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NUR 242 Medical-Surgical Nursing Exam 4: Questions and Answers, Exams of Nursing

Moraine Valley Community CollegeNursing

A comprehensive set of questions and answers for exam 4 in nur 242 medical-surgical nursing. It covers a wide range of topics, including hypertension, peripheral arterial disease, deep vein thrombosis, heart failure, bradycardia, ventricular tachycardia, ventricular fibrillation, seizures, multiple sclerosis, parkinson's disease, stroke, low back pain, migraines, hearing aids, meniere's disease, glaucoma, cataracts, retinal detachment, osteoporosis, osteoarthritis, rheumatoid arthritis, and compartment syndrome. A valuable resource for students preparing for this exam.

Typology: Exams

2024/2025

Available from 03/05/2025

Nurseexcel
Nurseexcel 🇺🇸

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Exam 4: NUR 242 (Latest 2025/ 2026) Medical-Surgical Nursing
Questions and Verified Answers 100% Correct (Galen)
1. NormalxBP:xSystolicx<120x/xDiastolicx<80
2. Pre-HTN:xSystolicx=120-139x/xDiastolic=80-89
3. Stagex1xHTN:xSystolic=140-159x/xDiastolic=90-99
4. Stagex2xHTN:xSystolic=>160x/xDiastolic=>100
5. MalignantxHTN:xExtremelyxhighxBPx>180/110
6. S/SxofxMalignantxHTN:xinitiallyxasymptomatic,xheadachexuponxawakening,xblurredxvision,xdi
zziness,xchestxpain,xdifficultxbreathing,xnumbnessxinxfacexandxlegs,xtinnitus,xflushedxface,xepist
axis
7. HTNxCrisis:xacutexandxlifexthreatening;xacceleratedxHTNxrequiresxERxtreatmentxbecausexor
ganxdamagexcanxoccurxquickly
8. PharmacologicalxinterventionsxforxHTN:xACExInhibitors,xDiuretics,xCalciumxChannelxBl
ockers,xARBs,xandxBetaxBlockers
9. WhatxsymptomxshouldxyouxreportxrightxawayxwithxACExInhibitors?:xDryxnaggingxcough-
xdiscontinueximmediatelyxandxteachxaboutxorthostaticxHTNxinxelderly
10. WhatxisxanxexamplexofxanxACExinhibitorxdrug?:xLisinopril,xEnalapril
11. WhatxisxanxexamplexofxaxCalciumxChannelxBlocker?:xVerapamil,xAmlodopine
12. WhatxisxanxexamplexofxanxARB?:xLosartan,xValsartan
13. WhatxisxanxexamplexofxaxBetaxBlocker?:xMetoprolol,xAtenolol
14. Pt.xteachingxforxRaynaudsxdisease:xStopxsmoking,xavoidxcoldxandxstress,xwearxwarmxclothin
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Download NUR 242 Medical-Surgical Nursing Exam 4: Questions and Answers and more Exams Nursing in PDF only on Docsity!

Exam 4: NUR 242 (Latest 202 5 / 202 6 ) Medical-Surgical Nursing

Questions and Verified Answers 100% Correct (Galen)

