NUR 209 / NUR209 Medical-Surgical Nursing II Exam 3
Practice Test Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Complex Cardiovascular & Peripheral Vascular
Disorders (12 Questions)
Q1: A patient with acute decompensated heart failure is receiving IV furosemide.
Which assessment finding indicates the medication is effective?
A. Increased peripheral edema
B. Decreased urine output
C. Decreased dyspnea and weight loss of 2 kg in 24 hours [CORRECT]
D. Increased jugular venous distension
Correct Answer: C
Rationale: Correct because IV furosemide promotes diuresis, and effective treatment
is evidenced by reduced fluid overload manifesting as decreased dyspnea and
weight loss.
Q2: A patient with an ST-elevation myocardial infarction (STEMI) is receiving the
MONA protocol. Which component is administered first?
A. Oxygen at 4 L/min via nasal cannula
,B. Nitroglycerin 0.4 mg sublingual
C. Aspirin 325 mg chewable [CORRECT]
D. Morphine 2-4 mg IV
Correct Answer: C
Rationale: Correct because aspirin is given first in the MONA protocol for ACS as it
provides immediate antiplatelet effects and reduces mortality.
Q3: A patient with new-onset atrial fibrillation has an irregularly irregular rhythm.
Which is the priority nursing intervention?
A. Administer adenosine 6 mg rapid IV push
B. Assess for hemodynamic stability and anticoagulation status [CORRECT]
C. Prepare for immediate synchronized cardioversion
D. Apply transcutaneous pacing pads
Correct Answer: B
Rationale: Correct because assessment of hemodynamic stability determines
whether immediate cardioversion or rate/rhythm control is needed, and
anticoagulation status guides stroke risk management.
Q4: A patient with peripheral arterial disease (PAD) has a non-healing ulcer on the
lateral ankle. Which characteristic distinguishes an arterial ulcer from a venous
ulcer?
A. Irregular wound edges with granulation tissue
B. Deep, punched-out appearance with minimal bleeding [CORRECT]
,C. Shallow wound with heavy drainage
D. Located in the gaiter area with brawny edema
Correct Answer: B
Rationale: Correct because arterial ulcers are characterized by a deep, punched-out
appearance with pale wound bed and minimal bleeding due to poor perfusion.
Q5: A patient with a known abdominal aortic aneurysm (AAA) reports severe back
pain and hypotension. Which is the priority nursing action?
A. Administer oral pain medication
B. Prepare for immediate surgical intervention and fluid resuscitation [CORRECT]
C. Apply an abdominal binder for support
D. Obtain a CT scan with contrast
Correct Answer: B
Rationale: Correct because severe back pain and hypotension in a patient with AAA
indicate rupture, which is a surgical emergency requiring immediate fluid
resuscitation and operative intervention.
Q6: A patient with right-sided heart failure demonstrates which clinical
manifestation?
A. Pulmonary crackles and orthopnea
B. Jugular venous distension and peripheral edema [CORRECT]
C. Paroxysmal nocturnal dyspnea
D. Frothy pink sputum
, Correct Answer: B
Rationale: Correct because right-sided heart failure causes systemic venous
congestion, resulting in jugular venous distension, hepatomegaly, and peripheral
edema.
Q7: A patient with non-ST-elevation myocardial infarction (NSTEMI) has elevated
troponin levels. Which nursing intervention is appropriate?
A. Administer thrombolytics within 30 minutes
B. Monitor for recurrent chest pain and prepare for cardiac catheterization
[CORRECT]
C. Apply defibrillator pads immediately
D. Restrict all oral intake for 72 hours
Correct Answer: B
Rationale: Correct because NSTEMI management focuses on risk stratification,
anticoagulation, and timely cardiac catheterization rather than thrombolytics.
Q8: A patient with a permanent pacemaker asks about activity restrictions. Which
statement by the patient indicates understanding?
A. "I should avoid lifting my arm above my shoulder for 6 weeks." [CORRECT]
B. "I can resume heavy lifting immediately after discharge."
C. "I need to avoid all electromagnetic devices permanently."
D. "I should sleep on my operative side every night."
Correct Answer: A
Practice Test Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Complex Cardiovascular & Peripheral Vascular
Disorders (12 Questions)
Q1: A patient with acute decompensated heart failure is receiving IV furosemide.
