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Midterm Exam: NURS 120/ NURS120 – Introduction to Medical Surgical Nursing 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 Review | WCU (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION A dark skinned patient was admitted to the hospital with CHF. How would the nurse assess the patient for cyanosis. Answer: through the lips and oral mucosa QUESTION True or false: A nurse caring for a patient with deep vein thrombosis of the lower leg should elevate the affect limb? Answer: True QUESTION The patient is C/O knee pain following an arthroscopic procedure. What action should the nurse anticipate? Answer: QUESTION The patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures. List 4 assessments and actions should the nurse take? Answer: -check post op orders for patients weight bearing status -assess skin integrity -turn every 2 hours, maintain abduction QUESTION The nurse is assessing a patient who is on bed rest after having a complex pelvic fracture, which assessment finding is most important to report to the health care provider? Answer: abdomen is distended and bowel sounds are absent QUESTION The patient with lower leg fracture has an external fixation device in place and is scheduled for discharge. Which information will the nurse include in the discharge teaching? Answer: You will need to check and clean the pin insertion sites daily -maintain abduction (change position every 2 hours) -avoid extreme hip flexion QUESTION On the first postoperative day, a patient with a below-the-knee amputation complains of pain in the amputated limb. Which action is best for the nurse to take? Answer: administer prescribed opioids to relieve the pain QUESTION The patient is admitted to the emergency department with possible left lower leg fractures. List 4 actions by the nurse? Answer: assess leg pulses and sensations -pallor, pain, paralysis, pressure QUESTION To teach a client how to observe and manage his casted extremity at home, the nurse should include what 4 instructions? Answer: report any worsening or unrelieved pain -plaster (not wet, dry with hairdryer) -fiberglass (can get wet) QUESTION To prevent further tissue damage, what instructions are most important for the nurse to teach patient and the family patient stage 2 ulcers? Answer: change the patient's position every 1 to 2 hours QUESTION List 4 actions for a patient with a swollen ankle? Answer: rest, ice, compression, elevation QUESTION What signs and symptoms should alert the nurse to impending organ failure? Answer: dark, scanty urine

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Midterml Exam:l NURSl 120/l NURS120l –l
Introductionl tol Medicall Surgicall Nursingl
Reviewl |l WCUl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Al darkl skinnedl patientl wasl admittedl tol thel hospitall withl CHF.l Howl wouldl thel
nursel assessl thel patientl forl cyanosis.l

Answer:
throughl thel lipsl andl orall mucosa



Q:l Truel orl false:l Al nursel caringl forl al patientl withl deepl veinl thrombosisl ofl thel
lowerl legl shouldl elevatel thel affectl limb?l

Answer:
True



Q:l Thel patientl isl C/Ol kneel painl followingl anl arthroscopicl procedure.l Whatl actionl
shouldl thel nursel anticipate?l

Answer:




Q:l Thel patientl whol hasl hadl anl openl reductionl andl internall fixationl (ORIF)l ofl leftl
lowerl legl fractures.l Listl 4l assessmentsl andl actionsl shouldl thel nursel take?l

Answer:
-checkl postl opl ordersl forl patientsl weightl bearingl status
-assessl skinl integrity

,-turnl everyl 2l hours,l maintainl abduction



Q:l Thel nursel isl assessingl al patientl whol isl onl bedl restl afterl havingl al complexl
pelvicl fracture,l whichl assessmentl findingl isl mostl importantl tol reportl tol thel healthl carel
provider?l

Answer:
abdomenl isl distendedl andl bowell soundsl arel absent



Q:l Thel patientl withl lowerl legl fracturel hasl anl externall fixationl devicel inl placel andl
isl scheduledl forl discharge.l Whichl informationl willl thel nursel includel inl thel dischargel
teaching?l

Answer:
Youl willl needl tol checkl andl cleanl thel pinl insertionl sitesl daily
-maintainl abductionl (changel positionl everyl 2l hours)
-avoidl extremel hipl flexion



Q:l Onl thel firstl postoperativel day,l al patientl withl al below-the-kneel amputationl
complainsl ofl painl inl thel amputatedl limb.l Whichl actionl isl bestl forl thel nursel tol take?l

Answer:
administerl prescribedl opioidsl tol relievel thel pain



Q:l Thel patientl isl admittedl tol thel emergencyl departmentl withl possiblel leftl lowerl legl
fractures.l Listl 4l actionsl byl thel nurse?l

Answer:
assessl legl pulsesl andl sensations
-pallor,l pain,l paralysis,l pressure



Q:l Tol teachl al clientl howl tol observel andl managel hisl castedl extremityl atl home,l thel
nursel shouldl includel whatl 4l instructions?l

, Answer:
reportl anyl worseningl orl unrelievedl pain
-plasterl (notl wet,l dryl withl hairdryer)
-fiberglassl (canl getl wet)



Q:l Tol preventl furtherl tissuel damage,l whatl instructionsl arel mostl importantl forl thel
nursel tol teachl patientl andl thel familyl patientl stagel 2l ulcers?l

Answer:
changel thel patient'sl positionl everyl 1l tol 2l hours



Q:l Listl 4l actionsl forl al patientl withl al swollenl ankle?l
Answer:
rest,l ice,l compression,l elevation



Q:l Whatl signsl andl symptomsl shouldl alertl thel nursel tol impendingl organl failure?l
Answer:
dark,l scantyl urine



Q:l Afterl receivingl al change-of-shiftl report,l whichl patientl shouldl thel nursel assessl
first?l

Answer:




Q:l Thel nursel couldl delegatel carel ofl whichl patientl tol al licensedl vocationall nursel
(LVN)?l

Answer:

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