NSG233/ NSG 233 Exam 2 Review
(Latest 2026/ 2027) Medical-Surgical
Nursing III | Questions & Answers |
Grade A| (Verified Solutions)
Subject: Medical-Surgical & Critical Care Nursing Review (Cardiac, Neuro,
Vascular, Shock)
Source: Herzing University
Format: Exam Review Notes, Key Concepts, and Practice Questions
A. Disseminated Intravascular Coagulation (DIC)
1. What sign in a critically ill pt would indicate they could be
developing DIC?
Answer: Petechiae, bleeding mucus membranes, tachycardia,
hypotensive, low temp.
Rationale: DIC is characterized by simultaneous bleeding and
thrombosis. Signs of bleeding (petechiae, mucosal bleeding) and
, 2|Page
shock (tachycardia, hypotension) are common. Low temperature may
indicate sepsis, a common trigger.
2. What pt are at highest risk for developing DIC?
Answer: Sepsis, abruptio placenta, trauma, malignancy, shock, toxins,
allergic reactions.
Rationale: DIC is always secondary to an underlying condition that
triggers massive, systemic activation of the coagulation cascade. The
listed conditions are classic triggers.
3. What is DIC?
Answer: Inflammatory response (trigger) initiates a process of
inflammation and coagulation (clotting) ** result = bleeding/clotting
condition.
Rationale: DIC is a thrombohemorrhagic disorder where widespread
clotting consumes platelets and clotting factors, leading paradoxically
to severe bleeding.
B. Cardiac Tamponade
4. Characteristics of cardiac tamponade?
Answer: Sudden chest pain, SOB, tachypnea, dyspnea, JVD,
hypotension, pulsus paradoxus.
Rationale: These are signs of Beck's triad (hypotension, JVD, muffled