GALEN NUR 242 EXAM 2 – MED SURG NEWEST
2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {190 Q & A}
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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."
Which pain characteristic would the nurse expect to observe
when a client is experiencing anginal pain? - ✔✔✔ Correct Answer >
Relieved by sublingual nitroglycerin
A client with a myocardial infarction receives intravenous
nitroglycerin to relieve pain. The nurse will assess for which
medication side effect? - ✔✔✔ Correct Answer > Hypotension
One week after being hospitalized for an acute myocardial
infarction, a client reports nausea and loss of appetite. Which of
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the client's prescribed medications would be withheld and the
health care provider notified? - ✔✔✔ Correct Answer > Digoxin
A client, admitted to the cardiac care unit with a myocardial
infarction, complains of chest pain. Which intervention will be
most effective in relieving the client's pain? - ✔✔✔ Correct Answer >
Morphine sulfate 2 mg IV
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
A client with a myocardial infarction is admitted to the cardiac
intensive care unit. Which pain relief medication would the nurse
expect to find on the plan of care for this client? - ✔✔✔ Correct
Answer > morphine
A client who had a myocardial infarction receives a prescription
for a nitroglycerin patch. Which statement would the nurse
identify as the purpose of the nitroglycerin patch? - ✔✔✔ Correct
Answer > Decreased cardiac preload reduces cardiac workload
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The nurse is caring for a client hospitalized with a myocardial
infarction. Which analgesic is the medication of choice for this
client? - ✔✔✔ Correct Answer > Morphine sulfate
When caring for a client in the third trimester of pregnancy with
a history of myocardial infarction, which statement made by the
client would concern the nurse the most? - ✔✔✔ Correct Answer > "I
have been using cough drops to try and get rid of my cough.
A client who had a myocardial infarction receives 15 mg of
morphine sulfate for chest pain. Fifteen minutes after receiving
the medication, the client complains of feeling dizzy. Which action
will the nurse take? - ✔✔✔ Correct Answer > Place the client in the
supine position and take the vital signs
The nursing manager issued orders to take the utmost care of a
client with myocardial infarction and expects the staff to obey
and follow the rules immediately. Which type of decision-making
is the manager using? - ✔✔✔ Correct Answer > The autocratic method
results in rapid decision-making and is more appropriate in a
crisis situation. Optimizing decision making is when the nurse
considers both pros and cons of each position. Laissez-faire is a
"hands-off" approach, which is taken by manager who chooses
to do nothing when intervention is indicated. The bureaucratic
style is focused on organizational rules and policies.
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A client with myocardial infarction is brought to the emergency
department, and the primary health care provider recommends
the placement of a stent. The client is incompetent to understand
the situation. Which model would the nurse manager think would
be beneficial in this situation? - ✔✔✔ Correct Answer > Patient-benefit
model
A health care provider prescribes morphine for a client being
treated for myocardial infarction. Which physiological response
will occur if the client experiences the intended therapeutic
effect of morphine? - ✔✔✔ Correct Answer > decreased workload of
the heart
A client presents to the emergency department with chest pain.
A myocardial infarction is suspected, and 500 mL of 5% dextrose
in water (D 5W) with 50 mg of nitroglycerin intravenously (IV) has
been prescribed. The nurse will monitor the client for which
common side effect of nitroglycerin? - ✔✔✔ Correct Answer >
Hypotension
Sublingual nitroglycerin is prescribed for a client with a history
of a myocardial infarction and atrial tachycardia. The nurse
instructs the client about the prophylactic use of these tablets.
Which statement by the client indicates the teaching was
effective? - ✔✔✔ Correct Answer > I should take one tablet before
attempting activity that has caused angina."