Which assessment finding indicates the medication is effective?
A. Increased peripheral edema
B. Decreased urine output
C. Decreased dyspnea and weight loss of 2 kg in 24 hours [CORRECT]
D. Increased jugular venous distension
Correct Answer: C
Rationale: Correct because IV furosemide promotes diuresis, and effective treatment
is evidenced by reduced fluid overload manifesting as decreased dyspnea and
weight loss.
Q2: A patient with an ST-elevation myocardial infarction (STEMI) is receiving the
MONA protocol. Which component is administered first?
A. Oxygen at 4 L/min via nasal cannula
,B. Nitroglycerin 0.4 mg sublingual
C. Aspirin 325 mg chewable [CORRECT]
D. Morphine 2-4 mg IV
Correct Answer: C
Rationale: Correct because aspirin is given first in the MONA protocol for ACS as it
provides immediate antiplatelet effects and reduces mortality.
Q3: A patient with new-onset atrial fibrillation has an irregularly irregular rhythm.
Which is the priority nursing intervention?
A. Administer adenosine 6 mg rapid IV push
B. Assess for hemodynamic stability and anticoagulation status [CORRECT]
C. Prepare for immediate synchronized cardioversion
D. Apply transcutaneous pacing pads
Correct Answer: B
Rationale: Correct because assessment of hemodynamic stability determines
whether immediate cardioversion or rate/rhythm control is needed, and
anticoagulation status guides stroke risk management.
Q4: A patient with peripheral arterial disease (PAD) has a non-healing ulcer on the
lateral ankle. Which characteristic distinguishes an arterial ulcer from a venous
ulcer?
A. Irregular wound edges with granulation tissue
B. Deep, punched-out appearance with minimal bleeding [CORRECT]
,C. Shallow wound with heavy drainage
D. Located in the gaiter area with brawny edema
Correct Answer: B
Rationale: Correct because arterial ulcers are characterized by a deep, punched-out
appearance with pale wound bed and minimal bleeding due to poor perfusion.
Q5: A patient with a known abdominal aortic aneurysm (AAA) reports severe back
pain and hypotension. Which is the priority nursing action?
A. Administer oral pain medication
B. Prepare for immediate surgical intervention and fluid resuscitation [CORRECT]
C. Apply an abdominal binder for support
D. Obtain a CT scan with contrast
Correct Answer: B
Rationale: Correct because severe back pain and hypotension in a patient with AAA
indicate rupture, which is a surgical emergency requiring immediate fluid
resuscitation and operative intervention.
Q6: A patient with right-sided heart failure demonstrates which clinical
manifestation?
A. Pulmonary crackles and orthopnea
B. Jugular venous distension and peripheral edema [CORRECT]
C. Paroxysmal nocturnal dyspnea
D. Frothy pink sputum
, Correct Answer: B
Rationale: Correct because right-sided heart failure causes systemic venous
congestion, resulting in jugular venous distension, hepatomegaly, and peripheral
edema.
Q7: A patient with non-ST-elevation myocardial infarction (NSTEMI) has elevated
troponin levels. Which nursing intervention is appropriate?
A. Administer thrombolytics within 30 minutes
B. Monitor for recurrent chest pain and prepare for cardiac catheterization
[CORRECT]
C. Apply defibrillator pads immediately
D. Restrict all oral intake for 72 hours
Correct Answer: B
Rationale: Correct because NSTEMI management focuses on risk stratification,
anticoagulation, and timely cardiac catheterization rather than thrombolytics.
Q8: A patient with a permanent pacemaker asks about activity restrictions. Which
statement by the patient indicates understanding?
A. "I should avoid lifting my arm above my shoulder for 6 weeks." [CORRECT]
B. "I can resume heavy lifting immediately after discharge."
C. "I need to avoid all electromagnetic devices permanently."
D. "I should sleep on my operative side every night."
Correct Answer: A
