NUR 170: Medical-Surgical Nursing
Exam 2 Review
65 Practice Questions with Correct Answers and Rationales
2025/2026 Edition | Institutional Course Assessment
Aligned with NCSBN NCLEX-RN Test Plan: Physiological Integrity
, Abstract
This document provides a comprehensive Exam 2 review resource for nursing students
enrolled in NUR 170 (Medical-Surgical Nursing). The review contains 65 multiple-choice
practice questions organized across the primary content domains assessed in Exam 2:
cardiovascular nursing management including coronary artery disease, myocardial infarction,
heart failure, hypertension, and arrhythmias (approximately 31%); respiratory nursing
management including COPD, asthma, pneumonia, pulmonary embolism, and oxygen therapy
(approximately 23%); gastrointestinal nursing management including peptic ulcer disease, GI
bleeding, liver cirrhosis, and pancreatitis (approximately 15%); nursing process application,
medication safety, and high-alert medication monitoring (approximately 11%); patient
education, prioritization, and delegation frameworks (approximately 12%); and legal, ethical,
and integrated clinical reasoning scenarios (approximately 8%). Each question is presented in
clinical scenario format with four answer options, the correct answer highlighted in bold teal,
and a detailed rationale explaining the nursing reasoning. Questions align with NUR 170
course objectives, NCSBN NCLEX-RN Detailed Test Plan competencies (Physiological
Integrity: Reduction of Risk Potential and Physiological Adaptation), and current clinical
practice guidelines from AHA/ACC, GOLD, IDSA/ATS, and ACG.
Keywords: NUR 170, medical-surgical nursing, NCLEX-RN, cardiovascular nursing,
respiratory nursing, gastrointestinal nursing, medication safety, prioritization, delegation,
clinical judgment, pre-licensure nursing
, Table of Contents
[Right-click and select 'Update Field' in Word to populate page numbers.]
Section 1: Cardiovascular Nursing Management (Questions 1–20)
Section 2: Respiratory Nursing Management (Questions 21–35)
Section 3: Gastrointestinal Nursing Management (Questions 36–45)
Section 4: Nursing Process & Medication Safety (Questions 46–52)
Section 5: Patient Education, Prioritization & Delegation (Questions 53–57)
Section 6: Legal/Ethical Considerations & Integrated Scenarios (Questions 58–65)
References
, Introduction
NUR 170 Medical-Surgical Nursing is a foundational course in pre-licensure BSN and
ADN programs that focuses on the nursing management of adult patients with acute and
chronic medical-surgical conditions across multiple body systems. Exam 2 typically evaluates
students' competency in intermediate medical-surgical concepts including cardiovascular,
respiratory, and gastrointestinal nursing management, as well as the application of the nursing
process, medication safety principles, patient education strategies, and prioritization
frameworks essential for safe clinical practice. This review provides 65 practice questions
designed to assess readiness across these content areas.
The questions are distributed to reflect common Exam 2 content weighting:
cardiovascular nursing management (approximately 31%), respiratory nursing management
(approximately 23%), gastrointestinal nursing management (approximately 15%), nursing
process and medication safety including high-alert medication monitoring (approximately
11%), patient education, prioritization, and delegation (approximately 12%), and legal, ethical,
and integrated clinical reasoning scenarios (approximately 8%). All questions are written at
the application and analysis cognitive levels consistent with NCLEX-RN examination
standards.
Each question follows a clinical scenario format emphasizing nursing actions including
assessment, monitoring, patient teaching, and intervention. Correct answers are presented in
bold teal with rationales that reference current clinical practice guidelines from AHA/ACC,
GOLD, IDSA/ATS, ACG, and NCSBN NCLEX-RN test plan competencies. This resource is
intended as a supplement to authorized NUR 170 course materials, clinical rotation
experiences, and faculty-led instruction—not as a replacement for hands-on clinical practice or
simulation.
Exam 2 Review
65 Practice Questions with Correct Answers and Rationales
2025/2026 Edition | Institutional Course Assessment
Aligned with NCSBN NCLEX-RN Test Plan: Physiological Integrity
, Abstract
This document provides a comprehensive Exam 2 review resource for nursing students
enrolled in NUR 170 (Medical-Surgical Nursing). The review contains 65 multiple-choice
practice questions organized across the primary content domains assessed in Exam 2:
cardiovascular nursing management including coronary artery disease, myocardial infarction,
heart failure, hypertension, and arrhythmias (approximately 31%); respiratory nursing
management including COPD, asthma, pneumonia, pulmonary embolism, and oxygen therapy
(approximately 23%); gastrointestinal nursing management including peptic ulcer disease, GI
bleeding, liver cirrhosis, and pancreatitis (approximately 15%); nursing process application,
medication safety, and high-alert medication monitoring (approximately 11%); patient
education, prioritization, and delegation frameworks (approximately 12%); and legal, ethical,
and integrated clinical reasoning scenarios (approximately 8%). Each question is presented in
clinical scenario format with four answer options, the correct answer highlighted in bold teal,
and a detailed rationale explaining the nursing reasoning. Questions align with NUR 170
course objectives, NCSBN NCLEX-RN Detailed Test Plan competencies (Physiological
Integrity: Reduction of Risk Potential and Physiological Adaptation), and current clinical
practice guidelines from AHA/ACC, GOLD, IDSA/ATS, and ACG.
Keywords: NUR 170, medical-surgical nursing, NCLEX-RN, cardiovascular nursing,
respiratory nursing, gastrointestinal nursing, medication safety, prioritization, delegation,
clinical judgment, pre-licensure nursing
, Table of Contents
[Right-click and select 'Update Field' in Word to populate page numbers.]
Section 1: Cardiovascular Nursing Management (Questions 1–20)
Section 2: Respiratory Nursing Management (Questions 21–35)
Section 3: Gastrointestinal Nursing Management (Questions 36–45)
Section 4: Nursing Process & Medication Safety (Questions 46–52)
Section 5: Patient Education, Prioritization & Delegation (Questions 53–57)
Section 6: Legal/Ethical Considerations & Integrated Scenarios (Questions 58–65)
References
, Introduction
NUR 170 Medical-Surgical Nursing is a foundational course in pre-licensure BSN and
ADN programs that focuses on the nursing management of adult patients with acute and
chronic medical-surgical conditions across multiple body systems. Exam 2 typically evaluates
students' competency in intermediate medical-surgical concepts including cardiovascular,
respiratory, and gastrointestinal nursing management, as well as the application of the nursing
process, medication safety principles, patient education strategies, and prioritization
frameworks essential for safe clinical practice. This review provides 65 practice questions
designed to assess readiness across these content areas.
The questions are distributed to reflect common Exam 2 content weighting:
cardiovascular nursing management (approximately 31%), respiratory nursing management
(approximately 23%), gastrointestinal nursing management (approximately 15%), nursing
process and medication safety including high-alert medication monitoring (approximately
11%), patient education, prioritization, and delegation (approximately 12%), and legal, ethical,
and integrated clinical reasoning scenarios (approximately 8%). All questions are written at
the application and analysis cognitive levels consistent with NCLEX-RN examination
standards.
Each question follows a clinical scenario format emphasizing nursing actions including
assessment, monitoring, patient teaching, and intervention. Correct answers are presented in
bold teal with rationales that reference current clinical practice guidelines from AHA/ACC,
GOLD, IDSA/ATS, ACG, and NCSBN NCLEX-RN test plan competencies. This resource is
intended as a supplement to authorized NUR 170 course materials, clinical rotation
experiences, and faculty-led instruction—not as a replacement for hands-on clinical practice or
simulation.
