STUDY NOTES & REFERENCE GUIDE
DOC_RED · SOLUTIONS GUIDE / Comprehensive Practice Exam
Medical-Surgical Nursing Solutions ·
Guide
108-Question Clinical Comprehensive
withPractice Exam
Comprehensive Answer Explanations
Cardiac, Respiratory, Renal, Neurological, GI & Endocrine Disorders
Questions: 30 unique Q&A pairs
Subject: Medical-Surgical Nursing
Format: PDF · High-Yield Study Document
Year: Academic Series
VERIFIED | ORIGINAL CONTENT | GOLD SELLER SAFE | 2026·2027 ACADEMIC SERIES
All content is 100% original. Not affiliated with any publisher. Safe for all marketplace accounts.
Page 1 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
TABLE OF CONTENTS··
Section 1: Chapter 1: Cardiac Disorders
Section 2: Chapter 2: Respiratory Disorders
Section 3: Chapter 3: Renal Disorders
Section 4: Chapter 4: Neurological Disorders
Section 5: Chapter 5: GI and Hepatic Disorders
Section 6: Chapter 6: Endocrine Disorders
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Page 2 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
PART I · PRACTICE QUESTIONS (30 Questions)
Chapter 1: Cardiac Disorders
Q1.
A patient presents with crushing substernal chest pain radiating to the left arm,
diaphoresis, and nausea. The 12-lead ECG shows ST elevation in leads II, III, and aVF. Which
coronary artery is most likely occluded?
A) Left anterior descending artery
B) Right coronary artery
C) Left circumflex artery
D) Left main coronary artery
Q2.
A patient with acute MI is prescribed nitroglycerin SL. Before administering, the nurse
checks BP which is 88/52 mmHg. What is the correct action?
A) Give the nitroglycerin as ordered
B) Hold nitroglycerin and notify provider · hypotension is a contraindication
C) Give half the dose
D) Administer IV nitroglycerin instead
Q3.
Which finding on a telemetry strip indicates the most immediately life-threatening
dysrhythmia requiring defibrillation?
A) Atrial fibrillation with ventricular rate 88 bpm
B) Ventricular fibrillation
C) First-degree AV block
D) Sinus bradycardia at 52 bpm
Q4.
A patient with chronic heart failure is prescribed furosemide 40 mg IV daily. Which
assessment finding indicates a therapeutic response?
A) Blood pressure decreased from 150/90 to 120/75
B) Urine output increased to 800 mL in 2 hours after administration
C) Heart rate decreased from 100 to 78 bpm
D) Serum sodium increased from 132 to 138 mEq/L
Q5.
A patient with new-onset atrial fibrillation has a ventricular rate of 148 bpm and is
hemodynamically stable. Which medication would the nurse expect to administer first?
A) Atropine 0.5 mg IV
B) Diltiazem IV for rate control
C) Amiodarone 150 mg IV
D) Digoxin 0.5 mg IV
Chapter 2: Respiratory Disorders
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Page 3 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
Q1.
A COPD patient has SpO2 88% on room air. The nurse applies O2 at 2 L/min · SpO2 rises to
94%, RR 14, alert. What is the correct interpretation?
A) Continue increasing O2 to achieve SpO2 >98%
B) Current O2 is appropriate · target SpO2 88-92% in COPD avoids suppressing hypoxic drive
C) Discontinue oxygen · 94% is too high for COPD
D) Switch to non-rebreather mask immediately
Q2.
A patient with asthma is in moderate distress with diffuse expiratory wheezing, SpO2 91%,
unable to complete sentences. Peak flow is 45% of predicted. Priority intervention?
A) Administer oral prednisone and discharge
B) Administer nebulized albuterol, apply O2, prepare for possible escalation
C) Administer IV magnesium sulfate immediately
D) Intubate immediately
Q3.
A patient develops acute respiratory distress after aspiration. ABG: PaO2 55 mmHg on 60%
FiO2. CXR shows bilateral infiltrates. What condition is developing?
A) Community-acquired pneumonia
B) Acute Respiratory Distress Syndrome (ARDS)
C) Pulmonary embolism
D) Congestive heart failure
Q4.
A patient is admitted with CAP. Vital signs: T 39.2°C, HR 112, RR 28, BP 92/58, SpO2 88%.
Which disposition is most appropriate?
A) Outpatient treatment with oral antibiotics
B) ICU admission · patient has features of severe sepsis and high CURB-65 score
C) Observation unit 24 hours
D) Discharge with follow-up in 2 days
Q5.
A patient with TB is admitted. What is the correct infection control measure?
A) Standard and contact precautions in a semi-private room
B) Airborne precautions in a negative-pressure isolation room; N95 respirators for all staff entering
C) Droplet precautions with surgical masks
D) Contact precautions only
Chapter 3: Renal Disorders
Q1.
A patient with AKI has: BUN 68, creatinine 4.2, potassium 6.8 mEq/L, bicarbonate 15. Which
finding requires the most immediate intervention?
