NSG 233 MED SURG 2 EXAM 1 PRACTICE
QUESTIONS 2026
◉ Heat Stroke **. Answer: Priority action: *Lower body
temperature; O2, fluids, cool towel, cool bath (NO ICE BATH) elevate
feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh,
HOT,DRY skin, NO sweating
◉ Alcoholic- first assessment. Answer: CAGE: Cut, Annoyed, Guilty,
Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
Blood glucose range: 70-110
◉ Non-fatal drowning **. Answer: Priority: manage hypoxia, acidosis
and hypothermia > airway, oxygen
Management: CPR, core temp (rectal) rewarming procedures during
CPR, trach/PEEP, O2
,Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can
occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
◉ Serum Electrolytes. Answer: * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
◉ Bite Priority. Answer: Human bite: know what to do first with a
human bite!
Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth,
cleansing the wound, covering the wound with a light sterile
, dressing, and immobilizing the injured body part below the level of
the heart.
CABs (Circulation, Airway Breathing)
NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get close to skin
as possible)
S&S: bulls eye rash
◉ Poisoning in the house. Answer: Carbon Monoxide: 100% O2
Atmospheric/hyperbaric chamber
Ingested Poison: ABC, Call poison control, try to describe what was
ingested
Charcoal: most effective, Do not use if heavy metals were ingested.
Corrosives: give water/milk
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert patients-and NO
patients who ingested a corrosive agent
Gastric emptying: intubate before lavage ( if -LOC/-gag reflex) with
in 1 hour of ingestion.
QUESTIONS 2026
◉ Heat Stroke **. Answer: Priority action: *Lower body
temperature; O2, fluids, cool towel, cool bath (NO ICE BATH) elevate
feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh,
HOT,DRY skin, NO sweating
◉ Alcoholic- first assessment. Answer: CAGE: Cut, Annoyed, Guilty,
Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
Blood glucose range: 70-110
◉ Non-fatal drowning **. Answer: Priority: manage hypoxia, acidosis
and hypothermia > airway, oxygen
Management: CPR, core temp (rectal) rewarming procedures during
CPR, trach/PEEP, O2
,Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can
occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
◉ Serum Electrolytes. Answer: * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
◉ Bite Priority. Answer: Human bite: know what to do first with a
human bite!
Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth,
cleansing the wound, covering the wound with a light sterile
, dressing, and immobilizing the injured body part below the level of
the heart.
CABs (Circulation, Airway Breathing)
NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get close to skin
as possible)
S&S: bulls eye rash
◉ Poisoning in the house. Answer: Carbon Monoxide: 100% O2
Atmospheric/hyperbaric chamber
Ingested Poison: ABC, Call poison control, try to describe what was
ingested
Charcoal: most effective, Do not use if heavy metals were ingested.
Corrosives: give water/milk
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert patients-and NO
patients who ingested a corrosive agent
Gastric emptying: intubate before lavage ( if -LOC/-gag reflex) with
in 1 hour of ingestion.
