[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
Galen NUR 242 Exam 2 MED SURG
Questions & Answers, Updated 2026/2027
Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
192 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 192 verified questions with correct answers related to acute coronary syndrome,
myocardial infarction, and associated pharmacology. Each item is designed to enhance understanding of
cardiac conditions and treatments, making it suitable for nursing students preparing for exams and
certifications in medical-surgical nursing.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Acute Coronary Syndrome Questions focus on interventions and assessments for
Management patients experiencing acute coronary syndrome. 20 Qs 10.4%
This topic includes questions on the management and
Myocardial Infarction Care treatment of myocardial infarction patients. 20 Qs 10.4%
Questions explore the administration, effects, and monitoring
Pharmacology of Digoxin of digoxin in various patient scenarios. 19 Qs 9.9%
Cardiac Dysrhythmias and This section covers the identification and management of
Interventions dysrhythmias, including ventricular complexes. 19 Qs 9.9%
Questions emphasize the critical interventions required during
Emergency Cardiac Care emergency situations related to cardiac events. 19 Qs 9.9%
Patient Education and Discharge Focuses on teaching strategies and discharge instructions for
Planning patients with cardiac conditions. 19 Qs 9.9%
Assessment Techniques in Includes questions on assessment methods and diagnostic
Cardiac Care tests relevant to cardiac patients. 19 Qs 9.9%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Angina and Chest Pain This topic addresses the management of angina and
Management associated symptoms in patients. 19 Qs 9.9%
Coronary Artery Disease Risk Questions related to identifying risk factors and preventative
Factors measures for coronary artery disease. 19 Qs 9.9%
Focuses on nursing interventions and assessments for
Postoperative Cardiac Care patients recovering from cardiac surgery. 19 Qs 9.9%
Total Exam Coverage 10 Integrated Topic Modules 192 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: ACUTE CORONARY SYNDROME MANAGEMENT
20 Questions • 10.4% of Exam • Questions focus on interventions and assessments for patients experiencing acute coronary
syndrome.
QUESTION 1
When a client in the coronary care unit develops ventricular tachycardia, which action
will the nurse take first?
Correct Answer: Assess client pulse and blood pressure.
QUESTION 2
To determine whether a client is experiencing acute coronary syndrome (ACS), which
component of the electrocardiogram would the nurse analyze?
Correct Answer: ST segment.
QUESTION 3
Which physiological response explains why elevation in body temperature occurs in
clients who experience acute coronary syndrome?
Correct Answer: Inflammatory response.
QUESTION 4
Which finding for a client with acute coronary syndrome who is walking in the hallway
will be most important to communicate to the health care provider?
Correct Answer: Blood pressure drops from 130/72 mmHg to 122/60 mmHg with ambulation.
QUESTION 5
When caring for a client who has just arrived in the emergency department with
possible acute coronary syndrome, which prescribed action would the nurse take first?
Correct Answer: Ask the client about level of intensity of the chest pain.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 43
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 6
When admitting a client with acute coronary syndrome (ACS) to the telemetry unit after
cardiac catheterization and percutaneous intervention (PCI), which action would the
nurse take first?
Correct Answer: Attach the cardiac monitor.
QUESTION 7
The nurse is discussing discharge instructions with a client who had a myocardial
infarction. The client asks, "When will it be safe to have sex again?" Which response by
the nurse is best?
Correct Answer: "One indication that your heart has healed enough for sexual activity is being able to climb
two flights of stairs.".
QUESTION 8
One week after being hospitalized for an acute myocardial infarction, a client reports
nausea and loss of appetite. Which of the client's prescribed medications would be
withheld and the health care provider notified?
Correct Answer: Digoxin.
QUESTION 9
A health care provider prescribes tissue plasminogen activator (t-PA) to be
administered intravenously over 1 hour for a client experiencing a myocardial
infarction. Which assessment component can identify problems caused by this
medication's effect?