  1. NormalxBP:x Systolicx<120x/xDiastolicx<
  2. Pre-HTN:x Systolicx=120- 139 x/xDiastolic=80- 89
  3. Stagex 1 xHTN:x Systolic=140- 159 x/xDiastolic=90- 99
  4. Stagex 2 xHTN:x Systolic=>160x/xDiastolic=>
  5. MalignantxHTN:x ExtremelyxhighxBPx>180/
  6. S/SxofxMalignantxHTN:x initiallyxasymptomatic,xheadachexuponxawakening,xblurredxvision,xdi zziness,xchestxpain,xdifficultxbreathing,xnumbnessxinxfacexandxlegs,xtinnitus,xflushedxface,xepist axis
  7. HTNxCrisis:x acutexandxlifexthreatening;xacceleratedxHTNxrequiresxERxtreatmentxbecausexor ganxdamagexcanxoccurxquickly
  8. PharmacologicalxinterventionsxforxHTN:x ACExInhibitors,xDiuretics,xCalciumxChannelxBl ockers,xARBs,xandxBetaxBlockers
  9. WhatxsymptomxshouldxyouxreportxrightxawayxwithxACExInhibitors?:x Dryxnaggingxcough- xdiscontinueximmediatelyxandxteachxaboutxorthostaticxHTNxinxelderly
  10. WhatxisxanxexamplexofxanxACExinhibitorxdrug?:x Lisinopril,xEnalapril
  11. WhatxisxanxexamplexofxaxCalciumxChannelxBlocker?:x Verapamil,xAmlodopine
  12. WhatxisxanxexamplexofxanxARB?:x Losartan,xValsartan
  13. WhatxisxanxexamplexofxaxBetaxBlocker?:x Metoprolol,xAtenolol
  14. Pt.xteachingxforxRaynaudsxdisease:x Stopxsmoking,xavoidxcoldxandxstress,xwearxwarmxclothin

g,xtakexvasodilatorsxasxprescribed

  1. Pt.xteachingxforxBurgersxDisease:x Usexvasodilatorsxasxprescribed,xsmokingxcessation,xa voidxinjuryxtoxupperxandxlowerxextremities,xcanxcausexgangrene
  2. S/SxofxPeripheralxArterialxDiseasex(PAD):x Legxpain,xburning,xcrampingxmusclexdiscomfortx whenxwalkingxthatxstopsxatxrest.xAsxthexdiseasexpersistsxthexptxcanxwalkxshorterxdistances
  3. Post- OPxCarexforxFemoralxArteryxBypassxgraft?:x warmth,xrednessxandxedemaxarexexpected.xMonitorxf orxpossiblexocclusionxandxcontinuousxachingxpainx(firstxsignxofxocclusion)xThrobbingxpainxisxdu extoxincreasedxbloodxflowxtoxthexarea.
  4. NotifyxthexphysicianximmediatelyxifxtheyxexperiencexwhatxS/Sxafterxaxfemoralxarteryxgraft?: x Cold,xpale,xcyanoticxskinxorxdecreasedxpulse
  5. Amputationxcomplications::x infection,xphantomxlimbxpain,xflexionxcontractions
  6. AmputationxPost-OPxcare::x - DOxNOTxelevatexlimbxonxpillowx(canxcausexflexionxcontractures)
  • 1stx 24 xhoursxelevatexthexfootxofxthexbedxtoxdecreasexedemaxthenxkeepxthexbedxflat
  • 24 - 48 xhours- xplacexthexpt.xinxpronexpositionxtoxstretchxmusclesxandxpreventxhipxflexionxcontractures
  1. PtxwithxaxDVTxisxatxhighxriskxfor?:x PE

