Examl 1:l NURl 201/l NUR201l (NEWl 2025/l
2026l Update)l Medical-Surgicall Nursingl Il
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
MOSTl COMMONl l CAUSESl OFl POSTOP
Answer:
l -DVTl [Deepl Veinl Thrombosis]l (bestl wayl tol txl isl prophylaxisl andl prevention;l heparinl
5000l unitsl subq)
-Infection
-l UTIl (mostl commonl nosocomiall infx)
-l Pneumonial (aspiration;l abdominall surgeryl wherel theyl hyperventilatel whichl leadsl tol
atelectasisl whichl leadsl tol pneumonia)
(sol cardiopulmonary,l infection,l andl H2o/electrolytesl )
QUESTION
PULMONARYl COMPLICATIONl Atelectasisl –
Mostl commonl causel ofl postopl feverl (101.5)l -l Lossl ofl lungl volume,l tachypnea,l
tachycardia)l Collapsedl airl sacsl withinl 24-48l hoursl (l 1l –l 2l days).
Leadsl tol pneumonial (72l -96l hrsl postl opl 3-5l days)
QUESTION
PVCl (Prematurel ventricularl contractions)l COMPLICATIONS
Answer:
l Extral heartbeatsl thatl beginl inl onel ofl yourl heart'sl twol lowerl pumpingl chambersl
(ventricles).
,Hypoxial –l lackl ofl oxygenl atl tissuel level.l hypokalemial –l Tool littlel potassiuml digitalisl
toxicity
alkalosisl (phl abnormality)
QUESTION
WOUNDl CAREl [Measurement/Description/Culture]
Answer:
l Registeredl Nursesl handlel woundl carel forl complexl orl non-healingl wounds
Assessl forl riskl ofl pressurel injury,l ALWAYS!
Assesl forl factorsl thatl couldl delayl woundl healingl andl developl planl tol address.l Assesl
andl documentl WOUNDl appearance,l size,l depth,l colorl andl drainage
Planl woundl care/nutritionl andl positioningl interventions
Choosel dressingl withl woundl specialist
QUESTION
Teachl patientl aboutl care
Answer:
l OVERSEEl LPN/VN:l
-l l l l Sterilel dressl changel forl acutel andl chronicl wounds
-l l l l Applyl orderedl topicall antibacteriall medication
-l l l l Applyl dressingl forl woundl debridement
-l l l l Collectl andl recordl datal aboutl woundl appearance
-l l l l Workl withl third-partyl forl nutritionall statusl andl diet
QUESTION
STAGESl l OFl PRESUREl l ULCER
STAGEl 1
Answer:
l Non-Blanchablel erythemal ofl intactl skin
STAGEl 2l
, Answer:
l Partial-l thicknessl skinl lossl withl exposedl dermis.l Woundl bedl isl viable,l redl orl pink.l
Looksl likel rupturedl orl filledl blister
STAGEl 3
Answer:
l Full-thicknessl withl skinl loss.l Granulationl tissuel andl epibolel (rolled)l edges.l Sloughl orl
eschar
STAGEl 4l
Answer:
l Full-thicknessl withl skinl andl tissuel loss.l Exposed,l palpablel muscle,l tissue,l fascia,l
tendon,l ligament,l cartilagel orl bone.l Sloughl orl escharl visible.l Epibolel orl underminingl
tunneling
UNSTAGBLEl
Answer:
l Obscurel Full-thicknessl skinl andl Tissuel loss.l Can’tl bel determinedl becausel coveredl byl
sloughl orl eschar.l Usuallyl revealsl al stagel 3l orl 4.
QUESTION
DEEPl TISSUEl PRESSUREl INJURYl [DTPI]
Answer:
l l Persistentl Non-Blanchablel Deepl Red,l Maroon,l or
Purplel Discolorationl –l epidermall separationl willl reveall al darkl woundl bedl orl blood-
filledl blister.
