6/20/25, 7:06 PM Advanced Medical Surgical Nursing Exam 2
Advanced Medical Surgical Nursing Exam 2\ 2025-2026 LATEST
UPDATE/PRACTICE QUESTIONS AND CORRECT VERIFIED
ANSWERS (complete solutions) ASSURED SUCCESS/GRADED A+
- BP & HR
- auscultate for s3 gallop
- assess RR & breath sounds
- monitor labs
- Ask about onset
- Location-epigastric area, jaw, back, shoulder, or arm
How to assess chest pain?
- Radiation
- Intensity-have pt rate on scale of 0-10
- Duration
- Precipitating and relieving factors
- Describe it-tightness, burning sensation, pressure or indigestion
- Cigarette smoking
- Hyperlipidema
- Hypertension
- DM2
Modifiable risk factors for CAD
- Obesity-esp central
- Sedentary lifestyle
- Stress
- Excessive alcohol consumption
- Gender
- Race
Unmodifiable risk factors for - DM1
CAD - Age >65
- Heredity
- SOB
- fatigue
How does activity intolerance
- weakness
manifest?
- abnormal BP & HR response
1/8
, 6/20/25, 5:27 AM
- urinary retention
Clinical manifestations of poor - low BP
organ perfusion - rapid heart beat
- confusion
What should the nurse do if - go assess the patient right away
she sees ventricular
tachycardia on the monitor?
What do you do for a patient - w/ pulse antiarrhythmic meds (amiodarone)
with ventricular - no pulse CPR & Defibrillate
tachycardia?
low cholesterol diet - diet that restricts foods high in saturated fat
- Sustained b/p elevation results in damage to vital
organs by causing thickening of arterioles.
Primary adverse effect of - perfusion decreases, body organs damaged.
hypertension
- Result: MI, strokes, PVD or renal failure.
- the kidneys have a dense network of blood vessels
and a high amount of blood flow through them
Effect of hypertension on the - uncontrolled hypertension can cause arteries
kidneys
around the kidneys to narrow, weaken or harden
which decreases blood flow to kidney tissue
- do NOT receive o2 & nutrients they need
What is PTCA? percutaneous transluminal coronary angioplasty
- minimally invasive procedure to open up blocked
coronary arteries, it allows blood to circulate
What is percutaneous
unobstructed to heart muscle
transluminal coronary
- using a small, flexible plastic tube, or catheter, with
angioplasty?
a "balloon" at the end of it. When the tube is in
place, it inflates to open the blood vessel, or artery,
so that normal blood flow is restored.
- artery perforation
- cardiac tamponade
- embolism
- retroperitoneal bleeding/hematoma
Complications after PTCA
- rupture
- restenosis
- AKI/allergic reaction
Important nursing - hold metformin (Glucophage)
interventions r/t contrast dye - encourage fluids
2/8
Advanced Medical Surgical Nursing Exam 2\ 2025-2026 LATEST
UPDATE/PRACTICE QUESTIONS AND CORRECT VERIFIED
ANSWERS (complete solutions) ASSURED SUCCESS/GRADED A+
- BP & HR
- auscultate for s3 gallop
- assess RR & breath sounds
- monitor labs
- Ask about onset
- Location-epigastric area, jaw, back, shoulder, or arm
How to assess chest pain?
- Radiation
- Intensity-have pt rate on scale of 0-10
- Duration
- Precipitating and relieving factors
- Describe it-tightness, burning sensation, pressure or indigestion
- Cigarette smoking
- Hyperlipidema
- Hypertension
- DM2
Modifiable risk factors for CAD
- Obesity-esp central
- Sedentary lifestyle
- Stress
- Excessive alcohol consumption
- Gender
- Race
Unmodifiable risk factors for - DM1
CAD - Age >65
- Heredity
- SOB
- fatigue
How does activity intolerance
- weakness
manifest?
- abnormal BP & HR response
1/8
, 6/20/25, 5:27 AM
- urinary retention
Clinical manifestations of poor - low BP
organ perfusion - rapid heart beat
- confusion
What should the nurse do if - go assess the patient right away
she sees ventricular
tachycardia on the monitor?
What do you do for a patient - w/ pulse antiarrhythmic meds (amiodarone)
with ventricular - no pulse CPR & Defibrillate
tachycardia?
low cholesterol diet - diet that restricts foods high in saturated fat
- Sustained b/p elevation results in damage to vital
organs by causing thickening of arterioles.
Primary adverse effect of - perfusion decreases, body organs damaged.
hypertension
- Result: MI, strokes, PVD or renal failure.
- the kidneys have a dense network of blood vessels
and a high amount of blood flow through them
Effect of hypertension on the - uncontrolled hypertension can cause arteries
kidneys
around the kidneys to narrow, weaken or harden
which decreases blood flow to kidney tissue
- do NOT receive o2 & nutrients they need
What is PTCA? percutaneous transluminal coronary angioplasty
- minimally invasive procedure to open up blocked
coronary arteries, it allows blood to circulate
What is percutaneous
unobstructed to heart muscle
transluminal coronary
- using a small, flexible plastic tube, or catheter, with
angioplasty?
a "balloon" at the end of it. When the tube is in
place, it inflates to open the blood vessel, or artery,
so that normal blood flow is restored.
- artery perforation
- cardiac tamponade
- embolism
- retroperitoneal bleeding/hematoma
Complications after PTCA
- rupture
- restenosis
- AKI/allergic reaction
Important nursing - hold metformin (Glucophage)
interventions r/t contrast dye - encourage fluids
2/8
