CJE MED SURG II EXAM NEWEST 2026/2027
ACTUAL EXAM| CJE MED SURG II EXAM REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
Question 1
What is cardiac tamponade?
A. Fluid builds up in the pericardial sac, compressing the heart and leading to decreased
cardiac output
B. A blockage in the coronary arteries causing myocardial ischemia
C. Inflammation of the endocardium
D. Rupture of the aorta
Correct Answer: A. Fluid builds up in the pericardial sac, compressing the heart and
leading to decreased cardiac output
Rationale: Cardiac tamponade is a life-threatening condition where fluid (often blood)
accumulates in the pericardial sac, compressing the heart and impairing filling, leading
to decreased cardiac output, hypotension, and muffled heart sounds (Beck's triad) .
Question 2
A patient is in bradycardia and appears cool and clammy. What is the next
expected intervention?
A. Defibrillation
B. Atropine
C. Amiodarone
D. Cardioversion
Correct Answer: B. Atropine
,Rationale: Atropine is the first-line medication for symptomatic bradycardia with signs
of low perfusion (pale, cool, clammy skin, hypotension). It increases heart rate by
blocking vagal effects on the SA node .
Question 3
Which heart rhythms are shockable?
A. Atrial fibrillation and atrial flutter
B. Ventricular fibrillation and pulseless ventricular tachycardia
C. Bradycardia and asystole
D. Supraventricular tachycardia and atrial fibrillation
Correct Answer: B. Ventricular fibrillation and pulseless ventricular tachycardia
Rationale: Ventricular fibrillation (V-fib) and pulseless ventricular tachycardia (V-tach)
are shockable rhythms. Defibrillation is the priority treatment. Ventricular tachycardia
with a pulse is treated with synchronized cardioversion .
Question 4
An EKG shows tombstone-like heart rhythms and the patient's pulse is absent.
What is the priority intervention?
A. Administer amiodarone
B. Perform synchronized cardioversion
C. Defibrillate
D. Administer atropine
Correct Answer: C. Defibrillate
Rationale: Tombstone-like heart rhythms indicate ventricular tachycardia. For pulseless
V-tach, the priority is immediate defibrillation. V-tach with a pulse requires synchronized
cardioversion .
Question 5
,A patient is in ventricular fibrillation. What is the first intervention?
A. Defibrillation
B. Lidocaine
C. Amiodarone
D. Procainamide
Correct Answer: A. Defibrillation
Rationale: The priority for V-fib is immediate defibrillation. After defibrillation, drugs
(Lidocaine, Amiodarone, Procainamide - "LAP") may be administered if the rhythm
persists .
Question 6
What is the classic finding of angina?
A. Pain is relieved with rest or nitroglycerin
B. Pain is unrelieved by rest
C. Pain lasts more than 30 minutes
D. Pain is relieved by lying flat
Correct Answer: A. Pain is relieved with rest or nitroglycerin
Rationale: The classic finding of angina is chest pain or pressure that is relieved by rest
or sublingual nitroglycerin. Myocardial infarction pain is unrelieved by rest .
Question 7
Which of the following can trigger angina?
A. Eating a heavy meal
B. Resting
C. Sleeping
D. Drinking cold water
Correct Answer: A. Eating a heavy meal
, Rationale: Eating a heavy meal shunts blood to the GI system, decreasing blood
available to the myocardium, which can trigger angina. Other triggers include physical
exertion, emotional stress, and cold exposure .
Question 8
Where is anginal pain typically felt?
A. Behind the sternum with radiation to the neck, jaw, shoulders, and left arm
B. In the right upper quadrant
C. In the lower abdomen
D. In the back only
Correct Answer: A. Behind the sternum with radiation to the neck, jaw, shoulders, and
left arm
Rationale: Anginal pain is typically felt behind the sternum (substernal) and may radiate
to the neck, jaw, shoulders, and along the inner aspect of the left arm .
Question 9
A decrease in cardiac output results in what type of pulse?
A. Bounding pulse
B. Weak, thready pulse
C. Normal pulse
D. Irregular pulse
Correct Answer: B. Weak, thready pulse
Rationale: When cardiac output decreases, the pulse becomes weak and thready due to
reduced stroke volume and peripheral perfusion. This is a sign of decreased tissue
perfusion .
