2026 UPDATED QUESTIONS DOWNLOAD
NUR209 Med-Surg II Exam 4: 250 Q&A | Neuro Trauma,
Stroke (CVA), Spinal Cord Injury & Burn Management
(2025/2025 Update)
A patient with acute heart failure presents with dyspnea, crackles, and edema. What is the
priority intervention?
A. Administer IV fluids
B. Place patient in Trendelenburg position
C. Administer oxygen
D. Encourage ambulation
Answer: C. Administer oxygen
Rationale: Oxygen improves tissue perfusion and relieves hypoxia in acute respiratory distress.
2.
Which lab value indicates renal dysfunction?
A. Creatinine 0.6 mg/dL
B. BUN 12 mg/dL
C. Creatinine 2.5 mg/dL
D. Sodium 140 mEq/L
Answer: C. Creatinine 2.5 mg/dL
Rationale: Elevated creatinine indicates impaired kidney function.
3.
A patient with COPD is receiving oxygen. What is the target oxygen saturation?
A. 100%
B. 95–100%
C. 88–92%
D. 70–80%
Answer: C. 88–92%
Rationale: COPD patients require controlled oxygen to avoid CO₂ retention.
4.
,2026 UPDATED QUESTIONS DOWNLOAD
Which ABG result indicates respiratory acidosis?
A. pH 7.48
B. pH 7.32, CO₂ elevated
C. pH 7.45, HCO₃ elevated
D. pH 7.50
Answer: B. pH 7.32, CO₂ elevated
Rationale: Low pH and high CO₂ indicate respiratory acidosis.
5.
A patient with diabetic ketoacidosis (DKA) is admitted. What is the priority treatment?
A. Insulin
B. Antibiotics
C. Diuretics
D. Antihypertensives
Answer: A. Insulin
Rationale: Insulin corrects hyperglycemia and metabolic imbalance.
6.
Which symptom is most consistent with hypoglycemia?
A. Fruity breath
B. Sweating and confusion
C. Dry skin
D. Hypertension
Answer: B. Sweating and confusion
Rationale: Hypoglycemia triggers sympathetic nervous system responses.
7.
A patient is in shock. Which sign is expected?
A. Hypertension
B. Bradycardia
C. Hypotension
D. Warm skin
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: C. Hypotension
Rationale: Shock reduces circulating volume and blood pressure.
8.
What is the priority intervention for septic shock?
A. Fluid resuscitation
B. Restrict fluids
C. Administer sedatives
D. Encourage oral intake
Answer: A. Fluid resuscitation
Rationale: Fluids restore perfusion and blood pressure.
9.
Which ECG finding indicates myocardial infarction?
A. Sinus rhythm
B. ST elevation
C. Bradycardia
D. Normal QRS
Answer: B. ST elevation
Rationale: ST elevation indicates acute myocardial injury.
10.
A patient with stroke presents with slurred speech. What is the priority?
A. Give food
B. Assess airway and swallowing
C. Encourage walking
D. Administer laxatives
Answer: B. Assess airway and swallowing
Rationale: Risk of aspiration is high in stroke patients.
11.
, 2026 UPDATED QUESTIONS DOWNLOAD
Which neurological sign indicates increased intracranial pressure (ICP)?
A. Hypotension
B. Bradycardia and irregular respirations
C. Tachycardia
D. Fever only
Answer: B. Bradycardia and irregular respirations
Rationale: Cushing’s triad is a late sign of increased ICP.
12.
A patient is receiving heparin therapy. Which lab should be monitored?
A. INR
B. aPTT
C. Hemoglobin only
D. Platelets only
Answer: B. aPTT
Rationale: aPTT measures heparin effectiveness.
13.
Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA
D. C. difficile
Answer: B. Tuberculosis
Rationale: TB spreads via airborne particles.
14.
A patient has hyperkalemia. Which ECG change is expected?