Miserablextherapeuticxlevelxisx 2 - 3 xtimesxthexnormal

  1. Normalxtotalxcholesterolxlevel::x 140 - 199
  2. NormalxLDLxlevel::x <
  3. NormalxHDLxlevel::x 30 - 70
  4. Normalxtriglyceridexlevel::x <
  5. WherexdoxyouxlistenxforxthexAorticxsound?:x 2ndxIntercostalxspace,xRSB
  6. WherexdoxyouxlistenxforxthexPulmonicxsound?:x 2ndxintercostalxspace,xLSB
  7. WherexdoxyouxlistenxforxErbsxPoint?:x 3rdxintercostalxspace,xLSB
  8. WherexdoxyouxlistenxtoxthexTricuspid?:x 4thxintercostalxspace,xLSB
  9. WherexdoxyouxlistenxtoxthexMitralxsound?:x 5thxintercostalxspace,xmid-clavicularxline
  10. WhatxisxthexonlyxsoundxheardxonxthexRSB?:x Aortic
  1. Pre-OPxteachingxforxCardiacxCath:x - Mightxexperiencexpalpitationsxwhenxthexcatheterxisxpassedxthroughxthexleftxventricle
  • Feelxheatxorxhotxflashxwhenxthexdyexisxinjected
  • UrgextoxcoughxwhenxthexdyexisxinjectedxtoxthexRIGHTxsidexofxthexheart
  1. Post-OPxforxPacemaker:x - Reportxfever,xredness,xswellingxorxdrainagextoxMD
  • KeepxIDxcardxinxwalletxorxwearxmedicalxalertxbracelet
  • Knowxratexofxpacemaker
  • Avoidxtightxclothing
  1. WhatxsymptomsxdoxyouxreportxtoxthexMDxifxyouxhavexaxpacemaker?:x - SOB
  • Dizziness
  • ChestxPain
  • Fainting
  • Weightxgain
  • Hiccups (Checkxpulsexatxtimexofxincidentxforxanyxofxthese)
  1. S/SxofxRIGHTxsidedxheartxfailure:x - Dependentxedema
  • JVD
  • Abdominalxdistention
  • Hepatomegaly
  • Splenomegaly
  • Anorexia/nausea
  1. S/SxofxBradycardia::x - Confusion
  • Syncopex(fainting)
  • Dizziness
  • Weakness
  • Hypotension
  • SOB
  • Angina
  1. Bradycardiaxtreatment::x Atropine,xepi,xdopamine,xIVxfluids,xO
  2. S/SxofxV-Tach::x - Angina
  • Syncopex(fainting)
  • Lightxheadedness
  • Dizziness
  • SOB
  1. V-TachxTreatment::x - O
  • Confirmxwithx 12 xleadxEKG
  • MagxSulfate
  • Lidocaine
  • Amiodarone
  1. S/SxofxV-Fib::x - fainting/lossxofxconsciousness
  • noxpulse
  • noxbreathing
  • noxBPxorxheartxsounds Withinxminutesxpupilsxbecomexfixedxandxdilated,xskinxcoldxandxmottled
  1. V-Fibxtreatment::x - DEFIBRILATIONxISxPRIORITY!
  • DoxCPRxuntilxdefibxisxavailable
  • Vasopressin,xEpi,xAmiodarone,xlidocaine,xmagxsulfate,xO
  1. Whatxseizurexlastsxlongerxthanx 5 xminutesxorxrepeatedxseizuresxoverx 30 xminutes?:x St atusxEpilepticusx(MedicalxEmergency)
  2. Whatxmedicationxdoxyouxgivexaxptxinxstatusxepileptics?:x IVxpushxlorazepamxorxdiazepam
  3. Whatxisxthexpriorityxforxaxptxinxtonicxclonicxseizure?:x Keepxptxsafexandxpatentxairway
  4. S/SxofxMS::x - Dysarthria
  • Dysphagia
  • Fatigue
  • Musclexweaknessxandxspasticity
  • Decreasedxvisualxandxhearingxacuity
  • xAvoidxrushingxthexptxduringxADLs
  • Planxactivitésxaroundxtimexwhenxtheyxhavexthexmostxenergy
  • Promotexindependencexwithxsafetyxmeasures
  1. WhatxtypexofxdietxshouldxaxpersonxwithxParkinsonsxeat?:x Highxcalorie,xhighxprotein,xhighxf iberxsoftxdiet
  2. YouxshouldxencouragexaxptxwithxParkinsonsxtoxdoxwhatxwhenxambulating?- :x Liftxtheirxfeetxwhenxwalkingxandxproperxposture
