Med-Surg II Practice
Exam LATTEST UPDATE
2025-2026
WITH VERRIFIED
QUESTIONS AND
ANSWERS 100% RATED
1. A patient with heart failure is prescribed furosemide. Which
finding indicates the medication is effective?
A. Increased blood pressure
B. Decreased urine output
C. Weight gain of 2 kg
D. Decreased edema
,Rationale: Furosemide is a loop diuretic used to reduce fluid
overload. Decreased edema indicates effective diuresis.
2. Which lab value is most concerning in a patient taking
spironolactone?
A. Sodium 140 mEq/L
B. Potassium 3.5 mEq/L
C. Potassium 5.8 mEq/L
D. Chloride 98 mEq/L
Rationale: Spironolactone is potassium-sparing; hyperkalemia is
a dangerous adverse effect.
3. A client with COPD should be placed in which position for
best breathing?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Rationale: High Fowler’s position maximizes lung expansion and
reduces work of breathing.
4. Which symptom suggests worsening left-sided heart failure?
,A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. Hepatomegaly
Rationale: Left-sided HF leads to pulmonary congestion and
crackles.
5. The nurse should question which medication order for a
patient with asthma?
A. Albuterol
B. Prednisone
C. Montelukast
D. Propranolol
Rationale: Nonselective beta-blockers can trigger
bronchospasm.
6. Which sign is an early indicator of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
, Rationale: Restlessness is an early neurological response to
decreased oxygen.
7. A patient with pneumonia should be encouraged to:
A. Restrict fluids
B. Avoid coughing
C. Increase fluid intake
D. Remain supine
Rationale: Fluids help thin secretions for easier expectoration.
8. Which ABG result indicates respiratory acidosis?
A. pH 7.50
B. pH 7.30, CO₂ 55
C. pH 7.45, CO₂ 30
D. pH 7.40, HCO₃ 24
Rationale: Low pH with elevated CO₂ indicates respiratory
acidosis.
9. A patient with chest pain is suspected of MI. What is the
priority action?
A. Give antacid
B. Obtain urine sample
Exam LATTEST UPDATE
2025-2026
WITH VERRIFIED
QUESTIONS AND
ANSWERS 100% RATED
1. A patient with heart failure is prescribed furosemide. Which
finding indicates the medication is effective?
A. Increased blood pressure
B. Decreased urine output
C. Weight gain of 2 kg
D. Decreased edema
,Rationale: Furosemide is a loop diuretic used to reduce fluid
overload. Decreased edema indicates effective diuresis.
2. Which lab value is most concerning in a patient taking
spironolactone?
A. Sodium 140 mEq/L
B. Potassium 3.5 mEq/L
C. Potassium 5.8 mEq/L
D. Chloride 98 mEq/L
Rationale: Spironolactone is potassium-sparing; hyperkalemia is
a dangerous adverse effect.
3. A client with COPD should be placed in which position for
best breathing?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Rationale: High Fowler’s position maximizes lung expansion and
reduces work of breathing.
4. Which symptom suggests worsening left-sided heart failure?
,A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. Hepatomegaly
Rationale: Left-sided HF leads to pulmonary congestion and
crackles.
5. The nurse should question which medication order for a
patient with asthma?
A. Albuterol
B. Prednisone
C. Montelukast
D. Propranolol
Rationale: Nonselective beta-blockers can trigger
bronchospasm.
6. Which sign is an early indicator of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
, Rationale: Restlessness is an early neurological response to
decreased oxygen.
7. A patient with pneumonia should be encouraged to:
A. Restrict fluids
B. Avoid coughing
C. Increase fluid intake
D. Remain supine
Rationale: Fluids help thin secretions for easier expectoration.
8. Which ABG result indicates respiratory acidosis?
A. pH 7.50
B. pH 7.30, CO₂ 55
C. pH 7.45, CO₂ 30
D. pH 7.40, HCO₃ 24
Rationale: Low pH with elevated CO₂ indicates respiratory
acidosis.
9. A patient with chest pain is suspected of MI. What is the
priority action?
A. Give antacid
B. Obtain urine sample
