3/14/25, 5:34 PM Medical Surgery Exam 1
Medical Surgery Exam 1
Medical-Surgical Nursing Exam 1 NEWEST VERSION 2025
COMPLETE ACTUAL EXAM WITH QUESTIONS AND CORRECT
DETAILED ANSWERS (RATIONALES) (A+ GUIDE SOLUTION)
BRAND NEW 2025
3 Phases of Surgery Preoperative, post operative, intraoperative
Characteristics of calcium muscle cramps, hypotension, decreased Cardiac output, neuro
deficiency changes, dysphagia
negative pressure therapy-- causes new blood vessel
What is a "Wound Vac"
development, mitosis, pulls edges of wound
together
What is the drug GERD-- decreases stomach secretions-- H2 antagonist
Pepcid/Zantac used for?
How does aging affect drug The older you get the slower the kidney will excrete the drugs.
absorption? Start low and slow.
# of T helper cells declines with age, B cells are less
Why are elderly more prone
to infection? responsive, so antibody levels and activities rise more
slowly after antigen exposure
Vitamins that need to be Vitamin A, D, E, K
replaced in someone with
Liver Disease
Serum Amylase Levels 0-140
Serum Lipase levels 0-160
What shows the that The patient will be less confused due to decrease levels of
lacutalose is affectived? ammonia.
1/6
, 3/14/25, 5:34 PM Medical Surgery Exam 1
hypertension, EKG changes, muscle/ joint pain, nausea,
Characteristics of calcium
excess thirst, dehydration, constipation
Normal Calcium level 8.5 - 10.6
Normal Potassium level 3.5- 5
Excessive Potassium level cardiac dysrhythmias, death, twitching, muscle weakness
characteristics
Lower Potassium Levels polyuria, constipation, dysrhythmias, muscle weakness, orthostatic
characteristics hypotension
Difference Between Chrons Chrons is the entire digestive tract and multilayer,
and Ulcerative Colitis Ulcerative colitis is only rectum and large colon,
Chrons can have dangerous weight loss
Definition of Constipation a decrease in frequency of bowel movements from what is
"normal"
Complications of Constipation fecal impaction, hemorrhoids
Treatments of Constipation Stool softeners, laxatives, stimulants, saline and osmotic solutions
Increased fluid and fiber in diet, ambulate, exercise,
Nursing interventions for
constipation avoid laxatives/enemas, establish regular time to
defecate
Definition of diarrhea passage of at least 3 watery stools per day, can be from an
infection
Complications of diarrhea dehydration, fluid and electrolyte imbalances,
malabsorption/malnutrition,
Treatments for diarrhea Loperamide, Bismuth, pepto, lomotil-- treatments depends on
the cause
Nursing Actions for diarrhea encourage fluid intake, monitor electrolyte imbalace, assess
contributing factors,
Types of Antiemtics Zofran, Reglen
Side effect of Reglen Tremors, headaches, drowsiness
characterized by erosion of the GI mucosa resulting
Definition of PUD
from digestive action of HCl acid and pepsin
Complications of PUD hemorrhagem perforation
Treatments for PUD H2 receptors blockers, PPI, antibiotics, antacids
Common cause of PUD H. Pylori
What is Dysphagia Painful swallowing
How is Hepatitis C and B Blood and body fluids
spread?
How is Hepatitis A spread Food- Fecal oral
Symptoms of Cirrhosis Fatigue, jaundice, peripheral edema, ascites, spider angioma,
hematologic disorder
Complications of Cirrhosis Portal Hypertension, esophageal/ gastric varices, hepatic
2/6
Medical Surgery Exam 1
Medical-Surgical Nursing Exam 1 NEWEST VERSION 2025
COMPLETE ACTUAL EXAM WITH QUESTIONS AND CORRECT
DETAILED ANSWERS (RATIONALES) (A+ GUIDE SOLUTION)
BRAND NEW 2025
3 Phases of Surgery Preoperative, post operative, intraoperative
Characteristics of calcium muscle cramps, hypotension, decreased Cardiac output, neuro
deficiency changes, dysphagia
negative pressure therapy-- causes new blood vessel
What is a "Wound Vac"
development, mitosis, pulls edges of wound
together
What is the drug GERD-- decreases stomach secretions-- H2 antagonist
Pepcid/Zantac used for?
How does aging affect drug The older you get the slower the kidney will excrete the drugs.
absorption? Start low and slow.
# of T helper cells declines with age, B cells are less
Why are elderly more prone
to infection? responsive, so antibody levels and activities rise more
slowly after antigen exposure
Vitamins that need to be Vitamin A, D, E, K
replaced in someone with
Liver Disease
Serum Amylase Levels 0-140
Serum Lipase levels 0-160
What shows the that The patient will be less confused due to decrease levels of
lacutalose is affectived? ammonia.
1/6
, 3/14/25, 5:34 PM Medical Surgery Exam 1
hypertension, EKG changes, muscle/ joint pain, nausea,
Characteristics of calcium
excess thirst, dehydration, constipation
Normal Calcium level 8.5 - 10.6
Normal Potassium level 3.5- 5
Excessive Potassium level cardiac dysrhythmias, death, twitching, muscle weakness
characteristics
Lower Potassium Levels polyuria, constipation, dysrhythmias, muscle weakness, orthostatic
characteristics hypotension
Difference Between Chrons Chrons is the entire digestive tract and multilayer,
and Ulcerative Colitis Ulcerative colitis is only rectum and large colon,
Chrons can have dangerous weight loss
Definition of Constipation a decrease in frequency of bowel movements from what is
"normal"
Complications of Constipation fecal impaction, hemorrhoids
Treatments of Constipation Stool softeners, laxatives, stimulants, saline and osmotic solutions
Increased fluid and fiber in diet, ambulate, exercise,
Nursing interventions for
constipation avoid laxatives/enemas, establish regular time to
defecate
Definition of diarrhea passage of at least 3 watery stools per day, can be from an
infection
Complications of diarrhea dehydration, fluid and electrolyte imbalances,
malabsorption/malnutrition,
Treatments for diarrhea Loperamide, Bismuth, pepto, lomotil-- treatments depends on
the cause
Nursing Actions for diarrhea encourage fluid intake, monitor electrolyte imbalace, assess
contributing factors,
Types of Antiemtics Zofran, Reglen
Side effect of Reglen Tremors, headaches, drowsiness
characterized by erosion of the GI mucosa resulting
Definition of PUD
from digestive action of HCl acid and pepsin
Complications of PUD hemorrhagem perforation
Treatments for PUD H2 receptors blockers, PPI, antibiotics, antacids
Common cause of PUD H. Pylori
What is Dysphagia Painful swallowing
How is Hepatitis C and B Blood and body fluids
spread?
How is Hepatitis A spread Food- Fecal oral
Symptoms of Cirrhosis Fatigue, jaundice, peripheral edema, ascites, spider angioma,
hematologic disorder
Complications of Cirrhosis Portal Hypertension, esophageal/ gastric varices, hepatic
2/6
