NUR 425 MED SURG EXAM 2 ACTUAL EXAM 2026 COMPLETE FULL LENGTH EXAM |ANSWERED/RATIONALE

NUR 425 MED SURG EXAM 2 ACTUAL EXAM
2026 COMPLETE FULL LENGTH EXAM
|ANSWERED/RATIONALE
What is Lhermitte's sign?

· Electric shock sensation in neck when B12 is low.



What is your primary source of B12 in your diet?

Animal proteins/products
Cannot be found in vegetables.



B12 deficiency is common with?

Vegetarians and vegans



What ethnicity is a risk for B12 deficiency?

Asians populations



Hemorrhagic Anemia common causes?

1. GI Bleed

2. Bleeding ulcers

3. Heavy menstruation (women)

4. Esophageal varices related to cirrhosis



Heparin - you monitor what?

, 1. APTT
2. PT
3. INR

Warfarin - you monitor what?

1. PT
2. INR

What would you see as a first sign of active bleed with hemorrhagic, non-traumatic
anemias, not involving the skin or pain?

1. Frank red blood (bright red blood, fresh)
2. Melena

What kind of dietary interventions with anemia from chronic non-traumatic blood
loss?

- Iron
- Vitamin C



Hemorrahagic anemia -What vitals and labs will you monitor?

1. BP
2. O2
3. HgB
4. Hct
5. CBC



Hemorrahagic anemia - Education?

- Safety: Fall risk
- Diet: restrictions, type of foods



Sickle cell anemia triggers?