MED SURG II EVALUATION TEST UPDATED EXAM
QUESTIONS AND ANSWERS RATED A+
✔✔A nurse is caring for a client who has a history of angina and is scheduled for
exercise electrocardiography at 1100. Which of the following statements by the client
requires the nurse to contact the provider for possible rescheduling?
a.) "I'm still hungry after the bowl of cereal I ate at 7 a.m."
b.) "I didn't take my heart pills this morning because the doctor told me not to"
c.) "I have had chest pain a couple of times since I saw my doctor in the office last
week"
d.) "I smoked a cigarette this morning to calm my nerves about having this procedure" -
✔✔d.) "I smoked a cigarette this morning to calm my nerves about having this
procedure"
✔✔A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
a.) Slurred speech
b.) Irregular pulse
c.) Dependent edema
d.) Persistent fatigue - ✔✔a.) Slurred speech
✔✔A nurse is caring for a client who is scheduled for a coronary artery bypass graft in 2
hr. Which of the following client statements indicates a need for further clarification by
the nurse?
a.) "My arthritis is really bothering me because I haven't taken my aspirin in a week"
b.) "My blood pressure shouldn't be high because I took my blood pressure medication
this morning"
c.) "I took my warfarin last night according to my usual schedule"
d.) "I will check my blood sugar because I took a reduced dose of insulin this morning" -
✔✔c.) "I took my warfarin last night according to my usual schedule"
✔✔A nurse is examining the ECG rhythm strip of her client on telemetry. Which area of
the strip should the nurse observe for atrial depolarization?
a.) P wave
b.) QRS complex
c.) T wave - ✔✔a.) P wave
✔✔A nurse is assessing a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect to find?
a.) Increased abdominal girth
b.) Weak peripheral pulses
c.) Jugular venous neck distention
d.) Dependent edema - ✔✔b.) Weak peripheral pulses
, ✔✔A nurse is preparing a client for coronary angiography. The nurse should report
which of the following findings to the provider prior to the procedure?
a.) Hemoglobin 14.4 g/dl
b.) History of peripheral arterial disease
c.) Urine output 200 mL/4 hr
d.) Previous allergic reaction to shellfish - ✔✔d.) Previous allergic reaction to shellfish
✔✔A nurse is providing discharge teaching for a client who has a prescription for the
transdermal nitroglycerin patch. Which of the following instructions should the nurse
include in the teaching?
a.) Apply the new patch to the same site as the previous patch
b.) Place the patch on an area of skin away from skin folds and joints
c.) Keep the patch on 24 hr per day
d.) Replace the patch at the onset of angina - ✔✔b.) Place the patch on an area of skin
away from skin folds and joints
✔✔A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus.
The nurse should use which of the following focused assessments to help differentiate
between an arterial ulcer and a venous stasis ulcer?
a.) Explore the client's family history of peripheral vascular disease
b.) Note the presence or absence of pain at the ulcer site
c.) Inquire about the presence or absence of claudication
d.) Ask if the client has had a recent infection - ✔✔c.) Inquire about the presence or
absence of claudication
✔✔A nurse is planning a presentation for a group of clients who have hypertension.
Which of the following lifestyle modifications should the nurse include? (Select all that
apply)
a.) Limited alcohol intake
b.) Regular exercise program
c.) Decreased magnesium intake
d.) Reduced potassium intake
e.) Tobacco cessation - ✔✔a.) Limited alcohol intake
b.) Regular exercise program
e.) Tobacco cessation
✔✔A nurse is caring for a client who is being treated for heart failure and has a
prescription for furosemide. The nurse should plan to monitor for which of the following
as an adverse effect of this medication?
a.) Shortness of breath
b.) Lightheadedness
c.) Dry cough
d.) Metallic taste - ✔✔b.) Lightheadedness
QUESTIONS AND ANSWERS RATED A+
✔✔A nurse is caring for a client who has a history of angina and is scheduled for
exercise electrocardiography at 1100. Which of the following statements by the client
requires the nurse to contact the provider for possible rescheduling?
a.) "I'm still hungry after the bowl of cereal I ate at 7 a.m."
b.) "I didn't take my heart pills this morning because the doctor told me not to"
c.) "I have had chest pain a couple of times since I saw my doctor in the office last
week"
d.) "I smoked a cigarette this morning to calm my nerves about having this procedure" -
✔✔d.) "I smoked a cigarette this morning to calm my nerves about having this
procedure"
✔✔A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
a.) Slurred speech
b.) Irregular pulse
c.) Dependent edema
d.) Persistent fatigue - ✔✔a.) Slurred speech
✔✔A nurse is caring for a client who is scheduled for a coronary artery bypass graft in 2
hr. Which of the following client statements indicates a need for further clarification by
the nurse?
a.) "My arthritis is really bothering me because I haven't taken my aspirin in a week"
b.) "My blood pressure shouldn't be high because I took my blood pressure medication
this morning"
c.) "I took my warfarin last night according to my usual schedule"
d.) "I will check my blood sugar because I took a reduced dose of insulin this morning" -
✔✔c.) "I took my warfarin last night according to my usual schedule"
✔✔A nurse is examining the ECG rhythm strip of her client on telemetry. Which area of
the strip should the nurse observe for atrial depolarization?
a.) P wave
b.) QRS complex
c.) T wave - ✔✔a.) P wave
✔✔A nurse is assessing a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect to find?
a.) Increased abdominal girth
b.) Weak peripheral pulses
c.) Jugular venous neck distention
d.) Dependent edema - ✔✔b.) Weak peripheral pulses
, ✔✔A nurse is preparing a client for coronary angiography. The nurse should report
which of the following findings to the provider prior to the procedure?
a.) Hemoglobin 14.4 g/dl
b.) History of peripheral arterial disease
c.) Urine output 200 mL/4 hr
d.) Previous allergic reaction to shellfish - ✔✔d.) Previous allergic reaction to shellfish
✔✔A nurse is providing discharge teaching for a client who has a prescription for the
transdermal nitroglycerin patch. Which of the following instructions should the nurse
include in the teaching?
a.) Apply the new patch to the same site as the previous patch
b.) Place the patch on an area of skin away from skin folds and joints
c.) Keep the patch on 24 hr per day
d.) Replace the patch at the onset of angina - ✔✔b.) Place the patch on an area of skin
away from skin folds and joints
✔✔A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus.
The nurse should use which of the following focused assessments to help differentiate
between an arterial ulcer and a venous stasis ulcer?
a.) Explore the client's family history of peripheral vascular disease
b.) Note the presence or absence of pain at the ulcer site
c.) Inquire about the presence or absence of claudication
d.) Ask if the client has had a recent infection - ✔✔c.) Inquire about the presence or
absence of claudication
✔✔A nurse is planning a presentation for a group of clients who have hypertension.
Which of the following lifestyle modifications should the nurse include? (Select all that
apply)
a.) Limited alcohol intake
b.) Regular exercise program
c.) Decreased magnesium intake
d.) Reduced potassium intake
e.) Tobacco cessation - ✔✔a.) Limited alcohol intake
b.) Regular exercise program
e.) Tobacco cessation
✔✔A nurse is caring for a client who is being treated for heart failure and has a
prescription for furosemide. The nurse should plan to monitor for which of the following
as an adverse effect of this medication?
a.) Shortness of breath
b.) Lightheadedness
c.) Dry cough
d.) Metallic taste - ✔✔b.) Lightheadedness
