Galen College of Nursing NU 155
MEDICAL-SURGICAL NURSING I • EXAM 3 F2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A patient reports chest pressure during exercise that resolves with rest in less than 15 minutes.
Which condition described in the notes best fits?
A. Right-sided heart failure.
B. Unstable angina.
C. Stable angina.
D. Peritonitis.
✓ Correct answer: C. Stable angina.
Rationale: The supplied blueprint describes stable angina as activity-associated chest pain relieved by
rest, usually lasting less than 15 minutes.
2. A patient develops unpredictable, more severe chest discomfort while resting that has not
responded to nitroglycerin. Which form of angina is most concerning according to the notes?
A. Unstable angina.
B. Raynaud disease.
C. Venous insufficiency.
D. Stable angina.
✓ Correct answer: A. Unstable angina.
Rationale: The source describes unstable angina as more severe and unpredictable, occurring at rest or
with minimal exertion and possibly not relieved by nitroglycerin.
3. A patient receives a first dose of nitroglycerin for chest pain. Which assessment do the notes
particularly emphasize afterward?
A. Check blood pressure.
B. Measure urine color alone.
C. Check the abdominal girth.
D. Check for rebound abdominal tenderness.
✓ Correct answer: A. Check blood pressure.
Rationale: The angina nursing interventions specifically call for blood pressure assessment after
nitroglycerin, especially the first dose.
4. A patient asks what causes coronary artery disease. Which explanation follows the uploaded
blueprint?
A. It is caused only by inadequate wound healing.
B. An abdominal infection is the sole cause.
C. Atherosclerotic plaques can obstruct arteries supplying the heart.
D. The coronary arteries are normally filled by venous blood pooling.
✓ Correct answer: C. Atherosclerotic plaques can obstruct arteries supplying the heart.
Rationale: The blueprint attributes CAD to arterial narrowing or blockage including intraluminal fatty
plaques.
, 5. A patient taking lipid-lowering medication thinks diet and activity no longer matter. Which
teaching is supported?
A. Only monitor wound exudate; cholesterol measures no longer matter.
B. Continue a low-saturated-fat diet, exercise, and weight management alongside medication.
C. Avoid exercise and eat more saturated fat to preserve calories.
D. Discontinue medication whenever exercise begins.
✓ Correct answer: B. Continue a low-saturated-fat diet, exercise, and weight management
alongside medication.
Rationale: The blueprint states lipid-lowering drugs are not effective alone and pairs them with diet,
exercise, and maintaining normal weight.
6. A patient with heart failure develops crackles, orthopnea, cough, and dyspnea. Which side of heart
failure is most consistent with these findings?
A. An isolated peripheral venous disorder.
B. Neither side; these indicate appendicitis.
C. Right-sided failure alone.
D. Left-sided failure.
✓ Correct answer: D. Left-sided failure.
Rationale: The notes associate left-sided failure with pulmonary congestion, crackles, cough, dyspnea, and
orthopnea.
7. A patient has jugular venous distention, dependent edema, abdominal engorgement, and ascites.
Which condition fits the source?
A. Raynaud disease.
B. Stable angina alone.
C. Right-sided heart failure.
D. Left-sided failure with exclusively pulmonary signs.
✓ Correct answer: C. Right-sided heart failure.
Rationale: The source lists JVD, dependent edema, abdominal engorgement, and ascites under right-sided
failure.
8. Which effect of digoxin is described in the uploaded cardiac material?
A. Dissolving gallstones.
B. Neutralizing stomach acid.
C. Preventing wound infection by surface cleansing.
D. Increasing the strength of cardiac pumping.
✓ Correct answer: D. Increasing the strength of cardiac pumping.
Rationale: The source characterizes digoxin as a cardiac glycoside that increases pumping strength.
MEDICAL-SURGICAL NURSING I • EXAM 3 F2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A patient reports chest pressure during exercise that resolves with rest in less than 15 minutes.
Which condition described in the notes best fits?
A. Right-sided heart failure.
B. Unstable angina.
C. Stable angina.
D. Peritonitis.
✓ Correct answer: C. Stable angina.
Rationale: The supplied blueprint describes stable angina as activity-associated chest pain relieved by
rest, usually lasting less than 15 minutes.
2. A patient develops unpredictable, more severe chest discomfort while resting that has not
responded to nitroglycerin. Which form of angina is most concerning according to the notes?
A. Unstable angina.
B. Raynaud disease.
C. Venous insufficiency.
D. Stable angina.
✓ Correct answer: A. Unstable angina.
Rationale: The source describes unstable angina as more severe and unpredictable, occurring at rest or
with minimal exertion and possibly not relieved by nitroglycerin.
3. A patient receives a first dose of nitroglycerin for chest pain. Which assessment do the notes
particularly emphasize afterward?
A. Check blood pressure.
B. Measure urine color alone.
C. Check the abdominal girth.
D. Check for rebound abdominal tenderness.
✓ Correct answer: A. Check blood pressure.
Rationale: The angina nursing interventions specifically call for blood pressure assessment after
nitroglycerin, especially the first dose.
4. A patient asks what causes coronary artery disease. Which explanation follows the uploaded
blueprint?
A. It is caused only by inadequate wound healing.
B. An abdominal infection is the sole cause.
C. Atherosclerotic plaques can obstruct arteries supplying the heart.
D. The coronary arteries are normally filled by venous blood pooling.
✓ Correct answer: C. Atherosclerotic plaques can obstruct arteries supplying the heart.
Rationale: The blueprint attributes CAD to arterial narrowing or blockage including intraluminal fatty
plaques.
, 5. A patient taking lipid-lowering medication thinks diet and activity no longer matter. Which
teaching is supported?
A. Only monitor wound exudate; cholesterol measures no longer matter.
B. Continue a low-saturated-fat diet, exercise, and weight management alongside medication.
C. Avoid exercise and eat more saturated fat to preserve calories.
D. Discontinue medication whenever exercise begins.
✓ Correct answer: B. Continue a low-saturated-fat diet, exercise, and weight management
alongside medication.
Rationale: The blueprint states lipid-lowering drugs are not effective alone and pairs them with diet,
exercise, and maintaining normal weight.
6. A patient with heart failure develops crackles, orthopnea, cough, and dyspnea. Which side of heart
failure is most consistent with these findings?
A. An isolated peripheral venous disorder.
B. Neither side; these indicate appendicitis.
C. Right-sided failure alone.
D. Left-sided failure.
✓ Correct answer: D. Left-sided failure.
Rationale: The notes associate left-sided failure with pulmonary congestion, crackles, cough, dyspnea, and
orthopnea.
7. A patient has jugular venous distention, dependent edema, abdominal engorgement, and ascites.
Which condition fits the source?
A. Raynaud disease.
B. Stable angina alone.
C. Right-sided heart failure.
D. Left-sided failure with exclusively pulmonary signs.
✓ Correct answer: C. Right-sided heart failure.
Rationale: The source lists JVD, dependent edema, abdominal engorgement, and ascites under right-sided
failure.
8. Which effect of digoxin is described in the uploaded cardiac material?
A. Dissolving gallstones.
B. Neutralizing stomach acid.
C. Preventing wound infection by surface cleansing.
D. Increasing the strength of cardiac pumping.
✓ Correct answer: D. Increasing the strength of cardiac pumping.
Rationale: The source characterizes digoxin as a cardiac glycoside that increases pumping strength.
