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NUR 242 Exam Med-surg study questions Unit 7 & 8 with verified Answers 2025/2026 Galen, Exams of Nursing

NUR 242 Exam Med-surg study questions Unit 7 & 8 with verified Answers 2025/2026 Galen NUR 242 Exam 3 study questions Med-surg exam study questions medical surgical exam prep 2025 verified rationalized answers for NUR 242 NUR 242 unit 7 and 8 study materials Galen nursing exam prep NUR 242 Med-surg 2025 guide Unit 7 & 8 NUR 242 answers Med-surg exam review 2026 nursing exam questions Galen NUR 242 updated exam answers medical-surgical nursing study guide NUR 242 Exam 3 rationalized answers Galen nursing study questions 2025 NUR 242 exam preparation Unit 7 Med-surg questions Unit 8 Med-surg study guide verified answers nursing exams NUR 242 study guide 2026 updated medical-surgical exam questions Med-surg rationalized questions NUR 242 exam Galen nursing 2026 nursing exam preparation NUR 242 Med-surg verified answers Galen NUR 242 exam questions latest NUR 242 Med-surg questions Unit 7 & 8 Med-surg exam 2026 NUR 242 study questions Galen

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NUR 242 Exam 3 Med-surg study questions Unit 7 & 8
with Verified Rationalized Answers Updated (2025/2026) - Galen
1. Thennursenimmediatelynchecksnonnthenpatientnandnfindsnthatnshenappearsnanxiousnand
nhernvitalnsignsnarenasnfollows:
ØBloodnpressure:n128/84nmmnHgnØHeartnrat
e:n114n(sinusntachycardia)
ØRespiratorynrate:n24,nlaborednandnrestlessnØTemperature:n99.4°nFn(
axillary)
ØO2nsaturation:n91%nonn40%nO2nviantrachncollar
Whichnofnthesenfindingsnarencausenfornconcern?:nANS:n**ThenBPnisnwithinnnormalnrangenandnonl
ynslightlynelevated.n**Thentemperaturenisnonlynslightlynelevated.n**Hernheartnratenisnelevated;nt
hennursenshouldnchecknthenpatient'snmedicationsntonseenifnshenisnonnanbronchodilatornornothern
medicationnthatncouldncausenhernheartnratentonincrease.nThenprioritynconcernnisnthenRESTLESS
NESSnwithnincreasednrespiratorynratenandnthendecreasednoxygennsaturationndespitenthen40%no
xygennsetting.
2. Anpatientnwithnanhistorynofnchronicnobstructivenpulmonaryndiseasenisnadmit-
ntednwithnshortnessnofnbreath.nWhichnnursingninterventionnisnmostnappropriate?
A.
Donnotnadministernoxygen.
B.
AdministernoxygennvianVenturinmask.
C.
Usennasalncannulantonadministernhighnflownoxygen.
D.
Administernoxygennatn6Lnpernsimplenfacenmask.:nANS:nB
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NUR 242 Exam 3 Med-surg study questions Unit 7 & 8 with Verified Rationalized Answers Updated (2025/2026) - Galen

  1. Thennursenimmediatelynchecksnonnthenpatientnandnfindsnthatnshenappearsnanxiousnand nhernvitalnsignsnarenasnfollows: ØBloodnpressure:n128/84nmmnHgnØHeartnrat e:n 114 n(sinusntachycardia) ØRespiratorynrate:n24,nlaborednandnrestlessnØTemperature:n99.4°nFn( axillary) ØO2nsaturation:n91%nonn40%nO2nviantrachncollar Whichnofnthesenfindingsnarencausenfornconcern?:nANS:nThenBPnisnwithinnnormalnrangenandnonl ynslightlynelevated.nThentemperaturenisnonlynslightlynelevated.n**Hernheartnratenisnelevated;nt hennursenshouldnchecknthenpatient'snmedicationsntonseenifnshenisnonnanbronchodilatornornothern medicationnthatncouldncausenhernheartnratentonincrease.nThenprioritynconcernnisnthenRESTLESS NESSnwithnincreasednrespiratorynratenandnthendecreasednoxygennsaturationndespitenthen40%no xygennsetting.
  2. Anpatientnwithnanhistorynofnchronicnobstructivenpulmonaryndiseasenisnadmit- ntednwithnshortnessnofnbreath.nWhichnnursingninterventionnisnmostnappropriate? A. Donnotnadministernoxygen. B. AdministernoxygennvianVenturinmask. C. Usennasalncannulantonadministernhighnflownoxygen. D. Administernoxygennatn6Lnpernsimplenfacenmask.:nANS:nB

