Med Surg II Exam 4, Fortis Med/surg 2
Exam 4 with Complete Solution 2026
Q: Which patient in the progressive care unit would the nurse be most concerned
about?
ANSWER: A patient prescribed tPA or IV heparin that has the opportunity to bleed
out.
Q: Which patient on ventilator weaning should the nurse be most concerned
about?
ANSWER: The patient who has recently been extubated with a decreased urinary
output.
Q: What to do for a patient with a subarachnoid hemorrhage and ICP?
ANSWER:
• Check for JVD for fluid overload.
• If pt has increased JVD, notify provider.
Q: How to manage a patient breathing over a vent?
ANSWER: Verbally coach them.
Q: What to do with an ICU elderly patient with new onset confusion who is
starting to go into ICU delirium?
ANSWER: Report this to the receiving nurse and continue to trANSWERfer the
patient.
Q: What to do if respiratory secretions are thick?
ANSWER: Increase fluid intake.
Q: A patient with sepsis and petechiae is going into multiorgan failure, what is
she at risk for?
ANSWER: DIC (Disseminated Intravascular Coagulation).
, Q: What are the major concerns for a patient given vasopressor therapy?
ANSWER: Vasopressin is a vasoconstrictor which decreases coronary artery
perfusion; if pt complains of chest pain, this is an immediate concern.
Q: How to know pt is going into hypovolemic shock? What to do first to treat this
patient?
ANSWER:
• They will be cool and clammy.
• Initiate O2 therapy by non-rebreather.
Q: How to know when anaphylactic shock treatment is effective?
ANSWER: When the patient's O2 sat increases.
Q: Signs and symptoms of neurogenic shock?
ANSWER:
• Low BP.
• Low HR (apical pulse less than 45bpm).
Q: What to further assess after a fracture from a fat embolism occurs?
ANSWER:
• Lung sounds.
• SOB (Shortness of Breath).
• O2 sats.
Q: What is a concern with a lumbar vertebral compression?
ANSWER: Loss of bowel or bladder function indicates an emergency.
Q: What is a concern with a wrist fracture (Colle's fracture)?
ANSWER: If capillary refill is diminished or prolonged, call HCP.
Q: How to treat a knee meniscus injury?
ANSWER: Apply a knee immobilizer to the affected leg.
Q: Femur fracture concerns?
ANSWER:
• Loss of distal pulses.
• SOB (embolism).
Exam 4 with Complete Solution 2026
Q: Which patient in the progressive care unit would the nurse be most concerned
about?
ANSWER: A patient prescribed tPA or IV heparin that has the opportunity to bleed
out.
Q: Which patient on ventilator weaning should the nurse be most concerned
about?
ANSWER: The patient who has recently been extubated with a decreased urinary
output.
Q: What to do for a patient with a subarachnoid hemorrhage and ICP?
ANSWER:
• Check for JVD for fluid overload.
• If pt has increased JVD, notify provider.
Q: How to manage a patient breathing over a vent?
ANSWER: Verbally coach them.
Q: What to do with an ICU elderly patient with new onset confusion who is
starting to go into ICU delirium?
ANSWER: Report this to the receiving nurse and continue to trANSWERfer the
patient.
Q: What to do if respiratory secretions are thick?
ANSWER: Increase fluid intake.
Q: A patient with sepsis and petechiae is going into multiorgan failure, what is
she at risk for?
ANSWER: DIC (Disseminated Intravascular Coagulation).
, Q: What are the major concerns for a patient given vasopressor therapy?
ANSWER: Vasopressin is a vasoconstrictor which decreases coronary artery
perfusion; if pt complains of chest pain, this is an immediate concern.
Q: How to know pt is going into hypovolemic shock? What to do first to treat this
patient?
ANSWER:
• They will be cool and clammy.
• Initiate O2 therapy by non-rebreather.
Q: How to know when anaphylactic shock treatment is effective?
ANSWER: When the patient's O2 sat increases.
Q: Signs and symptoms of neurogenic shock?
ANSWER:
• Low BP.
• Low HR (apical pulse less than 45bpm).
Q: What to further assess after a fracture from a fat embolism occurs?
ANSWER:
• Lung sounds.
• SOB (Shortness of Breath).
• O2 sats.
Q: What is a concern with a lumbar vertebral compression?
ANSWER: Loss of bowel or bladder function indicates an emergency.
Q: What is a concern with a wrist fracture (Colle's fracture)?
ANSWER: If capillary refill is diminished or prolonged, call HCP.
Q: How to treat a knee meniscus injury?
ANSWER: Apply a knee immobilizer to the affected leg.
Q: Femur fracture concerns?
ANSWER:
• Loss of distal pulses.
• SOB (embolism).
