NURl 201/l NUR201l HESIl –l (Newl 2026/l
2027l Update)l Medical-Surgicall Nursingl Il
Reviewl V1l |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Fortis
QUESTION
Whatl doesl audiblel wheezingl soundl onl auscultation?
Answer:
Musicall lungl sounds
QUESTION
Whenl wheezel isl heardl onl auscultation,l whatl interventionl isl priority?
Answer:
Placel PTl onl oxygen
QUESTION
Whatl isl thel firstl stepl ifl al patientl hasl al changel inl levell ofl consciousnessl (LOC)?
Answer:
Applyl painfull stimulil tol assessl responsiveness.
QUESTION
Whatl shouldl thel nursel notel whenl applyingl painfull stimuli?
Answer:
Whetherl thel patientl isl alert,l responsive,l orl unresponsivel tol thel stimuli.
,QUESTION
Whichl scalel isl commonlyl usedl tol assessl LOC?
Answer:
Thel Glasgowl Comal Scalel (GCS).
QUESTION
Howl dol youl assessl forl responsel tol painfull stimuli?
Answer:
Applyl firml butl safel pressurel (e.g.,l trapeziusl squeeze,l sternall rub).
Observel eyel opening,l verball response,l andl motorl response.
Recordl strengthl andl typel ofl response
QUESTION
Thel Glasgowl Comal Scalel (GCS)
Answer:
1)l Eyel openingl
(1l nonel -l 4l spontaneous)
2)l Verball responsel
(1l nonel -l 5l orientated)
3)l Motorl responsel
(1l nonel -l 6l obeys)
QUESTION
GCSl scorel ofl 15
Answer:
,Fullyl alert
QUESTION
GCSl scorel ofl <l 8
Answer:
Severel impairment,l coma
QUESTION
Whatl isl heartl failure?
Answer:
Thel heartl failsl tol pumpl effectively,l causingl bloodl backupl andl congestion.
QUESTION
Whatl isl orthopnea?
Answer:
Shortnessl ofl breathl thatl occursl whenl lyingl flat;l relievedl byl sittingl up.
QUESTION
Whatl isl paroxysmall nocturnall dyspneal (PND)?
Answer:
Suddenl shortnessl ofl breathl atl night,l oftenl wakingl thel patientl froml sleep.
QUESTION
Whatl isl JVD?
Answer:
Jugularl veinl distention;l visiblel bulgingl ofl neckl veinsl froml fluidl backup.
, Commonl tol FVO/RSHF
QUESTION
Howl doesl thel skinl appearl inl heartl failure?
Answer:
Cooll andl moistl duel tol poorl perfusionl andl sympatheticl activation.
QUESTION
Classicl S/Sl HF
Answer:
JVD
Edema
Crackles
SOB
Weightl gain
Orthopnea
Cookl skin
Weakl pulse
QUESTION
Whatl isl erythema?
Answer:
Increasedl rednessl ofl thel skinl causedl byl dilatedl superficiall capillaries.
QUESTION
Whenl isl erythemal commonlyl seen?
Answer:
Withl fever,l inflammation,l orl emotionall reactionsl (e.g.,l blushing).
2027l Update)l Medical-Surgicall Nursingl Il
Reviewl V1l |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Fortis
QUESTION
Whatl doesl audiblel wheezingl soundl onl auscultation?
Answer:
Musicall lungl sounds
QUESTION
Whenl wheezel isl heardl onl auscultation,l whatl interventionl isl priority?
Answer:
Placel PTl onl oxygen
QUESTION
Whatl isl thel firstl stepl ifl al patientl hasl al changel inl levell ofl consciousnessl (LOC)?
Answer:
Applyl painfull stimulil tol assessl responsiveness.
QUESTION
Whatl shouldl thel nursel notel whenl applyingl painfull stimuli?
Answer:
Whetherl thel patientl isl alert,l responsive,l orl unresponsivel tol thel stimuli.
,QUESTION
Whichl scalel isl commonlyl usedl tol assessl LOC?
Answer:
Thel Glasgowl Comal Scalel (GCS).
QUESTION
Howl dol youl assessl forl responsel tol painfull stimuli?
Answer:
Applyl firml butl safel pressurel (e.g.,l trapeziusl squeeze,l sternall rub).
Observel eyel opening,l verball response,l andl motorl response.
Recordl strengthl andl typel ofl response
QUESTION
Thel Glasgowl Comal Scalel (GCS)
Answer:
1)l Eyel openingl
(1l nonel -l 4l spontaneous)
2)l Verball responsel
(1l nonel -l 5l orientated)
3)l Motorl responsel
(1l nonel -l 6l obeys)
QUESTION
GCSl scorel ofl 15
Answer:
,Fullyl alert
QUESTION
GCSl scorel ofl <l 8
Answer:
Severel impairment,l coma
QUESTION
Whatl isl heartl failure?
Answer:
Thel heartl failsl tol pumpl effectively,l causingl bloodl backupl andl congestion.
QUESTION
Whatl isl orthopnea?
Answer:
Shortnessl ofl breathl thatl occursl whenl lyingl flat;l relievedl byl sittingl up.
QUESTION
Whatl isl paroxysmall nocturnall dyspneal (PND)?
Answer:
Suddenl shortnessl ofl breathl atl night,l oftenl wakingl thel patientl froml sleep.
QUESTION
Whatl isl JVD?
Answer:
Jugularl veinl distention;l visiblel bulgingl ofl neckl veinsl froml fluidl backup.
, Commonl tol FVO/RSHF
QUESTION
Howl doesl thel skinl appearl inl heartl failure?
Answer:
Cooll andl moistl duel tol poorl perfusionl andl sympatheticl activation.
QUESTION
Classicl S/Sl HF
Answer:
JVD
Edema
Crackles
SOB
Weightl gain
Orthopnea
Cookl skin
Weakl pulse
QUESTION
Whatl isl erythema?
Answer:
Increasedl rednessl ofl thel skinl causedl byl dilatedl superficiall capillaries.
QUESTION
Whenl isl erythemal commonlyl seen?
Answer:
Withl fever,l inflammation,l orl emotionall reactionsl (e.g.,l blushing).