QUESTION
WOUNDl DRAINAGE
Answer:
l ***Foamsl arel alwaysl usedl firstl atl anyl stagel ofl wound.l HEMOVACl –l woundl drainage
PENROSEl –l Woundl drainage
2026l Update)l Medical-Surgicall Nursingl Il
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
MOSTl COMMONl l CAUSESl OFl POSTOP
Answer:
l -DVTl [Deepl Veinl Thrombosis]l (bestl wayl tol txl isl prophylaxisl andl prevention;l heparinl
5000l unitsl subq)
-Infection
-l UTIl (mostl commonl nosocomiall infx)
-l Pneumonial (aspiration;l abdominall surgeryl wherel theyl hyperventilatel whichl leadsl tol
atelectasisl whichl leadsl tol pneumonia)
(sol cardiopulmonary,l infection,l andl H2o/electrolytesl )
QUESTION
PULMONARYl COMPLICATIONl Atelectasisl –
Mostl commonl causel ofl postopl feverl (101.5)l -l Lossl ofl lungl volume,l tachypnea,l
tachycardia)l Collapsedl airl sacsl withinl 24-48l hoursl (l 1l –l 2l days).
Leadsl tol pneumonial (72l -96l hrsl postl opl 3-5l days)
QUESTION
PVCl (Prematurel ventricularl contractions)l COMPLICATIONS
Answer:
l Extral heartbeatsl thatl beginl inl onel ofl yourl heart'sl twol lowerl pumpingl chambersl
(ventricles).
,Hypoxial –l lackl ofl oxygenl atl tissuel level.l hypokalemial –l Tool littlel potassiuml digitalisl
toxicity
alkalosisl (phl abnormality)
QUESTION
WOUNDl CAREl [Measurement/Description/Culture]
Answer:
l Registeredl Nursesl handlel woundl carel forl complexl orl non-healingl wounds
Assessl forl riskl ofl pressurel injury,l ALWAYS!
Assesl forl factorsl thatl couldl delayl woundl healingl andl developl planl tol address.l Assesl
andl documentl WOUNDl appearance,l size,l depth,l colorl andl drainage
Planl woundl care/nutritionl andl positioningl interventions
Choosel dressingl withl woundl specialist
QUESTION
Teachl patientl aboutl care
Answer:
l OVERSEEl LPN/VN:l
-l l l l Sterilel dressl changel forl acutel andl chronicl wounds
-l l l l Applyl orderedl topicall antibacteriall medication
-l l l l Applyl dressingl forl woundl debridement
-l l l l Collectl andl recordl datal aboutl woundl appearance
-l l l l Workl withl third-partyl forl nutritionall statusl andl diet
QUESTION
STAGESl l OFl PRESUREl l ULCER
STAGEl 1
Answer:
l Non-Blanchablel erythemal ofl intactl skin
STAGEl 2l
, Answer:
l Partial-l thicknessl skinl lossl withl exposedl dermis.l Woundl bedl isl viable,l redl orl pink.l
Looksl likel rupturedl orl filledl blister
STAGEl 3
Answer:
l Full-thicknessl withl skinl loss.l Granulationl tissuel andl epibolel (rolled)l edges.l Sloughl orl
eschar
STAGEl 4l
Answer:
l Full-thicknessl withl skinl andl tissuel loss.l Exposed,l palpablel muscle,l tissue,l fascia,l
tendon,l ligament,l cartilagel orl bone.l Sloughl orl escharl visible.l Epibolel orl underminingl
tunneling
UNSTAGBLEl
Answer:
l Obscurel Full-thicknessl skinl andl Tissuel loss.l Can’tl bel determinedl becausel coveredl byl
sloughl orl eschar.l Usuallyl revealsl al stagel 3l orl 4.
QUESTION
DEEPl TISSUEl PRESSUREl INJURYl [DTPI]
Answer:
l l Persistentl Non-Blanchablel Deepl Red,l Maroon,l or
Purplel Discolorationl –l epidermall separationl willl reveall al darkl woundl bedl orl blood-
filledl blister.
QUESTION
WOUNDl DRAINAGE
Answer:
l ***Foamsl arel alwaysl usedl firstl atl anyl stagel ofl wound.l HEMOVACl –l woundl drainage
PENROSEl –l Woundl drainage
