MED SURG III FINAL EXAM 2025/2026
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
A patient who was admitted with a myocardial infarction has a 45-second episode
of ventricular tachycardia, then converts to sinus rhythm with a heart rate of 98
beats/min. Which action would the nurse take next?
a. Immediately notify the health care provider.
b. Document the rhythm and continue to monitor the patient.
c. Prepare for synchronized cardioversion per agency protocol.
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
d. Prepare to give IV amiodarone per agency dysrhythmia protocol. - Answer
✓✓ANS: D
The burst of sustained ventricular tachycardia indicates that the patient has
significant ventricular irritability, and antidysrhythmic medication administration
is needed to prevent further episodes. The nurse should notify the health care
provider after the medication is started. Cardioversion is not indicated given that
the patient has returned to a sinus rhythm. Documentation and continued
monitoring are not adequate responses to this situation.
After the nurse gives IV atropine to a patient with symptomatic type 1, second-
degree atrioventricular (AV) block, which finding indicates that the drug has been
effective?
a. Increase in the patient's heart rate
b. Increase in strength of peripheral pulses
c. Decrease in premature atrial contractions
d. Decrease in premature ventricular contractions - Answer ✓✓ANS: A
Atropine will increase the heart rate and conduction through the AV node.
Because the drug increases electrical conduction, not cardiac contractility, the
quality of the peripheral pulses is not used to evaluate the drug effectiveness.
Premature atrial or ventricular contractions are not a feature of second degree AV
block.
A patient with dilated cardiomyopathy has new onset atrial fibrillation that has
been unresponsive to drug therapy for four days. Which topic would the nurse
plan to include in patient teaching?
a. Anticoagulant therapy
b. Permanent pacemakers
c. Emergency cardioversion
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. IV adenosine (Adenocard) - Answer ✓✓ANS: A
Atrial fibrillation therapy that has persisted for more than 48 hours requires
anticoagulant treatment for 3 weeks before attempting cardioversion. This is done
to prevent embolization of clots from the atria. Cardioversion may be done after
several weeks of anticoagulation
therapy. Adenosine is not used to treat atrial fibrillation. Pacemakers are routinely
used for patients with bradydysrhythmias. Information does not indicate that the
patient has a slow heart rate.
Which information will the nurse include when teaching a patient with atrial
flutter who is scheduled for a radio frequency catheter ablation?
a. The procedure stimulates the growth of new pathways between the atria.
b. The procedure uses cold therapy to stop the formation of the flutter waves.
c. The procedure uses electrical energy to destroy areas of the conduction
system.
d. The procedure prevents or minimizes the patient's risk for sudden cardiac
death. - Answer ✓✓ANS: C
Radiofrequency catheter ablation therapy uses electrical energy to ―burn‖ or
ablate areas of the conduction system as definitive treatment of atrial flutter (i.e.,
restore normal sinus rhythm) and tachy dysrhythmias. All other statements about
the procedure are incorrect.
Which patient statement indicates that discharge teaching about the management
of a new permanent pacemaker was effective?
a. ―It will be several weeks before I can return to my usual activities.‖
b. ―I will avoid cooking with a microwave oven or being near one in use.‖
c. ―I will notify the airlines when I make a reservation that I have a pacemaker.‖
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
d. ―I won't lift the arm on the incision side until I see the health care provider.‖ -
Answer ✓✓ANS: D
The patient is instructed to avoid lifting the arm on the pacemaker side above the
shoulder to avoid displacing the pacemaker leads. The patient should notify
airport security about the presence of a pacemaker before going through the
metal detector, but there is no need to notify the airlines when making a
reservation. Microwave oven use does not affect the pacemaker. The insertion
procedure involves minor surgery that will have a short recovery period.
Which action by a nurse caring for a patient after an implantable cardioverter-
defibrillator (ICD) insertion indicates a need for more teaching about the care of
patients with ICDs?
a. The nurse administers amiodarone (Cordarone) to the patient.
b. The nurse helps the patient fill out the application for obtaining a Medic Alert
device.
c. The nurse encourages the patient to do active range-of-motion exercises for all
extremities.
d. The nurse teaches the patient that sexual activity can be resumed when the
incision
is healed. - Answer ✓✓ANS: C
The patient should avoid moving the arm on the ICD insertion site until healing has
occurred to prevent displacement of the ICD leads. The other actions by the nurse
are appropriate for this patient.
A patient with supraventricular tachycardia who is alert and has a blood pressure
of 110/66mm Hg is being prepared for cardioversion. Which action should the
nurse expect to take?
a. Turn the synchronizer switch to the ―off‖ position.
