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Ivytech community college Med Surg II exam

RN Nursing Exam(s) 36 Questions 🔒 Premium Content

Exams are designed to evaluate and strengthen a registered nurse’s knowledge and clinical judgment in managing adult patients with acute and chronic medical-surgical conditions.

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36 Questions
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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: What is the best indication if the client with congestive heart failure is holding excess fluid?

A. Intake and output
B. Pitting pedal edema
C. Crackles in the bases of the lungs
D. Daily weights
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Q2: A client is being admitted to the medical unit to rule out cardiac issues related to valve malfunction. Which question should the nurse ask the client during the admission interview to support this diagnosis?

A. “Did you have rheumatic fever as a child?”
B. “Do you have a family history of valve problems?”
C. “Do you have a history of MRSA?”
D. “What over-the-counter medications do you take?”
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Q3: A group of student nurses are practicing taking blood pressures. A 56-year-old male student has a blood pressure reading of 146/96 mm Hg. Upon hearing the reading, he exclaims, “My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?” Which of the following responses by the nursing instructor would be best?

A. “A single elevated blood pressure does not confirm hypertension. A diagnosis of hypertension requires two or more elevated readings taken by your physician before a diagnosis can be made.”
B. “We will need to reevaluate your blood pressure because your age places you at high risk for hypertension.”
C. “Hypertension is prevalent among men: it is fortunate we caught this during your routine examination.”
D. “You have no need to worry. Your pressure is probably elevated because you are being tested.”
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Q4: A client with a complex cardiac history is scheduled for transesophageal echocardiography. Which of the following statements, if made by the nurse, is inappropriate?

A. “The test will provide a detailed profile of the heart’s electrical activity.”
B. “I will need to start an IV in your arm before the test.”
C. “Your throat may be a little sore after the exam.”
D. “You will need to refrain from eating and drinking 6-8 hours before this test.”
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Access All 36 Questions with Full Explanations

Exam Details
Total Questions: 36 practice questions
Category: RN Nursing Exam(s)
Subcategory: General Exams
Domain: Medical-surgical📚
Last Updated: Dec 09, 2025
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