NUR209 / NUR 209 Exam 2 Review:
200 Practice Questions &
Answers – Medical-Surgical
Nursing II (Fortis College, 2026
Update) [MOST RECENT!!]
1. Q: The nurse is caring for a patient who is receiving IV
furosemide (Lasix) and morphine for the treatment of acute
decompensated heart failure (ADHF) with severe orthopnea.
Which clinical finding is the best indicator that the treatment
has been effective?
A: Reduced dyspnea with head of the bed at 30 degrees.
2. Q: A patient who has recently had an acute myocardial
infarction ambulates in the hospital hallway. Which data
would indicate to the nurse that the patient should stop and
rest?
A: Heart rate increases from 66 to 100 beats/min.
3. Q: IV sodium nitroprusside (Nipride) is ordered for a patient
with acute pulmonary edema. Which reassessment finding
during the first hours of administration indicates that the
nurse should decrease the rate of nitroprusside?
A: Systolic BP < 90 mm Hg.
4. Q: What are the patient teaching for nitro?
A: Take 1, wait 5 minutes, then take another if still having chest
pains and call 911. Take a 3rd if still occurring and wait for
ambulance. Replace every 6 months. Keep in a cool dry place.
5. Q: What are long acting nitrates used for?
A: Chronic Angina.
6. Q: How do you know if IV nitro is effective for pain?
A: Ask the patient.
,7. Q: What drugs are used for decompensated heart failure with
severe orthopnea?
A: Lasix, Morphine.
8. Q: How do you evaluate if the orthopnea is getting better?
A: Ask how many pillows do you sleep on.
9. Q: What is nitroprusside used for?
A: Used in acute pulmonary edema causing HTN.
10. Q: What are the major side effects of nitroprusside?
A: Hypotension.
11. Q: In preparation for discharge, the nurse teaches a
patient with chronic stable angina how to use the prescribed
short-acting and long-acting nitrates. Which patient statement
indicates that the teaching has been effective?
A: "I will sit down before I put the nitroglycerin under my tongue."
12. Q: The nurse plans discharge teaching for a patient with
chronic heart failure who has prescriptions for digoxin
(Lanoxin) and hydrochlorothiazide. Which instruction should
the nurse include?
A: Notify the healthcare provider if nausea develops.
13. Q: Signs and symptoms of dig toxicity
A: (head and gut) Confusion, loss of appetite, nausea, vomiting,
diarrhea, or vision problems.
14. Q: what can taking captopril put the patient at risk for?
A: -severe hypotension -hyperkalemia -angioedema
15. Q: what do digoxin and lasix do to potassium?
A: increase potassium (Note: This may be a correction or
simplification from the source; furosemide/Lasix is a loop diuretic
that decreases potassium, and digoxin toxicity is potentiated by
hypokalemia or hyperkalemia.)
16. Q: what is the normal pr interval?
A: 0.24 (Note: The normal PR interval is typically 0.12-0.20
seconds.)
17. Q: what level of potassium can cause a PVC?
A: hypokalemia
18. Q: A patient has a sinus rhythm and a heart rate of 72
beats/min. The nurse determines that the PR interval is 0.2
, seconds. What action should the nurse take?
A: Document the finding and monitor the patient.
Q: A client with Acute Kidney Injury has a blood pressure of 76/55
mm Hg. The health care provider ordered 1000 ml of Normal Saline
to be infused over 1 hour to maintain perfusion. The client is
starting to develop shortness of breath. What is the nurse's priority
action?
A: (The specific action is not fully listed, but the priority would be to stop
the rapid infusion and assess for fluid overload).
20. Q: What is nephrotic syndrome?
A: Inflammatory response in the glomerulus that leads to damage
to membrane that leads to loss of protein that leads to
hypoalbuminemia = low albumin levels.
21. Q: What are some clinical manifestations of nephrotic
syndrome?
A: edema, hypertension, proteinuria (<3g a day).
22. Q: Which action will the nurse anticipate taking for a
client with chronic renal failure who has a potassium level of
6.5 meq/l?
A: Administer sodium polystyrene sulfonate (a medication to lower
potassium).
23. Q: The nephrologist orders a diagnostic test to check for
protein in your urine to rule out kidney diseases. Which
diagnostic test would be appropriate?
A: 24-hour urine collection.
24. Q: A client who has a serum potassium level of 6.5, a
creatine of 2, and a urine output of 125 ml/day. Which
physician's order would the nurse question?
A: - Place client on a cardiac monitor.
25. Q: A client is unsure of the decision to undergo
peritoneal dialysis (PD) and wishes to discuss the advantages
of this treatment with the nurse. Which statements by the
nurse are accurate regarding PD? (Select all that apply.)
