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Galen NUR 242 Exam 1 Med-Surg Tested (Latest 2025 / 2026) Questions with Revised Answers, Exams of Nursing

Moraine Valley Community CollegeNursing

Galen NUR 242 Exam 1 Med-Surg Tested (Latest 2025 / 2026) Questions with Revised Answers Galen NUR 242 exam Med-Surg test questions NUR 242 latest exam Galen medical-surgical exam Revised NUR 242 answers NUR 242 study guide Galen nursing exam prep Med-Surg exam review 2025 NUR 242 questions NUR 242 exam preparation NUR 242 Galen exam NUR 242 Med-Surg practice NUR 242 exam answers Latest NUR 242 questions Galen NUR 242 study materials NUR 242 test preparation Med-Surg latest questions Galen nursing course NUR 242 Nursing exam Galen NUR 242 2026 NUR 242 questions NUR 242 exam guide Revised Med-Surg answers Galen University NUR 242 Med-Surg NUR 242 practice test NUR 242 questions and answers Galen NUR 242 revision NUR 242 exam tips Galen nursing test questions Latest NUR 242 exam prep

Typology: Exams

2024/2025

Available from 03/05/2025

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1f/f25
Galen NUR 242 Exam 1 Med-Surg Tested
(Latest 2025 / 2026) Questions with Revised Answers
1. FourfMajorfsubgroupsfoffLatefAdulthood:f65f-f74fyoungfoldf75f-
f84fmiddlefold
85f-f99foldfold
100fandfolderfelitefold
2. LifestylefandfPracticeftofPromotefWellnessfolderfadults:fYearlyfflufvaccinefpneumococc
alfvaccine
Shinglesfvaccine
tetanusfandfboosterfeveryf10fyearsfwearfseatf
belts
alcoholfinfmoderationfav
oidfsmokingfsmokefdete
ctors
preventffallsf-
fwaxedffloorsfandfscatteredfrugsfmedicationsfasfprescribed
avoidfOTCfmedicationsfunlessfprimaryfcarefphyisicanfdirectsfYearlyfphysicial
regularfexercisefsocializ
ationfreminisce
3. CommonfhealthfIssuesfandfConcernsfolderfadults:fDecreasedfnutritionfandfhydration
DecreasedfmobilityfStre
ssfandfloss
Accidentsf-
ffallsfmostfcommon/MVAfDrugfusefandfmisus
e
Mentalfhealth/cognitionfproblemsf(includingfsubstancefabuse)fElderfneglectf
andfabuse
4. GFTTf(fGeriatricfFailurefTofThrive)fComplexfSyndrome:fUnderfnutritionfImpairedfmobi
lity
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19

Partial preview of the text

Download Galen NUR 242 Exam 1 Med-Surg Tested (Latest 2025 / 2026) Questions with Revised Answers and more Exams Nursing in PDF only on Docsity!

Galen NUR 242 Exam 1 Med-Surg Tested

(Latest 2025 / 2026) Questions with Revised Answers

  1. FourfMajorfsubgroupsfoffLatefAdulthood:f 65 f-f 74 fyoungfoldf 75 f- f 84 fmiddlefold 85 f-f 99 foldfold 100 fandfolderfelitefold
  2. LifestylefandfPracticeftofPromotefWellnessfolderfadults:f Yearlyfflufvaccinefpneumococc alfvaccine Shinglesfvaccine tetanusfandfboosterfeveryf 10 fyearsfwearfseatf belts alcoholfinfmoderationfav oidfsmokingf smokefdete ctors preventffallsf- fwaxedffloorsfandfscatteredfrugsfmedicationsfasfprescribed avoidfOTCfmedicationsfunlessfprimaryfcarefphyisicanfdirectsfYearlyfphysicial regularfexercisefsocializ ationfreminisce
  3. CommonfhealthfIssuesfandfConcernsfolderfadults:f Decreasedfnutritionfandfhydration DecreasedfmobilityfStre ssfandfloss Accidentsf- ffallsfmostfcommon/MVAfDrugfusefandfmisus e Mentalfhealth/cognitionfproblemsf(includingfsubstancefabuse)fElderfneglectf andfabuse
  4. GFTTf(fGeriatricfFailurefTofThrive)fComplexfSyndrome:f UnderfnutritionfImpairedfmobi lity