A. Flat T waves
B. Peaked T waves
C. ST depression
D. U waves
NUR209 Med-Surg II Exam 4: 250 Q&A | Neuro Trauma,
Stroke (CVA), Spinal Cord Injury & Burn Management
(2025/2025 Update)
A patient with acute heart failure presents with dyspnea, crackles, and edema. What is the
priority intervention?
A. Administer IV fluids
B. Place patient in Trendelenburg position
C. Administer oxygen
D. Encourage ambulation
Answer: C. Administer oxygen
Rationale: Oxygen improves tissue perfusion and relieves hypoxia in acute respiratory distress.
2.
Which lab value indicates renal dysfunction?
A. Creatinine 0.6 mg/dL
B. BUN 12 mg/dL
C. Creatinine 2.5 mg/dL
D. Sodium 140 mEq/L
Answer: C. Creatinine 2.5 mg/dL
Rationale: Elevated creatinine indicates impaired kidney function.
3.
A patient with COPD is receiving oxygen. What is the target oxygen saturation?
A. 100%
B. 95–100%
C. 88–92%
D. 70–80%
Answer: C. 88–92%
Rationale: COPD patients require controlled oxygen to avoid CO₂ retention.
4.
,2026 UPDATED QUESTIONS DOWNLOAD
Which ABG result indicates respiratory acidosis?
A. pH 7.48
B. pH 7.32, CO₂ elevated
C. pH 7.45, HCO₃ elevated
D. pH 7.50
Answer: B. pH 7.32, CO₂ elevated
Rationale: Low pH and high CO₂ indicate respiratory acidosis.
5.
A patient with diabetic ketoacidosis (DKA) is admitted. What is the priority treatment?
A. Insulin
B. Antibiotics
C. Diuretics
D. Antihypertensives
Answer: A. Insulin
Rationale: Insulin corrects hyperglycemia and metabolic imbalance.
6.
Which symptom is most consistent with hypoglycemia?
A. Fruity breath
B. Sweating and confusion
C. Dry skin
D. Hypertension
Answer: B. Sweating and confusion
Rationale: Hypoglycemia triggers sympathetic nervous system responses.
7.
A patient is in shock. Which sign is expected?
A. Hypertension
B. Bradycardia
C. Hypotension
D. Warm skin
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: C. Hypotension
Rationale: Shock reduces circulating volume and blood pressure.
8.
What is the priority intervention for septic shock?
A. Fluid resuscitation
B. Restrict fluids
C. Administer sedatives
D. Encourage oral intake
Answer: A. Fluid resuscitation
Rationale: Fluids restore perfusion and blood pressure.
9.
Which ECG finding indicates myocardial infarction?
A. Sinus rhythm
B. ST elevation
C. Bradycardia
D. Normal QRS
Answer: B. ST elevation
Rationale: ST elevation indicates acute myocardial injury.
10.
A patient with stroke presents with slurred speech. What is the priority?
A. Give food
B. Assess airway and swallowing
C. Encourage walking
D. Administer laxatives
Answer: B. Assess airway and swallowing
Rationale: Risk of aspiration is high in stroke patients.
11.
, 2026 UPDATED QUESTIONS DOWNLOAD
Which neurological sign indicates increased intracranial pressure (ICP)?
A. Hypotension
B. Bradycardia and irregular respirations
C. Tachycardia
D. Fever only
Answer: B. Bradycardia and irregular respirations
Rationale: Cushing’s triad is a late sign of increased ICP.
12.
A patient is receiving heparin therapy. Which lab should be monitored?
A. INR
B. aPTT
C. Hemoglobin only
D. Platelets only
Answer: B. aPTT
Rationale: aPTT measures heparin effectiveness.
13.
Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA
D. C. difficile
Answer: B. Tuberculosis
Rationale: TB spreads via airborne particles.
14.
A patient has hyperkalemia. Which ECG change is expected?
A. Flat T waves
B. Peaked T waves
C. ST depression
D. U waves
