NUR 170 EXAM 4 CONCEPTS EXAM COVERAGE
OF MEDICAL-SURGICAL
NURSING NUR 170 - Exam 4: Concepts of Medical-
Surgical Nursing
Cardiovascular System
Heart anatomy and physiology
Cardiac output, preload, afterload
Common disorders: CAD, HF, MI,
arrhythmias
Diagnostic tests: ECG, labs,
echocardiogram
Medications: antihypertensives,
antiarrhythmics, anticoagulants
Nursing interventions: monitoring, patient
education, lifestyle modification
Peripheral Vascular System
PAD vs. PVD, aneurysms, DVT
,Assessment: pulses, edema, skin changes
Interventions: anticoagulation, compression
therapy, surgical care
Fluid & Electrolyte/Acid-Base Review
Electrolyte imbalances common in
cardiovascular patients
Acid-base disturbances (respiratory vs
metabolic)
Shock & Circulatory Emergencies
Types: hypovolemic, cardiogenic, septic,
anaphylactic
Early recognition and interventions
Hemodynamic monitoring
Diagnostic & Interventional Procedures
Cardiac catheterization, angioplasty,
pacemaker insertion
Pre/post-procedure nursing care
Patient Education & Lifestyle Management
Diet, exercise, smoking cessation,
, Diet, exercise, smoking cessation,
medication adherence
Symptom recognition and when to seek
help
Safety & Risk Management
Fall prevention, medication safety,
monitoring for complications
The nurse is assessing a pt Urine output 8 mL/hr
before hanging an IV solution of
0.9% NaCl with KCl in it. Which
assessment finding should
cause the nurse to hold the IV
solution and contact provider
,The pt has recent bilateral, -Observe for flatness of neck veins when
above the knee amputations supine
and has developed C. difficile -Measure rate and character of pulse
diarrhea. What assessments -Test for skin testing
should the nurse use to detect
fluid volume deficit in this pt Intravenous (IV) 500 mL of 0.9% NaCl at 125
mL/hr
The nurse is admitting an older
adult with decompensated CHF.
The nursing assessment reveals
adventitious lung sounds,
dyspnea, and orthopnea. Which
physician order should the
nurse question?
,The pt is receiving tube Decreased level of consciousness
feedings due to a jaw surgery.
What change in assessment
findings should prompt the
nurse to request an order for
serum sodium concentration
A nurse is caring for a pt Recording intake and output
prescribed peripheral
intravenous therapy. Which task
will the nurse assign to the NA
, A pt is experiencing -Intracellular
dehydration. While planning
care, the nurse considers that
the majority of the pt's total
water volume exists in with
compartment
A pt receiving chemotherapy "How many times a day do you urinate"
has gained 5 lbs in 2 days.
Which assessment question by
the nurse is most appropriate
Four patients arrive at the An infant with temp of 102.2 F and diarrhea
emergency department at the for 3 days
same time. Which pt will the
nurse see first?
OF MEDICAL-SURGICAL
NURSING NUR 170 - Exam 4: Concepts of Medical-
Surgical Nursing
Cardiovascular System
Heart anatomy and physiology
Cardiac output, preload, afterload
Common disorders: CAD, HF, MI,
arrhythmias
Diagnostic tests: ECG, labs,
echocardiogram
Medications: antihypertensives,
antiarrhythmics, anticoagulants
Nursing interventions: monitoring, patient
education, lifestyle modification
Peripheral Vascular System
PAD vs. PVD, aneurysms, DVT
,Assessment: pulses, edema, skin changes
Interventions: anticoagulation, compression
therapy, surgical care
Fluid & Electrolyte/Acid-Base Review
Electrolyte imbalances common in
cardiovascular patients
Acid-base disturbances (respiratory vs
metabolic)
Shock & Circulatory Emergencies
Types: hypovolemic, cardiogenic, septic,
anaphylactic
Early recognition and interventions
Hemodynamic monitoring
Diagnostic & Interventional Procedures
Cardiac catheterization, angioplasty,
pacemaker insertion
Pre/post-procedure nursing care
Patient Education & Lifestyle Management
Diet, exercise, smoking cessation,
, Diet, exercise, smoking cessation,
medication adherence
Symptom recognition and when to seek
help
Safety & Risk Management
Fall prevention, medication safety,
monitoring for complications
The nurse is assessing a pt Urine output 8 mL/hr
before hanging an IV solution of
0.9% NaCl with KCl in it. Which
assessment finding should
cause the nurse to hold the IV
solution and contact provider
,The pt has recent bilateral, -Observe for flatness of neck veins when
above the knee amputations supine
and has developed C. difficile -Measure rate and character of pulse
diarrhea. What assessments -Test for skin testing
should the nurse use to detect
fluid volume deficit in this pt Intravenous (IV) 500 mL of 0.9% NaCl at 125
mL/hr
The nurse is admitting an older
adult with decompensated CHF.
The nursing assessment reveals
adventitious lung sounds,
dyspnea, and orthopnea. Which
physician order should the
nurse question?
,The pt is receiving tube Decreased level of consciousness
feedings due to a jaw surgery.
What change in assessment
findings should prompt the
nurse to request an order for
serum sodium concentration
A nurse is caring for a pt Recording intake and output
prescribed peripheral
intravenous therapy. Which task
will the nurse assign to the NA
, A pt is experiencing -Intracellular
dehydration. While planning
care, the nurse considers that
the majority of the pt's total
water volume exists in with
compartment
A pt receiving chemotherapy "How many times a day do you urinate"
has gained 5 lbs in 2 days.
Which assessment question by
the nurse is most appropriate
Four patients arrive at the An infant with temp of 102.2 F and diarrhea
emergency department at the for 3 days
same time. Which pt will the
nurse see first?