  3. ReversiblexIschemicxNeurologicxDeficitx(RIND)xtreatment::x - Anticoagulantxtherapy- xclopidogrelx(Plavix)
  • Educatexptxonxbleedingxprecautions
  1. RiskxfactorsxforxCVA::x - Smoking
  • Substancexabuse
  • Obesity
  • Sedentaryxlifestyle
  • Birthx control
  • HeavyxETOHxuse
  • usexofxPPAx(antihistamines)
  1. Treatmentxforxacutexischemicxstroke?:x Fibrinolyticxtherapy Anxearlyxinterventionxthatxisxthexstandardxofxpracticextoximprovexbloodxflowxtoxthexbrain
  2. whatxisxrtPAx(retavase)xusedxfor?:x Toxbreakxdownxfibrin. Onlyxgivenxwithinx 3 - 4.5xhoursxfromxthextimexthexptxwasxlastxseenxnormal
  3. Lowxbackxpainxprevention::x - noxhighxheels
  • Properxbodyxmechanics
  • exercise
  1. Whatxmedicationsxarexgivenxforxmigraines?:x Triptanxdrugs- xshouldxnotxbextakenxwithxSSRIxantidepressants
  2. Carexofxhearingxaids::x - Keepxdry
  • Washxearxmoldxwithxmildxsoapxandxwater
  • Cleanxdebrisxfromxholesxwithxtoothpick
  • Avoidxhairxspray
  1. PtxeducationxforxMeziere'sxDisease::x - Movexheadxslowlyxtoxpreventxworseningxvertigo
  • Smokingxcessation
  • Avoidxfood/fluidsxwithxhighxsodium
  • Avoidxcaffeine
  • AvoidxfoodxwithxMSG
  1. Ptxeducationxafterxcataractxsurgery::x - avoidxeyexstraining
  • usexanxeyexshieldxwhilexsleeping
  • providexwrittenxtimexschedulexforxallxeyexdrops
  • eyexitchingxisxcommon,xavoidxrubbingxeyes
  1. S/SxofxRetinalxDetachment::x - flashesxofxlight
  • floatersxorxblackxspots
  • increasexinxblurredxvision
  • sensexofxaxcurtainxbeingxpulledxoverxeyes
  • lossxofxpartxofxthexvisualxfield
  1. PtxeducationxforxOsteoporosis::x - Encouragexexercisexthatxstrengthensxabdom- xinalxandxbackxmuscles
  • Bonivaxonlyxneedsxtoxbextakenxeveryxthirdxmonth
  1. RiskxfactorsxforxOsteoarthritisx(DJD):x - trauma
  • aging
  • obesity
  • geneticxchanges
  • smoking
  1. Osteoarthritisxgoal::x preventxorxdecreasexmodifiablexriskxfactors
  2. S/SxofxRA::x - inflammation
  • tenderness
  • stiffnessxofxthexjoints
  • moderatextoxseverexpainxwithxmorningxstiffnessxthatxlastsxlongerxthanx 30 xminutes
  • jointxdeformities
  • spongy,xsoftxfeelingxjoints
  1. S/Sxofxcompartmentxsyndrome::x - initiallyxthexptxwillxhavexparesthesia
  • unrelievedxorxincreasedxpainxinxthexlimb
  • painxwithxpassivexmovement
  • tissuexthatxisxdistalxtoxthexinvolvedxareaxbecomesxpale,xdusky,xorxedematous
  1. Whatxmedicationxisxusedxtoxtreatxgout?:x Allopurinol
  2. Whatxmedicationxshouldxnotxbexusedxinxolderxadultsxduextoxtoxicxmetabo- xlitesxthatxcanxcausexseizuresxandxotherxcomplications?:x Meperidinex(Demerol)
  3. S/Sxofxosteomyelitis::x - Constantxpainxnotxrelievedxevenxwithxmovement
  • Willxbexonxantibioticsxforxatxleastx 6 xweeks
  • Feverxusuallyx>
  1. S/Sxofxfatxembolism::x - Assessxforxrestlessness
  • callxthexMDximmediatelyxifxso
  1. Ptxwhoxhavexhadxaxlongxbonexfracturexarexatxriskxforx whichxisxthex#1xcomplication.:x Fatxembolism
  1. Howxshouldxallopurinolxbextaken?:x - Withxfoodxwithxaxfullxglassxofxwater

