1 | Page
MedSurg 2 Exam 1*** Questions and
Answers
A nurse is assisting in the plan of care for a client who is having
percutaneous transluminal coronary angioplasty (PTCA) with stent
placement. Which of the following actions should the nurse
anticipate in the postoperative plan of care?
a) Reinforce teaching with the client about a long-term
conditioning program
b) Administer scheduled doses of acetaminophen
c) Check for peak laboratory markers of myocardial damage
d) Initiate an aspirin regimen
Ans: Rationale: D. The nurse should plan to initiate an aspirin regimen
or another antiplatelet agent. The antiplatelet medication maintains the
patency of the stent by reducing platelet aggregation.
A nurse is monitoring a client who takes aspirin 81mg PO daily.
The nurse should identify which of the following manifestations as
adverse effects of daily aspirin therapy? (Select all that apply.)
a) Hypertension
b) Coffee-ground emesis
c) Tinnitus
d) Paresthesias of the extremities
e) Nausea
Ans: Rationale: GI bleeding with dark stools or coffee-ground emesis is
an adverse effect of aspirin therapy.
Tinnitus and hearing loss can occur as an adverse effect of aspirin
therapy.
Nausea, vomiting, and abdominal pain can occur as a result of aspirin
therapy.
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, 2 | Page
A nurse is reviewing the laboratory findings of a client who has
myocardial infarction (MI) and reports that dyspnea began 2 weeks
ago. Which of the following cardiac enzymes would confirm the MI
occurred 14 days ago?
a) CKMB
b) Troponin I
c) Troponin T
d) Myoglobin
Ans: Rationale: Troponin T levels will still be evident 10-14 days
following an MI.
A healthcare professional is caring for a patient who is about to
begin taking ethacrynic acid (Edecrin) to treat heart failure. The
health care professional should tell the patient to report which of
the following indications of a potentially serious adverse reaction?
a) Shortness of breath
b) Hearing loss
c) Swelling in the legs
d) Blurred Vision
Ans: Rationale: B. Ethacrynic acid, a high-ceiling loop diuretic similar in
actions and effects to furosemide (Lasix), can cause ototoxicity, which
can lead to permanent hearing loss. While hearing loss is transient with
furosemide, it is sometimes permanent with ethacrynic acid.
A nurse is reinforcing discharge teaching with a client who has
heart failure and is encouraged to increase potassium in his diet.
Which of the following food selections should the nurse include as
having the HIGHEST source of potassium?
a. 1 medium apple
b. 1 medium baked potato
c. 1 slice of toast with 1 tbsp peanut butter
d. 1 large scrambled eggs
© 2025 All rights reserved
, 3 | Page
Ans: Rationale: A medium baked potato is the best food source of
potassium because it contains 926mg potassium per serving.
A nurse is reinforcing discharge teaching with a client who has a
new permanent pacemaker. Which of the following information
should the nurse include in the teaching?
a) "Avoid lifting both arms above your head when dressing"
b) "Use your cell phone on the same ear as the pacemaker site is
located"
c) "Avoid travel by airplane"
d) "Hiccups are unexpected outcome of having a pacemaker"
Ans: Rationale: The nurse should reinforce that the client should avoid
lifting her arm or shoulder on the side of the pacemaker because
dislodgement of the pacer leads can occur
A nurse is reinforcing teaching with a client who has a new
prescription for simvastatin. Which of the following instructions
should the nurse include"?
a) Take this medication in the evening
b) Change positions slowly when rising from a chair
c) Maintain a steady intake of green, leafy vegetables
d) Consume no more than 1L/day of fluid
Ans: Rationale: The client should take simvastatin in the evening
because nighttime is when the most cholesterol synthesis takes place.
Taking statin medications in the evening increases the medications
effectiveness.