Oxygenntherapynisnprescribednatnthenlowestnliternflownneededntonmanagenhypoxemia.nAnsystemnth atndeliversnmorenprecisenoxygennlevelsn(e.g.,nanVenturinmask)nisnpreferred.nMonitornthenpatient'snre sponsentontherapyncloselyntonensurenadequatengasnexchangenandncorrectionnofnhypoxemia.

  1. Whilensuctioningnanpatient,nvagalnstimulationnoccurs.nWhatnisnthenappropriatennursingnacti on? A. Instructnthenpatientntoncough. B. PlacenthenpatientninnanhighnFowler'snposition. C. Oxygenatenthenpatientnwithn100%noxygen. D. Instructnthenpatientntonbreathenslowlynandndeeply.:nANS:nC Vagalnstimulationnmaynoccurnduringnsuctioningnandnresultninnseverenbradycardia,nhypotension ,nheartnblock,nventricularntachycardia,nasystole,nornotherndysrhythmias.nIfnvagalnstimulationnoc curs,nstopnsuctioningnimmediatelynandnoxygenatenthenpatientnmanuallynwithn100%noxygen.nRe positioningnthenpatient,nslowndeepnbreathing,nandncoughingnwillnnotnaddressnthencardiovascul arneffectsnofnvagalnstimulation.

bendingnposture.nWithnseverendyspnea,ntheynexhibitnactivitynintolerancenandnactivitiesnsuchnasnb athingnandngroomingnarenavoided.

  1. Whennthenpatientnarrivesntonthenunit,nshenisnassessednandnisninnacutenrespira- ntoryndistress.nHernrespirationsnarenlaborednandnhernrespiratorynratenisn34.nShenstatesnthatns henhadnanpeaknflownmeternmeasurementnofn"RednZone"nonnthenwaynandnisnseverelynshortnofnair. nHernoxygennsaturationnisn82%nonnO2natn 2 nLnviannasalncannula. Basednonnthesenfindings,nwhatnshouldnthennursendonnext?:nANS:nThenRapidnResponsenTeamnsho uldnbennotifiednimmediately.nAllnofnthesenassessmentnfindingsnindicatenacutenrespiratoryndistress.n ThenpeaknflownmeternisninnthenREDnZone.nThenoxygennsaturationnshouldnbenatnleastn90%nonn 2 nLnpern NC.
  1. WhilenthenRapidnResponsenTeamnisnatnthenbedside,nthenpatient'snhealthcarenprovidernarri ves.nThenprovidernwritesnseveralnorders. Whichnordernisnmostnimportantnfornthennursentonimplementnimmediately? A. TransferntonICU B. IncreasenO2nton 3 nLnpernnasalncannula C. ABGsn 30 nminutesnafternoxygennisnincreased D. Methylprednisolonensodiumnsuccinaten(Solu-Medrol)n 40 nmgnIVP:nANS:nB Allnofnthenprovider'snordersnarenverynimportant,nbutnbasednonnthenpatient'snseverenshortnessnofn breath,nthenfirstnthingnthatnshouldnbendonenisntonincreasenhernoxygen.nOncenhernoxygennisnincre ased,nthennursenshouldnnotenthentimenandnrememberntoncallnfornstatnABGsninn 30 nminutes.nThenp atientnshouldnthennbentransferredntonthenICUnasnsoonnasnpossible.nOncenthenpatientnarrivesninnt henICU,ntheyncannadministernthenone-timendosenofnSolu-Medrol.
  2. ThenpatientnisninnthenICUnforn 3 ndaysnandnthenntransferrednbackntonthenpulmonarynstepdow nnunit.nShenisnstillnslightlynshortnofnbreathnwithnexertion.nHernO2nsaturationnisn99%nonnoxyge nnatn 2 nLnpernnasalncannula.nShendeniesnanynshortnessnofnbreathnwhennrestingnduringnthenass essment.nThenprovidernplansntondischargenthenpatientnonnhomenoxygenninnthenmorning. Whatnshouldnthennursenincludeninnthisnpatient'sndischargenteaching?:nANS:nMakensurenthatnt henpatientnunderstandsnanynnewnmedicationnregimen.nShenshouldnbeninstructedntoncalln 911 nforn anynseverenrespiratoryndistress.nBecausenshenisnbeingndischargednwithnhomenoxygen,nhomenhe althnservicesnshouldnbenarranged.
  3. AnpatientnwithnCOPDnpresentsnfornanroutinenfollownup.nThenpatientnsmokesn 1 nPPD.nWhichns

