CJE Med-Surg II Practice Exam 2026/2027:
NCLEX®-Style Questions on Cardiac,
Wound Care & OB Emergencies
Description:
Prepare for your nursing exams with this completely updated 2027 Med-Surg II practice test,
designed specifically for nursing students searching for CJE Medical-Surgical II
review, NCLEX-style cardiac questions, and real-world nursing scenarios. This resource
contains 38 targeted questions covering high-yield topics including ACLS protocols (V-fib, V-
tach, bradycardia), pressure injury staging (Stage 1-4, unstageable), and obstetric
emergencies (preeclampsia, placental abruption, magnesium toxicity).
Each question includes detailed explanations aligned with current nursing guidelines—perfect
for self-study, exam prep, and clinical readiness. Whether you're reviewing for finals,
preparing for the NCLEX®, or refreshing your med-surg knowledge, this exam
delivers authentic, application-based practice in a clear, organized format.
Ready to test your knowledge and boost your confidence? Download your free practice exam now
and take the next step toward nursing excellence!
, Medical-Surgical Nursing Exam Questions 2027: Cardiac,
Maternal, Wound Care Practice Test
Section 1: Cardiac Dysrhythmias & Emergency Management
1. A patient presents with bradycardia and demonstrates cool, clammy skin with pallor. Which
immediate pharmacological intervention is indicated to address perfusion concerns?
a. Epinephrine
b. Lidocaine
c. Atropine
d. Adenosine
Answer: c. Atropine
Explanation: Atropine is the first-line pharmacological agent for symptomatic bradycardia,
defined as a heart rate less than 60 beats per minute accompanied by signs of poor perfusion such
as hypotension, pallor, cool/clammy skin, or altered mental status. It works by blocking vagal
stimulation, thereby increasing heart rate and improving cardiac output.
2. According to current advanced cardiac life support (ACLS) guidelines, which of the following
cardiac rhythms is considered shockable?
a. Asystole
b. Pulseless Electrical Activity (PEA)
c. Ventricular Fibrillation
d. Sinus Bradycardia
Answer: c. Ventricular Fibrillation
Explanation: The two shockable rhythms in cardiac arrest are Ventricular Fibrillation (V-fib)
and Pulseless Ventricular Tachycardia (V-tach). These rhythms are treated with immediate
defibrillation to depolarize the myocardium and allow the heart's natural pacemakers to resume
an effective rhythm.
3. A patient's ECG monitor displays wide, bizarre QRS complexes at a rapid rate with a
"tombstone" morphology. A rapid pulse check confirms the absence of a palpable pulse. What is
the priority intervention?
a. Initiate CPR.
b. Administer Amiodarone.
, c. Perform synchronized cardioversion.
d. Defibrillate.
Answer: d. Defibrillate.
Explanation: The described rhythm is characteristic of pulseless ventricular tachycardia (VT).
The critical distinction in management is the presence or absence of a pulse. For pulseless VT,
immediate defibrillation is the definitive and priority treatment to restore a perfusing rhythm.
4. What is the first intervention for a patient in cardiac arrest with ventricular fibrillation (V-fib)
identified on the monitor?
a. Initiate high-quality CPR.
b. Defibrillate.
c. Administer 1 mg Epinephrine IV.
d. Secure the airway.
Answer: b. Defibrillate.
Explanation: For witnessed cardiac arrest with V-fib, the immediate priority is defibrillation.
The current ACLS sequence emphasizes minimal interruption to chest compressions, with
defibrillation attempted as soon as the device is ready. Antiarrhythmic medications like
amiodarone or lidocaine are considered after initial defibrillation attempts and CPR.
5. A patient with a history of atrial fibrillation is admitted. Which ECG finding is most specific to
this arrhythmia?
a. Sawtooth flutter waves
b. Prolonged QT interval
c. Irregularly irregular rhythm with absent P waves
d. Rapid, narrow QRS complexes with P waves
Answer: c. Irregularly irregular rhythm with absent P waves
Explanation: Atrial fibrillation (A-fib) is characterized by disorganized atrial electrical activity,
resulting in an "irregularly irregular" ventricular rhythm and the absence of distinct P waves on
the ECG, often replaced by fibrillatory (f) waves. Cardioversion may be indicated for unstable
patients.