A nurse is admitting a client who has a suspected myocardial
infarction (MI) and a history of angina. Which of the following
findings will help the nurse distinguish angina from MI?
a) Stable angina can be relieved with rest and nitroglycerin
b) The pain of an MI resolves in less than 15 min
c) The type of activity that causes an MI can be identified
d) Stable angina can occur for longer than 30min
© 2025 All rights reserved
MedSurg 2 Exam 1*** Questions and
Answers
A nurse is assisting in the plan of care for a client who is having
percutaneous transluminal coronary angioplasty (PTCA) with stent
placement. Which of the following actions should the nurse
anticipate in the postoperative plan of care?
a) Reinforce teaching with the client about a long-term
conditioning program
b) Administer scheduled doses of acetaminophen
c) Check for peak laboratory markers of myocardial damage
d) Initiate an aspirin regimen
Ans: Rationale: D. The nurse should plan to initiate an aspirin regimen
or another antiplatelet agent. The antiplatelet medication maintains the
patency of the stent by reducing platelet aggregation.
A nurse is monitoring a client who takes aspirin 81mg PO daily.
The nurse should identify which of the following manifestations as
adverse effects of daily aspirin therapy? (Select all that apply.)
a) Hypertension
b) Coffee-ground emesis
c) Tinnitus
d) Paresthesias of the extremities
e) Nausea
Ans: Rationale: GI bleeding with dark stools or coffee-ground emesis is
an adverse effect of aspirin therapy.
Tinnitus and hearing loss can occur as an adverse effect of aspirin
therapy.
Nausea, vomiting, and abdominal pain can occur as a result of aspirin
therapy.
© 2025 All rights reserved
, 2 | Page
A nurse is reviewing the laboratory findings of a client who has
myocardial infarction (MI) and reports that dyspnea began 2 weeks
ago. Which of the following cardiac enzymes would confirm the MI
occurred 14 days ago?
a) CKMB
b) Troponin I
c) Troponin T
d) Myoglobin
Ans: Rationale: Troponin T levels will still be evident 10-14 days
following an MI.
A healthcare professional is caring for a patient who is about to
begin taking ethacrynic acid (Edecrin) to treat heart failure. The
health care professional should tell the patient to report which of
the following indications of a potentially serious adverse reaction?
a) Shortness of breath
b) Hearing loss
c) Swelling in the legs
d) Blurred Vision
Ans: Rationale: B. Ethacrynic acid, a high-ceiling loop diuretic similar in
actions and effects to furosemide (Lasix), can cause ototoxicity, which
can lead to permanent hearing loss. While hearing loss is transient with
furosemide, it is sometimes permanent with ethacrynic acid.
A nurse is reinforcing discharge teaching with a client who has
heart failure and is encouraged to increase potassium in his diet.
Which of the following food selections should the nurse include as
having the HIGHEST source of potassium?
a. 1 medium apple
b. 1 medium baked potato
c. 1 slice of toast with 1 tbsp peanut butter
d. 1 large scrambled eggs
© 2025 All rights reserved
, 3 | Page
Ans: Rationale: A medium baked potato is the best food source of
potassium because it contains 926mg potassium per serving.
A nurse is reinforcing discharge teaching with a client who has a
new permanent pacemaker. Which of the following information
should the nurse include in the teaching?
a) "Avoid lifting both arms above your head when dressing"
b) "Use your cell phone on the same ear as the pacemaker site is
located"
c) "Avoid travel by airplane"
d) "Hiccups are unexpected outcome of having a pacemaker"
Ans: Rationale: The nurse should reinforce that the client should avoid
lifting her arm or shoulder on the side of the pacemaker because
dislodgement of the pacer leads can occur
A nurse is reinforcing teaching with a client who has a new
prescription for simvastatin. Which of the following instructions
should the nurse include"?
a) Take this medication in the evening
b) Change positions slowly when rising from a chair
c) Maintain a steady intake of green, leafy vegetables
d) Consume no more than 1L/day of fluid
Ans: Rationale: The client should take simvastatin in the evening
because nighttime is when the most cholesterol synthesis takes place.
Taking statin medications in the evening increases the medications
effectiveness.
A nurse is admitting a client who has a suspected myocardial
infarction (MI) and a history of angina. Which of the following
findings will help the nurse distinguish angina from MI?
a) Stable angina can be relieved with rest and nitroglycerin
b) The pain of an MI resolves in less than 15 min
c) The type of activity that causes an MI can be identified
d) Stable angina can occur for longer than 30min
© 2025 All rights reserved