pillownindicatesnthatnthenpatientnmustnsleepnproppednupnbecausenbreathingnisnworsenwhilenlyingnd own.nTheynmaynnotnrecognizenthenincreasedndyspneanandntheyntryntoncompensatenbynusingnmultip lenpillowsninnorderntonrest.

  1. Thennursenisnassessingnanpatientnwithnanchestntubenfollowingnanpneumonec- ntomy.nWhichnassessmentnfindingnrequiresnintervention? A. Bandagenaroundnthenposteriorntubenisnloose. B. 2 ncmnofnwaternisninnthensecondnchestntubenchamber. C. Thenwaterninnthenwaternsealnchambernrisesnandnfallsnwithninhalation/exhala-ntion. D. Bubblingnpresentninnthenwaternsealnchambernwhennthenpatientncoughs.:nANS:nA Afternlungnsurgery,ntwontubes,nanteriornandnposterior,narenused.nDressingsnaroundnthenwoundnsho uldnnotnbenloose.nThenwoundsnshouldnbencoverednwithnairtightndressings.
  2. Anhomenhealthnpatientnwithnanhistorynofnasthmanisnhavingnshortnessnofnbreath.nThennur sendiscoversnthatnthenpeaknflowmeternindicatesnanpeaknexpi- nratorynflown(PEF)nreadingnthatnisninnthenrednzone.nWhatnisnthenprioritynnursingnaction? A. Calln 911 nimmediately. B. Takenthenpatient'snvitalnsigns. C. Notifynthenpatient'snprescriber. D. RepeatnthenPEFnreadingntonverifynthenresults.:nANS:nA AnPEFnreadingninnthenrednzonenindicatesnanrangenthatnisn50%nbelownthenpatient'snpersonalnbestnPE Fnreadingnandnindicatesnseriousnrespiratorynobstructionnrequiringn 911 nornrapidnresponse.nOffernm edicationsnandnstaynwithnthenpatient.nRepeatingnthenPEFnreadingnandntakingnvitalnsignsnarenalsonim portant,nbutndoingnsonfirstndelaysnthenadministrationnofnthenrescuendrugsnandnphysiciannnotificati

on.

  1. Thenpatientnisnassessednandnanbloodnglucosenlevelnandnvitalnsignsnarenobtainednup onnarrivalnonnthenunit.nResultsnarenasnfollows: BG 239 nmg/dLnBP 138/88nmmnHgnHR 128 nRR 36 nbreaths/min O2nsaturation 88%n(roomnair)nTemperature 101.6ºnF Whichnvitalnsignnorntestnresultnrequiresnthennurse'snimmediatenattention? A. Bloodnpressure B. Respiratorynrate C. Temperature

btainednbeforenthenIVPnAncefnisnadministered.

