NU 185
Medical-Surgical Nursing II - Exam 2 Master Set
Exam 2 • Practice Questions & Rationales
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 Medical-Surgical Nursing II - Exam 2 Master Set 2026/2027 UPDATE- Galen
1. A nurse is caring for a patient with left-sided heart failure. Which assessment finding is
most representative of this condition?
A. Jugular venous distention and peripheral edema
B. Ascites and hepatomegaly
C. Crackles in the lung bases and dyspnea
D. Splenomegaly and weight gain
Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion because the left ventricle
cannot pump blood efficiently into the systemic circulation, causing fluid to back up into
the lungs.
2. A patient with atrial fibrillation is prescribed Warfarin. Which lab value should the nurse
monitor to evaluate the effectiveness of the therapy?
A. PTT
B. INR
C. Platelet count
D. Hemoglobin
, Answer: B
Rationale: INR (International Normalized Ratio) is the standard test used to monitor the
therapeutic levels of Warfarin.
3. Which of the following ECG rhythms requires immediate defibrillation?
A. Atrial Flutter
B. Ventricular Fibrillation
C. First-degree AV Block
D. Sinus Bradycardia
Answer: B
Rationale: Ventricular fibrillation is a lethal rhythm that requires immediate
unsynchronized defibrillation to restore a perfusing rhythm.
4. A patient presents with a suspected Pulmonary Embolism (PE). Which diagnostic test is
considered the ‘gold standard’ for confirming this diagnosis?
A. Chest X-ray
B. D-dimer assay
C. CT Pulmonary Angiography (CTPA)
D. Arterial Blood Gas (ABG)
Answer: C
Medical-Surgical Nursing II - Exam 2 Master Set
Exam 2 • Practice Questions & Rationales
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 Medical-Surgical Nursing II - Exam 2 Master Set 2026/2027 UPDATE- Galen
1. A nurse is caring for a patient with left-sided heart failure. Which assessment finding is
most representative of this condition?
A. Jugular venous distention and peripheral edema
B. Ascites and hepatomegaly
C. Crackles in the lung bases and dyspnea
D. Splenomegaly and weight gain
Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion because the left ventricle
cannot pump blood efficiently into the systemic circulation, causing fluid to back up into
the lungs.
2. A patient with atrial fibrillation is prescribed Warfarin. Which lab value should the nurse
monitor to evaluate the effectiveness of the therapy?
A. PTT
B. INR
C. Platelet count
D. Hemoglobin
, Answer: B
Rationale: INR (International Normalized Ratio) is the standard test used to monitor the
therapeutic levels of Warfarin.
3. Which of the following ECG rhythms requires immediate defibrillation?
A. Atrial Flutter
B. Ventricular Fibrillation
C. First-degree AV Block
D. Sinus Bradycardia
Answer: B
Rationale: Ventricular fibrillation is a lethal rhythm that requires immediate
unsynchronized defibrillation to restore a perfusing rhythm.
4. A patient presents with a suspected Pulmonary Embolism (PE). Which diagnostic test is
considered the ‘gold standard’ for confirming this diagnosis?
A. Chest X-ray
B. D-dimer assay
C. CT Pulmonary Angiography (CTPA)
D. Arterial Blood Gas (ABG)
Answer: C
