(GALEN)NUR 242 Med Surg Exam 4questions and
answers 2025-2026 update
Normal BP - ✔✔ANS Systolic <120 / Diastolic <80
Pre-HTN - ✔✔ANS Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - ✔✔ANS Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - ✔✔ANS Systolic=>160 / Diastolic=>100
Malignant HTN - ✔✔ANS Extremely high BP >180/110
S/S of Malignant HTN - ✔✔ANS initially asymptomatic, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epistaxis
HTN Crisis - ✔✔ANS acute and life threatening; accelerated HTN requires ER treatment because organ
damage can occur quickly
Pharmacological interventions for HTN - ✔✔ANS ACE Inhibitors, Diuretics, Calcium Channel Blockers,
ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - ✔✔ANS Dry nagging cough-
discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - ✔✔ANS Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - ✔✔ANS Verapamil, Amlodopine
, What is an example of an ARB? - ✔✔ANS Losartan, Valsartan
What is an example of a Beta Blocker? - ✔✔ANS Metoprolol, Atenolol
Pt. teaching for Raynauds disease - ✔✔ANS Stop smoking, avoid cold and stress, wear warm clothing,
take vasodilators as prescribed
Pt. teaching for Burgers Disease - ✔✔ANS Use vasodilators as prescribed, smoking cessation, avoid injury
to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - ✔✔ANS Leg pain, burning, cramping muscle discomfort when
walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - ✔✔ANS warmth, redness and edema are expected.
Monitor for possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is due
to increased blood flow to the area.
Notify the physician immediately if they experience what S/S after a femoral artery graft? - ✔✔ANS Cold,
pale, cyanotic skin or decreased pulse
Amputation complications: - ✔✔ANS infection, phantom limb pain, flexion contractions
Amputation Post-OP care: - ✔✔ANS -DO NOT elevate limb on pillow (can cause flexion contractures)
-1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat
-24-48 hours- place the pt. in prone position to stretch muscles and prevent hip flexion contractures
Pt with a DVT is at high risk for? - ✔✔ANS PE
DVT S/S - ✔✔ANS -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - ✔✔ANS -venous stasis from varicose veins
-heart failure
answers 2025-2026 update
Normal BP - ✔✔ANS Systolic <120 / Diastolic <80
Pre-HTN - ✔✔ANS Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - ✔✔ANS Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - ✔✔ANS Systolic=>160 / Diastolic=>100
Malignant HTN - ✔✔ANS Extremely high BP >180/110
S/S of Malignant HTN - ✔✔ANS initially asymptomatic, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epistaxis
HTN Crisis - ✔✔ANS acute and life threatening; accelerated HTN requires ER treatment because organ
damage can occur quickly
Pharmacological interventions for HTN - ✔✔ANS ACE Inhibitors, Diuretics, Calcium Channel Blockers,
ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - ✔✔ANS Dry nagging cough-
discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - ✔✔ANS Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - ✔✔ANS Verapamil, Amlodopine
, What is an example of an ARB? - ✔✔ANS Losartan, Valsartan
What is an example of a Beta Blocker? - ✔✔ANS Metoprolol, Atenolol
Pt. teaching for Raynauds disease - ✔✔ANS Stop smoking, avoid cold and stress, wear warm clothing,
take vasodilators as prescribed
Pt. teaching for Burgers Disease - ✔✔ANS Use vasodilators as prescribed, smoking cessation, avoid injury
to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - ✔✔ANS Leg pain, burning, cramping muscle discomfort when
walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - ✔✔ANS warmth, redness and edema are expected.
Monitor for possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is due
to increased blood flow to the area.
Notify the physician immediately if they experience what S/S after a femoral artery graft? - ✔✔ANS Cold,
pale, cyanotic skin or decreased pulse
Amputation complications: - ✔✔ANS infection, phantom limb pain, flexion contractions
Amputation Post-OP care: - ✔✔ANS -DO NOT elevate limb on pillow (can cause flexion contractures)
-1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat
-24-48 hours- place the pt. in prone position to stretch muscles and prevent hip flexion contractures
Pt with a DVT is at high risk for? - ✔✔ANS PE
DVT S/S - ✔✔ANS -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - ✔✔ANS -venous stasis from varicose veins
-heart failure
