NUR 209 Exam 2 – Medical-Surgical Nursing – College of Nursing – 2026/2027 Academic Year – 100 Questions and Answers Covering Four Core Domains

College of Nursing




NUR 209 Exam 2 Comprehensive
Examination 2026/2027 | Verified
Questions
College of Nursing | University-Level Nursing Students

100 Verified Questions | 4 Core Domains | Academic Year 2026/2027


Prepared by

College of Nursing | NUR 209 | Medical-Surgical Nursing

Examination 2 Actual Exam | Academic Year 2026/2027




NUR 209 Exam 2 Comprehensive Examination 2026/2027 | Verified Questions

,Introduction
This document contains 100 original, verified questions spanning four core domains:
Cardiovascular and Respiratory Disorders; Gastrointestinal and Renal Disorders; Endocrine and
Metabolic Disorders; and Neurological and Musculoskeletal Disorders. Every question has been
written originally for the Academic Year 2026/2027 to reinforce the official Medical-Surgical
Nursing Examination 2 objectives, supporting actual exam readiness, clinical proficiency, and
safe evidence-based adult nursing care. Each item pairs a clinically accurate stem with four
options and a concise rationale grounded in foundational medical-surgical nursing textbooks and
current clinical guidelines, so the pathophysiologic and pharmacologic reasoning behind every
correct option is transparent and instructive. Work through each domain in sequence, record your
results on the domain score tracker, and revisit the rationales for any question you miss before
sitting your actual exam.


Actual Questions

Domain 1: Cardiovascular and Respiratory Disorders

Question 1. A client with heart failure reports a three-pound weight gain in two days
with worsening ankle swelling. What is the nurse's priority interpretation?

A. Improved nutritional intake

B. Normal daily weight variation

C. Fluid retention indicating decompensation

D. Medication side effect of statins

Correct Answer: C

Rationale: Rapid weight tracks fluid accumulation before overt dyspnea; early reporting allows
diuretic adjustment.

Question 2. Which diet teaching is central to chronic heart failure self-
management?

A. Unlimited canned soups

B. Sodium restriction with daily weight monitoring

C. Potassium loading without assessment

D. Fluid liberty with salt tablets

Correct Answer: B

Rationale: Sodium drives retention; pairing restriction with weights lets clients intercept
congestion early.

Question 3. A client with atrial fibrillation takes warfarin. Which finding requires
same-day provider contact?

A. Black tarry stools

B. Occasional mild forearm bruising

C. Blood pressure of 130 over 80



NUR 209 Exam 2 Comprehensive Examination 2026/2027 | Verified Questions

, D. Heart rate of 76 at rest

Correct Answer: A

Rationale: Melena signals gastrointestinal bleeding on anticoagulation—an emergency
threshold, unlike routine bruising.

Question 4. Before administering digoxin, the nurse counts an apical pulse of 52.
What is the correct action?

A. Give the dose as ordered

B. Give half and recheck in an hour

C. Withhold the dose and notify the provider

D. Palpate the radial pulse instead

Correct Answer: C

Rationale: Adult parameters hold digoxin below sixty beats per minute; bradycardia is a hold-
and-report situation.

Question 5. Which finding suggests digoxin toxicity rather than disease
progression?

A. Steady weight with good appetite

B. Improved exercise tolerance

C. A regular rate of 70

D. Anorexia with yellow-tinged vision and confusion

Correct Answer: D

Rationale: The classic triad—gastrointestinal upset, visual halos, and confusion—flags rising
levels.

Question 6. A client with chest pain has an order for sublingual nitroglycerin. What
accompanies the first dose?

A. Confirm a recent blood pressure above the ordered parameter

B. Give the dose regardless of pressure

C. Crush the tablet for faster effect

D. Apply two patches simultaneously

Correct Answer: A

Rationale: Hypotension contraindicates nitrates; parameter check precedes dosing.

Question 7. Which assessment finding most suggests left-sided heart failure?

A. Dependent ankle edema only

B. Jugular venous distension alone



NUR 209 Exam 2 Comprehensive Examination 2026/2027 | Verified Questions

, C. Crackles in both lung bases with orthopnea

D. Right upper quadrant tenderness

Correct Answer: C

Rationale: Left-sided backup floods the lungs; right-sided failure drives peripheral congestion.

Question 8. A client on a beta blocker reports dizziness on standing. What is the
priority teaching?

A. Stand quickly to build tolerance

B. Rise slowly and hold the dose if the parameter is met

C. Restrict fluids entirely

D. Double the dose at bedtime

Correct Answer: B

Rationale: Orthostasis is a common effect; slow position changes and parameter holds prevent
falls.

Question 9. Which electrocardiogram finding requires immediate action in a client
on a telemetry unit?

A. Sinus rhythm with premature atrial beats

B. First-degree heart block

C. Sustained ventricular tachycardia with a pulse

D. Rate of 60 in sinus

Correct Answer: C

Rationale: Sustained ventricular tachycardia threatens degeneration to arrest—defibrillator
readiness comes first.

Question 10. A client post-coronary-artery-bypass asks when leg elevation after
saphenous harvesting matters. What is the correct teaching?

A. Remain on bed rest with legs flat

B. Hang legs dependent continuously

C. Wrap legs tightly with elastic hourly

D. Elevate intermittently when sitting to reduce edema, with walking several times daily

Correct Answer: D

Rationale: Intermittent elevation plus progressive ambulation balances venous return with
graft healing.

Question 11. A client with peripheral artery disease reports calf pain walking one
block relieved by standing. What guidance applies?

A. Walk to the pain, rest, and repeat in a supervised program


NUR 209 Exam 2 Comprehensive Examination 2026/2027 | Verified Questions