MEDICAL-SURGICAL RN A PROPHECY TESTS 2
TEST PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ The nurse is participating as a team member in the resuscitation
of a patient who has experienced a cardiac arrest. The health care
provider who is directing the resuscitation asks the nurse to
administer epinephrine 1 mg IV. After giving the medication, which
action should the nurse take next? Answer: State "Epinephrine 1mg
IV has been given"
◉ The clinic nurse is evaluating a patient who had coronary artery
stenting through the right femoral artery a week previously and is
taking metoprolol, clopidogrel, and aspirin. Which information
reported by the patient is most important to report to the health
care provider? Answer: Patient is experiencing shortness of breath
and fatigue.
◉ The nurse has just received a change-of-shift report about these
patients on the coronary step-down unit. Which one will the nurse
assess first? Answer: A 45-year-old patient with constrictive
cardiomyopathy who developed acute dyspnea and agitation about 1
hour before the shift change
,◉ The nurse is ambulating a cardiac surgery patient whose heart
rate suddenly increases to 146 beats/min. In which order will the
nurse take the following actions? Answer: Have patient sit down,
administer oxygen by nasal cannula as needed, check the patient's
blood pressure, call health care provider
◉ A patient whose systolic blood pressure is always higher than 140
mm Hg in the clinic tells the nurse, "My blood pressure at home is
always fine!" What action should the nurse take next? Answer: Ask
the patient to obtain blood pressures twice daily with an automatic
blood pressure cuff at home and bring the results to the clinic in a
week.
◉ A patient who has endocarditis with vegetation on the mitral
valve suddenly reports severe left foot pain. The nurse notes that no
pulse is palpable in the left foot and that it is cold and pale. Which
action should the nurse take next? Answer: Notify the health care
provider about the change in status
◉ Two weeks ago, a patient with heart failure received a new
prescription for carvedilol 12.5 mg orally. Which finding by the
nurse who is evaluating the patient in the cardiology clinic is of most
concern? Answer: Sinus Bradycardia at a rate of 48 beats per minute
◉ The nurse is caring for a hospitalized patient with heart failure
who is receiving captopril and spironolactone. Which laboratory
value will be most important to monitor? Answer: Potassium
,◉ An 80-year-old patient on the coronary step-down unit tells the
nurse, "I do not need to take that docusate. I never get constipated!"
Which action by the nurse is most appropriate? Answer: Explain that
his decreased activity level may cause constipation.
◉ A patient with stable angina has a prescription for ranolazine 500
mg twice a day. Which patient finding is most important for the
nurse to discuss with the health care provider (HCP)? Answer:
Patient reports having chronic constipation (adverse effect of the
medication, does not impact heart rate or BP and can be taken with
beta blockers or nitrates)
◉ Which patient is best for the coronary care charge nurse to assign
to a float RN who has come for the day from the general medical-
surgical unit? Answer: Patient receiving IV furosemide to treat acute
left ventricular failure. (the nurse would be familiar with LVF and
the administration of IV medications)
◉ Which topics will the nurse plan to include in dis-charge teaching
for a patient who has been admitted with heart failure? Select all
that apply. Answer: o How to monitor and record daily weight
o Date and time for follow-up appointments
o Symptoms of worsening heart failure
o How to read food labels for sodium content
, ◉ A patient who has just arrived in the emergency department
reports substernal and left arm discomfort that has been going on
for about 3 hours. Which laboratory test will be most useful in
determining whether the nurse should anticipate implementing the
acute coronary syndrome standard protocol? Answer: Troponin I
◉ A patient seen in the clinic with shortness of breath and fatigue is
being evaluated for a possible diagnosis of heart failure. Which
laboratory result will be most useful to monitor? Answer: B-type
Natriuretic Peptide
◉ The emergency department nurse is caring for a patient who was
just admitted with left anterior chest pain, suggesting possible acute
myocardial infarction (MI). Which action will the nurse take first?
