lOMoAR cPSD| 57629747
Medical-Surgical Nursing II: Comprehensive Final
Exam
Community College of Rhode Island
Medical-Surgical Nursing II
Medical-Surgical Nursing II: Comprehensive Final Examination
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu AI to create
targeted study materials like quizzes, summaries, and study guides.
Section 1/3 40 total marks Multiple Choice
Select the single best answer for each question. Each question is worth 2 marks.
Question 1 4 total marks
Downloaded by Collins Mwaniki ()
, lOMoAR cPSD| 57629747
A 62-year-old patient presents to the Emergency Department with reports of sudden, crushing substernal chest pain
radiating to the left jaw. The patient is diaphoretic and pale. A 12-lead EKG is performed immediately, showing ST-
segment elevation in leads V3 and V4. The patient's blood pressure is 102/60 mmHg and heart rate is 112 bpm.
A Based on the EKG findings and clinical presentation, which coronary artery is most likely occluded in this patient?
A Left Anterior Descending (LAD) artery
B Right Coronary Artery (RCA)
C Posterior Descending artery D Circumflex artery
B The nurse prepares to administer sublingual nitroglycerin (NTG). Which finding would be a contraindication for
administering this medication?
A The patient's heart rate is 112 bpm.
B The patient used sildenafil (Viagra) within the last 24 hours.
C The patient reports a headache.
D The patient has a history of asthma.
Question 2 2 marks
A nurse is interpreting an EKG strip and notes an atrial rate of 300 bpm with a 'saw-toothed' appearance of P-waves
(F-waves). The QRS complexes occur regularly at a rate of 75 bpm. Which rhythm is being described?
A Ventricular Tachycardia
B Supraventricular Tachycardia
C Atrial Fibrillation
D Atrial Flutter
, lOMoAR cPSD| 57629747
2 marks
Question 3
When administering Adenosine to a patient in Supraventricular Tachycardia (SVT), which nursing action is
mandatory?
A Warn the patient that they may experience a brief period of asystole.
B Withhold the drug if the patient's blood pressure is above 140/90 mmHg.
C Administer the drug over 2 to 3 minutes via slow IV push.
D Dilute the medication in 100 mL of Normal Saline.
Question 4 2 marks
A patient with a history of Chronic Stable Angina (CSA) is prescribed an ACE inhibitor indefinitely. What is the primary
purpose of this medication for this patient?
A To cause immediate vasodilation during an acute anginal attack.
B To provide rapid relief of chest pain.
C To prevent or reverse ventricular remodeling post-MI.
D To increase the heart rate to improve cardiac output.
Question 5 2 marks
According to Virchow's Triad, which of the following is a factor contributing to the development of Venous
Thromboembolism (VTE)?
A Decreased serum potassium levels B
Endothelial damage
C Hyperglycemia
D Increased cardiac contractility
Question 6
A patient with Grave's Disease is admitted with a temperature of and a heart rate of 160 bpm.
Which endocrine complication should the nurse suspect?
Medical-Surgical Nursing II: Comprehensive Final
Exam
Community College of Rhode Island
Medical-Surgical Nursing II
Medical-Surgical Nursing II: Comprehensive Final Examination
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu AI to create
targeted study materials like quizzes, summaries, and study guides.
Section 1/3 40 total marks Multiple Choice
Select the single best answer for each question. Each question is worth 2 marks.
Question 1 4 total marks
Downloaded by Collins Mwaniki ()
, lOMoAR cPSD| 57629747
A 62-year-old patient presents to the Emergency Department with reports of sudden, crushing substernal chest pain
radiating to the left jaw. The patient is diaphoretic and pale. A 12-lead EKG is performed immediately, showing ST-
segment elevation in leads V3 and V4. The patient's blood pressure is 102/60 mmHg and heart rate is 112 bpm.
A Based on the EKG findings and clinical presentation, which coronary artery is most likely occluded in this patient?
A Left Anterior Descending (LAD) artery
B Right Coronary Artery (RCA)
C Posterior Descending artery D Circumflex artery
B The nurse prepares to administer sublingual nitroglycerin (NTG). Which finding would be a contraindication for
administering this medication?
A The patient's heart rate is 112 bpm.
B The patient used sildenafil (Viagra) within the last 24 hours.
C The patient reports a headache.
D The patient has a history of asthma.
Question 2 2 marks
A nurse is interpreting an EKG strip and notes an atrial rate of 300 bpm with a 'saw-toothed' appearance of P-waves
(F-waves). The QRS complexes occur regularly at a rate of 75 bpm. Which rhythm is being described?
A Ventricular Tachycardia
B Supraventricular Tachycardia
C Atrial Fibrillation
D Atrial Flutter
, lOMoAR cPSD| 57629747
2 marks
Question 3
When administering Adenosine to a patient in Supraventricular Tachycardia (SVT), which nursing action is
mandatory?
A Warn the patient that they may experience a brief period of asystole.
B Withhold the drug if the patient's blood pressure is above 140/90 mmHg.
C Administer the drug over 2 to 3 minutes via slow IV push.
D Dilute the medication in 100 mL of Normal Saline.
Question 4 2 marks
A patient with a history of Chronic Stable Angina (CSA) is prescribed an ACE inhibitor indefinitely. What is the primary
purpose of this medication for this patient?
A To cause immediate vasodilation during an acute anginal attack.
B To provide rapid relief of chest pain.
C To prevent or reverse ventricular remodeling post-MI.
D To increase the heart rate to improve cardiac output.
Question 5 2 marks
According to Virchow's Triad, which of the following is a factor contributing to the development of Venous
Thromboembolism (VTE)?
A Decreased serum potassium levels B
Endothelial damage
C Hyperglycemia
D Increased cardiac contractility
Question 6
A patient with Grave's Disease is admitted with a temperature of and a heart rate of 160 bpm.
Which endocrine complication should the nurse suspect?
