Medical-Surgical Nursing Certification Exam Study Questions and
answers
A patient with mitral valve disease is admitted to a medical unit with fever, chills,
SOB, malaise and a newly developed cardiac murmur. Based on the patient's new
diagnosis of endocarditis, the nurse will begin preparing him for discharge by
teaching about:
a. lifestyle modifications.
b. warfarin (Coumadin) therapy.
c. self-administration of IV antibiotics.
d. the need for fluid restrictions. CORRECT ANSWERS✅ c. self-administration of
IV antibiotics.
A patient with hypercholesterolemia was prescribed pravastatin (Prevachol). The
nurse should teach the patent about which of the following side effects for this
medication?
a. Muscle weakness.
b. Flushing.
c. Itching.
d. Hypotension CORRECT ANSWERS✅ a. Muscle weakness
Ms. Parsons, age 65, is transferred to a medical telemetry unit after several days in
the coronary care unit for treatment of an acute MI. Ms. Parsons remains very
anxious, with occasional episodes of chest pressure. Which medication does the
nurse prepare for Ms. Parsons to decrease her anxiety and improve cardiac
output?
a. Nitroprusside (Nipride)
b. Diazepam (Valium)
c. Morphine sulfate (MS)
d. Dopamine (Intropin) CORRECT ANSWERS✅ c. Morphine sulfate (MS)
, Medical-Surgical Nursing Certification Exam Study Questions and
answers
The nurse's assessment of Mr. Harrison's response to digoxin will include which of
the following as the most common early indicator of toxicity.
a. Anorexia
b. Diarrhea
c. Headache
d. Confusion CORRECT ANSWERS✅ a. Anorexia
The nurse is also aware that some of Mr. Harrison's medications can increase
serum digitalis concentrations and thus the risk for digoxin toxicity. These include:
a. calcium carbonate (Tums)
b. cholestyramine (Questran)
c. sulfasalazine (Azulfidine)
d. amiodarone (Cordarone) CORRECT ANSWERS✅ d. amiodarone (Cordarone)
The nurse teaches Ms. Pratt about the use of nitroglycerin. Following teaching, it
is most important for the patient to:
a. indicate she will call for help if three nitroglycerin tablets don not relieve her
chest pain.
b. identify flushing and dizziness as common side effects of the drug.
c. verbalize understanding that nitroglycerin will help prevent her from having a
myocardial infarction (MI)
d. confirm she will not take the drug unless she is experiencing chest pain.
CORRECT ANSWERS✅ a. indicate she will call for help if three nitroglycerin
tablets don not relieve her chest pain.
answers
A patient with mitral valve disease is admitted to a medical unit with fever, chills,
SOB, malaise and a newly developed cardiac murmur. Based on the patient's new
diagnosis of endocarditis, the nurse will begin preparing him for discharge by
teaching about:
a. lifestyle modifications.
b. warfarin (Coumadin) therapy.
c. self-administration of IV antibiotics.
d. the need for fluid restrictions. CORRECT ANSWERS✅ c. self-administration of
IV antibiotics.
A patient with hypercholesterolemia was prescribed pravastatin (Prevachol). The
nurse should teach the patent about which of the following side effects for this
medication?
a. Muscle weakness.
b. Flushing.
c. Itching.
d. Hypotension CORRECT ANSWERS✅ a. Muscle weakness
Ms. Parsons, age 65, is transferred to a medical telemetry unit after several days in
the coronary care unit for treatment of an acute MI. Ms. Parsons remains very
anxious, with occasional episodes of chest pressure. Which medication does the
nurse prepare for Ms. Parsons to decrease her anxiety and improve cardiac
output?
a. Nitroprusside (Nipride)
b. Diazepam (Valium)
c. Morphine sulfate (MS)
d. Dopamine (Intropin) CORRECT ANSWERS✅ c. Morphine sulfate (MS)
, Medical-Surgical Nursing Certification Exam Study Questions and
answers
The nurse's assessment of Mr. Harrison's response to digoxin will include which of
the following as the most common early indicator of toxicity.
a. Anorexia
b. Diarrhea
c. Headache
d. Confusion CORRECT ANSWERS✅ a. Anorexia
The nurse is also aware that some of Mr. Harrison's medications can increase
serum digitalis concentrations and thus the risk for digoxin toxicity. These include:
a. calcium carbonate (Tums)
b. cholestyramine (Questran)
c. sulfasalazine (Azulfidine)
d. amiodarone (Cordarone) CORRECT ANSWERS✅ d. amiodarone (Cordarone)
The nurse teaches Ms. Pratt about the use of nitroglycerin. Following teaching, it
is most important for the patient to:
a. indicate she will call for help if three nitroglycerin tablets don not relieve her
chest pain.
b. identify flushing and dizziness as common side effects of the drug.
c. verbalize understanding that nitroglycerin will help prevent her from having a
myocardial infarction (MI)
d. confirm she will not take the drug unless she is experiencing chest pain.
CORRECT ANSWERS✅ a. indicate she will call for help if three nitroglycerin
tablets don not relieve her chest pain.
