medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
1. critical changes HR < 40 or > 130
systolic < 90
RR < 8 or > 28
O2 < 90%
UO < 40 mL in 4 hours
ALWAYS MONITOR
VITALS
2. pneumonia respiratory signs and symptoms
- monitor O2 sat, respiratory rate/rhythm.
Problem is res- piratory so think breathing !!
3. cerebral change in LOC, one sided paralysis, aphasia,
vascu- lar vision/be- havioral changes
accident - elevate HOB 15-30 degrees. problem is neuro so
assess neuro
chest pain w/ no relief from rest, dyspnea, pallor.
4. myocardial in- heart muscle is dying, so think about what might
farction happen if your heart isn't getting blood out to your
body as effectively
- assess chest pain, assess vitals, use a cardiac
monitor
5. seizures can cause brain damage or injury to the patient du
to
violent shaking
- stay with the patient, note the time and
duration (brain injury, LOC), prevent injury (turn
on side, seizure pads), give meds (time is
ticking! make the seizure stop)
6. sepsis systemic infection --> you need to figure out what
causing it/how to treat it
- get cultures, give antibiotics, make sure the
patient has plenty of IV access
7. shock less blood flow through the body. figure out why
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
and
prevent more problems!
- give O2, give fluids, check for bleeding,
continuously monitor vitals
8. GI bleed figure out the source and replace fluids so that it
doesn't become shock
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
- emesis or stool sample, IV fluid replacement,
vital signs (BP!!)
9. pulmonary em- a clot has lodged in an artery in the lungs, think
bolism respira- tory and circulation!
- give O2, position sitting upright, look for
cyanosis, mon- itor lung sounds
10. extracellular fluid outside the cell
flu- id - composed of intravascular and interstitial fluid
11. interstitial fluid fluid outside of the blood vessels, around the cells
- this fluid brings oxygen and nutrients to cells
and re- moves waste from them
12. intravascular fluid within blood vessels
flu- id - when we take a BP, we are measuring this volume
13. isotonic fluids NS, D5W, LR
expands extracellular fluid volume
14. hypotonic fluids 0.45% NS
shifts fluids into cells. WATCH FOR LOW BP!
15. hypertonic fluids 3% NS - treats hyponatremia and increased
intracranial
pressure
shifts fluid out of cells
16. IV assessment check insertion site for redness, swelling,
pain/tender-
ness. check if it flushes. ask about burning.
17. peripheral IV the regular IV. can stay in for a few days
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
18. midline IV starts in arm and goes further up the arm. 1-4
weeks of
access
To get this or any other Exam contact ()
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
1. critical changes HR < 40 or > 130
systolic < 90
RR < 8 or > 28
O2 < 90%
UO < 40 mL in 4 hours
ALWAYS MONITOR
VITALS
2. pneumonia respiratory signs and symptoms
- monitor O2 sat, respiratory rate/rhythm.
Problem is res- piratory so think breathing !!
3. cerebral change in LOC, one sided paralysis, aphasia,
vascu- lar vision/be- havioral changes
accident - elevate HOB 15-30 degrees. problem is neuro so
assess neuro
chest pain w/ no relief from rest, dyspnea, pallor.
4. myocardial in- heart muscle is dying, so think about what might
farction happen if your heart isn't getting blood out to your
body as effectively
- assess chest pain, assess vitals, use a cardiac
monitor
5. seizures can cause brain damage or injury to the patient du
to
violent shaking
- stay with the patient, note the time and
duration (brain injury, LOC), prevent injury (turn
on side, seizure pads), give meds (time is
ticking! make the seizure stop)
6. sepsis systemic infection --> you need to figure out what
causing it/how to treat it
- get cultures, give antibiotics, make sure the
patient has plenty of IV access
7. shock less blood flow through the body. figure out why
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
and
prevent more problems!
- give O2, give fluids, check for bleeding,
continuously monitor vitals
8. GI bleed figure out the source and replace fluids so that it
doesn't become shock
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
- emesis or stool sample, IV fluid replacement,
vital signs (BP!!)
9. pulmonary em- a clot has lodged in an artery in the lungs, think
bolism respira- tory and circulation!
- give O2, position sitting upright, look for
cyanosis, mon- itor lung sounds
10. extracellular fluid outside the cell
flu- id - composed of intravascular and interstitial fluid
11. interstitial fluid fluid outside of the blood vessels, around the cells
- this fluid brings oxygen and nutrients to cells
and re- moves waste from them
12. intravascular fluid within blood vessels
flu- id - when we take a BP, we are measuring this volume
13. isotonic fluids NS, D5W, LR
expands extracellular fluid volume
14. hypotonic fluids 0.45% NS
shifts fluids into cells. WATCH FOR LOW BP!
15. hypertonic fluids 3% NS - treats hyponatremia and increased
intracranial
pressure
shifts fluid out of cells
16. IV assessment check insertion site for redness, swelling,
pain/tender-
ness. check if it flushes. ask about burning.
17. peripheral IV the regular IV. can stay in for a few days
To get this or any other Exam contact ()
,medical surgical nursing final exam 2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS WIT
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
18. midline IV starts in arm and goes further up the arm. 1-4
weeks of
access
To get this or any other Exam contact ()
