NSG 223 MED SURG 2 EXAM 1 QUESTIONS & ANSWERS COMPR… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 223 Med Surg 2 Exam 1
Questions & Answers
Comprehensive 2026/2027
Edition
Verified Answers Exam Ready 85 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive document provides 85 prepared questions with their correct answers
and explanations, covering critical cardiac concepts. It is suitable for in-depth study,
thorough review, and certification preparation for medical-surgical nursing.
TOPICS
Cardiac Diagnostics & Procedures Q1–Q22
Arrhythmias & Electrical Conduction Q23–Q35
Cardiac Anatomy & Physiology Q36–Q47
Cardiac Pharmacology & Inflammatory Conditions Q48–Q58
Coronary Artery Disease & Ischemia Q59–Q71
Valvular Heart Disease & Cardiomyopathy Q72–Q85
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 85
What is cardiac stress test?
RESPONSE
the patient walks or runs on a treadmill (most common) or pedals a stationary bicycle.
The test is stopped when the target heart rate is achieved or if the patient experiences signs of
myocardial ischemia.
Abnormal findings include
chest pain
ventricular arrhythmia
ST-segment depression
lack of heart rate or BP elevation with exercise
Q2 QUESTION 2 OF 85
What is pharmacological stress test
Page 2
, RESPONSE
Patients who are cognitively impaired and unable to follow directions or physically disabled or
deconditioned will not be able to achieve their target heart rate by exercising on a treadmill or
bicycle.
must avoid xanthine derivatives (theophylline, aminophylline, caffeine) for 24-48hrs prior (they
block the effects of the vasodilating agents.)
NPO 3 hrs b4, abstain from all caffeine 24 hrs prior. Including chocolate and caffeine free
beverages ( tea)
Q3 QUESTION 3 OF 85
What medications are use for pharmacological stress t testing?
RESPONSE
Vasodilating agents such as
dipyridamole,
adenosine
Or regadenoson given as an IV
Dobutamine
used to mimic the effects of exercise by maximally dilating normal coronary arteries and
identifying stenotic arteries that cannot vasodilate. The side effects of these agents are related
to the vasodilating action and include chest pain, headache, flushing, nausea, heart block, and
dyspnea
these drugs can be reversed with IV aminophylline. Adenosine has an extremely short half-life
(less than 10 seconds), so any severe effects subside rapidly
Q4 QUESTION 4 OF 85
Nursing interventions for TEE
Page 3
, RESPONSE
instructs the patient not to eat or drink anything for 6 hours prior to the study
recovery period, the patient must maintain bed rest with the head of the bed elevated to 45
degrees
monitors the patient for dyspnea and assesses vital signs, SpO2, level of consciousness, and
gag reflex as recommended
sore throat may be present for the next 24 hours
report the presence of a persistent sore throat, shortness of breath, or difficulty swallowing
Q5 QUESTION 5 OF 85
What test is contradictory to a patient who had an acute MI?
RESPONSE
Exercise stress test
Contraindicated 48hrs after an Acute Myocardial Infarction
pt must be capable of walking on a treadmill, or a stationary bike
- NPO 3+ hrs before, avoid stimulants too
Q6 QUESTION 6 OF 85
What is a echocardiogram?
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 223 Med Surg 2 Exam 1
Questions & Answers
Comprehensive 2026/2027
Edition
Verified Answers Exam Ready 85 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive document provides 85 prepared questions with their correct answers
and explanations, covering critical cardiac concepts. It is suitable for in-depth study,
thorough review, and certification preparation for medical-surgical nursing.
TOPICS
Cardiac Diagnostics & Procedures Q1–Q22
Arrhythmias & Electrical Conduction Q23–Q35
Cardiac Anatomy & Physiology Q36–Q47
Cardiac Pharmacology & Inflammatory Conditions Q48–Q58
Coronary Artery Disease & Ischemia Q59–Q71
Valvular Heart Disease & Cardiomyopathy Q72–Q85
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 85
What is cardiac stress test?
RESPONSE
the patient walks or runs on a treadmill (most common) or pedals a stationary bicycle.
The test is stopped when the target heart rate is achieved or if the patient experiences signs of
myocardial ischemia.
Abnormal findings include
chest pain
ventricular arrhythmia
ST-segment depression
lack of heart rate or BP elevation with exercise
Q2 QUESTION 2 OF 85
What is pharmacological stress test
Page 2
, RESPONSE
Patients who are cognitively impaired and unable to follow directions or physically disabled or
deconditioned will not be able to achieve their target heart rate by exercising on a treadmill or
bicycle.
must avoid xanthine derivatives (theophylline, aminophylline, caffeine) for 24-48hrs prior (they
block the effects of the vasodilating agents.)
NPO 3 hrs b4, abstain from all caffeine 24 hrs prior. Including chocolate and caffeine free
beverages ( tea)
Q3 QUESTION 3 OF 85
What medications are use for pharmacological stress t testing?
RESPONSE
Vasodilating agents such as
dipyridamole,
adenosine
Or regadenoson given as an IV
Dobutamine
used to mimic the effects of exercise by maximally dilating normal coronary arteries and
identifying stenotic arteries that cannot vasodilate. The side effects of these agents are related
to the vasodilating action and include chest pain, headache, flushing, nausea, heart block, and
dyspnea
these drugs can be reversed with IV aminophylline. Adenosine has an extremely short half-life
(less than 10 seconds), so any severe effects subside rapidly
Q4 QUESTION 4 OF 85
Nursing interventions for TEE
Page 3
, RESPONSE
instructs the patient not to eat or drink anything for 6 hours prior to the study
recovery period, the patient must maintain bed rest with the head of the bed elevated to 45
degrees
monitors the patient for dyspnea and assesses vital signs, SpO2, level of consciousness, and
gag reflex as recommended
sore throat may be present for the next 24 hours
report the presence of a persistent sore throat, shortness of breath, or difficulty swallowing
Q5 QUESTION 5 OF 85
What test is contradictory to a patient who had an acute MI?
RESPONSE
Exercise stress test
Contraindicated 48hrs after an Acute Myocardial Infarction
pt must be capable of walking on a treadmill, or a stationary bike
- NPO 3+ hrs before, avoid stimulants too
Q6 QUESTION 6 OF 85
What is a echocardiogram?
Page 4
