NUR 242 Exam 4 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Normal BP - CORRECT ANSWER - Systolic <120 / Diastolic <80
Pre-HTN - CORRECT ANSWER - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - CORRECT ANSWER - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - CORRECT ANSWER - Systolic=>160 / Diastolic=>100
Malignant HTN - CORRECT ANSWER - Extremely high BP >180/110
S/S of Malignant HTN - CORRECT ANSWER - initially asymptomatic, headache upon
awakening, blurred vision, dizziness, chest pain, difficult breathing, numbness in face and legs,
tinnitus, flushed face, epistaxis
HTN Crisis - CORRECT ANSWER - acute and life threatening; accelerated HTN requires
ER treatment because organ damage can occur quickly
Pharmacological interventions for HTN - CORRECT ANSWER - ACE Inhibitors,
Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - CORRECT
ANSWER - Dry nagging cough- discontinue immediately and teach about orthostatic
HTN in elderly
What is an example of an ACE inhibitor drug? - CORRECT ANSWER - Lisinopril,
Enalapril
,What is an example of a Calcium Channel Blocker? - CORRECT ANSWER - Verapamil,
Amlodopine
What is an example of an ARB? - CORRECT ANSWER - Losartan, Valsartan
What is an example of a Beta Blocker? - CORRECT ANSWER - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - CORRECT ANSWER - Stop smoking, avoid cold and
stress, wear warm clothing, take vasodilators as prescribed
Pt. teaching for Burgers Disease - CORRECT ANSWER - Use vasodilators as prescribed,
smoking cessation, avoid injury to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? -
CORRECT ANSWER - Cold, pale, cyanotic skin or decreased pulse
Amputation complications: - CORRECT ANSWER - infection, phantom limb pain,
flexion contractions
Amputation Post-OP care: - CORRECT ANSWER - -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? - CORRECT ANSWER - PE
DVT S/S - CORRECT ANSWER - -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - CORRECT ANSWER - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
DVT interventions: - CORRECT ANSWER - -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
When a pt. is on IV continuous Heparin, what lab values do you monitor? - CORRECT
ANSWER - aPTT Values
What is the normal aPTT range? - CORRECT ANSWER - 30-40 seconds
1.5-3 times normal control levels
*Call the MD if >70 seconds*
Exam Questions and CORRECT Answers
Normal BP - CORRECT ANSWER - Systolic <120 / Diastolic <80
Pre-HTN - CORRECT ANSWER - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - CORRECT ANSWER - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - CORRECT ANSWER - Systolic=>160 / Diastolic=>100
Malignant HTN - CORRECT ANSWER - Extremely high BP >180/110
S/S of Malignant HTN - CORRECT ANSWER - initially asymptomatic, headache upon
awakening, blurred vision, dizziness, chest pain, difficult breathing, numbness in face and legs,
tinnitus, flushed face, epistaxis
HTN Crisis - CORRECT ANSWER - acute and life threatening; accelerated HTN requires
ER treatment because organ damage can occur quickly
Pharmacological interventions for HTN - CORRECT ANSWER - ACE Inhibitors,
Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - CORRECT
ANSWER - Dry nagging cough- discontinue immediately and teach about orthostatic
HTN in elderly
What is an example of an ACE inhibitor drug? - CORRECT ANSWER - Lisinopril,
Enalapril
,What is an example of a Calcium Channel Blocker? - CORRECT ANSWER - Verapamil,
Amlodopine
What is an example of an ARB? - CORRECT ANSWER - Losartan, Valsartan
What is an example of a Beta Blocker? - CORRECT ANSWER - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - CORRECT ANSWER - Stop smoking, avoid cold and
stress, wear warm clothing, take vasodilators as prescribed
Pt. teaching for Burgers Disease - CORRECT ANSWER - Use vasodilators as prescribed,
smoking cessation, avoid injury to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? -
CORRECT ANSWER - Cold, pale, cyanotic skin or decreased pulse
Amputation complications: - CORRECT ANSWER - infection, phantom limb pain,
flexion contractions
Amputation Post-OP care: - CORRECT ANSWER - -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? - CORRECT ANSWER - PE
DVT S/S - CORRECT ANSWER - -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - CORRECT ANSWER - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
DVT interventions: - CORRECT ANSWER - -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
When a pt. is on IV continuous Heparin, what lab values do you monitor? - CORRECT
ANSWER - aPTT Values
What is the normal aPTT range? - CORRECT ANSWER - 30-40 seconds
1.5-3 times normal control levels
*Call the MD if >70 seconds*
