Med Surg 2 Exam 1 Practice COMPLETE EXAM LATEST
VERSION 2026-2027 QUESTIONS AND ANSWERS
Which category of medication helps reduce afterload in patients with heart failure?
A. Morphine
B. Antidysrhythmia drugs
C. Beta blockers
D. ACE inhibitors - answer>>D. ACE inhibitors
Which statement made by the nurse to a patient with cardiomyopathy regarding home care instructions
needs correction?
A. Avoid diet pills
B. Eat a low-sodium diet
C. Increase your caffeine consumption
D. Report increased fatigue to your primary HCP - answer>>C. Increase your caffeine consumption
The nurse finds diastolic murmurs in a patient who says, "I'm finding it hard to breathe, and sometimes I
cough up blood." What condition does the nurse suspect?
A. Mitral valve stenosis
B. Mitral valve prolapse
C. Aortic valve stenosis
D. Aortic valve regurgitation - answer>>A. Mitral valve stenosis
The nurse is caring for a patient with valvular heart disease who experiences atrial dysrhythmias. The
nurse anticipates a prescription for which type of medication?
A. Nitrate
B. Positive inotrope
C. Calcium channel blocker
,D. ACE inhibitor - answer>>C. Calcium channel blocker
The nurse provides education to a patient with infective endocarditis related to home care
management. Which statement made by the patient indicates the need for further teaching?
A. I should wear elastic compression stockings
B. I should cough and deep breathe every 2 hours
C. I should perform ROM exercises daily
D. I should be aware that fever and fatigue are normal - answer>>D. I should be aware that fever and
fatigue are normal
The nurse is assessing a patient with a pacemaker during a follow-up visit. The patient has red, painful,
tender, pea-sized lesions on the fingertips and toes. How should the nurse document this finding? A.
Roth's spots
B. Osler's nodes
C. Janeway's lesions
D. Splinter hemorrhages - answer>>B. Osler's nodes
The nurse is measuring a patient's pulsus paradoxus. The first Korotkoff sound during expiration is noted
at 115 mm Hg, and the reading at which sounds are heard throughout the respiratory cycle is noted at
84 mm Hg. What is the amount of paradoxus? Record the answer using a whole number.
__________ mm Hg - answer>>31 mm Hg
(115-84=31)
The nurse assesses a 70-year-old patient during a follow-up visit. The patient has progressive valvular
disease caused by rheumatic fever. Which interventions are appropriate for the nurse to perform? SATA
A. Encourage planned rest periods
B. Ensure ongoing prophylactic therapy
C. Encourage persistent physical exercise
D. Evaluate the effectiveness of the medication
, E. Discuss the recommendation for a mechanical valve replacement - answer>>A. Encourage planned
rest periods
B. Ensure ongoing prophylactic therapy
D. Evaluate the effectiveness of the medication
What is a major central nervous system (CNS) manifestation of rheumatic fever (RF)?
A. Aschoff's bodies
B. Pulsus paradoxus
C. Dressler syndrome
D. Sydenham's chorea - answer>>D. Sydenham's chorea
The nurse is preparing a discharge teaching plan for a patient admitted with restrictive cardiomyopathy.
Which instruction should the nurse include in the plan?
A. Follow a normal sodium diet
B. Drink 3-4 glasses of water daily
C. Maintain a reasonable weight and avoid large meals
D. Report signs of HF to the HCP, which include weight loss - answer>>C. Maintain a reasonable weight
and avoid large meals
The nurse is planning discharge teaching for a patient with cardiomyopathy. What instructions should
be included in the plan? SATA
A. Avoid alcohol
B. Balance activity and rest periods
C. Drink 2-4 glasses of water daily
D. Avoid vigorous isometric exercises
E. Consume food products with high sodium content - answer>>A. Avoid alcohol
B. Balance activity and rest periods
D. Avoid vigorous isometric exercises
VERSION 2026-2027 QUESTIONS AND ANSWERS
Which category of medication helps reduce afterload in patients with heart failure?
A. Morphine
B. Antidysrhythmia drugs
C. Beta blockers
D. ACE inhibitors - answer>>D. ACE inhibitors
Which statement made by the nurse to a patient with cardiomyopathy regarding home care instructions
needs correction?
A. Avoid diet pills
B. Eat a low-sodium diet
C. Increase your caffeine consumption
D. Report increased fatigue to your primary HCP - answer>>C. Increase your caffeine consumption
The nurse finds diastolic murmurs in a patient who says, "I'm finding it hard to breathe, and sometimes I
cough up blood." What condition does the nurse suspect?
A. Mitral valve stenosis
B. Mitral valve prolapse
C. Aortic valve stenosis
D. Aortic valve regurgitation - answer>>A. Mitral valve stenosis
The nurse is caring for a patient with valvular heart disease who experiences atrial dysrhythmias. The
nurse anticipates a prescription for which type of medication?
A. Nitrate
B. Positive inotrope
C. Calcium channel blocker
,D. ACE inhibitor - answer>>C. Calcium channel blocker
The nurse provides education to a patient with infective endocarditis related to home care
management. Which statement made by the patient indicates the need for further teaching?
A. I should wear elastic compression stockings
B. I should cough and deep breathe every 2 hours
C. I should perform ROM exercises daily
D. I should be aware that fever and fatigue are normal - answer>>D. I should be aware that fever and
fatigue are normal
The nurse is assessing a patient with a pacemaker during a follow-up visit. The patient has red, painful,
tender, pea-sized lesions on the fingertips and toes. How should the nurse document this finding? A.
Roth's spots
B. Osler's nodes
C. Janeway's lesions
D. Splinter hemorrhages - answer>>B. Osler's nodes
The nurse is measuring a patient's pulsus paradoxus. The first Korotkoff sound during expiration is noted
at 115 mm Hg, and the reading at which sounds are heard throughout the respiratory cycle is noted at
84 mm Hg. What is the amount of paradoxus? Record the answer using a whole number.
__________ mm Hg - answer>>31 mm Hg
(115-84=31)
The nurse assesses a 70-year-old patient during a follow-up visit. The patient has progressive valvular
disease caused by rheumatic fever. Which interventions are appropriate for the nurse to perform? SATA
A. Encourage planned rest periods
B. Ensure ongoing prophylactic therapy
C. Encourage persistent physical exercise
D. Evaluate the effectiveness of the medication
, E. Discuss the recommendation for a mechanical valve replacement - answer>>A. Encourage planned
rest periods
B. Ensure ongoing prophylactic therapy
D. Evaluate the effectiveness of the medication
What is a major central nervous system (CNS) manifestation of rheumatic fever (RF)?
A. Aschoff's bodies
B. Pulsus paradoxus
C. Dressler syndrome
D. Sydenham's chorea - answer>>D. Sydenham's chorea
The nurse is preparing a discharge teaching plan for a patient admitted with restrictive cardiomyopathy.
Which instruction should the nurse include in the plan?
A. Follow a normal sodium diet
B. Drink 3-4 glasses of water daily
C. Maintain a reasonable weight and avoid large meals
D. Report signs of HF to the HCP, which include weight loss - answer>>C. Maintain a reasonable weight
and avoid large meals
The nurse is planning discharge teaching for a patient with cardiomyopathy. What instructions should
be included in the plan? SATA
A. Avoid alcohol
B. Balance activity and rest periods
C. Drink 2-4 glasses of water daily
D. Avoid vigorous isometric exercises
E. Consume food products with high sodium content - answer>>A. Avoid alcohol
B. Balance activity and rest periods
D. Avoid vigorous isometric exercises
