MEDICAL SURGICAL IEN COMPREHENSIVE
REVIEW 100 PRACTICE QUESTIONS 2026/2027 ||
TARGETED EXAM PREPARATION WITH
CURRENT CONTENT AND ORGANIZED STUDY
SUPPORT || CLINICAL ASSESSMENT-STYLE
QUESTIONS WITH ACCURATE VERIFIED
ANSWERS LATEST RELEASE || PREMIUM A+
QUALITY GUARANTEED
1. A patient with chest pain relieved by rest most likely has:
A. MI
B. Stable angina
C. Unstable angina
D. Pericarditis
Rationale: Stable angina is predictable and relieved by rest or
nitroglycerin.
2. First priority for suspected MI?
A. Pain medication
B. Oxygen
C. ECG
D. Nitroglycerin
Rationale: Rapid ECG confirms ischemia and guides treatment.
3. Which lab confirms MI?
A. CK
B. BNP
C. Troponin I
,D. D-dimer
Rationale: Troponin is cardiac-specific and most sensitive.
4. Left-sided heart failure causes:
A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. JVD
Rationale: Left HF → pulmonary congestion.
5. Digoxin toxicity sign?
A. Hypertension
B. Yellow-green halos
C. Bradycardia only
D. Hyperkalemia
Rationale: Visual disturbances are classic.
6. Beta blockers are contraindicated in:
A. HTN
B. HF
C. Asthma
D. CAD
Rationale: Can cause bronchoconstriction.
7. BP 86/50 post-op—priority action?
A. Recheck later
B. Notify provider
C. Increase IV fluids
D. Give antihypertensive
Rationale: Hypotension → volume support first.
8. Most common cause of HF exacerbation?
A. Infection
B. Medication nonadherence
,C. MI
D. Valvular disease
9. Best position for acute pulmonary edema?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Side-lying
10. Heparin antidote?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Calcium gluconate
11. INR goal for warfarin therapy?
A. 0.8–1.2
B. 1.0–1.5
C. 2.0–3.0
D. >4.0
12. First sign of hypovolemic shock?
A. Hypotension
B. Oliguria
C. Tachycardia
D. Cyanosis
13. Best diet for HTN?
A. Keto
B. DASH
C. High protein
D. High sodium
14. Cardiac tamponade sign?
A. Bounding pulse
, B. Narrow pulse pressure
C. Beck’s triad
D. Pulmonary edema
15. Nitroglycerin side effect?
A. Bradycardia
B. Headache
C. Hypotension only
D. Hyperglycemia
RESPIRATORY (16–30)
16. Priority for COPD patient on oxygen?
A. Maintain SpO₂ 100%
B. Encourage deep breathing
C. Prevent CO₂ retention
D. Increase oxygen flow
17. ABG for respiratory acidosis?
A. ↑pH ↓CO₂
B. ↓pH ↑CO₂
C. ↑pH ↓HCO₃
D. ↓pH ↓CO₂
18. Asthma rescue medication?
A. LABA
B. Corticosteroid
C. Albuterol
D. Montelukast
19. Pneumothorax sign?
A. Bilateral crackles
B. Tracheal deviation
REVIEW 100 PRACTICE QUESTIONS 2026/2027 ||
TARGETED EXAM PREPARATION WITH
CURRENT CONTENT AND ORGANIZED STUDY
SUPPORT || CLINICAL ASSESSMENT-STYLE
QUESTIONS WITH ACCURATE VERIFIED
ANSWERS LATEST RELEASE || PREMIUM A+
QUALITY GUARANTEED
1. A patient with chest pain relieved by rest most likely has:
A. MI
B. Stable angina
C. Unstable angina
D. Pericarditis
Rationale: Stable angina is predictable and relieved by rest or
nitroglycerin.
2. First priority for suspected MI?
A. Pain medication
B. Oxygen
C. ECG
D. Nitroglycerin
Rationale: Rapid ECG confirms ischemia and guides treatment.
3. Which lab confirms MI?
A. CK
B. BNP
C. Troponin I
,D. D-dimer
Rationale: Troponin is cardiac-specific and most sensitive.
4. Left-sided heart failure causes:
A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. JVD
Rationale: Left HF → pulmonary congestion.
5. Digoxin toxicity sign?
A. Hypertension
B. Yellow-green halos
C. Bradycardia only
D. Hyperkalemia
Rationale: Visual disturbances are classic.
6. Beta blockers are contraindicated in:
A. HTN
B. HF
C. Asthma
D. CAD
Rationale: Can cause bronchoconstriction.
7. BP 86/50 post-op—priority action?
A. Recheck later
B. Notify provider
C. Increase IV fluids
D. Give antihypertensive
Rationale: Hypotension → volume support first.
8. Most common cause of HF exacerbation?
A. Infection
B. Medication nonadherence
,C. MI
D. Valvular disease
9. Best position for acute pulmonary edema?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Side-lying
10. Heparin antidote?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Calcium gluconate
11. INR goal for warfarin therapy?
A. 0.8–1.2
B. 1.0–1.5
C. 2.0–3.0
D. >4.0
12. First sign of hypovolemic shock?
A. Hypotension
B. Oliguria
C. Tachycardia
D. Cyanosis
13. Best diet for HTN?
A. Keto
B. DASH
C. High protein
D. High sodium
14. Cardiac tamponade sign?
A. Bounding pulse
, B. Narrow pulse pressure
C. Beck’s triad
D. Pulmonary edema
15. Nitroglycerin side effect?
A. Bradycardia
B. Headache
C. Hypotension only
D. Hyperglycemia
RESPIRATORY (16–30)
16. Priority for COPD patient on oxygen?
A. Maintain SpO₂ 100%
B. Encourage deep breathing
C. Prevent CO₂ retention
D. Increase oxygen flow
17. ABG for respiratory acidosis?
A. ↑pH ↓CO₂
B. ↓pH ↑CO₂
C. ↑pH ↓HCO₃
D. ↓pH ↓CO₂
18. Asthma rescue medication?
A. LABA
B. Corticosteroid
C. Albuterol
D. Montelukast
19. Pneumothorax sign?
A. Bilateral crackles
B. Tracheal deviation
