NUR 242 Exam 4 Medical Nursing Exam
Updated 2026
1. Normal BP - ANSWER-Systolic <120 / Diastolic <80
2. Pre-HTN - ANSWER-Systolic =120-139 / Diastolic=80-89
3. Stage 1 HTN - ANSWER-Systolic=140-159 / Diastolic=90-99
4. Stage 2 HTN - ANSWER-Systolic=>160 / Diastolic=>100
5. Malignant HTN - ANSWER-Extremely high BP >180/110
6. S/S of Malignant HTN - ANSWER-initially asymptomatic, headache upon
awakening, blurred vision, dizziness, chest pain, difficult breathing,
numbness in face and legs, tinnitus, flushed face, epistaxis
7. HTN Crisis - ANSWER-acute and life threatening; accelerated HTN
requires ER treatment because organ damage can occur quickly
8. Pharmacological interventions for HTN - ANSWER-ACE Inhibitors,
Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
9. What symptom should you report right away with ACE Inhibitors? -
ANSWER-Dry nagging cough- discontinue immediately and teach about
orthostatic HTN in elderly
10.What is an example of an ACE inhibitor drug? - ANSWER-Lisinopril,
Enalapril
11.What is an example of a Calcium Channel Blocker? - ANSWER-Verapamil,
Amlodopine
12.What is an example of an ARB? - ANSWER-Losartan, Valsartan
13.What is an example of a Beta Blocker? - ANSWER-Metoprolol, Atenolol
, 14.Pt. teaching for Raynauds disease - ANSWER-Stop smoking, avoid cold and
stress, wear warm clothing, take vasodilators as prescribed
15.Pt. teaching for Burgers Disease - ANSWER-Use vasodilators as prescribed,
smoking cessation, avoid injury to upper and lower extremities, can cause
gangrene
16.S/S of Peripheral Arterial Disease (PAD) - ANSWER-Leg pain, burning,
cramping muscle discomfort when walking that stops at rest. As the disease
persists the pt can walk shorter distances
17.Post-OP Care for Femoral Artery Bypass graft? - 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.
18.Notify the physician immediately if they experience what S/S after a femoral
artery graft? - ANSWER-Cold, pale, cyanotic skin or decreased pulse
19.Amputation complications: - ANSWER-infection, phantom limb pain,
flexion contractions
20.Amputation Post-OP care: - 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
21.Pt with a DVT is at high risk for? - ANSWER-PE
22.DVT S/S - ANSWER--calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
23.DVT Risk Factors - ANSWER--venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
Updated 2026
1. Normal BP - ANSWER-Systolic <120 / Diastolic <80
2. Pre-HTN - ANSWER-Systolic =120-139 / Diastolic=80-89
3. Stage 1 HTN - ANSWER-Systolic=140-159 / Diastolic=90-99
4. Stage 2 HTN - ANSWER-Systolic=>160 / Diastolic=>100
5. Malignant HTN - ANSWER-Extremely high BP >180/110
6. S/S of Malignant HTN - ANSWER-initially asymptomatic, headache upon
awakening, blurred vision, dizziness, chest pain, difficult breathing,
numbness in face and legs, tinnitus, flushed face, epistaxis
7. HTN Crisis - ANSWER-acute and life threatening; accelerated HTN
requires ER treatment because organ damage can occur quickly
8. Pharmacological interventions for HTN - ANSWER-ACE Inhibitors,
Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
9. What symptom should you report right away with ACE Inhibitors? -
ANSWER-Dry nagging cough- discontinue immediately and teach about
orthostatic HTN in elderly
10.What is an example of an ACE inhibitor drug? - ANSWER-Lisinopril,
Enalapril
11.What is an example of a Calcium Channel Blocker? - ANSWER-Verapamil,
Amlodopine
12.What is an example of an ARB? - ANSWER-Losartan, Valsartan
13.What is an example of a Beta Blocker? - ANSWER-Metoprolol, Atenolol
, 14.Pt. teaching for Raynauds disease - ANSWER-Stop smoking, avoid cold and
stress, wear warm clothing, take vasodilators as prescribed
15.Pt. teaching for Burgers Disease - ANSWER-Use vasodilators as prescribed,
smoking cessation, avoid injury to upper and lower extremities, can cause
gangrene
16.S/S of Peripheral Arterial Disease (PAD) - ANSWER-Leg pain, burning,
cramping muscle discomfort when walking that stops at rest. As the disease
persists the pt can walk shorter distances
17.Post-OP Care for Femoral Artery Bypass graft? - 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.
18.Notify the physician immediately if they experience what S/S after a femoral
artery graft? - ANSWER-Cold, pale, cyanotic skin or decreased pulse
19.Amputation complications: - ANSWER-infection, phantom limb pain,
flexion contractions
20.Amputation Post-OP care: - 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
21.Pt with a DVT is at high risk for? - ANSWER-PE
22.DVT S/S - ANSWER--calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
23.DVT Risk Factors - ANSWER--venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