  1. Thennursenunderstandsnthatnwhichnofnthenfollowingnisnthenmostncommonnsymptomnofn pneumonianinnthenoldernadultnpatient? A. Fever B. Cough C. Confusion D. Weakness:nANS:nC Thenoldernadultnwithnpneumonianoftennhasnweakness,nfatigue,nlethargy,nconfusion,nandnpoorna ppetite.nFevernandncoughnmaynbenabsent,nbutnhypoxemianisnusuallynpresent.nThenmostncommo nnmanifestationnofnpneumonianinnthenoldernadultnpatientnisnconfusionnfromnhypoxianratherntha nnfevernorncough.
  1. Whichnassessmentnfindingnfornannoldernadultnpatientndoesnthennursenascribentonthennatura lnagingnprocess? A. Tighteningnofnthenvocalncords B. Andecreaseninnresidualnvolume C. Andecreaseninnthenanteroposteriorndiameter D. Andecreaseninnrespiratorynmusclenstrength:nANS:nD Asnanpersonnages,nvocalncordsnbecomenslack,nchangingnthenqualitynandnstrengthnofnthenvoice ;nthenanteroposteriorndiameternincreases;nrespiratorynmusclenstrengthndecreases;nandnthenr esidualnvolumenincreases.
  1. Thennursenknowsnthatnundernnormalnphysiologicnconditionsnofntissuenperfusion,nan patientnwillnhavenwhatnpercentnofnoxygenndissociatenfromnthenhemoglobinnmolecule? A. 25% B. 50% C. 75% D. 100%:nANS:nB Oxygenndissociatesnwithnthenhemoglobinnmoleculenbasednonnthenneednfornoxygenntonperfusentiss ues.nUndernnormalnconditions,n50%nofnhemoglobinnmoleculesncompletelyndissociatentheirnoxyg ennmoleculesnwhennbloodnperfusesntissuesnthatnhavenannoxygenntensionn(concentration)nofn 26 n mmnHg.nThisnisnconsiderednan"normal"npointnatnwhichn50%nofnhemoglobinnmoleculesnarennonlon gernsaturatednwithnoxygen.

condition.nChestnpainncannoccurnwithnothernhealthnproblems,nasnwellnasnwithnlungnproblems.

  1. AnpatientninnthenEDnhasnbeennexperiencingnuppernabdominalnpainnafternmealsnfornthen pastn 2 nmonths.nShenalsonnoticesnthatnwhennshentakesnannapnornsleepsnatnnight,nshenhasnpai n.nEatingnseemsntondecreasenpain.nShenhasnbeenntakingnOTCnantacidsnwithnsomenrelief. Whichnassessmentnfactornputsnthenpatientnatnrisknfornpepticnulcerndisease? A. Weightnlossnofn 35 npounds B. UsenofnNSAIDsntoncontrolnarthritisnpain C. GERDn 4 nyearsnago D. Usenofnprednisonen(Deltasone)nforninflammation:nANS:nB PepticnulcerndevelopmentnisnassociatednprimarilynwithnNSAIDnusenandnbacterialninfectionsnwithnH .npylori.
  2. Whichndiagnosticnresultsnsupportnthendiagnosisnofnpepticnulcerndisease?n(Selectnallnt hatnapply.) A. Lownhemoglobin B. LownWBCnlevel C. Lownhematocrit D. PositivenfornH.nPylorinbacteria E. Lownpotassiumnofn3.4nmEq/L.:nANS:nA,nC,nD LownHCTnandnHgbnoftennoccurnrelatedntonbleeding.nThenpresencenofninfectionnwithnH.npylorinisnthens econdnmostncommonnfactornassociatednwithnthendevelopmentnofnPUD.nThenpatientnwouldnhavenan high,nnotnlow,nWBCncount.nThenpotassiumnlevelnisnnotnandiagnosticnfactornfornPUD.
  3. AnnEGDnconfirmsnthatnthenpatientnhasnPUD.nThreenhoursnlater,nthenpatientnisnadmittednt

onthenmedicalnunitnfornworkupnandnfurtherntesting.nOnnadmissionnthenpatientnreportsnmidlin enepigastricntendernessnandnindigestionn(dyspepsia).nThenpatientnisnprescribedntriplenthera py. Whichndrugsnwillnthennursenexpectntonbenprescribednfornthenpatientnatnthisntime? A. Protonnpumpninhibitornandntwonantibiotics B. Histaminenantagonist,nantacid,nandnprotonnpumpninhibitor C. Antibioticnandntwonprotonnpumpninhibitors D. Antacid,nprotonnpumpninhibitor,nandnprostaglandinnanalogue:nANS:nA FornH.npylorininfections,nancommonndrugnregimennisntriplentherapy,nwhichnincludesna

