MED SURG 2 FINAL EXAM – EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALE | 2027 Q&A | INSTANT DOWNLOAD PDF
1. A Patient was admitted for shortness of breath. The nurse connects the patient to
the cardiac monitor. According to the strip below, which treatment is appropriate
for the patient?
a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
Correct Answer: c.
2. An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should be
decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
Correct Answer: d.
3. The nurse is caring for 70-year-old patient who the nurse suspects having difficulty
hearing. The nurse is providing discharge instructions. The patient is nodding as the
charge nurse discusses the orders. What action should the nurse take to assess
whether or not the patient heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her
Correct Answer: a.
4. Statement terminally ill pt to caregiver.
Correct Answer: "Stop taking chemo-therapy medications."
5. Marked edema. Which medication?
Correct Answer:
6. A nurse has committed a serious medication error and reported the error to the
hospital's adverse medication error hotline as well to the unit manager. The
manager is a firm believer in developing critical thinking skills. From this stand
point what action by the manage would be the best to nurture this ability in the
nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error
Correct Answer: b.
7. The nurse is taking care of a patient just diagnosed with CHF. The patient is an
attorney and has brought his work with him to do at the hospital. He is constantly
, on the phone discussing work and seems very hurried. The nurse assesses this to be
what type of stress?
a. Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
Correct Answer: b.
8. Which of the following conditions puts a patient at risk for acute respiratory
distress syndrome? (select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes
Correct Answer: a, b, c, d.
9. The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave.
What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d. hypocalcemia
Correct Answer: b.
10. The patient has just been diagnosed with an MI. The patient asks for information
about the disease and looks for any support groups. The nurse assesses this to be
what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused
Correct Answer: a.
11. The nurse is caring for a patient diagnosed with heart failure. The nurse is
preparing to administer digoxin to the patient. The patient reports nausea, vomiting
and a headache. The nurse notes a respiratory rate of 19 breaths per min and HR of
58 BPM and blood pressure of 120/78. What will the nurse do?
a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting effects
d. administer the next dose as ordered since these are minor side effects
Correct Answer: a.
12. When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
a. vaccine
b. antibiotics
c. blood
, d. atropine
Correct Answer: a.
13. What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
Correct Answer: d.
14. The nurse is caring for a patient with burns. The total body surface area affected is
63%. The nurse must provide wound care for this patient. What interventions
should the nurse include? (Select All)
a. wear a gown,mask,gloves and protective eye gear while providing care
b. use sterile technique when applying new dressings
c. use scrub brush to debride wounds
d. provide pain medication 2 hours prior to dressing changes
e. provide pain medication 30 minutes prior to dressing changes
Correct Answer: a, b, e.
15. As a member of the stroke team, the nurse knows that thrombolytic therapy carries
the potential for benefit and for harm. The nurse should be cognizant of what
contraindications for thrombolytic therapy? Select all that apply.
A) sudden symptom onset
B) INR above 1.0
C) Recent intracranial pathology
D) Current anticoagulation therapy
E) Symptom onset greater than 3 hours prior to admission
Correct Answer: C, D, E.
16. A Patient who has chest pain is admitted to the emergency department. All of the
following diagnostic tests are ordered. Which test will the nurse arrange to complete
first?
a. ECG
b. CXR
c. Troponin level
d. CT scan
Correct Answer: a.
17. A patient is brought to the emergency department after falling down two flights of
stairs. The patient is suspected of having internal bleeding. Which initial assessment
of hypovolemic shock would the nurse expect to find?
a. increased heart rate
b. decreased respiratory rate
c. increased urinary output
d. warm flushed skin
Correct Answer: a.
18. A patient with a subarachnoid hemorrhage is being cared for in the ICU. Which
information about the patient is most important to communicate about the patient
to the health care provider?
a. the patient's blood pressure is 90/50
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALE | 2027 Q&A | INSTANT DOWNLOAD PDF
1. A Patient was admitted for shortness of breath. The nurse connects the patient to
the cardiac monitor. According to the strip below, which treatment is appropriate
for the patient?
a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
Correct Answer: c.
2. An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should be
decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
Correct Answer: d.
3. The nurse is caring for 70-year-old patient who the nurse suspects having difficulty
hearing. The nurse is providing discharge instructions. The patient is nodding as the
charge nurse discusses the orders. What action should the nurse take to assess
whether or not the patient heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her
Correct Answer: a.
4. Statement terminally ill pt to caregiver.
Correct Answer: "Stop taking chemo-therapy medications."
5. Marked edema. Which medication?
Correct Answer:
6. A nurse has committed a serious medication error and reported the error to the
hospital's adverse medication error hotline as well to the unit manager. The
manager is a firm believer in developing critical thinking skills. From this stand
point what action by the manage would be the best to nurture this ability in the
nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error
Correct Answer: b.
7. The nurse is taking care of a patient just diagnosed with CHF. The patient is an
attorney and has brought his work with him to do at the hospital. He is constantly
, on the phone discussing work and seems very hurried. The nurse assesses this to be
what type of stress?
a. Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
Correct Answer: b.
8. Which of the following conditions puts a patient at risk for acute respiratory
distress syndrome? (select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes
Correct Answer: a, b, c, d.
9. The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave.
What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d. hypocalcemia
Correct Answer: b.
10. The patient has just been diagnosed with an MI. The patient asks for information
about the disease and looks for any support groups. The nurse assesses this to be
what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused
Correct Answer: a.
11. The nurse is caring for a patient diagnosed with heart failure. The nurse is
preparing to administer digoxin to the patient. The patient reports nausea, vomiting
and a headache. The nurse notes a respiratory rate of 19 breaths per min and HR of
58 BPM and blood pressure of 120/78. What will the nurse do?
a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting effects
d. administer the next dose as ordered since these are minor side effects
Correct Answer: a.
12. When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
a. vaccine
b. antibiotics
c. blood
, d. atropine
Correct Answer: a.
13. What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
Correct Answer: d.
14. The nurse is caring for a patient with burns. The total body surface area affected is
63%. The nurse must provide wound care for this patient. What interventions
should the nurse include? (Select All)
a. wear a gown,mask,gloves and protective eye gear while providing care
b. use sterile technique when applying new dressings
c. use scrub brush to debride wounds
d. provide pain medication 2 hours prior to dressing changes
e. provide pain medication 30 minutes prior to dressing changes
Correct Answer: a, b, e.
15. As a member of the stroke team, the nurse knows that thrombolytic therapy carries
the potential for benefit and for harm. The nurse should be cognizant of what
contraindications for thrombolytic therapy? Select all that apply.
A) sudden symptom onset
B) INR above 1.0
C) Recent intracranial pathology
D) Current anticoagulation therapy
E) Symptom onset greater than 3 hours prior to admission
Correct Answer: C, D, E.
16. A Patient who has chest pain is admitted to the emergency department. All of the
following diagnostic tests are ordered. Which test will the nurse arrange to complete
first?
a. ECG
b. CXR
c. Troponin level
d. CT scan
Correct Answer: a.
17. A patient is brought to the emergency department after falling down two flights of
stairs. The patient is suspected of having internal bleeding. Which initial assessment
of hypovolemic shock would the nurse expect to find?
a. increased heart rate
b. decreased respiratory rate
c. increased urinary output
d. warm flushed skin
Correct Answer: a.
18. A patient with a subarachnoid hemorrhage is being cared for in the ICU. Which
information about the patient is most important to communicate about the patient
to the health care provider?
a. the patient's blood pressure is 90/50
