NUR 209 / NUR209 HESI Medical-
Surgical Nursing II V2 Actual Exam
2026/2027 | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old male with a history of CAD,
EF 25%, and CKD stage III presents to the ED with
acute decompensated heart failure. BP 82/48, HR
118, RR 26, SpO2 88% on RA. Labs: K+ 5.8, BUN
52, Cr 2.1, BNP 2800. Chest X-ray shows
pulmonary edema. He is started on dobutamine at 5
mcg/kg/min. Which assessment finding requires
immediate intervention?
A. Urine output 35 mL/hr for the past 3 hours
B. New onset atrial fibrillation with rapid ventricular
response at 142 bpm
C. Increase in BNP to 3200 after 6 hours of therapy
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,D. Fine crackles in bilateral lung bases
ANSWER: B
Q002: A 72-hour postoperative coronary artery
bypass graft patient develops sudden chest pain, ST
elevation in leads II, III, aVF, and becomes
hypotensive. The rapid response team is activated.
What is the priority nursing intervention?
A. Prepare to administer tissue plasminogen
activator (tPA) per protocol
B. Position the patient in high Fowler's and
administer 2L oxygen via nasal cannula
C. Prepare for emergency cardiac catheterization lab
transfer and possible graft revision
D. Draw serial troponins and repeat 12-lead EKG
every 15 minutes
ANSWER: C
Q003: A 54-year-old female with Type 2 diabetes,
HTN, and heart failure with preserved EF is
admitted with hypertensive emergency (BP
232/128). She reports sudden severe headache and
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,blurred vision. Fundoscopic exam reveals
papilledema. Which medication is contraindicated in
her initial management?
A. Nicardipine IV infusion
B. Labetalol IV bolus
C. Nitroglycerin IV infusion
D. Hydralazine IV bolus
ANSWER: D
Q004: A patient with end-stage cardiomyopathy is
receiving a milrinone infusion at 0.5 mcg/kg/min
while awaiting heart transplant. Overnight, the
patient's telemetry shows frequent PVCs and
nonsustained ventricular tachycardia. Morning labs
show potassium 2.8 mEq/L and magnesium 1.4
mg/dL. What is the priority nursing action?
A. Administer potassium chloride 40 mEq PO now
B. Stop milrinone infusion immediately and notify
provider
P a g e 3 | 53
, C. Replace potassium and magnesium per protocol
and increase telemetry monitoring
D. Prepare for synchronized cardioversion
ANSWER: C
Q005: The nurse is caring for a patient with an
Impella device placed for cardiogenic shock
following massive MI. The console shows "reduced
position" alarm and increasing hemolysis labs (LDH
850 U/L). Which action is most appropriate?
A. Flush Impella catheter with heparinized saline
B. Immediately notify physician and prepare for
possible device repositioning
C. Increase anticoagulation infusion per standing
order
D. Document findings and continue monitoring
hourly
ANSWER: B
Q006: A 61-year-old male post-MI is undergoing
therapeutic hypothermia protocol. During the
P a g e 4 | 53
Surgical Nursing II V2 Actual Exam
2026/2027 | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old male with a history of CAD,
EF 25%, and CKD stage III presents to the ED with
acute decompensated heart failure. BP 82/48, HR
118, RR 26, SpO2 88% on RA. Labs: K+ 5.8, BUN
52, Cr 2.1, BNP 2800. Chest X-ray shows
pulmonary edema. He is started on dobutamine at 5
mcg/kg/min. Which assessment finding requires
immediate intervention?
A. Urine output 35 mL/hr for the past 3 hours
B. New onset atrial fibrillation with rapid ventricular
response at 142 bpm
C. Increase in BNP to 3200 after 6 hours of therapy
P a g e 1 | 53
,D. Fine crackles in bilateral lung bases
ANSWER: B
Q002: A 72-hour postoperative coronary artery
bypass graft patient develops sudden chest pain, ST
elevation in leads II, III, aVF, and becomes
hypotensive. The rapid response team is activated.
What is the priority nursing intervention?
A. Prepare to administer tissue plasminogen
activator (tPA) per protocol
B. Position the patient in high Fowler's and
administer 2L oxygen via nasal cannula
C. Prepare for emergency cardiac catheterization lab
transfer and possible graft revision
D. Draw serial troponins and repeat 12-lead EKG
every 15 minutes
ANSWER: C
Q003: A 54-year-old female with Type 2 diabetes,
HTN, and heart failure with preserved EF is
admitted with hypertensive emergency (BP
232/128). She reports sudden severe headache and
P a g e 2 | 53
,blurred vision. Fundoscopic exam reveals
papilledema. Which medication is contraindicated in
her initial management?
A. Nicardipine IV infusion
B. Labetalol IV bolus
C. Nitroglycerin IV infusion
D. Hydralazine IV bolus
ANSWER: D
Q004: A patient with end-stage cardiomyopathy is
receiving a milrinone infusion at 0.5 mcg/kg/min
while awaiting heart transplant. Overnight, the
patient's telemetry shows frequent PVCs and
nonsustained ventricular tachycardia. Morning labs
show potassium 2.8 mEq/L and magnesium 1.4
mg/dL. What is the priority nursing action?
A. Administer potassium chloride 40 mEq PO now
B. Stop milrinone infusion immediately and notify
provider
P a g e 3 | 53
, C. Replace potassium and magnesium per protocol
and increase telemetry monitoring
D. Prepare for synchronized cardioversion
ANSWER: C
Q005: The nurse is caring for a patient with an
Impella device placed for cardiogenic shock
following massive MI. The console shows "reduced
position" alarm and increasing hemolysis labs (LDH
850 U/L). Which action is most appropriate?
A. Flush Impella catheter with heparinized saline
B. Immediately notify physician and prepare for
possible device repositioning
C. Increase anticoagulation infusion per standing
order
D. Document findings and continue monitoring
hourly
ANSWER: B
Q006: A 61-year-old male post-MI is undergoing
therapeutic hypothermia protocol. During the
P a g e 4 | 53