Depressionf Cognitivefi mpairment

  1. Depressionfolderfadults:f Mostfcommonfmentalfhealth/behavioralfhealthfprob- flemfamongfolderfadults. UsefGeriatricfDepressionfScalefform Moodfdisorderfhavingfcognitive,faffective,fphysicalfmanifestationsfPrimaryf(la ckfoffneurotransmitters) Secondaryforfsituational
  2. Dementiafolderfadults:f slowlyfprogressesfgener allyfchronic
  • remindfpatientftofplacefhisforfherfstrongfhandfonfcane
  • ensurefthatfthefpatient'sfbodyfisfwellfbalanced
  • movefthefcanefandfweakerflegfforwardfatfthefsameftime
  • movefthefstrongerflegfonefstepfforward
  • checkfbalancefandfrepeatfthefsequence
  1. Adaptivefequipment:f buttonhookfexte ndedfshoehorn platefguardfandfsporkfgelfpa d foamfbuildups hookfandfloopffastenersflon g-handledfreacher elasticfshoelacesforfvelcrofshoefclosure
  2. SCIPfinfectionf- f1:f Prophylacticfantibioticfreceivedfwithinfonefhourfpriorftofsurgicalfincisionf(tofestablishfbac tericidalfbloodfandftissueflevelsfbyftheftimefthefsurgicalfincisionfisfmade)
  3. SCIPfinfectionf-f2:f Prophylacticfantibioticfselectionfforfsurgicalfpatientsf(in- fcreasedfriskfforfsurgicalfinfections)
  4. SCIPfinfectionf- f3:f ProphylacticfAntibioticsfdiscontinuedfwithinf 24 fhoursfafterfsurgeryfendftimef(providesfbene fitfwithoutfrisk)
  5. SCIPfinfectionf- f4:f Cardiacfsurgeryfpatientsfwithfcontrolledf 6 famfpostoperativefbloodfglucosef(cardiacfpatientsfo nly)fTofavoidfhyperglycemia
  6. SCIPfinfectionf- f6:f Surgeryfpatientsfwithfappropriatefhairfremovalf(removalfisfperformedfwithfelectricfclippersforf chemicalfdepilatories)ftofavoidfskinfabrasionsfandfincreasefriskfoffsurgicalfsitefinfections
  7. SCIPfinfectionf-f9:f Urinaryfcatheterfremovedfonfpostoperativefdayf 1 forfpostop- ferativefdayf 2 fwithfdayfoffsurgeryfbeingfdayfzerof(ftofavoidfurinaryftractfinfections)
  8. SCIPfinfectionf-f10:f Surgeryfpatientsfwithfpreoperativeftemperaturefmanage- fmentf(preventfprolongedfhyperthermia,fwhichfisfassociatedfwithfwoundfhealing,fseriousfcardia cfcomplications,falteredfdrugfmetabolism,fcoagulationfproblems,fandfhigherfsurgicalfinfection s.
  9. SCIPfCARDf-f2:f Surgeryfpatientsfonfbeta- blockerftherapyfpriorftofarrivalfwhofreceivedfafbeta- blockerfduringfthefperioperativefperiodf(freceivefbeta-
  1. Epidermis:f - fprotection
  • keratinfprovidesfprotectionffromfinjuryfbyfcorrosivefmaterial
  • inhibitsfproliferationfoffmicroorganismsfbecausefoffdryfexternalfsurface
  • mechanicalfstrengthfthroughfintercellularfbonds
  1. Dermis:f - providesfcellsfforfwoundfhealing
  • fprovidesfmechanicalfstrengthf-fcollagenffibersf-felasticffibersf-fgroundfsubstance
  • sensoryfnervefreceptorsfsignalfskinfinjuryfandfinflammation
  1. Subcutaneousftissue:f - fmechanicalfshockfabsorber
  • energyfreserve
  • insulation
  1. Skinfassessmentf-flesions:f Primaryflesionsf- fdirectfresultfoffafdiseasefprocessfSecondaryflesionsf- fevolveffromfprimaryforfdevelopfasfafconsequencefoffafpatient'sfactivity
  2. Skinfassessmentf-fColor:f - fisfaffectedfbyfbloodfflow,fgasfexchange,fbodyftemperature,fandfpigmentation.fdescribefbyftheirfa ppearance.fArefchangesfgeneralforfconfinedftofonefbodyfregion
  3. Skinfassessmentf-fABCDE:f Af-fAsymmetry B-fborderfirregularity C-fcolorfvariationfwithinfoneflesion D-fDiameterfgreaterfthanf 6 fmm Ef-fEvolvingforfchangingfinfanyffeaturef(shape,fsize,fcolor,felevation,fitching,fbleeding,forfcrusting)
  4. ChangesfinfDarkfskinf-fcyanosis:f - fexamineflipsfandftonguefforfgrayfcolor
  • examinefnailfbeds,fpalms,fandfsolesfforfblueftinge
  • Examinefconjunctivafforfpallor
  1. ChangesfinfDarkfskinf-fInflammation:f - fComparefeffectivefareafwithfnonfaffectedfareafforfincreasedfwarmth
  • examinefskinfoffaffectedfareaftofdeterminefwhetherfitfisfshinyforftautforfpitsfwithfpressure
  • Comparefthefskinfcolorfoffaffectedfareafwithfthefsamefareafonfthefoppositefsidefoffthefbody
  • palpatefthefaffectedfareafandfcomparefitfwithfunaffectedfareaftofdeterminefwhetherftexturefisfdiff erentf(affectedfareafmayffeelfhardforf"woody"
  1. ChangesfinfDarkfskinf-fJaundice:f -

