WGU Medical-Surgical Nursing Assessment
ACTUAL | REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
Section 1: Cardiovascular Nursing (Questions 1–15)
,1. A nurse is caring for a client with heart failure who has a prescription for furosemide. Which assessment finding
indicates a therapeutic response?
A. Weight loss of 2 kg in 24 hours
B. Urine output of 30 mL/hr
C. Heart rate of 110 bpm
D. Crackles in bilateral lung bases
Answer: A
Rationale: Weight loss of 2 kg (about 4.4 lb) in 24 hours indicates effective diuresis and fluid removal. Urine output of 30
mL/hr is the minimum acceptable but not necessarily therapeutic. Tachycardia and crackles indicate worsening fluid
overload.
2. A client is prescribed digoxin. Which finding should the nurse report immediately?
A. Heart rate of 58 bpm
B. Potassium level of 3.2 mEq/L
,C. Digoxin level of 1.2 ng/mL
D. Nausea with vomiting
Answer: D
Rationale: Nausea and vomiting are early signs of digoxin toxicity. A heart rate of 58 is slightly low but not immediately
dangerous. Potassium of 3.2 increases toxicity risk but requires intervention. Digoxin level of 1.2 is therapeutic (0.5–2.0
ng/mL). Nausea/vomiting indicates toxicity and should be reported immediately.
3. A nurse is teaching a client about warfarin therapy. Which statement indicates understanding?
A. "I should increase my intake of leafy green vegetables."
B. "I will use a soft toothbrush and electric razor."
C. "I can take aspirin for headaches."
D. "I should stop taking warfarin if I bruise easily."
Answer: B
Rationale: Warfarin increases bleeding risk, so using a soft toothbrush and electric razor prevents injury. Leafy greens
contain vitamin K, which antagonizes warfarin. Aspirin increases bleeding risk. Clients should never stop warfarin without
provider guidance.
, 4. A client with acute myocardial infarction is prescribed morphine. What is the primary purpose?
A. Prevent clot formation
B. Relieve pain and reduce myocardial oxygen demand
C. Increase heart rate
D. Lower blood pressure
Answer: B
Rationale: Morphine relieves pain, reduces anxiety, decreases myocardial oxygen demand, and dilates coronary arteries.
It is not an anticoagulant and does not increase heart rate.
5. A nurse assesses a client with peripheral arterial disease (PAD). Which finding is expected?
A. Warm, edematous extremities
B. Shiny, hairless skin with cool temperature
ACTUAL | REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
Section 1: Cardiovascular Nursing (Questions 1–15)
,1. A nurse is caring for a client with heart failure who has a prescription for furosemide. Which assessment finding
indicates a therapeutic response?
A. Weight loss of 2 kg in 24 hours
B. Urine output of 30 mL/hr
C. Heart rate of 110 bpm
D. Crackles in bilateral lung bases
Answer: A
Rationale: Weight loss of 2 kg (about 4.4 lb) in 24 hours indicates effective diuresis and fluid removal. Urine output of 30
mL/hr is the minimum acceptable but not necessarily therapeutic. Tachycardia and crackles indicate worsening fluid
overload.
2. A client is prescribed digoxin. Which finding should the nurse report immediately?
A. Heart rate of 58 bpm
B. Potassium level of 3.2 mEq/L
,C. Digoxin level of 1.2 ng/mL
D. Nausea with vomiting
Answer: D
Rationale: Nausea and vomiting are early signs of digoxin toxicity. A heart rate of 58 is slightly low but not immediately
dangerous. Potassium of 3.2 increases toxicity risk but requires intervention. Digoxin level of 1.2 is therapeutic (0.5–2.0
ng/mL). Nausea/vomiting indicates toxicity and should be reported immediately.
3. A nurse is teaching a client about warfarin therapy. Which statement indicates understanding?
A. "I should increase my intake of leafy green vegetables."
B. "I will use a soft toothbrush and electric razor."
C. "I can take aspirin for headaches."
D. "I should stop taking warfarin if I bruise easily."
Answer: B
Rationale: Warfarin increases bleeding risk, so using a soft toothbrush and electric razor prevents injury. Leafy greens
contain vitamin K, which antagonizes warfarin. Aspirin increases bleeding risk. Clients should never stop warfarin without
provider guidance.
, 4. A client with acute myocardial infarction is prescribed morphine. What is the primary purpose?
A. Prevent clot formation
B. Relieve pain and reduce myocardial oxygen demand
C. Increase heart rate
D. Lower blood pressure
Answer: B
Rationale: Morphine relieves pain, reduces anxiety, decreases myocardial oxygen demand, and dilates coronary arteries.
It is not an anticoagulant and does not increase heart rate.
5. A nurse assesses a client with peripheral arterial disease (PAD). Which finding is expected?
A. Warm, edematous extremities
B. Shiny, hairless skin with cool temperature