Question 10
Signs of hypokalemia include: (Select all that apply)
ACTUAL EXAM| CJE MED SURG II EXAM REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
Question 1
What is cardiac tamponade?
A. Fluid builds up in the pericardial sac, compressing the heart and leading to decreased
cardiac output
B. A blockage in the coronary arteries causing myocardial ischemia
C. Inflammation of the endocardium
D. Rupture of the aorta
Correct Answer: A. Fluid builds up in the pericardial sac, compressing the heart and
leading to decreased cardiac output
Rationale: Cardiac tamponade is a life-threatening condition where fluid (often blood)
accumulates in the pericardial sac, compressing the heart and impairing filling, leading
to decreased cardiac output, hypotension, and muffled heart sounds (Beck's triad) .
Question 2
A patient is in bradycardia and appears cool and clammy. What is the next
expected intervention?
A. Defibrillation
B. Atropine
C. Amiodarone
D. Cardioversion
Correct Answer: B. Atropine
,Rationale: Atropine is the first-line medication for symptomatic bradycardia with signs
of low perfusion (pale, cool, clammy skin, hypotension). It increases heart rate by
blocking vagal effects on the SA node .
Question 3
Which heart rhythms are shockable?
A. Atrial fibrillation and atrial flutter
B. Ventricular fibrillation and pulseless ventricular tachycardia
C. Bradycardia and asystole
D. Supraventricular tachycardia and atrial fibrillation
Correct Answer: B. Ventricular fibrillation and pulseless ventricular tachycardia
Rationale: Ventricular fibrillation (V-fib) and pulseless ventricular tachycardia (V-tach)
are shockable rhythms. Defibrillation is the priority treatment. Ventricular tachycardia
with a pulse is treated with synchronized cardioversion .
Question 4
An EKG shows tombstone-like heart rhythms and the patient's pulse is absent.
What is the priority intervention?
A. Administer amiodarone
B. Perform synchronized cardioversion
C. Defibrillate
D. Administer atropine
Correct Answer: C. Defibrillate
Rationale: Tombstone-like heart rhythms indicate ventricular tachycardia. For pulseless
V-tach, the priority is immediate defibrillation. V-tach with a pulse requires synchronized
cardioversion .
Question 5
,A patient is in ventricular fibrillation. What is the first intervention?
A. Defibrillation
B. Lidocaine
C. Amiodarone
D. Procainamide
Correct Answer: A. Defibrillation
Rationale: The priority for V-fib is immediate defibrillation. After defibrillation, drugs
(Lidocaine, Amiodarone, Procainamide - "LAP") may be administered if the rhythm
persists .
Question 6
What is the classic finding of angina?
A. Pain is relieved with rest or nitroglycerin
B. Pain is unrelieved by rest
C. Pain lasts more than 30 minutes
D. Pain is relieved by lying flat
Correct Answer: A. Pain is relieved with rest or nitroglycerin
Rationale: The classic finding of angina is chest pain or pressure that is relieved by rest
or sublingual nitroglycerin. Myocardial infarction pain is unrelieved by rest .
Question 7
Which of the following can trigger angina?
A. Eating a heavy meal
B. Resting
C. Sleeping
D. Drinking cold water
Correct Answer: A. Eating a heavy meal
, Rationale: Eating a heavy meal shunts blood to the GI system, decreasing blood
available to the myocardium, which can trigger angina. Other triggers include physical
exertion, emotional stress, and cold exposure .
Question 8
Where is anginal pain typically felt?
A. Behind the sternum with radiation to the neck, jaw, shoulders, and left arm
B. In the right upper quadrant
C. In the lower abdomen
D. In the back only
Correct Answer: A. Behind the sternum with radiation to the neck, jaw, shoulders, and
left arm
Rationale: Anginal pain is typically felt behind the sternum (substernal) and may radiate
to the neck, jaw, shoulders, and along the inner aspect of the left arm .
Question 9
A decrease in cardiac output results in what type of pulse?
A. Bounding pulse
B. Weak, thready pulse
C. Normal pulse
D. Irregular pulse
Correct Answer: B. Weak, thready pulse
Rationale: When cardiac output decreases, the pulse becomes weak and thready due to
reduced stroke volume and peripheral perfusion. This is a sign of decreased tissue
perfusion .
Question 10
Signs of hypokalemia include: (Select all that apply)