fCheckfforfyellowftingeftoforalfmucousfmembranes,fespeciallyfthefhardfpalate

  • examinefthefsclerafnearestftofthefirisfratherfthanfthefcornersfoffthefeye
  1. ChangesfinfDarkfskinf-fBleeding:f - fComparefthefaffectedfareafwithfthefsamefareafonfthefunaffectedfbodyfsidefforfswellingforfskinfd arkening

telyfcovered

  • sinusftractsfmayfdevelop
  • sloughfandfescharfarefoftenfpresentforfatfleastfpartfoffthefwound
  1. Unstageable:f - fskinflossfisffullfthicknessfandfthefbasefisfcomplefwithfslough,forfeschar,fobscurr ingftheftruefdepthfoffthefwound
  1. Wetftofdampfsalinefmoistenedfgauze:f necroticfdebrisfisfmechanicallyfre- fmovedfbutfwithflessftraumaftofhealingftissue
  2. Continuousfwetfgauze:f woundfsurfacefcontinuallyfbathedfwithfwettingfagentfoffchoice,fpro motingfdilutionfoffviscousfexudatefandfsofteningfoffdryfeschar
  3. Topicalfenzymefpreparations:f proteolyticfactionfoffthick,fadherentfescharfcausesfbreakdo wnfoffdenaturedfproteinfandfmorefrapidfseparationfoffnecroticftissue
  4. Moisturef- fretentivefdressing:f Spontaneousfseparationfoffnecroticftissuefisfpromotedfbyfautolysis
  5. Woundf-fvacf- fnegativefpressurefwoundftherapy:f canfreducefandforfclosefchronicfinjuriesfbyfremovingffluid sforfinfectiousfmaterials,fenhancingfgranulation.fShouldfbefchangedfeveryf 48 ftof 72 fhours.
  6. Hyperbaricf- foxygenftherapyf(HBOT):f administrationfoffoxygenfunderfhighfpressure,fraisingftissuefoxygenf concentration.fUsuallyfreceivedfunderflimb life-threateningfwoundsfsuchfasf- fburns,fnecrotizingfinfections,fbrownfreclusefspiderfbites,fosteomyelitis,fandfdiabeticfulcers
  7. patientfatfriskfforfpressurefinjuryf-fcardiovascularfstatus:f - fpresenceforfabsencefoffperipheralfedema
  • hand-veinffillingfinfthefdependentfposition
  • neck-veinffillingfinfthefrecumbentfandfsittingfposition
  • weightfgainforfloss
  1. patientfatfriskfforfpressurefinjuryf-fcognitionfandfmentalfstatus:f - levelfoffconsciousness
  • orientationftoftime,fplacefandfperson
  • canfthefpatientfreadfafsevenfwordfsentencefcontainingfthreefsyllablesforffewer
  1. patientfatfriskfforfpressurefinjuryf-fconditionfoffskin:f - fassessfskinfcleanli-fness
  • observefallfskinfareas,fespeciallyfbonyfprominencesfandfareasfinfcontactfwithfthefbedforfotherffi rmfsurfaces
  • measurefandfrecordfanyfrednessforflossfoffintegrity
  • photographfareasfoffconcern