A: "You will not need vascular access to perform PD." "There is less
200 Practice Questions &
Answers – Medical-Surgical
Nursing II (Fortis College, 2026
Update) [MOST RECENT!!]
1. Q: The nurse is caring for a patient who is receiving IV
furosemide (Lasix) and morphine for the treatment of acute
decompensated heart failure (ADHF) with severe orthopnea.
Which clinical finding is the best indicator that the treatment
has been effective?
A: Reduced dyspnea with head of the bed at 30 degrees.
2. Q: A patient who has recently had an acute myocardial
infarction ambulates in the hospital hallway. Which data
would indicate to the nurse that the patient should stop and
rest?
A: Heart rate increases from 66 to 100 beats/min.
3. Q: IV sodium nitroprusside (Nipride) is ordered for a patient
with acute pulmonary edema. Which reassessment finding
during the first hours of administration indicates that the
nurse should decrease the rate of nitroprusside?
A: Systolic BP < 90 mm Hg.
4. Q: What are the patient teaching for nitro?
A: Take 1, wait 5 minutes, then take another if still having chest
pains and call 911. Take a 3rd if still occurring and wait for
ambulance. Replace every 6 months. Keep in a cool dry place.
5. Q: What are long acting nitrates used for?
A: Chronic Angina.
6. Q: How do you know if IV nitro is effective for pain?
A: Ask the patient.
,7. Q: What drugs are used for decompensated heart failure with
severe orthopnea?
A: Lasix, Morphine.
8. Q: How do you evaluate if the orthopnea is getting better?
A: Ask how many pillows do you sleep on.
9. Q: What is nitroprusside used for?
A: Used in acute pulmonary edema causing HTN.
10. Q: What are the major side effects of nitroprusside?
A: Hypotension.
11. Q: In preparation for discharge, the nurse teaches a
patient with chronic stable angina how to use the prescribed
short-acting and long-acting nitrates. Which patient statement
indicates that the teaching has been effective?
A: "I will sit down before I put the nitroglycerin under my tongue."
12. Q: The nurse plans discharge teaching for a patient with
chronic heart failure who has prescriptions for digoxin
(Lanoxin) and hydrochlorothiazide. Which instruction should
the nurse include?
A: Notify the healthcare provider if nausea develops.
13. Q: Signs and symptoms of dig toxicity
A: (head and gut) Confusion, loss of appetite, nausea, vomiting,
diarrhea, or vision problems.
14. Q: what can taking captopril put the patient at risk for?
A: -severe hypotension -hyperkalemia -angioedema
15. Q: what do digoxin and lasix do to potassium?
A: increase potassium (Note: This may be a correction or
simplification from the source; furosemide/Lasix is a loop diuretic
that decreases potassium, and digoxin toxicity is potentiated by
hypokalemia or hyperkalemia.)
16. Q: what is the normal pr interval?
A: 0.24 (Note: The normal PR interval is typically 0.12-0.20
seconds.)
17. Q: what level of potassium can cause a PVC?
A: hypokalemia
18. Q: A patient has a sinus rhythm and a heart rate of 72
beats/min. The nurse determines that the PR interval is 0.2
, seconds. What action should the nurse take?
A: Document the finding and monitor the patient.
Q: A client with Acute Kidney Injury has a blood pressure of 76/55
mm Hg. The health care provider ordered 1000 ml of Normal Saline
to be infused over 1 hour to maintain perfusion. The client is
starting to develop shortness of breath. What is the nurse's priority
action?
A: (The specific action is not fully listed, but the priority would be to stop
the rapid infusion and assess for fluid overload).
20. Q: What is nephrotic syndrome?
A: Inflammatory response in the glomerulus that leads to damage
to membrane that leads to loss of protein that leads to
hypoalbuminemia = low albumin levels.
21. Q: What are some clinical manifestations of nephrotic
syndrome?
A: edema, hypertension, proteinuria (<3g a day).
22. Q: Which action will the nurse anticipate taking for a
client with chronic renal failure who has a potassium level of
6.5 meq/l?
A: Administer sodium polystyrene sulfonate (a medication to lower
potassium).
23. Q: The nephrologist orders a diagnostic test to check for
protein in your urine to rule out kidney diseases. Which
diagnostic test would be appropriate?
A: 24-hour urine collection.
24. Q: A client who has a serum potassium level of 6.5, a
creatine of 2, and a urine output of 125 ml/day. Which
physician's order would the nurse question?
A: - Place client on a cardiac monitor.
25. Q: A client is unsure of the decision to undergo
peritoneal dialysis (PD) and wishes to discuss the advantages
of this treatment with the nurse. Which statements by the
nurse are accurate regarding PD? (Select all that apply.)
A: "You will not need vascular access to perform PD." "There is less