NCLEX®-Style Questions on Cardiac,
Wound Care & OB Emergencies
Description:
Prepare for your nursing exams with this completely updated 2027 Med-Surg II practice test,
designed specifically for nursing students searching for CJE Medical-Surgical II
review, NCLEX-style cardiac questions, and real-world nursing scenarios. This resource
contains 38 targeted questions covering high-yield topics including ACLS protocols (V-fib, V-
tach, bradycardia), pressure injury staging (Stage 1-4, unstageable), and obstetric
emergencies (preeclampsia, placental abruption, magnesium toxicity).
Each question includes detailed explanations aligned with current nursing guidelines—perfect
for self-study, exam prep, and clinical readiness. Whether you're reviewing for finals,
preparing for the NCLEX®, or refreshing your med-surg knowledge, this exam
delivers authentic, application-based practice in a clear, organized format.
Ready to test your knowledge and boost your confidence? Download your free practice exam now
and take the next step toward nursing excellence!
, Medical-Surgical Nursing Exam Questions 2027: Cardiac,
Maternal, Wound Care Practice Test
Section 1: Cardiac Dysrhythmias & Emergency Management
1. A patient presents with bradycardia and demonstrates cool, clammy skin with pallor. Which
immediate pharmacological intervention is indicated to address perfusion concerns?
a. Epinephrine
b. Lidocaine
c. Atropine
d. Adenosine
Answer: c. Atropine
Explanation: Atropine is the first-line pharmacological agent for symptomatic bradycardia,
defined as a heart rate less than 60 beats per minute accompanied by signs of poor perfusion such
as hypotension, pallor, cool/clammy skin, or altered mental status. It works by blocking vagal
stimulation, thereby increasing heart rate and improving cardiac output.
2. According to current advanced cardiac life support (ACLS) guidelines, which of the following
cardiac rhythms is considered shockable?
a. Asystole
b. Pulseless Electrical Activity (PEA)
c. Ventricular Fibrillation
d. Sinus Bradycardia
Answer: c. Ventricular Fibrillation
Explanation: The two shockable rhythms in cardiac arrest are Ventricular Fibrillation (V-fib)
and Pulseless Ventricular Tachycardia (V-tach). These rhythms are treated with immediate
defibrillation to depolarize the myocardium and allow the heart's natural pacemakers to resume
an effective rhythm.
3. A patient's ECG monitor displays wide, bizarre QRS complexes at a rapid rate with a
"tombstone" morphology. A rapid pulse check confirms the absence of a palpable pulse. What is
the priority intervention?
a. Initiate CPR.
b. Administer Amiodarone.
, c. Perform synchronized cardioversion.
d. Defibrillate.
Answer: d. Defibrillate.
Explanation: The described rhythm is characteristic of pulseless ventricular tachycardia (VT).
The critical distinction in management is the presence or absence of a pulse. For pulseless VT,
immediate defibrillation is the definitive and priority treatment to restore a perfusing rhythm.
4. What is the first intervention for a patient in cardiac arrest with ventricular fibrillation (V-fib)
identified on the monitor?
a. Initiate high-quality CPR.
b. Defibrillate.
c. Administer 1 mg Epinephrine IV.
d. Secure the airway.
Answer: b. Defibrillate.
Explanation: For witnessed cardiac arrest with V-fib, the immediate priority is defibrillation.
The current ACLS sequence emphasizes minimal interruption to chest compressions, with
defibrillation attempted as soon as the device is ready. Antiarrhythmic medications like
amiodarone or lidocaine are considered after initial defibrillation attempts and CPR.
5. A patient with a history of atrial fibrillation is admitted. Which ECG finding is most specific to
this arrhythmia?
a. Sawtooth flutter waves
b. Prolonged QT interval
c. Irregularly irregular rhythm with absent P waves
d. Rapid, narrow QRS complexes with P waves
Answer: c. Irregularly irregular rhythm with absent P waves
Explanation: Atrial fibrillation (A-fib) is characterized by disorganized atrial electrical activity,
resulting in an "irregularly irregular" ventricular rhythm and the absence of distinct P waves on
the ECG, often replaced by fibrillatory (f) waves. Cardioversion may be indicated for unstable
patients.
