MEDICAL SURGICAL NURSING 5TH
EDITION HOLLY K STROMBERG ALL
CHAPTERS 1-49 FINAL PAPER 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ The nurse is participating as a team member in the resuscitation of a
patient who has experienced a cardiac arrest. The health care provider
who is directing the resuscitation asks the nurse to administer
epinephrine 1 mg IV. After giving the medication, which action should
the nurse take next? Answer: State "Epinephrine 1mg IV has been
given"
⩥ The clinic nurse is evaluating a patient who had coronary artery
stenting through the right femoral artery a week previously and is taking
metoprolol, clopidogrel, and aspirin. Which information reported by the
patient is most important to report to the health care provider? Answer:
Patient is experiencing shortness of breath and fatigue.
⩥ The nurse has just received a change-of-shift report about these
patients on the coronary step-down unit. Which one will the nurse assess
first? Answer: A 45-year-old patient with constrictive cardiomyopathy
who developed acute dyspnea and agitation about 1 hour before the shift
change
,⩥ The nurse is ambulating a cardiac surgery patient whose heart rate
suddenly increases to 146 beats/min. In which order will the nurse take
the following actions? Answer: Have patient sit down, administer
oxygen by nasal cannula as needed, check the patient's blood pressure,
call health care provider
⩥ A patient whose systolic blood pressure is always higher than 140 mm
Hg in the clinic tells the nurse, "My blood pressure at home is always
fine!" What action should the nurse take next? Answer: Ask the patient
to obtain blood pressures twice daily with an automatic blood pressure
cuff at home and bring the results to the clinic in a week.
⩥ A patient who has endocarditis with vegetation on the mitral valve
suddenly reports severe left foot pain. The nurse notes that no pulse is
palpable in the left foot and that it is cold and pale. Which action should
the nurse take next? Answer: Notify the health care provider about the
change in status
⩥ Two weeks ago, a patient with heart failure received a new
prescription for carvedilol 12.5 mg orally. Which finding by the nurse
who is evaluating the patient in the cardiology clinic is of most concern?
Answer: Sinus Bradycardia at a rate of 48 beats per minute
⩥ The nurse is caring for a hospitalized patient with heart failure who is
receiving captopril and spironolactone. Which laboratory value will be
most important to monitor? Answer: Potassium
,⩥ An 80-year-old patient on the coronary step-down unit tells the nurse,
"I do not need to take that docusate. I never get constipated!" Which
action by the nurse is most appropriate? Answer: Explain that his
decreased activity level may cause constipation.
⩥ A patient with stable angina has a prescription for ranolazine 500 mg
twice a day. Which patient finding is most important for the nurse to
discuss with the health care provider (HCP)? Answer: Patient reports
having chronic constipation (adverse effect of the medication, does not
impact heart rate or BP and can be taken with beta blockers or nitrates)
⩥ Which patient is best for the coronary care charge nurse to assign to a
float RN who has come for the day from the general medical-surgical
unit? Answer: Patient receiving IV furosemide to treat acute left
ventricular failure. (the nurse would be familiar with LVF and the
administration of IV medications)
⩥ Which topics will the nurse plan to include in dis-charge teaching for
a patient who has been admitted with heart failure? Select all that apply.
Answer: o How to monitor and record daily weight
o Date and time for follow-up appointments
o Symptoms of worsening heart failure
o How to read food labels for sodium content
⩥ A patient who has just arrived in the emergency department reports
substernal and left arm discomfort that has been going on for about 3
, hours. Which laboratory test will be most useful in determining whether
the nurse should anticipate implementing the acute coronary syndrome
standard protocol? Answer: Troponin I
⩥ A patient seen in the clinic with shortness of breath and fatigue is
being evaluated for a possible diagnosis of heart failure. Which
laboratory result will be most useful to monitor? Answer: B-type
Natriuretic Peptide
⩥ The emergency department nurse is caring for a patient who was just
admitted with left anterior chest pain, suggesting possible acute
myocardial infarction (MI). Which action will the nurse take first?
