MED SURG 201 EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ A patient with a cardiac dysrhythmia asks why it is important to
recognize the signs of a stroke. What should the nurse respond to
this patient?
1) "So you can respond quickly and prevent adverse effects."
2) "To encourage you to take your medication as prescribed."
3) "So that you can recognize the signs of stroke in a family member."
4) "Most people with a heart arrhythmia develop strokes as a side
effect.". Answer: "So you can respond quickly and prevent adverse
effects."
It is important that the patient (and family) is able to detect early
signs of complications such as a stroke to assure prompt treatment
and reduce adverse effects.
◉ During a home visit the nurse learns that a patient has been
skipping doses of antiarrhythmic medication. What should the nurse
include when counseling this patient?
1) Taking the medication as prescribed reduces the occurrence of
side effects
,2) Skipping doses increases the risk of developing chest pain and
diaphoresis.
3) Adequate medication level decreases the adverse effects of the
dysrhythmia.
4) Insufficient amounts of medication in the blood stream affect
pacemaker functioning.. Answer: Taking the medication as
prescribed reduces the occurrence of side effects
There is evidence to support that taking antiarrhythmic medication
as prescribed will reduce the occurrence of side effects
◉ Chapter 30: Coordinating Care for Patients With Cardiac
Disorders. Answer: ---
◉ The nurse is concerned that a patient is at risk for developing
infective endocarditis. What information in the patient's history
caused the nurse to have this concern?
1) 70 years of age
2) Treatment for osteoarthritis
3) Sister being treated for chronic renal failure
4) Diagnosed with benign prostatic hyperplasia. Answer: 70 years of
age
,Risk factors for infective endocarditis (inflammation of heart valve)
include age greater than 60.
◉ A patient is admitted for treatment of pericarditis. For which
additional health problem should the nurse expect the patient to be
evaluated?
1) Asthma
2) Myocardial infarction
3) Infective endocarditis
4) Chronic obstructive pulmonary disease. Answer: Myocardial
infarction
Acute pericarditis (swelling and irritation of pericardium
"membrane of the heart") is a common occurrence following MI. It
has been reported to occur in 7% to 41% of post-MI patients.
◉ A patient is demonstrating manifestations of valvular disease.
Which valve should the nurse expect to be affected with this
disorder?
1) Aortic
2) Mitral
3) Pulmonic
4) Tricuspid. Answer: Aortic
, The most commonly affected valve is the aortic valve.
◉ The nurse is explaining the development of atherosclerosis to a
patient. What should the nurse emphasize as beginning this
process?
1) Oxidation
2) Inflammatory process
3) Injury to the vessel wall
4) Trapping of low-density lipoproteins. Answer: Injury to the vessel
wall
Atherosclerosis begins with an injury to the endothelium.
◉ The nurse explains about the development of tissue clumps
within the innermost layer of the heart to a patient with infective
endocarditis. What aspect of the disease process is the nurse
describing?
1) Vegetation
2) Oxidation
3) Foam cells
4) Fatty streaks. Answer: Vegetation
QUESTIONS WITH ANSWERS GRADED A+
◉ A patient with a cardiac dysrhythmia asks why it is important to
recognize the signs of a stroke. What should the nurse respond to
this patient?
1) "So you can respond quickly and prevent adverse effects."
2) "To encourage you to take your medication as prescribed."
3) "So that you can recognize the signs of stroke in a family member."
4) "Most people with a heart arrhythmia develop strokes as a side
effect.". Answer: "So you can respond quickly and prevent adverse
effects."
It is important that the patient (and family) is able to detect early
signs of complications such as a stroke to assure prompt treatment
and reduce adverse effects.
◉ During a home visit the nurse learns that a patient has been
skipping doses of antiarrhythmic medication. What should the nurse
include when counseling this patient?
1) Taking the medication as prescribed reduces the occurrence of
side effects
,2) Skipping doses increases the risk of developing chest pain and
diaphoresis.
3) Adequate medication level decreases the adverse effects of the
dysrhythmia.
4) Insufficient amounts of medication in the blood stream affect
pacemaker functioning.. Answer: Taking the medication as
prescribed reduces the occurrence of side effects
There is evidence to support that taking antiarrhythmic medication
as prescribed will reduce the occurrence of side effects
◉ Chapter 30: Coordinating Care for Patients With Cardiac
Disorders. Answer: ---
◉ The nurse is concerned that a patient is at risk for developing
infective endocarditis. What information in the patient's history
caused the nurse to have this concern?
1) 70 years of age
2) Treatment for osteoarthritis
3) Sister being treated for chronic renal failure
4) Diagnosed with benign prostatic hyperplasia. Answer: 70 years of
age
,Risk factors for infective endocarditis (inflammation of heart valve)
include age greater than 60.
◉ A patient is admitted for treatment of pericarditis. For which
additional health problem should the nurse expect the patient to be
evaluated?
1) Asthma
2) Myocardial infarction
3) Infective endocarditis
4) Chronic obstructive pulmonary disease. Answer: Myocardial
infarction
Acute pericarditis (swelling and irritation of pericardium
"membrane of the heart") is a common occurrence following MI. It
has been reported to occur in 7% to 41% of post-MI patients.
◉ A patient is demonstrating manifestations of valvular disease.
Which valve should the nurse expect to be affected with this
disorder?
1) Aortic
2) Mitral
3) Pulmonic
4) Tricuspid. Answer: Aortic
, The most commonly affected valve is the aortic valve.
◉ The nurse is explaining the development of atherosclerosis to a
patient. What should the nurse emphasize as beginning this
process?
1) Oxidation
2) Inflammatory process
3) Injury to the vessel wall
4) Trapping of low-density lipoproteins. Answer: Injury to the vessel
wall
Atherosclerosis begins with an injury to the endothelium.
◉ The nurse explains about the development of tissue clumps
within the innermost layer of the heart to a patient with infective
endocarditis. What aspect of the disease process is the nurse
describing?
1) Vegetation
2) Oxidation
3) Foam cells
4) Fatty streaks. Answer: Vegetation
