Med Surg 2 Exam 1 Practice EXAM 2026-2027
LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
Which type of angina occurs in the absence of significant coronary artery disease (CAD)?
A. Silent
B. Unstable
C. Prinzmetal's
D. Microvascular - answer>>D. Microvascular
The nurse assesses an older patient for risk factors for coronary artery disease (CAD). What question
should the nurse ask the patient?
A. What is your BMI number?
B. Did you receive a pneumococcal vaccine?
C. When did you last have a bowel movement?
D. Did you travel abroad in the last 12 months? - answer>>A. What is your BMI number?
The nurse observes a student nurse who is providing thrombolytic therapy to a patient three hours after
the patient's report of chest pain. Which action performed by the student nurse indicates the need for
the nurse to intervene?
A. Monitors patient for blood in the urine
B. Assess regularly for neurologic status change
C. Draws blood samples from patient before therapy initiation
D. Reduces the dose of thrombolytic agent during episodes of chest pain - answer>>D. Reduces the
dose of thrombolytic agent during episodes of chest pain
The nurse provides information to a patient about preventing coronary artery disease (CAD) by
maintaining healthy serum low-density lipoproteins (LDL) and high-density lipoprotein (HDL) levels. The
nurse should include what goals?
,A. Decreased LDLs; decreased HDLs
B. Decreased LDLs; increased HDLs
C. Increased LDLs; decreased HDLs
D. Increased LDLs; increased HDLs - answer>>B. Decreased LDLs; increased HDLs
Which statement made by the student nurse indicates effective learning regarding the instructions to
be given to a patient that receives a prescription for nitroglycerin?
A. I should direct to inhale the spray containing medication
B. I should ask the patient to change positions rapidly after medication use
C. I should instruct the patient to report changes in the pattern of their pain to the HCP
D. I should encourage the patient to administer the medication every 30 min sublingually if symptoms
persist - answer>>C. I should instruct the patient to report changes in the pattern of their pain to the
HCP
The nurse teaches a student nurse about diagnostic studies used for acute coronary syndrome. Which
statement made by the student nurse indicates effective learning?
A. A nitroprusside stress echocardiogram is used for patients with acute pericarditis
B. A pathogenic Q wave is always present in the ECG of patients with unstable angina
C. Serum cardiac markers are proteins released from necrotic heart muscle
D. Coronary angiography is the only way to confirm the diagnosis of unstable angina - answer>>C.
Serum cardiac markers are proteins released from necrotic heart muscle
Which symptoms should the nurse recognize as unstable angina in a perimenopausal client?
A. Dyspnea, hyperglycemia, polyuria
B. Fatigue, indigestion, SOB
C. Peripheral edema with decreased urinary output
D. Altered mentation with difficulty breathing - answer>>B. Fatigue, indigestion, SOB
A patient in teh coronary care unit develops Vfib. The first action the nurse should take is to
A. Perform defibrillation
, B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per protocol - answer>>B. Initiate CPR
A patient has a diagnosis of acute MI, and his cardiac rhythm is sinus bradycardia with 6-8 PVCs per
minute. The pattern that the nurse recognizes as the most characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval - answer>>C. A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a HR of 34 bpm. If the bradycardia is symptomatic,
the nurse would expect the patient to exhibit
A. Palpitations
B. HTN
C. Warm, flushed skin
D. SOB - answer>>D. SOB
A patient is admitted to the coronary care unit following a cardiac arrest and successful CPR. When
reviewing the HCP's admission orders, which order should the nurse question?
A. Oxygen at 4 L/min via NC
B. Morphine sulfate 2 mg IV every 10 min until pain is relieved
C. t-PA 100 mg IV infused over 3 hr
D. IV nitroglycerin at 5 mcg/min and increase 5 mcg/min every 3-5 min - answer>>C. t-PA 100 mg IV
infused over 3 hr
The nurse determines that teaching about implementing dietary changes to decrease the risk of CAD
has been effective when teh patient says
A. I shouldn't eat any red meat such as beef, pork, or lamb
B. I should have some type of fish at least 3 times a week
LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
Which type of angina occurs in the absence of significant coronary artery disease (CAD)?