Answer: Administer sublingual nitroglycerin
⩥ The health care provider prescribes these actions for a patient who
was admitted with acute substernal chest pain. Which actions are
appropriate to assign to an experienced LPN/LVN who is working in the
emergency department? Select all that apply Answer: o Obtaining a 12-
lead electrocardiogram (ECG)
o Attaching cardiac monitor leads
o Having patient chew and swallow aspirin 162mg
⩥ The nurse is working in an outpatient clinic where many vascular
diagnostic tests are performed. Which task associated with vascular
testing is most appropriate to delegate to experienced assistive personnel
EDITION HOLLY K STROMBERG ALL
CHAPTERS 1-49 FINAL PAPER 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ The nurse is participating as a team member in the resuscitation of a
patient who has experienced a cardiac arrest. The health care provider
who is directing the resuscitation asks the nurse to administer
epinephrine 1 mg IV. After giving the medication, which action should
the nurse take next? Answer: State "Epinephrine 1mg IV has been
given"
⩥ The clinic nurse is evaluating a patient who had coronary artery
stenting through the right femoral artery a week previously and is taking
metoprolol, clopidogrel, and aspirin. Which information reported by the
patient is most important to report to the health care provider? Answer:
Patient is experiencing shortness of breath and fatigue.
⩥ The nurse has just received a change-of-shift report about these
patients on the coronary step-down unit. Which one will the nurse assess
first? Answer: A 45-year-old patient with constrictive cardiomyopathy
who developed acute dyspnea and agitation about 1 hour before the shift
change
,⩥ The nurse is ambulating a cardiac surgery patient whose heart rate
suddenly increases to 146 beats/min. In which order will the nurse take
the following actions? Answer: Have patient sit down, administer
oxygen by nasal cannula as needed, check the patient's blood pressure,
call health care provider
⩥ A patient whose systolic blood pressure is always higher than 140 mm
Hg in the clinic tells the nurse, "My blood pressure at home is always
fine!" What action should the nurse take next? Answer: Ask the patient
to obtain blood pressures twice daily with an automatic blood pressure
cuff at home and bring the results to the clinic in a week.
⩥ A patient who has endocarditis with vegetation on the mitral valve
suddenly reports severe left foot pain. The nurse notes that no pulse is
palpable in the left foot and that it is cold and pale. Which action should
the nurse take next? Answer: Notify the health care provider about the
change in status
⩥ Two weeks ago, a patient with heart failure received a new
prescription for carvedilol 12.5 mg orally. Which finding by the nurse
who is evaluating the patient in the cardiology clinic is of most concern?
Answer: Sinus Bradycardia at a rate of 48 beats per minute
⩥ The nurse is caring for a hospitalized patient with heart failure who is
receiving captopril and spironolactone. Which laboratory value will be
most important to monitor? Answer: Potassium
,⩥ An 80-year-old patient on the coronary step-down unit tells the nurse,
"I do not need to take that docusate. I never get constipated!" Which
action by the nurse is most appropriate? Answer: Explain that his
decreased activity level may cause constipation.
⩥ A patient with stable angina has a prescription for ranolazine 500 mg
twice a day. Which patient finding is most important for the nurse to
discuss with the health care provider (HCP)? Answer: Patient reports
having chronic constipation (adverse effect of the medication, does not
impact heart rate or BP and can be taken with beta blockers or nitrates)
⩥ Which patient is best for the coronary care charge nurse to assign to a
float RN who has come for the day from the general medical-surgical
unit? Answer: Patient receiving IV furosemide to treat acute left
ventricular failure. (the nurse would be familiar with LVF and the
administration of IV medications)
⩥ Which topics will the nurse plan to include in dis-charge teaching for
a patient who has been admitted with heart failure? Select all that apply.
Answer: o How to monitor and record daily weight
o Date and time for follow-up appointments
o Symptoms of worsening heart failure
o How to read food labels for sodium content
⩥ A patient who has just arrived in the emergency department reports
substernal and left arm discomfort that has been going on for about 3
, hours. Which laboratory test will be most useful in determining whether
the nurse should anticipate implementing the acute coronary syndrome
standard protocol? Answer: Troponin I
⩥ A patient seen in the clinic with shortness of breath and fatigue is
being evaluated for a possible diagnosis of heart failure. Which
laboratory result will be most useful to monitor? Answer: B-type
Natriuretic Peptide
⩥ The emergency department nurse is caring for a patient who was just
admitted with left anterior chest pain, suggesting possible acute
myocardial infarction (MI). Which action will the nurse take first?
Answer: Administer sublingual nitroglycerin
⩥ The health care provider prescribes these actions for a patient who
was admitted with acute substernal chest pain. Which actions are
appropriate to assign to an experienced LPN/LVN who is working in the
emergency department? Select all that apply Answer: o Obtaining a 12-
lead electrocardiogram (ECG)
o Attaching cardiac monitor leads
o Having patient chew and swallow aspirin 162mg
⩥ The nurse is working in an outpatient clinic where many vascular
diagnostic tests are performed. Which task associated with vascular
testing is most appropriate to delegate to experienced assistive personnel