A) BUN elevation
B) Hyperkalemia (K+ 6.8 mEq/L) · risk of fatal dysrhythmia
C) Elevated creatinine
D) Bicarbonate deficit
GRADED A+ VERIFIED | 2026/2027 ACADEMIC SERIES Page 4 of 2223
Page 4 of 2223
DOC_RED · SOLUTIONS GUIDE / Comprehensive Practice Exam
Medical-Surgical Nursing Solutions ·
Guide
108-Question Clinical Comprehensive
withPractice Exam
Comprehensive Answer Explanations
Cardiac, Respiratory, Renal, Neurological, GI & Endocrine Disorders
Questions: 30 unique Q&A pairs
Subject: Medical-Surgical Nursing
Format: PDF · High-Yield Study Document
Year: Academic Series
VERIFIED | ORIGINAL CONTENT | GOLD SELLER SAFE | 2026·2027 ACADEMIC SERIES
All content is 100% original. Not affiliated with any publisher. Safe for all marketplace accounts.
Page 1 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
TABLE OF CONTENTS··
Section 1: Chapter 1: Cardiac Disorders
Section 2: Chapter 2: Respiratory Disorders
Section 3: Chapter 3: Renal Disorders
Section 4: Chapter 4: Neurological Disorders
Section 5: Chapter 5: GI and Hepatic Disorders
Section 6: Chapter 6: Endocrine Disorders
GRADED A+ VERIFIED | 2026/2027 ACADEMIC SERIES Page 2 of 2223
Page 2 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
PART I · PRACTICE QUESTIONS (30 Questions)
Chapter 1: Cardiac Disorders
Q1.
A patient presents with crushing substernal chest pain radiating to the left arm,
diaphoresis, and nausea. The 12-lead ECG shows ST elevation in leads II, III, and aVF. Which
coronary artery is most likely occluded?
A) Left anterior descending artery
B) Right coronary artery
C) Left circumflex artery
D) Left main coronary artery
Q2.
A patient with acute MI is prescribed nitroglycerin SL. Before administering, the nurse
checks BP which is 88/52 mmHg. What is the correct action?
A) Give the nitroglycerin as ordered
B) Hold nitroglycerin and notify provider · hypotension is a contraindication
C) Give half the dose
D) Administer IV nitroglycerin instead
Q3.
Which finding on a telemetry strip indicates the most immediately life-threatening
dysrhythmia requiring defibrillation?
A) Atrial fibrillation with ventricular rate 88 bpm
B) Ventricular fibrillation
C) First-degree AV block
D) Sinus bradycardia at 52 bpm
Q4.
A patient with chronic heart failure is prescribed furosemide 40 mg IV daily. Which
assessment finding indicates a therapeutic response?
A) Blood pressure decreased from 150/90 to 120/75
B) Urine output increased to 800 mL in 2 hours after administration
C) Heart rate decreased from 100 to 78 bpm
D) Serum sodium increased from 132 to 138 mEq/L
Q5.
A patient with new-onset atrial fibrillation has a ventricular rate of 148 bpm and is
hemodynamically stable. Which medication would the nurse expect to administer first?
A) Atropine 0.5 mg IV
B) Diltiazem IV for rate control
C) Amiodarone 150 mg IV
D) Digoxin 0.5 mg IV
Chapter 2: Respiratory Disorders
GRADED A+ VERIFIED | 2026/2027 ACADEMIC SERIES Page 3 of 2223
Page 3 of 2223
, STUDY NOTES & REFERENCE GUIDE
MEDICAL-SURGICAL NURSING SOLUTIONS GUIDE
Q1.
A COPD patient has SpO2 88% on room air. The nurse applies O2 at 2 L/min · SpO2 rises to
94%, RR 14, alert. What is the correct interpretation?
A) Continue increasing O2 to achieve SpO2 >98%
B) Current O2 is appropriate · target SpO2 88-92% in COPD avoids suppressing hypoxic drive
C) Discontinue oxygen · 94% is too high for COPD
D) Switch to non-rebreather mask immediately
Q2.
A patient with asthma is in moderate distress with diffuse expiratory wheezing, SpO2 91%,
unable to complete sentences. Peak flow is 45% of predicted. Priority intervention?
A) Administer oral prednisone and discharge
B) Administer nebulized albuterol, apply O2, prepare for possible escalation
C) Administer IV magnesium sulfate immediately
D) Intubate immediately
Q3.
A patient develops acute respiratory distress after aspiration. ABG: PaO2 55 mmHg on 60%
FiO2. CXR shows bilateral infiltrates. What condition is developing?
A) Community-acquired pneumonia
B) Acute Respiratory Distress Syndrome (ARDS)
C) Pulmonary embolism
D) Congestive heart failure
Q4.
A patient is admitted with CAP. Vital signs: T 39.2°C, HR 112, RR 28, BP 92/58, SpO2 88%.
Which disposition is most appropriate?
A) Outpatient treatment with oral antibiotics
B) ICU admission · patient has features of severe sepsis and high CURB-65 score
C) Observation unit 24 hours
D) Discharge with follow-up in 2 days
Q5.
A patient with TB is admitted. What is the correct infection control measure?
A) Standard and contact precautions in a semi-private room
B) Airborne precautions in a negative-pressure isolation room; N95 respirators for all staff entering
C) Droplet precautions with surgical masks
D) Contact precautions only
Chapter 3: Renal Disorders
Q1.
A patient with AKI has: BUN 68, creatinine 4.2, potassium 6.8 mEq/L, bicarbonate 15. Which
finding requires the most immediate intervention?
A) BUN elevation
B) Hyperkalemia (K+ 6.8 mEq/L) · risk of fatal dysrhythmia
C) Elevated creatinine
D) Bicarbonate deficit
GRADED A+ VERIFIED | 2026/2027 ACADEMIC SERIES Page 4 of 2223
Page 4 of 2223
