Test Bank
NUR 242 Medical-Surgical Nursing II
Study Guide | 75 Practice Questions with Verified
Answers
NUR 242 Medical-Surgical Nursing II – Practice Questions
(Original Practice Set – Not Exam Material)
1. A patient with heart failure is most likely to experience which symptom?
A. Bradycardia
B. Peripheral edema
C. Dry skin
D. Hypertension only
Answer: B
Solution: Fluid overload causes swelling in heart failure.
2. The priority nursing action for a patient experiencing acute chest pain is:
A. Take vital signs last
B. Assess pain and administer oxygen
C. Encourage ambulation
D. Give fluids
Answer: B
Solution: Oxygen improves myocardial perfusion.
,3. Which lab result indicates kidney dysfunction?
A. Low creatinine
B. Elevated creatinine
C. Low potassium
D. High hemoglobin
Answer: B
Solution: Creatinine increases with renal impairment.
4. A patient with COPD should be placed in which position?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
Solution: Improves lung expansion.
5. Which sign indicates hypoglycemia?
A. Fruity breath
B. Sweating and confusion
C. Dry skin
D. Slow pulse only
Answer: B
Solution: Low blood sugar affects brain function.
6. The best indicator of fluid balance is:
A. Skin color
B. Daily weight
C. Heart rate
D. Temperature
Answer: B
Solution: Weight reflects fluid changes accurately.
7. Which electrolyte imbalance causes cardiac dysrhythmias?
A. Sodium
B. Potassium
C. Chloride
, D. Glucose
Answer: B
Solution: Potassium affects cardiac conduction.
8. A post-op patient should be encouraged to:
A. Stay in bed all day
B. Perform deep breathing exercises
C. Avoid fluids
D. Limit movement completely
Answer: B
Solution: Prevents pneumonia and atelectasis.
9. Which symptom suggests stroke?
A. Chest pain
B. Facial drooping
C. Abdominal pain
D. Fever only
Answer: B
Solution: FAST signs indicate stroke.
10. A normal urine output is approximately:
A. 10 mL/hr
B. 30 mL/hr
C. 50 mL/hr
D. 5 mL/hr
Answer: B
Solution: ≥30 mL/hr indicates adequate perfusion.
11. The first sign of hypoxia is often:
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Fever
Answer: B
Solution: Early oxygen deprivation causes agitation.
NUR 242 Medical-Surgical Nursing II
Study Guide | 75 Practice Questions with Verified
Answers
NUR 242 Medical-Surgical Nursing II – Practice Questions
(Original Practice Set – Not Exam Material)
1. A patient with heart failure is most likely to experience which symptom?
A. Bradycardia
B. Peripheral edema
C. Dry skin
D. Hypertension only
Answer: B
Solution: Fluid overload causes swelling in heart failure.
2. The priority nursing action for a patient experiencing acute chest pain is:
A. Take vital signs last
B. Assess pain and administer oxygen
C. Encourage ambulation
D. Give fluids
Answer: B
Solution: Oxygen improves myocardial perfusion.
,3. Which lab result indicates kidney dysfunction?
A. Low creatinine
B. Elevated creatinine
C. Low potassium
D. High hemoglobin
Answer: B
Solution: Creatinine increases with renal impairment.
4. A patient with COPD should be placed in which position?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
Solution: Improves lung expansion.
5. Which sign indicates hypoglycemia?
A. Fruity breath
B. Sweating and confusion
C. Dry skin
D. Slow pulse only
Answer: B
Solution: Low blood sugar affects brain function.
6. The best indicator of fluid balance is:
A. Skin color
B. Daily weight
C. Heart rate
D. Temperature
Answer: B
Solution: Weight reflects fluid changes accurately.
7. Which electrolyte imbalance causes cardiac dysrhythmias?
A. Sodium
B. Potassium
C. Chloride
, D. Glucose
Answer: B
Solution: Potassium affects cardiac conduction.
8. A post-op patient should be encouraged to:
A. Stay in bed all day
B. Perform deep breathing exercises
C. Avoid fluids
D. Limit movement completely
Answer: B
Solution: Prevents pneumonia and atelectasis.
9. Which symptom suggests stroke?
A. Chest pain
B. Facial drooping
C. Abdominal pain
D. Fever only
Answer: B
Solution: FAST signs indicate stroke.
10. A normal urine output is approximately:
A. 10 mL/hr
B. 30 mL/hr
C. 50 mL/hr
D. 5 mL/hr
Answer: B
Solution: ≥30 mL/hr indicates adequate perfusion.
11. The first sign of hypoxia is often:
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Fever
Answer: B
Solution: Early oxygen deprivation causes agitation.
