Med Surg 2 Exam 1
Practice Questions
and Correct Detailed
Answers with
Rationale Latest
Update This Year
1. Which type of arrhythmia is
associated with the absence of P
waves on an electrocardiogram
(ECG)?
A. Sinus tachycardia
B. Sinus bradycardia
C. V fib
1
, D. Type II 2nd degree AV block -
correct answer=✔✔C. V fib
2. What is a disadvantage of a
centralized monitoring system?
A. It can't diagnose dysrhythmias
B. It measures the patient's HR
remotely
C. It can't rapidly detect
myocardial ischemia
D. It requires continuous
observation of the patient's
ECGs - correct answer=✔✔D. It
requires continuous
observation of the patient's
ECGs
3. The nurse is caring for a
patient with aortic stenosis. What
should the nurse assess the
patient for?
2
, A. Systolic murmur
B. Pericardial friction rub
C. Diminished or absent S4
D. Low-pitched diastolic murmur
- correct answer=✔✔A. Systolic
murmur
4. A 19 yo patient with rheumatic
heart disease is admitted to the
hospital with a recurrence of
rheumatic fever. In planning care
for the patient, which nursing
diagnosis should the nurse
include?
A. Ineffective coping r/t refusal to
carry out health promotion
activities
B. Risk for infection r/t recent
exposure to group A beta-
hemolytic streptococci
C. Impaired adjustment r/t
unsuccessful lifestyle
3
, modifications, goal setting,
and problem solving
D. Ineffective health
management r/t lack of
knowledge about long-term
prophylactic antibiotic therapy
- correct answer=✔✔D.
Ineffective health
management r/t lack of
knowledge about long-term
prophylactic antibiotic therapy
5. A patient has been in the
hospital for 1 wk and is being
discharged with a diagnosis of
sub-acute infective endocarditis
(IE), afebrile, and no signs of heart
damage. The patient will go home
on antibiotics. What is most
important for the nurse to consider
in discharge planning?
4
Practice Questions
and Correct Detailed
Answers with
Rationale Latest
Update This Year
1. Which type of arrhythmia is
associated with the absence of P
waves on an electrocardiogram
(ECG)?
A. Sinus tachycardia
B. Sinus bradycardia
C. V fib
1
, D. Type II 2nd degree AV block -
correct answer=✔✔C. V fib
2. What is a disadvantage of a
centralized monitoring system?
A. It can't diagnose dysrhythmias
B. It measures the patient's HR
remotely
C. It can't rapidly detect
myocardial ischemia
D. It requires continuous
observation of the patient's
ECGs - correct answer=✔✔D. It
requires continuous
observation of the patient's
ECGs
3. The nurse is caring for a
patient with aortic stenosis. What
should the nurse assess the
patient for?
2
, A. Systolic murmur
B. Pericardial friction rub
C. Diminished or absent S4
D. Low-pitched diastolic murmur
- correct answer=✔✔A. Systolic
murmur
4. A 19 yo patient with rheumatic
heart disease is admitted to the
hospital with a recurrence of
rheumatic fever. In planning care
for the patient, which nursing
diagnosis should the nurse
include?
A. Ineffective coping r/t refusal to
carry out health promotion
activities
B. Risk for infection r/t recent
exposure to group A beta-
hemolytic streptococci
C. Impaired adjustment r/t
unsuccessful lifestyle
3
, modifications, goal setting,
and problem solving
D. Ineffective health
management r/t lack of
knowledge about long-term
prophylactic antibiotic therapy
- correct answer=✔✔D.
Ineffective health
management r/t lack of
knowledge about long-term
prophylactic antibiotic therapy
5. A patient has been in the
hospital for 1 wk and is being
discharged with a diagnosis of
sub-acute infective endocarditis
(IE), afebrile, and no signs of heart
damage. The patient will go home
on antibiotics. What is most
important for the nurse to consider
in discharge planning?
4
