NSG 320 Exam 2 - (Latest 2026/2027 Update) Cardiovascular,
Respiratory, Endocrine, Fluids/Electrolytes, Cancer, Perioperative | Q&A |
Grade A | 100% Correct (Verified Answers)
Subject: Medical-Surgical Nursing / Adult Health
Source: NSG 320 Exam 2 – Comprehensive Review Format: Q&A Guide with Clinical Rationale
1: What are the signs and symptoms of Peripheral Arterial Disease (PAD)?
Correct Answer: Intermittent claudication, rest pain, weak or absent pulses, coolness of the
skin, and wounds that do not heal.
1. Claudication: muscle pain with exercise relieved by rest.
2. Rest pain indicates severe disease (critical limb ischemia).
3. Skin changes: thin, shiny, hairless, pallor with elevation, rubor with dependency.
2: What are the signs and symptoms of Peripheral Vascular Disease (PVD)?
Correct Answer: Swelling, varicose veins, aching or heaviness in the legs, and skin changes
such as discoloration.
1. Dependent edema that improves with elevation.
2. Stasis dermatitis: brown discoloration (hemosiderin deposition).
3. Venous ulcers typically around medial malleolus.
3: What nursing interventions are important for PAD?
Correct Answer: Encourage walking to the point of pain, educate on foot care, and monitor
for signs of worsening ischemia.
1. Walking promotes collateral circulation development.
2. Keep legs dependent (do not elevate).
3. Avoid compression socks (decrease arterial flow).
4: What nursing interventions are important for PVD?
Correct Answer: Elevate legs, compression therapy, and educate on lifestyle changes to
improve circulation.
1. Elevation reduces venous stasis and edema.
2. Compression stockings improve venous return.
3. Avoid prolonged standing.
5: What are the signs and symptoms of Deep Vein Thrombosis (DVT)?
Correct Answer: Swelling, pain, warmth, and redness in the affected leg (unilateral).
1. Unilateral swelling, warmth, erythema, and tenderness.
2. Homan sign no longer reliable.
3. Many DVTs are asymptomatic.
, 6: What important nursing interventions should be taken for DVT?
Correct Answer: Avoid compression socks, monitor for signs of pulmonary embolism, and
administer anticoagulants as prescribed.
1. Bed rest initially to prevent emboli.
2. No massage of affected leg (risk of dislodging clot).
3. Monitor for PE symptoms: sudden SOB, chest pain, hemoptysis.
7: How do men and women experience angina differently?
Correct Answer: Women may experience atypical symptoms such as fatigue, nausea, and
shortness of breath, while men typically report chest pain.
1. Women more likely to report jaw, neck, back pain.
2. Women often have non-typical presentations leading to delayed treatment.
3. Both genders still report chest pain as common symptom.
8: What is the treatment for angina?
Correct Answer: Medications such as nitroglycerin, beta-blockers, and lifestyle
modifications. Store nitroglycerin in a cool, dry place away from light.
1. Nitroglycerin: 0.4 mg SL q5 min x3, call 911 if not relieved.
2. Beta-blockers reduce myocardial oxygen demand.
3. Replace nitroglycerin every 6 months.
9: What is the minimum hourly input for fluid balance monitoring?
Correct Answer: At least 30 mL/hour.
1. Normal urine output 0.5-1 mL/kg/hr.
2. <30 mL/hr indicates inadequate renal perfusion.
3. Oliguria defined as <400 mL/day or <0.5 mL/kg/hr for 6 hours.
10: When should a doctor be notified regarding weight gain in heart failure patients?
Correct Answer: If the patient gains 3 lbs in one day or 5 lbs in one week.
1. 2-3 lb weight gain in 24 hours indicates significant fluid retention.
2. 5 lb weight gain in 1 week also requires evaluation.
3. Daily weight is best indicator of fluid status (1 kg = 1 L).
11: Why is it important for heart failure patients to receive the influenza vaccine?
Correct Answer: To prevent respiratory infections that can exacerbate heart failure.
