Med Surg 2 Exam 1 Practice Questions
2026 With Correct Answers
1. 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 - CORRECT ANSWER✔✨-A. Oxygen,
nitroglycerin, aspirin, morphine
2. 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 - CORRECT ANSWER✔✨-B. less than 120/80
3. 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 - CORRECT ANSWER✔✨-A. Platelet aggregation
and adhesion
4. 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 - CORRECT ANSWER✔✨-D. I
will use longer rest periods between exercise sessions
,5. 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 - CORRECT
ANSWER✔✨-D. I will change my lifestyle to alter patterns that add to my stress
6. 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 - CORRECT ANSWER✔✨-A. Dysrhythmias
7. 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 - CORRECT ANSWER✔✨-C. Position
the patient upright and administer oxygen
8. The nurse provides medication teaching to a patient who has been prescribed sublingual
nitroglycerin tablets. Which statement made by the patient indicates the need for further
education?
A. When I put the tablet under my tongue, I should feel a tingling sensation
B. I can take as many tablets as needed until the pain goes away, each five minutes apart
C. I will need to be careful when I stand up because nitroglycerin can cause dizziness
D. If chest pain occurs, I will stop what I'm doing and put a tablet under my tongue -
CORRECT ANSWER✔✨-B. I can take as many tablets as needed until the pain goes
away, each five minutes apart
, 9. A patient that is being discharged from the hospital after acute coronary syndrome will be
participating in cardiac rehabilitation. What information should the nurse provide about the
early recovery phase of rehabilitation?
A. Therapeutic lifestyle changes should become lifelong habits
B. Physical activity always begins in the hospital and continued at home
C. Activity is increased gradually with supervision by the rehab team and with ECG
monitoring
D. The focus of rehab will be on management of chest pain, anxiety, dysrhythmias, and
other complications - CORRECT ANSWER✔✨-C. Activity is increased gradually with
supervision by the rehab team and with ECG monitoring
10. Which type of angina increases in frequency, duration, and severity as the time progresses?
A. Unstable
B. Prinzmetal's
C. Chronic stable
D. Microvascular - CORRECT ANSWER✔✨-A. Unstable angina
11. The nurse provides discharge teaching to a patient who is newly diagnosed with coronary artery
disease (CAD). Which statement made by the patient indicates understanding of the dietary
modifications that need to be implemented after discharge home?
A. I will not eat any bacon or pork products
B. I will only eat fried eggs instead of boiled eggs
C. I may continue to enjoy french fries with hot dogs
D. I will drink no more than one glass of whole milk per day - CORRECT ANSWER✔✨-A. I
will not eat any bacon or pork products
12. After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the
need for further teaching when the patient makes which statement?
A. I will replace my nitroglycerin supply every six months
B. I can take up to five tablets every three minutes for relief of my chest pain
C. I will take Tylenol to treat the headache caused my nitroglycerin
D. I will take the nitroglycerin 10 minutes before a planned activity that usually causes
chest pain - CORRECT ANSWER✔✨-B. I can take up to five tablets every three
minutes for relief of my chest pain
13. The nurse is reviewing a plan of care for emergency treatment of a patient with chest pain. The
nurse should question which item listed on the plan?
A. Give a high-dose statin
B. Give 162-325 mg aspirin chewable
2026 With Correct Answers
1. 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 - CORRECT ANSWER✔✨-A. Oxygen,
nitroglycerin, aspirin, morphine
2. 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 - CORRECT ANSWER✔✨-B. less than 120/80
3. 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 - CORRECT ANSWER✔✨-A. Platelet aggregation
and adhesion
4. 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 - CORRECT ANSWER✔✨-D. I
will use longer rest periods between exercise sessions
,5. 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 - CORRECT
ANSWER✔✨-D. I will change my lifestyle to alter patterns that add to my stress
6. 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 - CORRECT ANSWER✔✨-A. Dysrhythmias
7. 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 - CORRECT ANSWER✔✨-C. Position
the patient upright and administer oxygen
8. The nurse provides medication teaching to a patient who has been prescribed sublingual
nitroglycerin tablets. Which statement made by the patient indicates the need for further
education?
A. When I put the tablet under my tongue, I should feel a tingling sensation
B. I can take as many tablets as needed until the pain goes away, each five minutes apart
C. I will need to be careful when I stand up because nitroglycerin can cause dizziness
D. If chest pain occurs, I will stop what I'm doing and put a tablet under my tongue -
CORRECT ANSWER✔✨-B. I can take as many tablets as needed until the pain goes
away, each five minutes apart
, 9. A patient that is being discharged from the hospital after acute coronary syndrome will be
participating in cardiac rehabilitation. What information should the nurse provide about the
early recovery phase of rehabilitation?
A. Therapeutic lifestyle changes should become lifelong habits
B. Physical activity always begins in the hospital and continued at home
C. Activity is increased gradually with supervision by the rehab team and with ECG
monitoring
D. The focus of rehab will be on management of chest pain, anxiety, dysrhythmias, and
other complications - CORRECT ANSWER✔✨-C. Activity is increased gradually with
supervision by the rehab team and with ECG monitoring
10. Which type of angina increases in frequency, duration, and severity as the time progresses?
A. Unstable
B. Prinzmetal's
C. Chronic stable
D. Microvascular - CORRECT ANSWER✔✨-A. Unstable angina
11. The nurse provides discharge teaching to a patient who is newly diagnosed with coronary artery
disease (CAD). Which statement made by the patient indicates understanding of the dietary
modifications that need to be implemented after discharge home?
A. I will not eat any bacon or pork products
B. I will only eat fried eggs instead of boiled eggs
C. I may continue to enjoy french fries with hot dogs
D. I will drink no more than one glass of whole milk per day - CORRECT ANSWER✔✨-A. I
will not eat any bacon or pork products
12. After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the
need for further teaching when the patient makes which statement?
A. I will replace my nitroglycerin supply every six months
B. I can take up to five tablets every three minutes for relief of my chest pain
C. I will take Tylenol to treat the headache caused my nitroglycerin
D. I will take the nitroglycerin 10 minutes before a planned activity that usually causes
chest pain - CORRECT ANSWER✔✨-B. I can take up to five tablets every three
minutes for relief of my chest pain
13. The nurse is reviewing a plan of care for emergency treatment of a patient with chest pain. The
nurse should question which item listed on the plan?
A. Give a high-dose statin
B. Give 162-325 mg aspirin chewable
