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NURS 323 – Medical-Surgical Nursing – Comprehensive Study Notes and Exam Preparation Material

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This document covers the core concepts of NURS 323 Medical-Surgical Nursing, including patient assessment, clinical decision-making, and evidence-based nursing interventions. It is designed as a comprehensive study resource to support exam preparation and understanding of key disease processes and nursing care strategies. The material is suitable for ongoing coursework as well as final exam revision.

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Aantal pagina's
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Geschreven in
2025/2026
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Nurs 323 Final Exam V2 (Latest 2026/ 2027
Update) 100% Verified Questions & Answers
| Grade A - College of Mount Saint Vincent



Your patient having an acute MI is allergic to aspirin. What do you as the nurse anticipate that
the physician will prescribe that will serve the same purpose?


a. Clopidogrel (Plavix)

b. Warfarin (Coumadin)

c. Rivaroxaban (Xarelto)

d. Dabigatran etexilate (Pradaxa)

a. Clopidogrel (Plavix)




What will the nurse observe in order to monitor for adverse reactions of heparin therapy? Select
all that apply


a. CBC
b. PTT

c. PT/INR

d. S/S of bleeding

e. LFTs

a, b, and d

, Nurs 323 Final Exam V2 (Latest 2026/ 2027
Update) 100% Verified Questions & Answers
| Grade A - College of Mount Saint Vincent

Which drug is used as a mucolytic as well as for tylenol overdoses?


a. Guaifenesin (Mucinex)

b. Acetylcysteine (Mucomyst)

c. Dextromethorphan (Robitussin)

d. Pseudoephedrine (Sudafed)
b. Acetylcysteine (Mucomyst)




What drug is appropriate to administer in order to relieve symptoms of an acute asthma attack?



a. Salmeterol (Serevent Diskus)

b. Albuterol (Proventil)

c. Tiotropium (Spiriva)

d. Theophylline
b. Albuterol (Proventil)




Your patient on Dilaudid PCA pump is sleeping but grimacing in his sleep. His wife tells you she
presses the button when he grimaces in his sleep. What do you say to her?


a. "That is totally fine!"

b. "If you put it in his hand while he is sleeping and press his finger on the button, that is fine.
Otherwise it is not allowed"
c. "Only he can press the button"

, Nurs 323 Final Exam V2 (Latest 2026/ 2027
Update) 100% Verified Questions & Answers
| Grade A - College of Mount Saint Vincent

d. "Only the doctors and nurses can press the button"
c. "Only he can press the button"




Which class of antidepressants has dietary restrictions related to tyramine in order to prevent
hypertensive crisis?


a. TCA
b. MAOI

c. SSRI

d. SNRI
b. MAOI




Your patient on a diuretic was recently started on Lithium. What major concern do you have
related to the administration of both of these drugs together?


a. Hyperkalemia and Lithium Toxicity

b. Hypernatremia and Lithium Toxicity

c. Hyponatremia and Lithium Toxicity

d. Hypokalemia and Lithium Toxicity
c. Hyponatremia and Lithium Toxicity




The reversal agent for benzos is

, Nurs 323 Final Exam V2 (Latest 2026/ 2027
Update) 100% Verified Questions & Answers
| Grade A - College of Mount Saint Vincent


a. Omarion

b. Romereon

c. Romazicon

d. Romahromahma
c.fRomazicon




Afpatientfwithfdeepfveinfthrombosisfreceivingfanfintravenousf(IV)fheparinfinfusionfasksfthefnursefh
owfthisfmedicationfworks.fWhatfisfthefnurse'sfbestfresponse?


a. HeparinfpreventsfthefactivationfoffvitaminfKfandfthusfblocksfsynthesisfoffsomefclottingffact
ors.
b. Heparinfsuppressesfcoagulationfbyfhelpingfantithrombinfperformfitsfnaturalffunctions.
c. Heparinfworksfbyfconvertingfplasminogenftofplasmin,fwhichfinfturnfdissolvesfthefclotfmatrix.

d. Heparinfinhibitsfthefenzymefresponsiblefforfplateletfactivationfandfaggregationfwithinfvessels.

b.fHeparinfsuppressesfcoagulationfbyfhelpingfantithrombinfperformfitsfnaturalffunctions.



Rationale:fHeparinfisfanfanticoagulantfthatfworksfbyfhelpingfantithrombinfinactivatefthrombinfandff
actorfXa,freducingfthefproductionfofffibrinfandfthusfdecreasingfthefformationfoffclots.




Thefnursefisfmonitoringfafpatientfreceivingfafheparinfinfusionfforftheftreatmentfoffpulmonaryfembolism.f
Whichfassessmentffindingfmostflikelyfrelatesftofanfadversefeffectfoffheparin?
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