Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing Review | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU

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Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing Review | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU

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Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing Review | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU Q: assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first? Answer: stop the infusion of blood Q: Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect? Answer: hemolytic Q: emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect? Answer: hemorrhagic stroke Q: postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period? Answer: Dyspnea Q: client who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding? Answer: obtain venous duplex ultrasound Q: blood transfusion. Which of the following findings indicates an allergic transfusion reaction? Answer: generalized urticaria Q: hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take? Answer: obtain a 12 lead ECG Q: assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect? Answer: Fatigue Q: 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition? Answer: hypoxemia Q: discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively Answer: flexing her knees and feet frequently Q: laboratory test BNP Answer: Blood Natriuretic Peptide to detect heart failure Q: Risk factors to preventing deep-vein thrombosis (DVT) Answer: Surgery Immobile Overweight Past Hx Cancer Pregnancy

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FinallExam:lNURS120/lNURSl120l(Latest
lUpdate)lIntroductionltolMedicallSurgical
lNursinglReviewl|lQsl&lAs|lGradelA|l100%l
Correctl(VerifiedlAnswers)-lWCU

Q:lassessinglalclientlwholislreceivinglonelunitloflpackedlRBCsltoltreatlintraoperativelbloodllo
ss.lThelclientlreportslchillslandlbacklpain,landlthelclient'slbloodlpressurelisl80/64lmmlHg.lWhic
hloflthelfollowinglactionslshouldlthelnurseltakelfirst?

Answer:
stoplthelinfusionloflblood

Q:lFifteenlminuteslfollowinglthelstartlofltheltransfusion,lthelnurselnoteslthatlthelclientlislfebril
e,lwithlchillslandlred-
tingedlurine.lWhichloflthelfollowingltransfusionlreactionslshouldlthelnurselsuspect?

Answer:
hemolytic

Q:lemergencyldepartmentlislcaringlforlalclientlwholhadlalseizurelandlbecamelunresponsivelaft
erlstatinglshelhadlalsudden,lseverelheadachelandlvomiting.lThelclient'slvitallsignslarelaslfollow
s:lbloodlpressurelofl198/110lmmlHg,lpulselofl82/min,lrespirationslofl24/min,landlaltemperature
lofl38.2°lCl(100.8°lF).lWhichloflthelfollowinglneurologicldisorderslshouldlthelnurselsuspect?

Answer:
hemorrhagiclstroke

,Q:lpostoperativelfollowinglanlopenlreductionlandlinternallfixationloflalfracturedlfemur.lWhich
loflthelfollowinglactionslislthelmostlimportantlforlthelnurseltolcompletelinlthelpostoperativelper
iod?

Answer:
Dyspnea

Q:lclientlwholreportslanlarealoflredness,lwarmth,ltenderness,landlpainlinlthelrightlcalf.lThelnu
rselanticipateslwhichloflthelfollowinglorderslwhenlnotifyinglthelproviderloflthislfinding?

Answer:
obtainlvenouslduplexlultrasound

Q:lbloodltransfusion.lWhichloflthelfollowinglfindingslindicateslanlallergicltransfusionlreactio
n?

Answer:
generalizedlurticaria

Q:lhypertensionlandlhaslalpotassiumllevellofl6.8lmEq/L.lWhichloflthelfollowinglactionslshoul
dlthelnurseltake?

Answer:
obtainlal12lleadlECG

Q:lassessinglalclientlwholislpostoperativelandlhaslanemialdueltolexcesslbloodllosslfollowingls
urgery.lWhichloflthelfollowinglfindingslshouldlthelnurselexpect?

, Answer:
Fatigue

Q:l1ldaylpostoperativelwholhasldevelopedlatelectasis.lWhichloflthelfollowinglmanifestationsli
slanlexpectedlfindinglforlthislcondition?

Answer:
hypoxemia

Q:ldischargelinstructionsltolalclientlwholdevelopedldeep-
veinlthrombosisl(DVT)lpostoperatively

Answer:
flexinglherlkneeslandlfeetlfrequently

Q:llaboratoryltestlBNP

Answer:
BloodlNatriureticlPeptideltoldetectlheartlfailure

Q:lRisklfactorsltolpreventingldeep-veinlthrombosisl(DVT)

Answer:
Surgeryl
Immobilel
Overweightl
PastlHxl
Cancer
Pregnancyl

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Number of pages: 28
Written in: 2024/2025
Type: Exam (elaborations)
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