NU 185 EXAM 1 -MED SURG NURSING II |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A patient who has received a maximum dose of nitroglycerin continues to report chest
pain. What is the next medication that the nurse should administer to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol
CORRECT ANSWER
B. Morphine Sulfate
Question 2
When planning emergent care for a patient with a suspected myocardial infarction (MI),
what should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine
CORRECT ANSWER
A. Oxygen, nitroglycerin, aspirin, morphine
Question 3
1
,A patient is classified as having stage 2 hypertension on the basis of the blood pressure
recorded. The nurse notes that the primary goal of therapy for the patient is to normalize
the blood pressure. What should be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90
CORRECT ANSWER
B. less than 120/80
Question 4
The nurse assesses a patient with papillary muscle dysfunction. Which observation
supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border
CORRECT ANSWER
C. Murmur at the cardiac apex
Question 5
Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima
2
,CORRECT ANSWER
A. Platelet aggregation and adhesion
Question 6
Which statement by an 84-year-old patient with coronary artery disease (CAD) indicates
understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared with younger
people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions
CORRECT ANSWER
D. I will use longer rest periods between exercise sessions
Question 7
The nurse is providing teaching to a patient recovering from a myocardial infarction (MI).
How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material
CORRECT ANSWER
B. Discussed along with other physical activities
Question 8
3
, The nurse provides information to a patient about ways to decrease risk factors for
coronary artery disease (CAD). Which statement by the patient indicates understanding of
the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress
CORRECT ANSWER
D. I will change my lifestyle to alter patterns that add to my stress
Question 9
The nurse is preparing an initial care plan for a patient that presents with chest pain. What
is the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness
CORRECT ANSWER
A. Monitor the patient's ECG
Question 10
During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest
priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects
4
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A patient who has received a maximum dose of nitroglycerin continues to report chest
pain. What is the next medication that the nurse should administer to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol
CORRECT ANSWER
B. Morphine Sulfate
Question 2
When planning emergent care for a patient with a suspected myocardial infarction (MI),
what should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine
CORRECT ANSWER
A. Oxygen, nitroglycerin, aspirin, morphine
Question 3
1
,A patient is classified as having stage 2 hypertension on the basis of the blood pressure
recorded. The nurse notes that the primary goal of therapy for the patient is to normalize
the blood pressure. What should be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90
CORRECT ANSWER
B. less than 120/80
Question 4
The nurse assesses a patient with papillary muscle dysfunction. Which observation
supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border
CORRECT ANSWER
C. Murmur at the cardiac apex
Question 5
Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima
2
,CORRECT ANSWER
A. Platelet aggregation and adhesion
Question 6
Which statement by an 84-year-old patient with coronary artery disease (CAD) indicates
understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared with younger
people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions
CORRECT ANSWER
D. I will use longer rest periods between exercise sessions
Question 7
The nurse is providing teaching to a patient recovering from a myocardial infarction (MI).
How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material
CORRECT ANSWER
B. Discussed along with other physical activities
Question 8
3
, The nurse provides information to a patient about ways to decrease risk factors for
coronary artery disease (CAD). Which statement by the patient indicates understanding of
the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress
CORRECT ANSWER
D. I will change my lifestyle to alter patterns that add to my stress
Question 9
The nurse is preparing an initial care plan for a patient that presents with chest pain. What
is the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness
CORRECT ANSWER
A. Monitor the patient's ECG
Question 10
During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest
priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects
4
