Medical-Surgical Nursing II
Exam 1: Cardiac Focus
Institution Herzing University
Academic Year 2026/2027
Total Questions 50 (5 Sections x 10 Questions)
Format Multiple Choice (A-D)
Time Limit 90 Minutes (Recommended)
Passing Standard 75% (38/50 Correct)
Cognitive Levels: 30% Recall | 50% Application | 20% Analysis
Question Types: 70% Scenario-Based | 20% Direct Recall | 10% Clinical Judgment
NSG 223 Medical-Surgical Nursing II Exam 1 | Herzing University 2026/2027
, Exam Instructions
General Instructions
• This examination consists of 50 multiple-choice questions organized into 5 sections of 10 questions each.
• Each question has four answer options (A, B, C, D). Select the single best answer for each question.
• The recommended time limit is 90 minutes (approximately 1.8 minutes per question).
• The passing standard is 75%, which requires a minimum of 38 correct answers out of 50 questions.
• Read each question carefully before selecting your answer. Pay close attention to keywords such as 'most
important,' 'priority,' 'first,' and 'indicates a need for further teaching.'
Content Areas
• Section 1 (Q1-10): Cardiac Stress Testing and Cardiac Catheterization
• Section 2 (Q11-20): ECG Interpretation and Dysrhythmias
• Section 3 (Q21-30): Angina, Myocardial Infarction, and Acute Coronary Syndromes
• Section 4 (Q31-40): Valvular Disorders, Endocarditis, and Heart Failure
• Section 5 (Q41-50): Cardiac Pharmacology and Anticoagulation
Answer Key
• A comprehensive answer key with detailed rationales is provided at the end of the examination.
• Each rationale includes the correct answer letter and a 2-3 sentence explanation with medical-surgical nursing
reasoning.
• Correct answers are also marked with [CORRECT] within the option text for easy identification during review.
NSG 223 Exam 1 | Page 2