Page | 1
NSG 233 MED SURG EXAM 1
2026 LATEST QUESTIONS AND
ANSWERS| ACE YOUR GRADES.
Phenylephrine may be given to increase blood pressure in
hypotension and shock
What is rhabdomyolysis? And symptoms
Crush Injuries
Risk for: Rhabdomyolysis (Crush Syndrome)
• Destroyed skeletal muscle cells empty contents into circulation
• Muscle pain, Myalgias, Muscle
Weakness, dark brown urine,
elevated CK
• Can lead to acute renal failure
Primary treatment: fluid therapy
What is critical incident stress management CISM
Nursing Staff Support
Critical Incident Stress Management (CISM)
• Staff debrief after traumatic
event
• Especially ones involving
children-- death of a shaken baby syndrome
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• Staff therapy resource allocation
Root Cause Analysis
• Staff debrief after sentinel event
(unanticipated events that result in patient harm)
• Addresses systemic issues in the health care facility
Intervention for frostbite
-soak area in warm water
-keep water warm and fresh
-warming is extremely painful
Lyme disease
Stage 1: erythema migraines (bulls eye rash approximately 5cm)
• Axilla, groin, or thigh area
• Within 4 weeks after bite
• Peak manifestation 7 days
• Flu like symptoms (fever, chills, myalgia, fatigue, and headache)
• Treat promptly with doxycycline
Stage 2: present with 4-10 weeks after bite
• Manifested with joint pain, memory loss, poor coordination, and
cardiac abnormalities
• Facial nerve palsy most common manifestation of stage II.
Stage 3: Presents from weeks to more than a year after bite
• Serious long term chronic affects
• Arthritis, neuropathy, myalgia, and myocarditis
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• Even after antibiotic treatment
• Neurologic symptoms may persist for over 10 years
Stage 3 can happen after a year of the bite
The tick should be removed with tweezers using a
straight upward pull
Lyme disease prevention
wear proper protective clothing
Tight and light colored clothing while hiking or being
outdoor.
Bull eyes rash is main sign
what is the earliest sign of hypovolemic shock ?
Begins with decrease intravascular volume(blood lose)
decrease stroke volume.
the volume of blood pumped out of the heart's left ventricle during
each systolic cardiac contraction decreased blood
pressure.. increase blood loss
decreased cardiac output
decreased pulse pressure
Decreased UO
Increase RR
This patient will need 0.9% normal saline IV fluid ‼️
Client came into the ED claiming to be sexual assault what
should the nurse expect to do ? SATA
Prophylactic antibiotics
NSG 233 MED SURG EXAM 1
2026 LATEST QUESTIONS AND
ANSWERS| ACE YOUR GRADES.
Phenylephrine may be given to increase blood pressure in
hypotension and shock
What is rhabdomyolysis? And symptoms
Crush Injuries
Risk for: Rhabdomyolysis (Crush Syndrome)
• Destroyed skeletal muscle cells empty contents into circulation
• Muscle pain, Myalgias, Muscle
Weakness, dark brown urine,
elevated CK
• Can lead to acute renal failure
Primary treatment: fluid therapy
What is critical incident stress management CISM
Nursing Staff Support
Critical Incident Stress Management (CISM)
• Staff debrief after traumatic
event
• Especially ones involving
children-- death of a shaken baby syndrome
, Page | 2
• Staff therapy resource allocation
Root Cause Analysis
• Staff debrief after sentinel event
(unanticipated events that result in patient harm)
• Addresses systemic issues in the health care facility
Intervention for frostbite
-soak area in warm water
-keep water warm and fresh
-warming is extremely painful
Lyme disease
Stage 1: erythema migraines (bulls eye rash approximately 5cm)
• Axilla, groin, or thigh area
• Within 4 weeks after bite
• Peak manifestation 7 days
• Flu like symptoms (fever, chills, myalgia, fatigue, and headache)
• Treat promptly with doxycycline
Stage 2: present with 4-10 weeks after bite
• Manifested with joint pain, memory loss, poor coordination, and
cardiac abnormalities
• Facial nerve palsy most common manifestation of stage II.
Stage 3: Presents from weeks to more than a year after bite
• Serious long term chronic affects
• Arthritis, neuropathy, myalgia, and myocarditis
, Page | 3
• Even after antibiotic treatment
• Neurologic symptoms may persist for over 10 years
Stage 3 can happen after a year of the bite
The tick should be removed with tweezers using a
straight upward pull
Lyme disease prevention
wear proper protective clothing
Tight and light colored clothing while hiking or being
outdoor.
Bull eyes rash is main sign
what is the earliest sign of hypovolemic shock ?
Begins with decrease intravascular volume(blood lose)
decrease stroke volume.
the volume of blood pumped out of the heart's left ventricle during
each systolic cardiac contraction decreased blood
pressure.. increase blood loss
decreased cardiac output
decreased pulse pressure
Decreased UO
Increase RR
This patient will need 0.9% normal saline IV fluid ‼️
Client came into the ED claiming to be sexual assault what
should the nurse expect to do ? SATA
Prophylactic antibiotics