Increasexfluidsxtoxpreventxrenalxdysfunctionx(forxGOU T)

  1. Axpatientxwithxclaudication,xwhatxpulsexisxdecreasedxinxbloodxflowxmorexnoted?:x Post eriorxtibial
  2. Axptxwithxintermittentxclaudicationxsaysx"ixhavexpainxinxmyxcalfxandxankle,xisxthisxaxsignx ofxthexabove"?:x Yes
  3. Thisxdecreasexisxaxprogressivexnearxdegenerationxdiseasexthatxaffectsxmotorxabilit y:x Parkinsons
  4. T/F:xThexnursexshouldxelevatexthexresidualxlimbxonxaxpillowxthexfirstx 24 xhoursxafterxa mputation?:x FALSE
  5. Axptxisx 15 xhoursxPost- opxfromxaxfemoralxbypassxgraft.xThexnursexshouldxalertxthexMDxifxshexfinds?:x Pale,xcoolxskinx atxsurgicalxsite
  1. Thrombosis,xembolismxandxhemorrhagexfromxaxrupturedxvesselxcanxallxcause?:x CVA
  2. Thexmedicationxretacasexisxusedxfor?:x "Clotxbusting"xforxCVA,xbreaksxupxfibrin.xGivenx 3 - 4.5xhoursxfromxthexlastxtimexthexptxwasxseenxtoxbexnormal
  3. 3 xfeaturesxofxMinersxdisease?:x - Tinnitus
  • Onexsidedxsensorineuralxhearingxloss
  • Vertigo
  1. S/SxofxRIGHTxsidedxheartxfailure::x - Weightxgain
  • Swollenxhandsxandxfeet
  • JVD
  1. Whatxdoxyouxwatchxinxaxptxtakingxdiuretics?:x - BUN,xcreatinexlevels
  • DecreasexVitaminxK
  • Makexsurextheyxarexnotxtakingxpotassiumxsupplements
  1. Beforexadministeringxptxbetaxblockerxwhatxshouldxyouxassess?:x HRxnot <60,xandxBP
  2. WhatxcanxV-tachxleadxto?:x V-fibxandxthexptxwillxneedxtoxbexdefibrillated
  3. Atropinexisxgivenxto?:x IncreasexHRxinxptxwithxbradycardia
  4. Tonicxphasexofxaxseizure::x stiffeningxofxarmsxandxlegs,xlastsx 10 - 20 xsecondsxfollowedxbyxlossxofxconsciousness
  5. Clonicxphasexofxseizure::x Hyperventilationxandxjerkingxofxextremities lastsxaboutx 30 xseconds
  6. WhatxagexrangexdoesxMSxusuallyxaffect?:x 20 - 40 xyrsxold
  1. Whenxisxsurgeryxperformedxforxcervicalxdiskxherniation?:x Whenxthexspinalxcordxcompre ssionxisxsuspectedxorxsymptomsxdon'txrespondxtoxtreatment
  2. Whoxisxmorexatxriskxtoxdevelopxmigraines?:x Women,xwhoxhavexanxietyxorxdepression
  3. Peoplexwhoxhavexmigrainesxarexmorexatxriskxfor?:x Strokesxandxepilepsy
  4. Menieresxdiseasexattacksxcanxlast?:x Severalxdays
  5. WhatxcausesxMenieresxdisease?:x Unknown-xpossiblyxinfection,xallergicxreac- xtions,xandxlongxtermxstress
  6. Agexrelatedxmacularxdegenerationxprogressesxfasterxinxpatientsxwho?:x- Smoke
  7. Whatxcausesxretinalxdetachment?:x Retinalxlayersxseparatexfromxtumorsxorxfluids