  • notefpresencefoffskinftentingfoverfsternumfandfforehead
  • notefmoistnessfoffskinfandfmucousfmembranes
  • presencefoffgranulation/epithelium
  • presenceforfabsencefoffcellulitisfpres enceforfabsencefoffodor takefpatientsftemperatureftofassessfforffever
  1. Patientfatfriskfforfpressurefinjuryf-funderstandingfoffillnessfandfcompli- fancefwithftreatment:f - s/sftofreportftofprimaryfcarefdoctor
  • drugftherapyfplanf(correctftimefandfdosing)
  • ambulationforfpositioningfschedule
  • dressingfchanges/skinfcare
  • nutritionfmodificationsf(24-hrfdietfrecall)
  1. Patientfatfriskfforfpressurefinjuryf-fnutritionalfneeds:f - fchangefinfmusclefmass
  • lacklusterfnails,fsparsefhair
  • recentfweightflossforfmorefthanf5%foffusualfweight
  • impairedforalfintake
  • difficultyfswallowing
  • generalizedfedema
  1. Psoriasis:f Chronicfautoimmunefdisorderfaffectingfthefskinfwithfexacerbationsfandfremissi ons.fResultsffromfoverstimulationfoffthefimmunefsystem.factivates T-lymphocytes.fThisfcanfnotfbefcured,foftenfpatientsfcanfcontrolfsymptoms
  2. ComplicationsfoffImmobility:f Contractors,ffootfdrop,fmusclefatrophyfDVT Constipation DecreasedfcardiacfoutputfDisorientation renalfcalculi,fUTIfPneu moniafpressurefulcers
  3. Preventionfoffpressurefulcers Earlyfidentificationfoffhighfriskfpatientsf(Bradenfscale):f Mentalfstatusfchangefandfdecreasedfse nsoryfperception impairedfphysicalfimmobility,frequiresfassistancefwithfturningfandfpositioningforfpatientsfwhofca nfnotfverbalizefdiscomfort nutritionalfstatus:fserumfalbuminf<f3.5fandfprealbuminflevelsf<f19.5fConsultfdietitianfIncontinencef andfexcessivefmoisture
  1. Informedfconsent:f Surgeonfisfresponsiblefbeforefsedationfisfgivenfandfsurgeryfisfperformed nursesfrolefisftofCLARIFYffactsfandfCLARIFYfthefconsentfhasfbeenfsignedfanf"X"fisfpermitte dfinfpatientsfthatfcannotfwritefbutfMUSTfbefwitnessed

rvalf(lockoutfinterval)ftheflockoutfintervalfisfusuallyf 5 - 15 fminutesfwhenfthefpatientfisfcognitivelyfimpaired,fanotherfmethodfoffdrugfadministrationfsho uldfbefconsidered

  1. TranscutaneousfElectricalfNervefStimulationf(TENS)funit:f Usedfasfanfad- fjunctiveftreatmentfforfpain involvesfthefusefoffbattery- operatedfdevicefcapablefoffdeliveringfsmallfelectricalfcurrentsfthroughfupftofthefpainfulfareas

Thefvoltagefisfregulatedfbyfadjustingfthefdialftofthefpointfatfwhichfthefpatientfperceivedfafpricklyfpin sfandfneedlesfsensation