1. Respiratory infections increase cardiac workload.
2. Fever increases metabolic demand on heart.
3. Annual influenza vaccine reduces HF exacerbations.
Respiratory, Endocrine, Fluids/Electrolytes, Cancer, Perioperative | Q&A |
Grade A | 100% Correct (Verified Answers)
Subject: Medical-Surgical Nursing / Adult Health
Source: NSG 320 Exam 2 – Comprehensive Review Format: Q&A Guide with Clinical Rationale
1: What are the signs and symptoms of Peripheral Arterial Disease (PAD)?
Correct Answer: Intermittent claudication, rest pain, weak or absent pulses, coolness of the
skin, and wounds that do not heal.
1. Claudication: muscle pain with exercise relieved by rest.
2. Rest pain indicates severe disease (critical limb ischemia).
3. Skin changes: thin, shiny, hairless, pallor with elevation, rubor with dependency.
2: What are the signs and symptoms of Peripheral Vascular Disease (PVD)?
Correct Answer: Swelling, varicose veins, aching or heaviness in the legs, and skin changes
such as discoloration.
1. Dependent edema that improves with elevation.
2. Stasis dermatitis: brown discoloration (hemosiderin deposition).
3. Venous ulcers typically around medial malleolus.
3: What nursing interventions are important for PAD?
Correct Answer: Encourage walking to the point of pain, educate on foot care, and monitor
for signs of worsening ischemia.
1. Walking promotes collateral circulation development.
2. Keep legs dependent (do not elevate).
3. Avoid compression socks (decrease arterial flow).
4: What nursing interventions are important for PVD?
Correct Answer: Elevate legs, compression therapy, and educate on lifestyle changes to
improve circulation.
1. Elevation reduces venous stasis and edema.
2. Compression stockings improve venous return.
3. Avoid prolonged standing.
5: What are the signs and symptoms of Deep Vein Thrombosis (DVT)?
Correct Answer: Swelling, pain, warmth, and redness in the affected leg (unilateral).
1. Unilateral swelling, warmth, erythema, and tenderness.
2. Homan sign no longer reliable.
3. Many DVTs are asymptomatic.
, 6: What important nursing interventions should be taken for DVT?
Correct Answer: Avoid compression socks, monitor for signs of pulmonary embolism, and
administer anticoagulants as prescribed.
1. Bed rest initially to prevent emboli.
2. No massage of affected leg (risk of dislodging clot).
3. Monitor for PE symptoms: sudden SOB, chest pain, hemoptysis.
7: How do men and women experience angina differently?
Correct Answer: Women may experience atypical symptoms such as fatigue, nausea, and
shortness of breath, while men typically report chest pain.
1. Women more likely to report jaw, neck, back pain.
2. Women often have non-typical presentations leading to delayed treatment.
3. Both genders still report chest pain as common symptom.
8: What is the treatment for angina?
Correct Answer: Medications such as nitroglycerin, beta-blockers, and lifestyle
modifications. Store nitroglycerin in a cool, dry place away from light.
1. Nitroglycerin: 0.4 mg SL q5 min x3, call 911 if not relieved.
2. Beta-blockers reduce myocardial oxygen demand.
3. Replace nitroglycerin every 6 months.
9: What is the minimum hourly input for fluid balance monitoring?
Correct Answer: At least 30 mL/hour.
1. Normal urine output 0.5-1 mL/kg/hr.
2. <30 mL/hr indicates inadequate renal perfusion.
3. Oliguria defined as <400 mL/day or <0.5 mL/kg/hr for 6 hours.
10: When should a doctor be notified regarding weight gain in heart failure patients?
Correct Answer: If the patient gains 3 lbs in one day or 5 lbs in one week.
1. 2-3 lb weight gain in 24 hours indicates significant fluid retention.
2. 5 lb weight gain in 1 week also requires evaluation.
3. Daily weight is best indicator of fluid status (1 kg = 1 L).
11: Why is it important for heart failure patients to receive the influenza vaccine?
Correct Answer: To prevent respiratory infections that can exacerbate heart failure.
1. Respiratory infections increase cardiac workload.
2. Fever increases metabolic demand on heart.
3. Annual influenza vaccine reduces HF exacerbations.
