequate oxygenation, the

myocardium suffers damage. Sublingual nitroglycerin is administered to treat acute

angina, but administration isn't the first priority. Although educating the client and

decreasing anxiety are important in care delivery, neither are priorities when a client is

compromised.

A client admitted for uncontrolled hypertension and chest pain was started on a daily

diuretic two days ago upon admission, with prescriptions for a daily basic metabolic

panel. The clients potassium level this morning is 2.7 mEq/L. Which action should the

nurse take next?




A. Notify the healthcare provider that the potassium level is above normal


B. Notify the healthcare provider that the potassium level is below normal

,C. No action is required because the potassium level is within normal limits

D. Hold the clients morning diuretic dose - ANSWER-B



Medical treatment of coronary artery disease includes which of the following

procedures?




A) Cardiac catherization


B) Coronary artery bypass surgery


C) Oral medication therapy

D) Percutaneous transluminal coronary angioplasty -
ANSWER-C


Enhancing myocardial oxygenation is always the first priority when a client exhibits

signs or symptoms of cardiac compromise. Without adequate oxygenation, the

myocardium suffers damage. Sublingual nitroglycerin is administered to treat acute

angina, but administration isn't the first priority. Although educating the client and

decreasing anxiety are important in care delivery, neither are priorities when a client is

compromised.3. Oral medication administration is a noninvasive, medical treatment for

, coronary artery disease. Cardiac catherization isn't a treatment, but a diagnostic tool.

Coronary artery bypass surgery and percutaneous transluminal coronary angioplasty

are invasive, surgical treatments.




Which of the following is the most common symptom of myocardial infarction (MI)?




A) Chest pain


B) Dyspnea


C) Edema

D) Palpitations - ANSWER-A



Which of the following blood tests is most indicative of cardiac damage?



A) Lactate dehydrogenase


B) Complete blood count (CBC)


C) Troponin I

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