  1. Post- OP:f DVTfisfthefmostfcommonftypefoffthrombophlebitis.fHighfriskfforfpulmonaryfembolism.fDe velopsfmostfoftenfinftheflegsfbutfcanfoccurfinfthefupperfarms Interventions:fpatientfeducationfregardingflegfexercises,fearlyfambulation,fadequatefhydration,fco mpressionfstockings,fsequentialfcompressionfdevicesf(SCD's)
  2. Post-OP woundfhealingfandfpreventionfoffinfections:f assessfthefsurgicalfincisionfatfleastfeveryf 8 fhoursff orfredness,fincreasesfwarmth,fswelling,ftendernessforfpain,fandftheftype/amountfoffdrainage sanguineousf(bloody)ftofserosanguineousftofserousf(yellow)fdrainagefisfnormalfduringftheffirstff ewfdaysfafterfsurgery.fDrainagefshouldfgraduallyfdecreasefCrustingfonfthefincisionfline,fpinkfcol orftofthefincisionfline,fandfslightfswellingfunderfthefsutures/staplesfisfnormal
  3. Post- opfRiskfforfpostfsurgicalfwoundfDEHISCENCE:f O besity diabetesfcorticosteriodf usefimmunefdeficiencyf malnutrition
  4. Post-op woundfEVISCERATION:f Callfforfhelpfandfstayfwithfpatientfcoverfwoundfwi thfsterilefgauzefsoakedfinfsterilefwater dofnotfattemptftofreinsertfthefprotrudingforgan placefthefpatientfinfsupinefpositionfwithfhipsfandfkneesfbentfraisefthefHO Bfnofmorefthanf 15 - 20 fdegrees providefsupportfandfreassuranceftofthefpatient
  5. Sequencefoffinflammation:f Stagef 1 f- finjuredftissuefandfthefleukocytesfmastfcellsfinfthisfareafsecretefhistamine,fserotoninfandfkinin sfthatfconstrictfthefsmallfveinsfandfdilatefthefarteriolesfinfthefareafoffinjury.fThesefchangesfcau sefrednessfandfwarmthftoftheftissues Stagef 2 f-

shouldfnotfbefusedftofdrawflabs DOESfNOTfrequirefx-rayfforfplacement

  1. complicationsfoffPIV (peripheralfIV)fInfiltration:f IVfbecomesfdislodgedffluidfleaksffr omfthefveinftofsurroundingftissuefdiscontinuefIVfandfelevatefth efextremity applyficeforfheatftherapy vesicantfmedicationsfcanfcausefextravasationfiffIVfinfiltrates
  2. ComplicationfoffPIV phlebitisfandfthrombophlebitis:f inflammationfoffthefveinf(redness,fedema,fwarmth,fpainfatfsit e) discontinuefIV notifyfphysicianfforftreatmentfrestartfIVfi nfthefoppositefextremity
  3. CentralfLinefAccessfDevices:f Allfcentralflinefaccessfdevicesfterminatefinfthefsuperiorfve nafcavaf(PICCfline,fimplantablefports,ftunneledfandfnon- tunneledfcatheters,fandfcentralflines) insertionfrequiresfinformedfconsentfneedftof havefafchestfx-rayfpriorftofuse
  4. PICCfline:f placedfbyfafPICCfcertifiedfnurse usedfwhenflong- termftherapyfisfneededf(upftofonefyear)falwaysfflushfwithfaf 10 fmlfsyringe RN'sfcanfremovefafPICCfline.fHavefthefpatientfperformfthefvalsalvafmaneuver,fmakefsureftheftipfisfin tact.fIffdiscontinuingfdueftofinfection,fsendftheftipfoffthefPICCflineftoftheflabfforfC&S
  5. Implantablefports:f surgicallyfimplantedfinfthefrightforfleftfchestfcanoefus edfforfindividualsfreceivingfchemotherapy huberfneedlefisfusedftofaccessfthefportfatfaf 90 fdegreefangle
  6. ComplicationsfoffcentralfLinefAccess Centralflinefassociatedfbloodfstreamfinfectionf(CLABI):f s/s:flocalizedferythema,ftenderness,ffev er,fdrainage canfleadftofafsystemicfinfectionfandfsepsisfd/cfthefce

ntralflinefandfcultureftheftip tx:fABTfandfantifungals prevention:fmeticulousfhandfwashing

  1. ComplicationsfoffCentralfAccessfDevicefAirfEm bolism:f Bolusfoffairfentersfcirculationfpotentiallyffatal s/s:ftachycardia,fchestfpain,fdyspnea,fandfcyanosis