A. Silent
B. Unstable
C. Prinzmetal's
D. Microvascular - answer>>D. Microvascular
The nurse assesses an older patient for risk factors for coronary artery disease (CAD). What question
should the nurse ask the patient?
A. What is your BMI number?
B. Did you receive a pneumococcal vaccine?
C. When did you last have a bowel movement?
D. Did you travel abroad in the last 12 months? - answer>>A. What is your BMI number?
The nurse observes a student nurse who is providing thrombolytic therapy to a patient three hours after
the patient's report of chest pain. Which action performed by the student nurse indicates the need for
the nurse to intervene?
A. Monitors patient for blood in the urine
B. Assess regularly for neurologic status change
C. Draws blood samples from patient before therapy initiation
D. Reduces the dose of thrombolytic agent during episodes of chest pain - answer>>D. Reduces the
dose of thrombolytic agent during episodes of chest pain
The nurse provides information to a patient about preventing coronary artery disease (CAD) by
maintaining healthy serum low-density lipoproteins (LDL) and high-density lipoprotein (HDL) levels. The
nurse should include what goals?
,A. Decreased LDLs; decreased HDLs
B. Decreased LDLs; increased HDLs
C. Increased LDLs; decreased HDLs
D. Increased LDLs; increased HDLs - answer>>B. Decreased LDLs; increased HDLs
Which statement made by the student nurse indicates effective learning regarding the instructions to
be given to a patient that receives a prescription for nitroglycerin?
A. I should direct to inhale the spray containing medication
B. I should ask the patient to change positions rapidly after medication use
C. I should instruct the patient to report changes in the pattern of their pain to the HCP
D. I should encourage the patient to administer the medication every 30 min sublingually if symptoms
persist - answer>>C. I should instruct the patient to report changes in the pattern of their pain to the
HCP
The nurse teaches a student nurse about diagnostic studies used for acute coronary syndrome. Which
statement made by the student nurse indicates effective learning?
A. A nitroprusside stress echocardiogram is used for patients with acute pericarditis
B. A pathogenic Q wave is always present in the ECG of patients with unstable angina
C. Serum cardiac markers are proteins released from necrotic heart muscle
D. Coronary angiography is the only way to confirm the diagnosis of unstable angina - answer>>C.
Serum cardiac markers are proteins released from necrotic heart muscle
Which symptoms should the nurse recognize as unstable angina in a perimenopausal client?
A. Dyspnea, hyperglycemia, polyuria
B. Fatigue, indigestion, SOB
C. Peripheral edema with decreased urinary output
D. Altered mentation with difficulty breathing - answer>>B. Fatigue, indigestion, SOB
A patient in teh coronary care unit develops Vfib. The first action the nurse should take is to
A. Perform defibrillation
, B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per protocol - answer>>B. Initiate CPR
A patient has a diagnosis of acute MI, and his cardiac rhythm is sinus bradycardia with 6-8 PVCs per
minute. The pattern that the nurse recognizes as the most characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval - answer>>C. A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a HR of 34 bpm. If the bradycardia is symptomatic,
the nurse would expect the patient to exhibit
A. Palpitations
B. HTN
C. Warm, flushed skin
D. SOB - answer>>D. SOB
A patient is admitted to the coronary care unit following a cardiac arrest and successful CPR. When
reviewing the HCP's admission orders, which order should the nurse question?
A. Oxygen at 4 L/min via NC
B. Morphine sulfate 2 mg IV every 10 min until pain is relieved
C. t-PA 100 mg IV infused over 3 hr
D. IV nitroglycerin at 5 mcg/min and increase 5 mcg/min every 3-5 min - answer>>C. t-PA 100 mg IV
infused over 3 hr
The nurse determines that teaching about implementing dietary changes to decrease the risk of CAD
has been effective when teh patient says
A. I shouldn't eat any red meat such as beef, pork, or lamb
B. I should have some type of fish at least 3 times a week
