WKU MED SURG 2 EXAM 1 EXAMINATION
TEST QUESTIONS ANSWERS ACCURATE
REVIEW SHEET GRADED A+
●● When planning emergent care for a patient with a suspected
myocardial infarction (MI), what should the nurse anticipate
administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine
Answer: A. Oxygen, nitroglycerin, aspirin, morphine
●● A patient is classified as having stage 2 hypertension on the basis of
the blood pressure recorded. The nurse notes that the primary goal of
therapy for the patient is to normalize the blood pressure. What should
be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90
Answer: B. less than 120/80
,●● The nurse assesses a patient with papillary muscle dysfunction.
Which observation supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border
Answer: C. Murmur at the cardiac apex
●● Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima
Answer: A. Platelet aggregation and adhesion
●● Which statement by an 84-year-old patient with coronary artery
disease (CAD) indicates understanding of discharge teaching about
physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously
compared with younger people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions
,Answer: D. I will use longer rest periods between exercise sessions
●● The nurse is providing teaching to a patient recovering from a
myocardial infarction (MI). How should resumption of sexual activity be
discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material
Answer: B. Discussed along with other physical activities
●● The nurse provides information to a patient about ways to decrease
risk factors for coronary artery disease (CAD). Which statement by the
patient indicates understanding of the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress
Answer: D. I will change my lifestyle to alter patterns that add to my
stress
●● The nurse is preparing an initial care plan for a patient that presents
with chest pain. What is the priority nursing intervention?
A. Monitor the patient's ECG
, B. Advising the patient to avoid heavy meals and extreme weather
conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness
Answer: A. Monitor the patient's ECG
●● During the 48 hours after a myocardial infarction (MI), a nurse
should assign the highest priority to monitoring the patient for what
complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects
Answer: A. Dysrhythmias
●● A patient experiences anginal pain. What is an appropriate nursing
intervention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises
Answer: C. Position the patient upright and administer oxygen
TEST QUESTIONS ANSWERS ACCURATE
REVIEW SHEET GRADED A+
●● When planning emergent care for a patient with a suspected
myocardial infarction (MI), what should the nurse anticipate
administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine
Answer: A. Oxygen, nitroglycerin, aspirin, morphine
●● A patient is classified as having stage 2 hypertension on the basis of
the blood pressure recorded. The nurse notes that the primary goal of
therapy for the patient is to normalize the blood pressure. What should
be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90
Answer: B. less than 120/80
,●● The nurse assesses a patient with papillary muscle dysfunction.
Which observation supports the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
D. Deep sound noted when auscultating at the lower sternal border
Answer: C. Murmur at the cardiac apex
●● Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima
Answer: A. Platelet aggregation and adhesion
●● Which statement by an 84-year-old patient with coronary artery
disease (CAD) indicates understanding of discharge teaching about
physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously
compared with younger people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions
,Answer: D. I will use longer rest periods between exercise sessions
●● The nurse is providing teaching to a patient recovering from a
myocardial infarction (MI). How should resumption of sexual activity be
discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material
Answer: B. Discussed along with other physical activities
●● The nurse provides information to a patient about ways to decrease
risk factors for coronary artery disease (CAD). Which statement by the
patient indicates understanding of the teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
D. I will change my lifestyle to alter patterns that add to my stress
Answer: D. I will change my lifestyle to alter patterns that add to my
stress
●● The nurse is preparing an initial care plan for a patient that presents
with chest pain. What is the priority nursing intervention?
A. Monitor the patient's ECG
, B. Advising the patient to avoid heavy meals and extreme weather
conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness
Answer: A. Monitor the patient's ECG
●● During the 48 hours after a myocardial infarction (MI), a nurse
should assign the highest priority to monitoring the patient for what
complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects
Answer: A. Dysrhythmias
●● A patient experiences anginal pain. What is an appropriate nursing
intervention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises
Answer: C. Position the patient upright and administer oxygen
