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Midterm Exam: NURS 120/ NURS120 – Introduction to Medical Surgical Nursing Complete Review | WCU (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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Midterm Exam: NURS 120/ NURS120 – Introduction to Medical Surgical Nursing Complete Review | WCU (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Upon assessment, what can the nurse expect to find for their patient who is DEHYDRATED? Answer: Flushed/Dry skin Skin WARM to touch Poor skin turgor Skin tenting Pale/Sticky mucous membranes QUESTION When CELLS are lacking water, WHAT is happening in the body? Answer: Dehydration QUESTION When the CV SYSTEM is lacking BOTH water & electrolytes, WHAT is happening in the body? Answer: Hypovolemia QUESTION What are common CAUSES of hypovolemia? Answer: 1. Vomiting 2. Diarrhea 3. GI suctioning 4. Diaphoresis w/o sodium & water replacement 5. Diuretics 6. Third spacing (fluid shift to interstitial space) 7. Hemorrhage 8. Burns QUESTION What S/S should the nurse look out for if they suspect their patient is experiencing fluid volume deficit (FVD)? Answer: EARLY s/s Dizziness Possible syncope Weakness Fatigue Confusion Combativeness Irritability Agitation Anxiety Lethargy LATE s/s Seizures Coma Death QUESTION IF there has been fluid LOSS in the body, WHAT will happen to the Hct levels? Answer: It will go UP QUESTION IF there is an EXCESS of fluid in the body, WHAT will happen to the Hct levels? Answer: It will go DOWN QUESTION What is the nurse most concerned about in their patient experiencing fluid OVERLOAD? A. Kidney disease B. Heart failure C. Cerebral edema D. Liver cirrhosis Answer: C. Cerebral edema QUESTION What is the nurse most concerned about in their patient experiencing HYPERvolemia? A. Hormonal changes B. Hypertension C. Weight gain D. Pulmonary edema Answer: D. Pulmonary edema QUESTION What are the common s/s of PULMONARY edema? Answer: 1. JVD 2. Crackles 3. Tachycardia 4. Hypertension QUESTION A patient presents to the emergency department with pulmonary edema and has the following VS results: HR 110, RR 25, BP 135/85, O2 90%. What is the nurse's priority action? A. Watch for use of accessory muscles B. Administer diuretics (e.g., Furosemide) to eliminate excess fluid in body C. Give patient water D. Encourage deep breathing Answer: B. Administer diuretics (e.g., Furosemide) to eliminate excess fluid in body QUESTION Fluid OVERLOAD is usually caused by WHICH type(s) of solutions? Answer: HYPOtonic (LEAVES intravascular/interstitial space to GO to intracellular) QUESTION Hypervolemia is usually caused by WHICH type(s) of solutions? Answer: Isotonic (STAYS in intravascular/interstitial space) HYPERtonic (PULLS fluid from areas it's not supposed to be in BACK to intravascular/interstitial space) QUESTION Which of the following findings on a chest x-ray CONFIRMS that a patient has pulmonary edema? A. Enlarged heart B. Patchy/fluffy opacities C. Blunted costophrenic angles D. Cloudy appearance Answer: D. Cloudy appearance QUESTION NORMAL range for sodium? Answer: 135-145 mEq/L

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Midterml Exam:l NURSl 120/l NURS120l –l
Introductionl tol Medicall Surgicall Nursingl
Completel Reviewl |l WCUl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Uponl assessment,l whatl canl thel nursel expectl tol findl forl theirl patientl whol isl
DEHYDRATED?

Answer:
Flushed/Dryl skin
Skinl WARMl tol touch
Poorl skinl turgor
Skinl tenting
Pale/Stickyl mucousl membranes


Q:l Whenl CELLSl arel lackingl water,l WHATl isl happeningl inl thel body?
Answer:
Dehydration


Q:l Whenl thel CVl SYSTEMl isl lackingl BOTHl waterl &l electrolytes,l WHATl isl
happeningl inl thel body?

