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Med Surg 2 Exam 1 Practice Questions With
Complete Certified Answers 2025
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
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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
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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
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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
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 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
Med Surg 2 Exam 1 Practice Questions With
Complete Certified Answers 2025
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
,2|Page
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
,3|Page
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
, 4|Page
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
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 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