Answer: Administer sublingual nitroglycerin
◉ The health care provider prescribes these actions for a patient
who was admitted with acute substernal chest pain. Which actions
are appropriate to assign to an experienced LPN/LVN who is
working in the emergency department? Select all that apply Answer:
o Obtaining a 12-lead electrocardiogram (ECG)
o Attaching cardiac monitor leads
o Having patient chew and swallow aspirin 162mg
TEST PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ The nurse is participating as a team member in the resuscitation
of a patient who has experienced a cardiac arrest. The health care
provider who is directing the resuscitation asks the nurse to
administer epinephrine 1 mg IV. After giving the medication, which
action should the nurse take next? Answer: State "Epinephrine 1mg
IV has been given"
◉ The clinic nurse is evaluating a patient who had coronary artery
stenting through the right femoral artery a week previously and is
taking metoprolol, clopidogrel, and aspirin. Which information
reported by the patient is most important to report to the health
care provider? Answer: Patient is experiencing shortness of breath
and fatigue.
◉ The nurse has just received a change-of-shift report about these
patients on the coronary step-down unit. Which one will the nurse
assess first? Answer: A 45-year-old patient with constrictive
cardiomyopathy who developed acute dyspnea and agitation about 1
hour before the shift change
,◉ The nurse is ambulating a cardiac surgery patient whose heart
rate suddenly increases to 146 beats/min. In which order will the
nurse take the following actions? Answer: Have patient sit down,
administer oxygen by nasal cannula as needed, check the patient's
blood pressure, call health care provider
◉ A patient whose systolic blood pressure is always higher than 140
mm Hg in the clinic tells the nurse, "My blood pressure at home is
always fine!" What action should the nurse take next? Answer: Ask
the patient to obtain blood pressures twice daily with an automatic
blood pressure cuff at home and bring the results to the clinic in a
week.
◉ A patient who has endocarditis with vegetation on the mitral
valve suddenly reports severe left foot pain. The nurse notes that no
pulse is palpable in the left foot and that it is cold and pale. Which
action should the nurse take next? Answer: Notify the health care
provider about the change in status
◉ Two weeks ago, a patient with heart failure received a new
prescription for carvedilol 12.5 mg orally. Which finding by the
nurse who is evaluating the patient in the cardiology clinic is of most
concern? Answer: Sinus Bradycardia at a rate of 48 beats per minute
◉ The nurse is caring for a hospitalized patient with heart failure
who is receiving captopril and spironolactone. Which laboratory
value will be most important to monitor? Answer: Potassium
,◉ An 80-year-old patient on the coronary step-down unit tells the
nurse, "I do not need to take that docusate. I never get constipated!"
Which action by the nurse is most appropriate? Answer: Explain that
his decreased activity level may cause constipation.
◉ A patient with stable angina has a prescription for ranolazine 500
mg twice a day. Which patient finding is most important for the
nurse to discuss with the health care provider (HCP)? Answer:
Patient reports having chronic constipation (adverse effect of the
medication, does not impact heart rate or BP and can be taken with
beta blockers or nitrates)
◉ Which patient is best for the coronary care charge nurse to assign
to a float RN who has come for the day from the general medical-
surgical unit? Answer: Patient receiving IV furosemide to treat acute
left ventricular failure. (the nurse would be familiar with LVF and
the administration of IV medications)
◉ Which topics will the nurse plan to include in dis-charge teaching
for a patient who has been admitted with heart failure? Select all
that apply. Answer: o How to monitor and record daily weight
o Date and time for follow-up appointments
o Symptoms of worsening heart failure
o How to read food labels for sodium content
, ◉ A patient who has just arrived in the emergency department
reports substernal and left arm discomfort that has been going on
for about 3 hours. Which laboratory test will be most useful in
determining whether the nurse should anticipate implementing the
acute coronary syndrome standard protocol? Answer: Troponin I
◉ A patient seen in the clinic with shortness of breath and fatigue is
being evaluated for a possible diagnosis of heart failure. Which
laboratory result will be most useful to monitor? Answer: B-type
Natriuretic Peptide
◉ The emergency department nurse is caring for a patient who was
just admitted with left anterior chest pain, suggesting possible acute
myocardial infarction (MI). Which action will the nurse take first?
Answer: Administer sublingual nitroglycerin
◉ The health care provider prescribes these actions for a patient
who was admitted with acute substernal chest pain. Which actions
are appropriate to assign to an experienced LPN/LVN who is
working in the emergency department? Select all that apply Answer:
o Obtaining a 12-lead electrocardiogram (ECG)
o Attaching cardiac monitor leads
o Having patient chew and swallow aspirin 162mg