Answer:
Hypovolemia


Q:l Whatl arel commonl CAUSESl ofl hypovolemia?
Answer:
1.l Vomiting
2.l Diarrhea
3.l GIl suctioning

,4.l Diaphoresisl w/ol sodiuml &l waterl replacement
5.l Diuretics
6.l Thirdl spacingl (fluidl shiftl tol interstitiall space)
7.l Hemorrhage
8.l Burns


Q:l Whatl S/Sl shouldl thel nursel lookl outl forl ifl theyl suspectl theirl patientl isl
experiencingl fluidl volumel deficitl (FVD)?

Answer:
EARLYl s/s
Dizziness
Possiblel syncope
Weakness
Fatigue
Confusion
Combativeness
Irritability
Agitation
Anxiety
Lethargy

LATEl s/s
Seizures
Coma
Death


Q:l IFl therel hasl beenl fluidl LOSSl inl thel body,l WHATl willl happenl tol thel Hctl levels?
Answer:
Itl willl gol UP


Q:l IFl therel isl anl EXCESSl ofl fluidl inl thel body,l WHATl willl happenl tol thel Hctl
levels?

Answer:
Itl willl gol DOWN

,Q:l Whatl isl thel nursel mostl concernedl aboutl inl theirl patientl experiencingl fluidl
OVERLOAD?
A.l Kidneyl disease
B.l Heartl failure
C.l Cerebrall edema
D.l Liverl cirrhosis

Answer:
C.l Cerebrall edema


Q:l Whatl isl thel nursel mostl concernedl aboutl inl theirl patientl experiencingl
HYPERvolemia?
A.l Hormonall changes
B.l Hypertension
C.l Weightl gain
D.l Pulmonaryl edema

Answer:
D.l Pulmonaryl edema


Q:l Whatl arel thel commonl s/sl ofl PULMONARYl edema?
Answer:
1.l JVD
2.l Crackles
3.l Tachycardia
4.l Hypertension


Q:l Al patientl presentsl tol thel emergencyl departmentl withl pulmonaryl edemal andl hasl
thel followingl VSl results:l HRl 110,l RRl 25,l BPl 135/85,l O2l 90%.l Whatl isl thel nurse'sl
priorityl action?
A.l Watchl forl usel ofl accessoryl muscles
B.l Administerl diureticsl (e.g.,l Furosemide)l tol eliminatel excessl fluidl inl body
C.l Givel patientl water
D.l Encouragel deepl breathing

Answer:
B.l Administerl diureticsl (e.g.,l Furosemide)l tol eliminatel excessl fluidl inl body

, Q:l Fluidl OVERLOADl isl usuallyl causedl byl WHICHl type(s)l ofl solutions?
Answer:
HYPOtonicl (LEAVESl intravascular/interstitiall spacel tol GOl tol intracellular)


Q:l Hypervolemial isl usuallyl causedl byl WHICHl type(s)l ofl solutions?
Answer:
Isotonicl (STAYSl inl intravascular/interstitiall space)
HYPERtonicl (PULLSl fluidl froml areasl it'sl notl supposedl tol bel inl BACKl tol
intravascular/interstitiall space)


Q:l Whichl ofl thel followingl findingsl onl al chestl x-rayl CONFIRMSl thatl al patientl hasl
pulmonaryl edema?
A.l Enlargedl heartl
B.l Patchy/fluffyl opacities
C.l Bluntedl costophrenicl angles
D.l Cloudyl appearance

Answer:
D.l Cloudyl appearance


Q:l NORMALl rangel forl sodium?
Answer:
135-145l mEq/L


Q:l CAUSESl ofl HYPOnatremia?
Answer:
1.l GIl lossesl (Diarrhea,l Vomiting,l NGl suction)
2.l Renall lossesl (Diuretics,l Adrenall insufficiency,l Renall damage,l Inflammation)
3.l Skinl lossesl (Burns,l Woundl drainage)
4.l Inadequatel intakel (Dieting,l Fasting)
5.l Excessl waterl intakel ("Dilutionall hyponatremia")
6.l Hypotonicl IVl fluidsl ("Dilutionall hyponatremia")
7.l Cirrhosis

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