NUR 265 Advanced Med-Surg Exam 1 Practice Test 2026 |
Most Tested Questions | Graded A+
1. A patient with end stage renal disease is scheduled for hemodialysis. What
nursing intervention is essential to ensure the safety and well being of the
patient during hemodialysis?
Encourage the patient to consume a high potassium diet before
dialysis
Monitor blood pressure every 4 hours
Administer IV antibiotics before hemodialysis
Assess the arteriovenous (AV) fistula or graft for patency
2. A patient with pulmonary edema is experiencing shortness of breath and
anxiety. What should the nurse prioritize in their care plan?
Delay treatment until the patient is more stable.
Administer oxygen therapy to improve oxygenation.
Encourage the patient to engage in physical activity.
Increase the patient's fluid intake to reduce anxiety.
3. The patient admitted with acute MI received reperfusion therapy (PCI). What
are signs of successful reperfusion?
ST depression, chest pain relief, drop in troponin
troponin returns to baseline, short runs of accelerated
idioventricular rhythm (AIVR), chest pain relief
sinus rhythm, reduction of chest pain, elevation of troponin
chest pain relief, ST returns to baseline, short runs of VT
,4. If a 45-year-old patient is diagnosed with dilated cardiomyopathy, what
considerations should be made regarding their treatment plan?
The treatment plan should consider the patient's age, overall health,
and potential comorbidities.
The treatment plan should only involve lifestyle changes, ignoring
medical therapies.
The treatment plan should focus solely on medication without
considering the patient's age.
The treatment plan should prioritize surgical interventions regardless
of the patient's age.
5. Which of the following symptoms will the nurse find on assessment of a
patient with hepatic encephalopathy?
ascites, bleeding disorders, and immunosuppression
peripheral edema, dyspnea, and weight gain
decreased urinary output, increased serum creatinine, and elevated
liver enzymes
memory loss and confusion, leading to coma and asterixis
6. The definition of pericarditis is:
Inflammation of the pericardium
Infection of the pericardium
Trauma direct/indirect to the pericardium
Tumor of the pericardium
7. Medical treatment for pericarditis includes which of the following?
, antihypertensive
Anti-inflammatory medication
beta blocker
calcium channel blocker
8. A patient is prescribed a nitrate. Which statement should the nurse include
when teaching the patient about this medication?
"Nitrates prevent cardiac remodeling and suppress dysrhythmias,
ultimately reducing chest pain."
"Nitrates act to relax veins and arteries, allowing more oxygen into
the heart muscles, reducing pain."
"Drugs like this block beta receptors in the heart, causing the heart
rate to increase, so oxygen can circulate through the system."
"This class of drug is important in signaling cells for the process of
constriction, reducing cardiac preload."
9. The client is exhibiting signs of pulmonary edema as a result of congestive
heart failure (CHF). Which nursing intervention demonstrates best practice in
the care of this client?
Administering high-flow oxygen at 5-6 liters via simple face mask to
maintain SpO2 at >90%
Placing the client in a semi-Fowler's position if blood pressure is
adequate
Providing an oral diuretic
Auscultating the lung sounds anteriorly.
10. You are planning discharge education for a client with a new diagnosis of
valvular heart disease. Which of the following should you include in your
, teaching plan?
Obtain weight once per week and report weight gain
Reducing the sodium in the diet to not more than 3 grams per day
Taking a prophylactic antibiotic prior to an invasive procedure
Keep scheduled follow-up appointments for routine troponin labs
11. If a patient presents with symptoms of cardiac tamponade, what immediate
intervention should be prioritized?
Monitor vital signs and wait for further assessment.
Administer diuretics to reduce fluid overload.
Perform pericardiocentesis to relieve pressure on the heart.
Increase the patient's fluid intake to improve circulation.
12. What is a common laboratory finding in patients with liver cirrhosis?
Elevated liver enzymes
Low hemoglobin levels
Decreased blood glucose
Increased white blood cell count
13. What is the medical term used to describe chest pain that occurs
unpredictably and is often a sign of an impending heart attack?
