HONDROS NUR 212 EXAM 2
COMPREHENSIVE EXAM SCRIPT
QUESTIONS AND SOLUTIONS 2026
◉ ARF S/S
Answer: mimics dehydration s/s, anorexia, h/a, edema, vomiting,
nausea, lethargy,
◉ Malignan hypertension
Answer: Is the most severe
◉ S/S of Malignant hypertension
Answer: - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
◉ Beta blockers
,Answer: medication used to treat several different types of
conditions, including hypertension (high blood pressure), angina,
some abnormal heart rhythms, heart attack (myocardial infarction)
◉ Beta blockers actions
Answer: Decreases BP and HR blocking epinephrine and
nonepinephrine
◉ Side effects of Beta blockers
Answer: SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
◉ Common Beta blockers
Answer: Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
◉ Atenolol (Tenormin)
Answer: Medication for MI
,◉ Digoxin (Lanoxin, Digox)
Answer: medication used for heart failure (hf)
◉ Nursing consideration for Digoxin
Answer: assess hr, if it's <60 hold the medicine and call doctor
◉ Nitroglycerin
Answer: opens blood vessels, is used for chest pain (antiangina)
◉ Administration of glycerin
Answer: Sublingual, 1 pill q5min, maximum of three pills, if pain
continues call doctor, possible HA
◉ PTCA
Answer: Percutaneous
Transluminal
Coronary
Angioplastic
◉ Pt teaching before PTCA
, Answer: - Explain procedure: a balloon is inflated to reduce the
constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure
Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure
Answer: Body (everything not related to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites (peritoneal edema), edema in feet, ankles,
sacrum
◉ Test for heart failure
Answer: - CXR
COMPREHENSIVE EXAM SCRIPT
QUESTIONS AND SOLUTIONS 2026
◉ ARF S/S
Answer: mimics dehydration s/s, anorexia, h/a, edema, vomiting,
nausea, lethargy,
◉ Malignan hypertension
Answer: Is the most severe
◉ S/S of Malignant hypertension
Answer: - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
◉ Beta blockers
,Answer: medication used to treat several different types of
conditions, including hypertension (high blood pressure), angina,
some abnormal heart rhythms, heart attack (myocardial infarction)
◉ Beta blockers actions
Answer: Decreases BP and HR blocking epinephrine and
nonepinephrine
◉ Side effects of Beta blockers
Answer: SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
◉ Common Beta blockers
Answer: Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
◉ Atenolol (Tenormin)
Answer: Medication for MI
,◉ Digoxin (Lanoxin, Digox)
Answer: medication used for heart failure (hf)
◉ Nursing consideration for Digoxin
Answer: assess hr, if it's <60 hold the medicine and call doctor
◉ Nitroglycerin
Answer: opens blood vessels, is used for chest pain (antiangina)
◉ Administration of glycerin
Answer: Sublingual, 1 pill q5min, maximum of three pills, if pain
continues call doctor, possible HA
◉ PTCA
Answer: Percutaneous
Transluminal
Coronary
Angioplastic
◉ Pt teaching before PTCA
, Answer: - Explain procedure: a balloon is inflated to reduce the
constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure
Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure
Answer: Body (everything not related to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites (peritoneal edema), edema in feet, ankles,
sacrum
◉ Test for heart failure
Answer: - CXR