Correct Answer: Intravenous insertion site.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 43
Galen NUR 242 Exam 2 MED SURG
Questions & Answers, Updated 2026/2027
Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
192 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 192 verified questions with correct answers related to acute coronary syndrome,
myocardial infarction, and associated pharmacology. Each item is designed to enhance understanding of
cardiac conditions and treatments, making it suitable for nursing students preparing for exams and
certifications in medical-surgical nursing.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Acute Coronary Syndrome Questions focus on interventions and assessments for
Management patients experiencing acute coronary syndrome. 20 Qs 10.4%
This topic includes questions on the management and
Myocardial Infarction Care treatment of myocardial infarction patients. 20 Qs 10.4%
Questions explore the administration, effects, and monitoring
Pharmacology of Digoxin of digoxin in various patient scenarios. 19 Qs 9.9%
Cardiac Dysrhythmias and This section covers the identification and management of
Interventions dysrhythmias, including ventricular complexes. 19 Qs 9.9%
Questions emphasize the critical interventions required during
Emergency Cardiac Care emergency situations related to cardiac events. 19 Qs 9.9%
Patient Education and Discharge Focuses on teaching strategies and discharge instructions for
Planning patients with cardiac conditions. 19 Qs 9.9%
Assessment Techniques in Includes questions on assessment methods and diagnostic
Cardiac Care tests relevant to cardiac patients. 19 Qs 9.9%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Angina and Chest Pain This topic addresses the management of angina and
Management associated symptoms in patients. 19 Qs 9.9%
Coronary Artery Disease Risk Questions related to identifying risk factors and preventative
Factors measures for coronary artery disease. 19 Qs 9.9%
Focuses on nursing interventions and assessments for
Postoperative Cardiac Care patients recovering from cardiac surgery. 19 Qs 9.9%
Total Exam Coverage 10 Integrated Topic Modules 192 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: ACUTE CORONARY SYNDROME MANAGEMENT
20 Questions • 10.4% of Exam • Questions focus on interventions and assessments for patients experiencing acute coronary
syndrome.
QUESTION 1
When a client in the coronary care unit develops ventricular tachycardia, which action
will the nurse take first?
Correct Answer: Assess client pulse and blood pressure.
QUESTION 2
To determine whether a client is experiencing acute coronary syndrome (ACS), which
component of the electrocardiogram would the nurse analyze?
Correct Answer: ST segment.
QUESTION 3
Which physiological response explains why elevation in body temperature occurs in
clients who experience acute coronary syndrome?
Correct Answer: Inflammatory response.
QUESTION 4
Which finding for a client with acute coronary syndrome who is walking in the hallway
will be most important to communicate to the health care provider?
Correct Answer: Blood pressure drops from 130/72 mmHg to 122/60 mmHg with ambulation.
QUESTION 5
When caring for a client who has just arrived in the emergency department with
possible acute coronary syndrome, which prescribed action would the nurse take first?
Correct Answer: Ask the client about level of intensity of the chest pain.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 43
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 6
When admitting a client with acute coronary syndrome (ACS) to the telemetry unit after
cardiac catheterization and percutaneous intervention (PCI), which action would the
nurse take first?
Correct Answer: Attach the cardiac monitor.
QUESTION 7
The nurse is discussing discharge instructions with a client who had a myocardial
infarction. The client asks, "When will it be safe to have sex again?" Which response by
the nurse is best?
Correct Answer: "One indication that your heart has healed enough for sexual activity is being able to climb
two flights of stairs.".
QUESTION 8
One week after being hospitalized for an acute myocardial infarction, a client reports
nausea and loss of appetite. Which of the client's prescribed medications would be
withheld and the health care provider notified?
Correct Answer: Digoxin.
QUESTION 9
A health care provider prescribes tissue plasminogen activator (t-PA) to be
administered intravenously over 1 hour for a client experiencing a myocardial
infarction. Which assessment component can identify problems caused by this
medication's effect?
Correct Answer: Intravenous insertion site.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 43
