NURS 480 Advanced Medical Surgical Nursing
Final Exam Study Notes: Key Concepts and
Review | Actual verified Study complete Solutions |
2026 Updates | 100% correct
Week 1
- Review EKG – Chapter 35 (Lewis) – 5-6 questions on all exam
- Sinus rhythm
- Sinus brady, Sinus tach
- A fib, A flutter, V fib
- Exam: 65-68 questions + 1 case study
- ATI Engaged Fundamental:
o Fluid, E, and Acid-base regulation
o Tissue integrity
o Gas exchange
- ATI Pharm made easy (video in lesson)
o Respiratory system
- Know the definition of 4 physiologic mechanisms
Chapter 35:
- Critical care nursing:
o Life-threatening issue
o Major problem
- Rapid response team: pt changes their conditions
- Code blue team: pt doesn’t have the pulse, nurse starts doing CPR
- Code status:
o Full code
o DNR
o DNI
o NO compression, Meds ok
- Common problems of CC patients
o Nutrition
▪ NGT or OGT
▪ TPN (NPO patient)
o Anxiety
▪ Benzodiazepam or Braxedec to help with anxiety
o Pain
▪ Sign of pain: vital signs increase
,o Impaired communication
o Sensory-perceptual problems
o Sleep patterns
▪ Promote sleep:
• Scheduling rest periods
, • Dimming lights
• Open curtains in daytime
• Obtain vitals without disturbing the patient
• Comfort measures
• Sleep aids if necessary
- Caregiver:
o They can help with oral suction, bathing, etc. Nurses stay with
them to make sure it safe and they do it right.
- Culturally Competent:
o Consider patient culture
o Mean of sickness and health
o Pain
o Dying and death
o Grief
- Emergency central line:
o Supraclavicular
o Femoral
o Jugular
- Propofol (IV sedation) is commonly used in ICU because they have
short half-life so you can assess the patient right away after you turn
off the med machine
- Incontinence patient: NO FOLEY, use Pure wick.
Final Exam Study Notes: Key Concepts and
Review | Actual verified Study complete Solutions |
2026 Updates | 100% correct
Week 1
- Review EKG – Chapter 35 (Lewis) – 5-6 questions on all exam
- Sinus rhythm
- Sinus brady, Sinus tach
- A fib, A flutter, V fib
- Exam: 65-68 questions + 1 case study
- ATI Engaged Fundamental:
o Fluid, E, and Acid-base regulation
o Tissue integrity
o Gas exchange
- ATI Pharm made easy (video in lesson)
o Respiratory system
- Know the definition of 4 physiologic mechanisms
Chapter 35:
- Critical care nursing:
o Life-threatening issue
o Major problem
- Rapid response team: pt changes their conditions
- Code blue team: pt doesn’t have the pulse, nurse starts doing CPR
- Code status:
o Full code
o DNR
o DNI
o NO compression, Meds ok
- Common problems of CC patients
o Nutrition
▪ NGT or OGT
▪ TPN (NPO patient)
o Anxiety
▪ Benzodiazepam or Braxedec to help with anxiety
o Pain
▪ Sign of pain: vital signs increase
,o Impaired communication
o Sensory-perceptual problems
o Sleep patterns
▪ Promote sleep:
• Scheduling rest periods
, • Dimming lights
• Open curtains in daytime
• Obtain vitals without disturbing the patient
• Comfort measures
• Sleep aids if necessary
- Caregiver:
o They can help with oral suction, bathing, etc. Nurses stay with
them to make sure it safe and they do it right.
- Culturally Competent:
o Consider patient culture
o Mean of sickness and health
o Pain
o Dying and death
o Grief
- Emergency central line:
o Supraclavicular
o Femoral
o Jugular
- Propofol (IV sedation) is commonly used in ICU because they have
short half-life so you can assess the patient right away after you turn
off the med machine
- Incontinence patient: NO FOLEY, use Pure wick.
