NU 185
Exam 1 Medical-Surgical Nursing II Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 1: Medical-Surgical Nursing II Comprehensive Review 2026/2027 UPDATE –
Galen
1. A patient with heart failure is prescribed digoxin. Which of the following assessment
findings would most strongly suggest digoxin toxicity?
A. Increased appetite and thirst
B. Tachycardia at 110 beats per minute
C. Blood pressure of 150/90 mmHg
D. Visual disturbances such as yellow-green halos
Answer: D
Rationale: Digoxin toxicity commonly presents with gastrointestinal symptoms and visual
changes, including blurred vision or seeing yellow-green halos around lights. Bradycardia,
not tachycardia, is also a sign.
2. Which clinical manifestation is a hallmark sign of Left-Sided Heart Failure?
A. Jugular Venous Distention (JVD)
B. Pulmonary crackles and dyspnea
C. Dependent peripheral edema
D. Splenomegaly and hepatomegaly
, Answer: B
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation,
leading to pulmonary congestion, crackles, and shortness of breath. JVD and peripheral
edema are signs of right-sided failure.
3. A patient presents to the ER with crushing chest pain. Which cardiac biomarker is most
specific for myocardial infarction and remains elevated for up to 2 weeks?
A. Myoglobin
B. Troponin T or I
C. Creatine Kinase (CK-MB)
D. C-reactive protein
Answer: B
Rationale: Troponin is highly specific to cardiac muscle damage. It rises within hours of an
MI and remains elevated for 10-14 days, making it the gold standard for diagnosis.
4. What is the priority intervention for a patient experiencing a Sickle Cell Crisis?
A. Aggressive intravenous hydration and oxygen therapy
B. Applying cold compresses to the joints
C. Administering oral iron supplements
D. Restricting all fluid intake to prevent overload
Answer: A
Exam 1 Medical-Surgical Nursing II Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 1: Medical-Surgical Nursing II Comprehensive Review 2026/2027 UPDATE –
Galen
1. A patient with heart failure is prescribed digoxin. Which of the following assessment
findings would most strongly suggest digoxin toxicity?
A. Increased appetite and thirst
B. Tachycardia at 110 beats per minute
C. Blood pressure of 150/90 mmHg
D. Visual disturbances such as yellow-green halos
Answer: D
Rationale: Digoxin toxicity commonly presents with gastrointestinal symptoms and visual
changes, including blurred vision or seeing yellow-green halos around lights. Bradycardia,
not tachycardia, is also a sign.
2. Which clinical manifestation is a hallmark sign of Left-Sided Heart Failure?
A. Jugular Venous Distention (JVD)
B. Pulmonary crackles and dyspnea
C. Dependent peripheral edema
D. Splenomegaly and hepatomegaly
, Answer: B
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation,
leading to pulmonary congestion, crackles, and shortness of breath. JVD and peripheral
edema are signs of right-sided failure.
3. A patient presents to the ER with crushing chest pain. Which cardiac biomarker is most
specific for myocardial infarction and remains elevated for up to 2 weeks?
A. Myoglobin
B. Troponin T or I
C. Creatine Kinase (CK-MB)
D. C-reactive protein
Answer: B
Rationale: Troponin is highly specific to cardiac muscle damage. It rises within hours of an
MI and remains elevated for 10-14 days, making it the gold standard for diagnosis.
4. What is the priority intervention for a patient experiencing a Sickle Cell Crisis?
A. Aggressive intravenous hydration and oxygen therapy
B. Applying cold compresses to the joints
C. Administering oral iron supplements
D. Restricting all fluid intake to prevent overload
Answer: A
