,NUR 265 Exam 2 (2 Versions) – Medical-
Surgical Nursing –Actual Questions &
Answers (GCN) 100% Guarantee Pass
1. A patient with acute decompensated heart failure presents with severe dyspnea,
crackles in all lung fields, and an oxygen saturation of 85% on room air. What is
the priority intervention?
• A) Administer furosemide IV
• B) Place the patient in high Fowler's position
• C) Apply non-invasive positive pressure ventilation (BiPAP)
• D) Administer morphine IV
Correct Answer: B – High Fowler's position reduces preload and improves breathing.
Airway and positioning come before medications.
2. Which finding is most concerning in a patient with chronic heart failure?
• A) 2+ pitting edema in lower extremities
• B) Jugular venous distention
• C) Weight gain of 5 lbs in 2 days
• D) Heart rate 90 bpm
Correct Answer: C – Rapid weight gain indicates worsening fluid overload and
impending acute decompensation.
3. A patient with heart failure has a prescription for carvedilol. The nurse
understands that this medication is used to:
• A) Increase contractility
• B) Reduce mortality in heart failure
• C) Treat acute pulmonary edema
, • D) Increase heart rate
Correct Answer: B – Carvedilol is a beta-blocker that has been shown to reduce
mortality and hospitalizations in heart failure.
4. A patient with heart failure has an ejection fraction of 25%. Which classification
of heart failure is this?
• A) HFpEF (preserved ejection fraction)
• B) HFrEF (reduced ejection fraction)
• C) Right-sided heart failure
• D) High-output heart failure
Correct Answer: B – HFrEF (Heart Failure with reduced Ejection Fraction) is defined as
an ejection fraction <40%.
5. Which finding is characteristic of right-sided heart failure?
• A) Crackles in lung bases
• B) Paroxysmal nocturnal dyspnea
• C) Jugular venous distention and hepatomegaly
• D) S3 gallop
Correct Answer: C – Right-sided failure causes systemic congestion, leading to JVD,
hepatomegaly, ascites, and peripheral edema.
6. A patient with heart failure is started on digoxin. Which finding indicates
digoxin toxicity?
• A) Heart rate 72 bpm
• B) Serum digoxin level 1.2 ng/mL
• C) Nausea, vomiting, and yellow halos around vision
• D) Improved exercise tolerance
Correct Answer: C – GI symptoms (nausea, vomiting) and visual changes (yellow halos)
are classic signs of digoxin toxicity.
Surgical Nursing –Actual Questions &
Answers (GCN) 100% Guarantee Pass
1. A patient with acute decompensated heart failure presents with severe dyspnea,
crackles in all lung fields, and an oxygen saturation of 85% on room air. What is
the priority intervention?
• A) Administer furosemide IV
• B) Place the patient in high Fowler's position
• C) Apply non-invasive positive pressure ventilation (BiPAP)
• D) Administer morphine IV
Correct Answer: B – High Fowler's position reduces preload and improves breathing.
Airway and positioning come before medications.
2. Which finding is most concerning in a patient with chronic heart failure?
• A) 2+ pitting edema in lower extremities
• B) Jugular venous distention
• C) Weight gain of 5 lbs in 2 days
• D) Heart rate 90 bpm
Correct Answer: C – Rapid weight gain indicates worsening fluid overload and
impending acute decompensation.
3. A patient with heart failure has a prescription for carvedilol. The nurse
understands that this medication is used to:
• A) Increase contractility
• B) Reduce mortality in heart failure
• C) Treat acute pulmonary edema
, • D) Increase heart rate
Correct Answer: B – Carvedilol is a beta-blocker that has been shown to reduce
mortality and hospitalizations in heart failure.
4. A patient with heart failure has an ejection fraction of 25%. Which classification
of heart failure is this?
• A) HFpEF (preserved ejection fraction)
• B) HFrEF (reduced ejection fraction)
• C) Right-sided heart failure
• D) High-output heart failure
Correct Answer: B – HFrEF (Heart Failure with reduced Ejection Fraction) is defined as
an ejection fraction <40%.
5. Which finding is characteristic of right-sided heart failure?
• A) Crackles in lung bases
• B) Paroxysmal nocturnal dyspnea
• C) Jugular venous distention and hepatomegaly
• D) S3 gallop
Correct Answer: C – Right-sided failure causes systemic congestion, leading to JVD,
hepatomegaly, ascites, and peripheral edema.
6. A patient with heart failure is started on digoxin. Which finding indicates
digoxin toxicity?
• A) Heart rate 72 bpm
• B) Serum digoxin level 1.2 ng/mL
• C) Nausea, vomiting, and yellow halos around vision
• D) Improved exercise tolerance
Correct Answer: C – GI symptoms (nausea, vomiting) and visual changes (yellow halos)
are classic signs of digoxin toxicity.