Unstable angina
Stable angina
Myocardial infarction
Angina pectoris
Most Tested Questions | Graded A+
1. A patient with end stage renal disease is scheduled for hemodialysis. What
nursing intervention is essential to ensure the safety and well being of the
patient during hemodialysis?
Encourage the patient to consume a high potassium diet before
dialysis
Monitor blood pressure every 4 hours
Administer IV antibiotics before hemodialysis
Assess the arteriovenous (AV) fistula or graft for patency
2. A patient with pulmonary edema is experiencing shortness of breath and
anxiety. What should the nurse prioritize in their care plan?
Delay treatment until the patient is more stable.
Administer oxygen therapy to improve oxygenation.
Encourage the patient to engage in physical activity.
Increase the patient's fluid intake to reduce anxiety.
3. The patient admitted with acute MI received reperfusion therapy (PCI). What
are signs of successful reperfusion?
ST depression, chest pain relief, drop in troponin
troponin returns to baseline, short runs of accelerated
idioventricular rhythm (AIVR), chest pain relief
sinus rhythm, reduction of chest pain, elevation of troponin
chest pain relief, ST returns to baseline, short runs of VT
,4. If a 45-year-old patient is diagnosed with dilated cardiomyopathy, what
considerations should be made regarding their treatment plan?
The treatment plan should consider the patient's age, overall health,
and potential comorbidities.
The treatment plan should only involve lifestyle changes, ignoring
medical therapies.
The treatment plan should focus solely on medication without
considering the patient's age.
The treatment plan should prioritize surgical interventions regardless
of the patient's age.
5. Which of the following symptoms will the nurse find on assessment of a
patient with hepatic encephalopathy?
ascites, bleeding disorders, and immunosuppression
peripheral edema, dyspnea, and weight gain
decreased urinary output, increased serum creatinine, and elevated
liver enzymes
memory loss and confusion, leading to coma and asterixis
6. The definition of pericarditis is:
Inflammation of the pericardium
Infection of the pericardium
Trauma direct/indirect to the pericardium
Tumor of the pericardium
7. Medical treatment for pericarditis includes which of the following?
, antihypertensive
Anti-inflammatory medication
beta blocker
calcium channel blocker
8. A patient is prescribed a nitrate. Which statement should the nurse include
when teaching the patient about this medication?
"Nitrates prevent cardiac remodeling and suppress dysrhythmias,
ultimately reducing chest pain."
"Nitrates act to relax veins and arteries, allowing more oxygen into
the heart muscles, reducing pain."
"Drugs like this block beta receptors in the heart, causing the heart
rate to increase, so oxygen can circulate through the system."
"This class of drug is important in signaling cells for the process of
constriction, reducing cardiac preload."
9. The client is exhibiting signs of pulmonary edema as a result of congestive
heart failure (CHF). Which nursing intervention demonstrates best practice in
the care of this client?
Administering high-flow oxygen at 5-6 liters via simple face mask to
maintain SpO2 at >90%
Placing the client in a semi-Fowler's position if blood pressure is
adequate
Providing an oral diuretic
Auscultating the lung sounds anteriorly.
10. You are planning discharge education for a client with a new diagnosis of
valvular heart disease. Which of the following should you include in your
, teaching plan?
Obtain weight once per week and report weight gain
Reducing the sodium in the diet to not more than 3 grams per day
Taking a prophylactic antibiotic prior to an invasive procedure
Keep scheduled follow-up appointments for routine troponin labs
11. If a patient presents with symptoms of cardiac tamponade, what immediate
intervention should be prioritized?
Monitor vital signs and wait for further assessment.
Administer diuretics to reduce fluid overload.
Perform pericardiocentesis to relieve pressure on the heart.
Increase the patient's fluid intake to improve circulation.
12. What is a common laboratory finding in patients with liver cirrhosis?
Elevated liver enzymes
Low hemoglobin levels
Decreased blood glucose
Increased white blood cell count
13. What is the medical term used to describe chest pain that occurs
unpredictably and is often a sign of an impending heart attack?
Unstable angina
Stable angina
Myocardial infarction
Angina pectoris
