Finall Exam: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
Abdominall aneurysmsl clinicall manifestations
Answer:
-Terriblel Backl Painl
-l Alteredl Bowell Elimination
-Intermittentl Claudication
QUESTION
Abdominall aneurysmsl nursingl intervention
Answer:
GOAL:l Tol Preventl thel Rupturel ofl anl Aneurysml
-l Ifl Rupturel Occurs,l Emergencyl Surgeryl isl Required
•l Usel ofl -STATINsl andl ACEl Inhibitors
l -l Monitorl forl Painl
-l Medicall Managementl Overl CVD
l Riskl Factors
------Diabetes,l Hypertension,l Hyperlipidemia
•l Smalll Aneurysmsl (4l -l 5.4cm):l Ultrasoundl Everyl 6l -l 12l Months
QUESTION
cardiacl tamponadel clinicall manifestations
,Answer:
•l Decreasedl Cardiacl Output;l Chestl Painl
-l Muffledl Heartl Soundsl
-l Restlessness;l Anxiety;l Confusion
-Tachypnea;l
-Tachycardia;
-l Narrowedl Pulsel Pressure
-Pulsusl Paradoxusl (Largel Decreasel inl Systolicl BPl Duringl Inspiration)l .
QUESTION
cardiacl tamponadel nursingl intervention
Answer:
-l Semi-Fowlerl Positionl (Ifl Notl Contraindicated)
-Teachl Patientl Breathingl Techniques
•l Monitorl Strictlyl onl Vitall Signs;
l -Monitorl Breathing/Chestl Expansionl
-l Surgicall Interventionl (Tol Identify/Repairl Bleedingl Site)l
l -Administerl Medsl (Dobutaminel -l Enhancesl Myocardiall Contractility)
QUESTION
Acutel MIl clinicall manifestations
Answer:
-Tl Wavel thatl Comesl Downl orl Up
•l Nausea/Vomiting;l Anxiety;l Diaphoresisl -l Painl (Jaw,l Neck,l Arm,l Back)
-l Abdominall Fullnessl (Mostlyl Women)
QUESTION
Acutel MIl nursingl interventions
Answer:
, -l 12-Leadl ECGl
-l Uprightl Position
l -l MONA
-----Morphinel
-----Oxygenl (Keepl O2l satl Abovel 93%)l
-----Nitroglycerinl (SL)
-----Aspirinl [ASA]l (Chewable)l -l Labsl (Troponin;l Myoglobin;l CK-MB)
QUESTION
TBl clinicall manifestations
Answer:
-l Productivel Cough;l Feverl .l Pleuriticl Chestl Pain
·l Nightl Sweats;l Weightl Loss;l Anorexia
-Pink-Tingedl Sputum
QUESTION
TBl nursingl interventions
Answer:
•l Collectl Sputuml Culturel (BESTl Diagnosticl Testl forl Activel TB)l -l Airbornel Precautions
•l Administeredl Antibiotics
QUESTION
Pacemakerl insertionl complicationl clinicall manifestations
Answer:
-l Feverl (>l 100.4°F]
•l Leadl Dislodgementl (Resultsl inl Failurel tol Sense)l
-l Failurel tol Sensel Spontaneousl Atrial/Ventricularl Activity
-----Resultsl inl thel Pacemakerl Firingl Inappropriatelyl
-l Bleeding/Hematoma;l
-Heartl Perforationl (Tunneling)
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
Abdominall aneurysmsl clinicall manifestations
Answer:
-Terriblel Backl Painl
-l Alteredl Bowell Elimination
-Intermittentl Claudication
QUESTION
Abdominall aneurysmsl nursingl intervention
Answer:
GOAL:l Tol Preventl thel Rupturel ofl anl Aneurysml
-l Ifl Rupturel Occurs,l Emergencyl Surgeryl isl Required
•l Usel ofl -STATINsl andl ACEl Inhibitors
l -l Monitorl forl Painl
-l Medicall Managementl Overl CVD
l Riskl Factors
------Diabetes,l Hypertension,l Hyperlipidemia
•l Smalll Aneurysmsl (4l -l 5.4cm):l Ultrasoundl Everyl 6l -l 12l Months
QUESTION
cardiacl tamponadel clinicall manifestations
,Answer:
•l Decreasedl Cardiacl Output;l Chestl Painl
-l Muffledl Heartl Soundsl
-l Restlessness;l Anxiety;l Confusion
-Tachypnea;l
-Tachycardia;
-l Narrowedl Pulsel Pressure
-Pulsusl Paradoxusl (Largel Decreasel inl Systolicl BPl Duringl Inspiration)l .
QUESTION
cardiacl tamponadel nursingl intervention
Answer:
-l Semi-Fowlerl Positionl (Ifl Notl Contraindicated)
-Teachl Patientl Breathingl Techniques
•l Monitorl Strictlyl onl Vitall Signs;
l -Monitorl Breathing/Chestl Expansionl
-l Surgicall Interventionl (Tol Identify/Repairl Bleedingl Site)l
l -Administerl Medsl (Dobutaminel -l Enhancesl Myocardiall Contractility)
QUESTION
Acutel MIl clinicall manifestations
Answer:
-Tl Wavel thatl Comesl Downl orl Up
•l Nausea/Vomiting;l Anxiety;l Diaphoresisl -l Painl (Jaw,l Neck,l Arm,l Back)
-l Abdominall Fullnessl (Mostlyl Women)
QUESTION
Acutel MIl nursingl interventions
Answer:
, -l 12-Leadl ECGl
-l Uprightl Position
l -l MONA
-----Morphinel
-----Oxygenl (Keepl O2l satl Abovel 93%)l
-----Nitroglycerinl (SL)
-----Aspirinl [ASA]l (Chewable)l -l Labsl (Troponin;l Myoglobin;l CK-MB)
QUESTION
TBl clinicall manifestations
Answer:
-l Productivel Cough;l Feverl .l Pleuriticl Chestl Pain
·l Nightl Sweats;l Weightl Loss;l Anorexia
-Pink-Tingedl Sputum
QUESTION
TBl nursingl interventions
Answer:
•l Collectl Sputuml Culturel (BESTl Diagnosticl Testl forl Activel TB)l -l Airbornel Precautions
•l Administeredl Antibiotics
QUESTION
Pacemakerl insertionl complicationl clinicall manifestations
Answer:
-l Feverl (>l 100.4°F]
•l Leadl Dislodgementl (Resultsl inl Failurel tol Sense)l
-l Failurel tol Sensel Spontaneousl Atrial/Ventricularl Activity
-----Resultsl inl thel Pacemakerl Firingl Inappropriatelyl
-l Bleeding/Hematoma;l
-Heartl Perforationl (Tunneling)