NSG 223 Medical Surgical Nursing II MIDTERM READINESS GUIDE Q & S 2025/2026

1. A nurse is assessing a patient with heart failure. Which
finding is most indicative of worsening heart failure?
 A) Increased urinary output
 B) Decreased blood pressure
 C) Bounding pulses
 D) Jugular venous distention
 Correct Answer: D
 Rationale: Jugular venous distention indicates
increased right atrial pressure, typically seen with
worsening heart failure.
2. Which of the following interventions should be prioritized
for a patient with pneumonia?
 A) Administering corticosteroids
 B) Encouraging deep breathing and coughing
 C) Providing high-flow oxygen
 D) Initiating intravenous fluids
 Correct Answer: B
 Rationale: Deep breathing and coughing help to clear
secretions and improve lung expansion, key in managing
pneumonia.
3. A patient with chronic obstructive pulmonary disease
(COPD) is admitted with an exacerbation. What is an
important aspect of this patient’s care?
 A) Restricting fluid intake
 B) Providing humidified oxygen
 C) Encouraging high-protein diet
 D) Frequent position changes
 Correct Answer: B
 Rationale: Humidified oxygen helps to loosen
secretions and improve oxygen delivery in COPD