MED SURG III 4
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
A patient who was admitted with a myocardial infarction has a 45-second episode
of ventricular tachycardia, then converts to sinus rhythm with a heart rate of 98
beats/min. Which action would the nurse take next?
a. Immediately notify the health care provider.
b. Document the rhythm and continue to monitor the patient.
c. Prepare for synchronized cardioversion per agency protocol.
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
d. Prepare to give IV amiodarone per agency dysrhythmia protocol. - Answer
✓✓ANS: D
The burst of sustained ventricular tachycardia indicates that the patient has
significant ventricular irritability, and antidysrhythmic medication administration
is needed to prevent further episodes. The nurse should notify the health care
provider after the medication is started. Cardioversion is not indicated given that
the patient has returned to a sinus rhythm. Documentation and continued
monitoring are not adequate responses to this situation.
After the nurse gives IV atropine to a patient with symptomatic type 1, second-
degree atrioventricular (AV) block, which finding indicates that the drug has been
effective?
a. Increase in the patient's heart rate
b. Increase in strength of peripheral pulses
c. Decrease in premature atrial contractions
d. Decrease in premature ventricular contractions - Answer ✓✓ANS: A
Atropine will increase the heart rate and conduction through the AV node.
Because the drug increases electrical conduction, not cardiac contractility, the
quality of the peripheral pulses is not used to evaluate the drug effectiveness.
Premature atrial or ventricular contractions are not a feature of second degree AV
block.
A patient with dilated cardiomyopathy has new onset atrial fibrillation that has
been unresponsive to drug therapy for four days. Which topic would the nurse
plan to include in patient teaching?
a. Anticoagulant therapy
b. Permanent pacemakers
c. Emergency cardioversion
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. IV adenosine (Adenocard) - Answer ✓✓ANS: A
Atrial fibrillation therapy that has persisted for more than 48 hours requires
anticoagulant treatment for 3 weeks before attempting cardioversion. This is done
to prevent embolization of clots from the atria. Cardioversion may be done after
several weeks of anticoagulation
therapy. Adenosine is not used to treat atrial fibrillation. Pacemakers are routinely
used for patients with bradydysrhythmias. Information does not indicate that the
patient has a slow heart rate.
Which information will the nurse include when teaching a patient with atrial
flutter who is scheduled for a radio frequency catheter ablation?
a. The procedure stimulates the growth of new pathways between the atria.
b. The procedure uses cold therapy to stop the formation of the flutter waves.
c. The procedure uses electrical energy to destroy areas of the conduction
system.
d. The procedure prevents or minimizes the patient's risk for sudden cardiac
death. - Answer ✓✓ANS: C
Radiofrequency catheter ablation therapy uses electrical energy to ―burn‖ or
ablate areas of the conduction system as definitive treatment of atrial flutter (i.e.,
restore normal sinus rhythm) and tachy dysrhythmias. All other statements about
the procedure are incorrect.
Which patient statement indicates that discharge teaching about the management
of a new permanent pacemaker was effective?
a. ―It will be several weeks before I can return to my usual activities.‖
b. ―I will avoid cooking with a microwave oven or being near one in use.‖
c. ―I will notify the airlines when I make a reservation that I have a pacemaker.‖
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
d. ―I won't lift the arm on the incision side until I see the health care provider.‖ -
Answer ✓✓ANS: D
The patient is instructed to avoid lifting the arm on the pacemaker side above the
shoulder to avoid displacing the pacemaker leads. The patient should notify
airport security about the presence of a pacemaker before going through the
metal detector, but there is no need to notify the airlines when making a
reservation. Microwave oven use does not affect the pacemaker. The insertion
procedure involves minor surgery that will have a short recovery period.
Which action by a nurse caring for a patient after an implantable cardioverter-
defibrillator (ICD) insertion indicates a need for more teaching about the care of
patients with ICDs?
a. The nurse administers amiodarone (Cordarone) to the patient.
b. The nurse helps the patient fill out the application for obtaining a Medic Alert
device.
c. The nurse encourages the patient to do active range-of-motion exercises for all
extremities.
d. The nurse teaches the patient that sexual activity can be resumed when the
incision
is healed. - Answer ✓✓ANS: C
The patient should avoid moving the arm on the ICD insertion site until healing has
occurred to prevent displacement of the ICD leads. The other actions by the nurse
are appropriate for this patient.
A patient with supraventricular tachycardia who is alert and has a blood pressure
of 110/66mm Hg is being prepared for cardioversion. Which action should the
nurse expect to take?
a. Turn the synchronizer switch to the ―off‖ position.
MED SURG III 4
