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NUR 355 Final Exam Study Guide 2025: Complex Health Alterations Practice Questions & Review

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Prepare for your NUR 355 Complex Health Alterations Final Exam. Our 2025 study guide covers advanced pathophysiology, critical care concepts, complex disease management, and clinical decision-making with practice questions for comprehensive nursing care.

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Page 1 of 147


NUR 355 FINAL EXAM NEWEST 2025 ACTUAL EXAM

TEST BANK| NUR355 MEDSURG FINAL EXAM WITH

400 REAL EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) GRADED A+ (MOST

RECENT!!)

Capillary Exchange - Manifestations .....ANSWER.....Fluid moves

into and out of capillaries and the surrounding interstitial fluid

according to hydrostatic pressure, osmotic pressure, and capillary

permeability. Hydrostatic pressure is a "push force". When the

pressure from fluid volume in one fluid compartment is higher

than in the neighboring fluid compartment, the compartment with

higher pressure (higher hydrostatic pressure) will "push" fluid into

the neighboring compartment. Osmotic pressure is a "pull" force.

Osmotic pressure depends on the concentration of solutes in fluid

compartments. If there is a high concentration of solute in one

compartment compared to the neighboring fluid compartment,

,Page 2 of 147


fluid will be "pulled" into the compartment with more solute (the

compartment with higher osmotic pressure). Changes to capillary

permeability alter the impact of hydrostatic and osmostic forces.

Increased capillary permeability increases ability of fluid to

move out of capillary.

Benign vs Malignant tumors - PATHO .....ANSWER.....A cellular

growth that's no longer responding to body controls. The cells

continue to grow even when there is no longer a need for them to

do so. This deprives other cells of nutrients. Normal organization,

growth inhibition, contact controls, and cell-cell communication

are absent. this expanding mass compresses nearby blood

vessels, leading to necrosis and an inflammation around the

tumor as well as increasing pressure on surrounding

structures.Benign tumors usually consist of differentiated cells that

reproduce at a higher than normal rate. It is often encapsulated

and expands but does not spread (metasize). Malignant tumors

,Page 3 of 147


are usually made up of undifferentiated, nonfunctional cells that

do not appear organized. They often show abnormal mitotic

figures. They infiltrate or spread into surrounding tissues and may

easily metastasize or break away to spread to other organs and

structures.

Benign vs Malignant tumors - Manifestations .....ANSWER.....1.

Unusual bleeding or discharge anywhere in the body

2. change in bowel or bladder habits

3. change in a wart or a mole

4. a sore that does not heal

5. unexplained weight loss

6. anemia, low hemoglobin, or persistent fatigue

7. persistent cough or hoarseness without reason

8. a solid lump, often painless.- Pain is not normally a symptom

until the tumor is in its advanced stages.

, Page 4 of 147


Benign vs Malignant tumors - Complications .....ANSWER.....- With

any tumor, tissue damage can result from compression of

adjacent structures such as blood vessels, which leads to necrosis.-

Pain (once in advanced stages)- obstruction of ducts, tubes,

vessels, or tracts- tissue necrosis may lead to infection around the

tumor or ulceration- weight loss and cachexia- anemia or severe

fatigue- bleeding- paraneoplastic syndromes

A tumor can obstruct the following structures:

(Select all that apply)A. Lymphatic ducts

B. Digestive Tract

C. Blood vessels

D. Bronchial ducts

E. Nerve conduction .....ANSWER.....ALL - Every one of these has

been proven to be obstructed by a neoplastic tumor at some

point.
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