Exam 4: NUR 242 (Latest 2025/ 2026) Medical-Surgical Nursing Questions and Verified Answers 100% Correct (Galen)
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Exam 4: NUR 242 (Latest 2025/ 2026) Medical-Surgical Nursing
Questions and Verified Answers 100% Correct (Galen)
1. Normal BP: Systolic <120 / Diastolic <80
x x x x x x
2. Pre-HTN: Systolic =120-139 / Diastolic=80-89
x x x x
3. Stage 1 HTN: Systolic=140-159 / Diastolic=90-99
x x x x x
4. Stage 2 HTN: Systolic=>160 / Diastolic=>100
x x x x x
5. Malignant HTN: Extremely high BP >180/110 x x x x x
6. S/S of Malignant HTN: initially asymptomatic, headache upon awakening, blurred vision, di
x x x x x x x x x x x
zziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epist
x x x x x x x x x x x x x
axis
7. HTN Crisis: acute and life threatening; accelerated HTN requires ER treatment because or
x x x x x x x x x x x x
gan damage can occur quickly
x x x x
8. Pharmacological interventions for HTN: ACE Inhibitors, Diuretics, Calcium Channel Bl
x x x x x x x x x
ockers, ARBs, and Beta Blockers
x x x x
9. What symptom should you report right away with ACE Inhibitors?: Dry nagging cough-
x x x x x x x x x x x x
discontinue immediately and teach about orthostatic HTN in elderly
x x x x x x x x x
10. What is an example of an ACE inhibitor drug?: Lisinopril, Enalapril
x x x x x x x x x x
11. What is an example of a Calcium Channel Blocker?: Verapamil, Amlodopine
x x x x x x x x x x
12. What is an example of an ARB?: Losartan, Valsartan
x x x x x x x x
13. What is an example of a Beta Blocker?: Metoprolol, Atenolol
x x x x x x x x x
14. Pt. teaching for Raynauds disease: Stop smoking, avoid cold and stress, wear warm clothin
x x x x x x x x x x x x x
1x/x19
,g, take vasodilators as prescribed
x x x x
15. Pt. teaching for Burgers Disease: Use vasodilators as prescribed, smoking cessation, a
x x x x x x x x x x x
void injury to upper and lower extremities, can cause gangrene
x x x x x x x x x
16. S/S of Peripheral Arterial Disease (PAD): Leg pain, burning, cramping muscle discomfort
x x x x x x x x x x x x
when walking that stops at rest. As the disease persists the pt can walk shorter distances
x x x x x x x x x x x x x x x
17. Post-
OP Care for Femoral Artery Bypass graft?: warmth, redness and edema are expected. Monitor f
x x x x x x x x x x x x x x
or possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is du
x x x x x x x x x x x x x x
e to increased blood flow to the area.
x x x x x x x
18. Notify the physician immediately if they experience what S/S after a femoral artery graft?:
x x x x x x x x x x x x x
x Cold, pale, cyanotic skin or decreased pulse
x x x x x x
19. Amputation complications:: infection, phantom limb pain, flexion contractions x x x x x x x
20. Amputation Post-OP care:: - x x x
DO NOT elevate limb on pillow (can cause flexion contractures)
x x x x x x x x x
-1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat
x x x x x x x x x x x x x x x x
-24-48 hours- x
place the pt. in prone position to stretch muscles and prevent hip flexion contractures
x x x x x x x x x x x x x x
21. Pt with a DVT is at high risk for?: PE
x x x x x x x x x
2x/x19
, 22. DVT S/S: -calf/groin tenderness x x x
-sudden unilateral swelling x x
-positive Homans sign x x
23. DVT Risk Factors: -venous stasis from varicose veins
x x x x x x x
-heart failure x
-immobility
-use of birth control x x x
-ulcerative colitis x
-prolonged bedrest x
24. DVT interventions:: -SCDs x x
-Compression hose x
-Elevate extremities x
-IV continuous Heparin
x x
25. When a pt. is on IV continuous Heparin, what lab values do you monitor?-
x x x x x x x x x x x x x
: aPTT Values
x x
26. What is the normal aPTT range?: 30-40 seconds 1.5- x x x x x x x x
3 times normal control levels
x x x x
*Call the MD if >70 seconds*
x x x x x
27. Normal PT level:: 11-12.5 seconds x x x x
-1.5-2.5 times normal control level when on Coumadin
x x x x x x x
28. Normal PTT level:: 60-70 seconds x x x x
-1.5-2.5 times the normal control on Heparin x x x x x x
29. Normal INR level:: 0.9-1.2 seconds x x x x
3x/x19
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