Midterml Exam:l NURSl 120l NURS120l l

Midterml Exam:l NURSl 120/l NURS120l –l

Introductionl tol Medicall Surgicall Nursingl Completel Reviewl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A

Q:l Uponl assessment,l whatl canl thel nursel expectl tol findl forl theirl patientl whol isl

DEHYDRATED?

Answer:

Flushed/Dryl skin Skinl WARMl tol touch Poorl skinl turgor Skinl tenting Pale/Stickyl mucousl membranes

Q:l Whenl CELLSl arel lackingl water,l WHATl isl happeningl inl thel body?

Answer:

Dehydration

Q:l Whenl thel CVl SYSTEMl isl lackingl BOTHl waterl &l electrolytes,l WHATl isl happeningl inl thel body?

Answer:

Hypovolemia

Q:l Whatl arel commonl CAUSESl ofl hypovolemia?

Answer:

1.l Vomiting 2.l Diarrhea 3.l GIl suctioning 1 / 4

4.l Diaphoresisl w/ol sodiuml &l waterl replacement 5.l Diuretics 6.l Thirdl spacingl (fluidl shiftl tol interstitiall space) 7.l Hemorrhage 8.l Burns

Q:l Whatl S/Sl shouldl thel nursel lookl outl forl ifl theyl suspectl theirl patientl isl experiencingl fluidl volumel deficitl (FVD)?

Answer:

EARLYl s/s Dizziness Possiblel syncope Weakness Fatigue Confusion Combativeness Irritability Agitation Anxiety Lethargy

LATEl s/s Seizures Coma Death

Q:l IFl therel hasl beenl fluidl LOSSl inl thel body,l WHATl willl happenl tol thel Hctl levels?

Answer:

Itl willl gol UP

Q:l IFl therel isl anl EXCESSl ofl fluidl inl thel body,l WHATl willl happenl tol thel Hctl levels?

Answer:

Itl willl gol DOWN

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Q:l Whatl isl thel nursel mostl concernedl aboutl inl theirl patientl experiencingl fluidl

OVERLOAD?

A.l Kidneyl disease B.l Heartl failure C.l Cerebrall edema D.l Liverl cirrhosis

Answer:

C.l Cerebrall edema

Q:l Whatl isl thel nursel mostl concernedl aboutl inl theirl patientl experiencingl HYPERvolemia?A.l Hormonall changes B.l Hypertension C.l Weightl gain D.l Pulmonaryl edema

Answer:

D.l Pulmonaryl edema

Q:l Whatl arel thel commonl s/sl ofl PULMONARYl edema?

Answer:

1.l JVD 2.l Crackles 3.l Tachycardia 4.l Hypertension

Q:l Al patientl presentsl tol thel emergencyl departmentl withl pulmonaryl edemal andl hasl thel followingl VSl results:l HRl 110,l RRl 25,l BPl 135/85,l O2l 90%.l Whatl isl thel nurse'sl priorityl action?A.l Watchl forl usel ofl accessoryl muscles B.l Administerl diureticsl (e.g.,l Furosemide)l tol eliminatel excessl fluidl inl body C.l Givel patientl water D.l Encouragel deepl breathing

Answer:

B.l Administerl diureticsl (e.g.,l Furosemide)l tol eliminatel excessl fluidl inl body 3 / 4

Q:l Fluidl OVERLOADl isl usuallyl causedl byl WHICHl type(s)l ofl solutions?

Answer:

HYPOtonicl (LEAVESl intravascular/interstitiall spacel tol GOl tol intracellular)

Q:l Hypervolemial isl usuallyl causedl byl WHICHl type(s)l ofl solutions?

Answer:

Isotonicl (STAYSl inl intravascular/interstitiall space) HYPERtonicl (PULLSl fluidl froml areasl it'sl notl supposedl tol bel inl BACKl tol intravascular/interstitiall space)

Q:l Whichl ofl thel followingl findingsl onl al chestl x-rayl CONFIRMSl thatl al patientl hasl pulmonaryl edema?A.l Enlargedl heartl B.l Patchy/fluffyl opacities C.l Bluntedl costophrenicl angles D.l Cloudyl appearance

Answer:

D.l Cloudyl appearance

Q:l NORMALl rangel forl sodium?

Answer:

135-145l mEq/L

Q:l CAUSESl ofl HYPOnatremia?

Answer:

1.l GIl lossesl (Diarrhea,l Vomiting,l NGl suction) 2.l Renall lossesl (Diuretics,l Adrenall insufficiency,l Renall damage,l Inflammation) 3.l Skinl lossesl (Burns,l Woundl drainage) 4.l Inadequatel intakel (Dieting,l Fasting) 5.l Excessl waterl intakel ("Dilutionall hyponatremia") 6.l Hypotonicl IVl fluidsl ("Dilutionall hyponatremia") 7.l Cirrhosis

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