Med Surg 2 Exam 1 Practice ACTUAL
Questions and CORRECT Answers
A patient who has received a maximum dose of nitroglycerin continues to report chest pain.
What is the next medication that the nurse should administer to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol - CORRECT ANSWER- ✔✔B. Morphine Sulfate
When planning emergent care for a patient with a suspected myocardial infarction (MI), what
should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine - CORRECT ANSWER- ✔✔A. Oxygen,
nitroglycerin, aspirin, morphine
A patient is classified as having stage 2 hypertension on the basis of the blood pressure
recorded. The nurse notes that the primary goal of therapy for the patient is to normalize the
blood pressure. What should be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90 - CORRECT ANSWER- ✔✔B. less than 120/80
The nurse assesses a patient with papillary muscle dysfunction. Which observation supports
the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
,D. Deep sound noted when auscultating at the lower sternal border - CORRECT ANSWER-
✔✔C. Murmur at the cardiac apex
Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima - CORRECT ANSWER- ✔✔A. Platelet aggregation
and adhesion
Which statement by an 84-year-old patient with coronary artery disease (CAD) indicates
understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared with younger
people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions - CORRECT ANSWER- ✔✔D. I
will use longer rest periods between exercise sessions
The nurse is providing teaching to a patient recovering from a myocardial infarction (MI).
How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material - CORRECT ANSWER-
✔✔B. Discussed along with other physical activities
The nurse provides information to a patient about ways to decrease risk factors for coronary
artery disease (CAD). Which statement by the patient indicates understanding of the
teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
, D. I will change my lifestyle to alter patterns that add to my stress - CORRECT ANSWER-
✔✔D. I will change my lifestyle to alter patterns that add to my stress
The nurse is preparing an initial care plan for a patient that presents with chest pain. What is
the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness - CORRECT ANSWER- ✔✔A. Monitor
the patient's ECG
During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest
priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects - CORRECT ANSWER- ✔✔A. Dysrhythmias
A patient experiences anginal pain. What is an appropriate nursing intervention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises - CORRECT ANSWER- ✔✔C. Position
the patient upright and administer oxygen
A patient with chronic stable angina has received a prescription for sublingual (SL)
nitroglycerin. The nurse tells the patient that orthostatic hypotension is a side effect of the
drug. What should the nurse include in the patient's teaching about preventing complications
associated with the side effect?
A. Take your BP daily and record the measurement
B. Take the medication with each meal while you are seated
C. Avoid sudden changes in position after taking nitroglycerin to prevent falls
Questions and CORRECT Answers
A patient who has received a maximum dose of nitroglycerin continues to report chest pain.
What is the next medication that the nurse should administer to the patient?
A. Ticagrelor
B. Morphine sulfate
C. Docusate
D. Esmolol - CORRECT ANSWER- ✔✔B. Morphine Sulfate
When planning emergent care for a patient with a suspected myocardial infarction (MI), what
should the nurse anticipate administrating?
A. Oxygen, nitroglycerin, aspirin, morphine
B. Nitroglycerin, lorazepam, oxygen, warfarin
C. Aspirin, nitroprusside, dopamine, oxygen
D. Oxygen, furosemide, nitroglycerin, meperidine - CORRECT ANSWER- ✔✔A. Oxygen,
nitroglycerin, aspirin, morphine
A patient is classified as having stage 2 hypertension on the basis of the blood pressure
recorded. The nurse notes that the primary goal of therapy for the patient is to normalize the
blood pressure. What should be the patient's target blood pressure?
A. 130/80
B. less than 120/80
C. 140/90
D. 150/90 - CORRECT ANSWER- ✔✔B. less than 120/80
The nurse assesses a patient with papillary muscle dysfunction. Which observation supports
the patient's diagnosis?
A. Crackles
B. S3 heart sound
C. Murmur at the cardiac apex
,D. Deep sound noted when auscultating at the lower sternal border - CORRECT ANSWER-
✔✔C. Murmur at the cardiac apex
Which is a characteristic of a complicated lesion?
A. Platelet aggregation and adhesion
B. Lipid-filled smooth muscle cells
C. Fibrous plaque formation
D. Transport of lipids into arterial intima - CORRECT ANSWER- ✔✔A. Platelet aggregation
and adhesion
Which statement by an 84-year-old patient with coronary artery disease (CAD) indicates
understanding of discharge teaching about physical activity?
A. I can stop exercising as soon as my cardiac symptoms disappear
B. I have to exercise for longer periods of time and more vigorously compared with younger
people
C. I should exercise outside all the time to achieve better results
D. I will use longer rest periods between exercise sessions - CORRECT ANSWER- ✔✔D. I
will use longer rest periods between exercise sessions
The nurse is providing teaching to a patient recovering from a myocardial infarction (MI).
How should resumption of sexual activity be discussed?
A. Delegated to the HCP
B. Discussed along with other physical activities
C. Avoided because it is embarrassing to the patient
D. Accomplished by providing the patient with written material - CORRECT ANSWER-
✔✔B. Discussed along with other physical activities
The nurse provides information to a patient about ways to decrease risk factors for coronary
artery disease (CAD). Which statement by the patient indicates understanding of the
teaching?
A. I will add weightlifting to my daily exercise program
B. I will change my diet to increase my intake of saturated fats
C. I need to switch to smokeless tobacco instead of smoking cigarettes
, D. I will change my lifestyle to alter patterns that add to my stress - CORRECT ANSWER-
✔✔D. I will change my lifestyle to alter patterns that add to my stress
The nurse is preparing an initial care plan for a patient that presents with chest pain. What is
the priority nursing intervention?
A. Monitor the patient's ECG
B. Advising the patient to avoid heavy meals and extreme weather conditions
C. Encouraging verbalization of feelings, perceptions and fears
D. Discuss the losses associated with chronic illness - CORRECT ANSWER- ✔✔A. Monitor
the patient's ECG
During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest
priority to monitoring the patient for what complication?
A. Dysrhythmias
B. Anxiety and fear
C. Metabolic Acidosis
D. Medication side effects - CORRECT ANSWER- ✔✔A. Dysrhythmias
A patient experiences anginal pain. What is an appropriate nursing intervention?
A. Place the patient in the recumbent position during the attack
B. Encourage a salt-rich diet to prevent orthostatic hypotension
C. Position the patient upright and administer oxygen
D. Encourage the patient to do isometric exercises - CORRECT ANSWER- ✔✔C. Position
the patient upright and administer oxygen
A patient with chronic stable angina has received a prescription for sublingual (SL)
nitroglycerin. The nurse tells the patient that orthostatic hypotension is a side effect of the
drug. What should the nurse include in the patient's teaching about preventing complications
associated with the side effect?
A. Take your BP daily and record the measurement
B. Take the medication with each meal while you are seated
C. Avoid sudden changes in position after taking nitroglycerin to prevent falls
