RN Med Surg 4 Exam 1 LATEST 2024/2025 EXAM WITH
ANSWERS GRADED A+ 100%
Glasgow Coma Scale - ANSWER: eye opening (4=spontaneous, 3=to voice, 2=to pain,
1=none), verbal response (5=oriented, 4=confused, 3=inappropriate words,
2=incomprehensible, 1=none), motor response (6=obeys commands, 5=localizes
pain, 4=withdraws, 3=flexion, 2=extension, 1=none)
signs of L-sided stroke - ANSWER: changes in language, mathematics, analytical
thinking
signs of R-sided stroke - ANSWER: changes in visual and spatial awareness,
proprioception
cessation of chest tube tidaling indicates... - ANSWER: lung re-expansion or
obstruction in the system
continuous chest tube bubbling indicates... - ANSWER: air leak
tidaling in chest tube indicates.... - ANSWER: occurs with respirations, normal
signs of L-sided HF - ANSWER: dyspnea, crackles
signs of R-sided HF - ANSWER: JVD, edema, fatigue, hepatomegaly
Treatment of sinus bradycardia - ANSWER: atropine, pacer pads
treatment of a.fib. - ANSWER: control ventricular response, TEE, BB or CCB,
cardioversion, pacemaker, start heparin drip
treatment of SVT - ANSWER: vagal maneuvers, adenosine, cardioversion
treatment of v.tach. w/ pulse - ANSWER: amiodarone, cardoioversion
treatment of v.tach. without a pulse - ANSWER: defibrillation
treatment of v.fib. - ANSWER: early defibrillation, hypothermia protocol
treatment of asystole - ANSWER: epinephrine, CPR, do not shock
cause of rheumatic endocarditis - ANSWER: untreated strep infection
signs of pericarditis - ANSWER: severe chest pain, ST elevation all leads
signs of neurogenic shock - ANSWER: hypotension, bradycardia, warm/flushed skin
, Signs of autonomic dysreflexia - ANSWER: extreme HTN, bradycardia, HA,
diaphoresis, N/V, piloerection
Signs of Guillain-Barre Syndrome - ANSWER: symmetrical paralysis, tachycardia, HTN,
problems with bowel and bladder function, swallowing, and talking
Parkland Formula - ANSWER: TBSA x Kg X 4mL to be given 1st 24 hours (50% in 8hr,
50% in 16hr)
normal chest tube output - ANSWER: 70-100mL/hr
treatment of infiltration - ANSWER: stop infusion and remove IV, start IV at new site,
elevate arm, cold compress
treatment of extravasation - ANSWER: stop infusion, aspirate remainder of meds
from tubing, infuse antidote if available, cold compress
treatment of phlebitis - ANSWER: stop infusion, remove IV, elevate arm, warm moist
heat compress
Cushing's triad - ANSWER: late symptom of increased ICP; bradycardia, HTN,
bradypnea
symptoms of hypothyroidism - ANSWER: -low T3 and T4, high TSH
-fatigue, weight gain, constipation, pale skin, hypotension, bradycardia, cold
intolerance, depression
symptoms of hyperthyroidism - ANSWER: -high T3 and T4, low TSH
-weakness, heat intolerance, weight loss, insomnia, diarrhea, goiter, tachycardia,
dyspnea
treatment of catheter embolus - ANSWER: apply tourniquet high on extremity
what to monitor with TPN? - ANSWER: glucose every 4-6hr
when to change TPN dressing? - ANSWER: every 48-72hr
when to change TPN tubing and fluid? - ANSWER: every 24hr
minimum urine output per hour - ANSWER: 0.5ml/kg/hr
symptoms of metabolic acidosis - ANSWER: bradycardia, hypotension, tachypnea,
confusion, warm flushed skin, lethargy, Kussmaul respirations
symptoms of metabolic alkalosis - ANSWER: dizziness, parasthesias, hypertonic
muscles, decreased respirations
ANSWERS GRADED A+ 100%
Glasgow Coma Scale - ANSWER: eye opening (4=spontaneous, 3=to voice, 2=to pain,
1=none), verbal response (5=oriented, 4=confused, 3=inappropriate words,
2=incomprehensible, 1=none), motor response (6=obeys commands, 5=localizes
pain, 4=withdraws, 3=flexion, 2=extension, 1=none)
signs of L-sided stroke - ANSWER: changes in language, mathematics, analytical
thinking
signs of R-sided stroke - ANSWER: changes in visual and spatial awareness,
proprioception
cessation of chest tube tidaling indicates... - ANSWER: lung re-expansion or
obstruction in the system
continuous chest tube bubbling indicates... - ANSWER: air leak
tidaling in chest tube indicates.... - ANSWER: occurs with respirations, normal
signs of L-sided HF - ANSWER: dyspnea, crackles
signs of R-sided HF - ANSWER: JVD, edema, fatigue, hepatomegaly
Treatment of sinus bradycardia - ANSWER: atropine, pacer pads
treatment of a.fib. - ANSWER: control ventricular response, TEE, BB or CCB,
cardioversion, pacemaker, start heparin drip
treatment of SVT - ANSWER: vagal maneuvers, adenosine, cardioversion
treatment of v.tach. w/ pulse - ANSWER: amiodarone, cardoioversion
treatment of v.tach. without a pulse - ANSWER: defibrillation
treatment of v.fib. - ANSWER: early defibrillation, hypothermia protocol
treatment of asystole - ANSWER: epinephrine, CPR, do not shock
cause of rheumatic endocarditis - ANSWER: untreated strep infection
signs of pericarditis - ANSWER: severe chest pain, ST elevation all leads
signs of neurogenic shock - ANSWER: hypotension, bradycardia, warm/flushed skin
, Signs of autonomic dysreflexia - ANSWER: extreme HTN, bradycardia, HA,
diaphoresis, N/V, piloerection
Signs of Guillain-Barre Syndrome - ANSWER: symmetrical paralysis, tachycardia, HTN,
problems with bowel and bladder function, swallowing, and talking
Parkland Formula - ANSWER: TBSA x Kg X 4mL to be given 1st 24 hours (50% in 8hr,
50% in 16hr)
normal chest tube output - ANSWER: 70-100mL/hr
treatment of infiltration - ANSWER: stop infusion and remove IV, start IV at new site,
elevate arm, cold compress
treatment of extravasation - ANSWER: stop infusion, aspirate remainder of meds
from tubing, infuse antidote if available, cold compress
treatment of phlebitis - ANSWER: stop infusion, remove IV, elevate arm, warm moist
heat compress
Cushing's triad - ANSWER: late symptom of increased ICP; bradycardia, HTN,
bradypnea
symptoms of hypothyroidism - ANSWER: -low T3 and T4, high TSH
-fatigue, weight gain, constipation, pale skin, hypotension, bradycardia, cold
intolerance, depression
symptoms of hyperthyroidism - ANSWER: -high T3 and T4, low TSH
-weakness, heat intolerance, weight loss, insomnia, diarrhea, goiter, tachycardia,
dyspnea
treatment of catheter embolus - ANSWER: apply tourniquet high on extremity
what to monitor with TPN? - ANSWER: glucose every 4-6hr
when to change TPN dressing? - ANSWER: every 48-72hr
when to change TPN tubing and fluid? - ANSWER: every 24hr
minimum urine output per hour - ANSWER: 0.5ml/kg/hr
symptoms of metabolic acidosis - ANSWER: bradycardia, hypotension, tachypnea,
confusion, warm flushed skin, lethargy, Kussmaul respirations
symptoms of metabolic alkalosis - ANSWER: dizziness, parasthesias, hypertonic
muscles, decreased respirations