Rationale:nLong- termnNSAIDnusencreatesnanhighnrisknfornacutengastritis.nNaproxennisnannNSAIDnthatnmaynbenusednt ontreatnarthritis.nOthernrisknfactorsnfornacutengastritisnincludenalcohol,ncaffeine,nandncorticoster oids.nIVnfluidsnmaynornmaynnotnbenneededntonreplacenanynfluidsnornbloodnlostnfromnthenpatient'sngas tritis.nStoolnguaiacnisnnonspecificnbutnmaynbenorderedntonconfirmnbloodninnthenstool,nandnanstoolnsa mplenmaynbenusedntontestnfornthenpresencenofnHelicobacternpylorininfection.nHowever,nitnisnnotna snaccuratenasnbloodnornbreathntests.

  1. WhatnisnthennursingnpriorityninnthenmanagementnofnanpatientnwithnannactivenuppernGInble ed? A. Obtainnvitalnsigns. B. Applynoxygennbynnasalncannula. C. Typenandncrossmatchnthenpatientnfornbloodnproducts. D. Notifynthenphysician.:nAnswer:nA

Rationale:nVitalnsignsnarenneededntonevaluatenthenseveritynofnthenpatient'snbleednandnhypovolem icnstatus.nOxygennwillnassistnwithndeliverynofnoxygenntonthentissuesnandnantypenandncrossmatch,n althoughnimportant,nisnnotnthenimmediatenpriority.nAssessmentndatansuchnasnthenpatient'snvitaln signsnarenneedednbeforencontactingnthenphysician.

  1. Anpatientnhasnrecentlynbeennplacednonncorticosteroidsnasntreatmentnfornulcerativencolit is.nThennursenshouldnmonitornthenpatient'snlaboratorynresultsnfornevidencenofnwhichnconditio n? A. Hypernatremia B. Hypercalcemia C. Hyperglycemia D. Hyperkalemia:nAnswer:nC Rationale:nLong- termnadverseneffectsnthatncommonlynoccurnwithnsteroidntherapynincludenhyperglycemia,nosteopo rosis,npepticnulcerndisease,nandnincreasednrisknforninfection
  2. Thennursenisncaringnfornanpatientnwithnanlongnhistorynofnosteoarthritis.nWhichnrisknfactorsnwi llnthennursenteachnthenpatientnthatnmayncontributentondevelopmentnofngastroesophagealnreflu xndiseasen(GERD)? A. Weightnofn 130 nlbs B. Walksn 20 nminutesnoncendaily C. FrequentlyntakesnNSAIDsnfornpain D. Consumesnfoodsnwithncalciumnsupplementation:nANS:nC

:nANS:nA Thenmostnimportantnrolenofnthennurseninncaringnfornanpatientnwithnanhiatalnhernianisnhealthnteaching ,nspecificallynnutritionnmanagementntonincludenweightnloss.nEducationnfornprescribednmedicationsn isnannimportantnnursingnfunction,nasnwellnasneducationnfornsignsnandnsymptomsnofninfectionnifnthenp atientnhasnanrollingnhiatalnhernia.

  1. AnpatientninnthenEDnhasnbeennexperiencingnuppernabdominalnpainnafternmealsnfornthenpa stnseveralnmonths.nShenreportsnpainnafternnappingnornsleepingnatnnight.nShenhasnbeenntakingn OTCnantacidsnwithnsomenrelief.nThennursenun- nderstandsnthatnwhichnassessmentnfindingnplacesnthenpatientnatnrisknfornpepticnulcerndiseas e? A. GERDn 4 nyearsnago B. Weightnlossnofn 35 nlbs C. UsenofnNSAIDsntoncontrolnarthritisnpain D. Recentndiscontinuationnofnprednisonen(Deltasone):nANS:nC Pepticnulcerndevelopmentnisnassociatednprimarilynwithnnonsteroidalnanti- inflammatoryndrugn(NSAID)nusenandnbacterialninfectionsnwithnHelicobacternpylori.
  2. Whichndiagnosticnresultsndoesnthennursenrecognizenthatnsupportnthendiag- nnosisnofnpepticnulcerndiseasen(PUD)?n(Selectnallnthatnapply.) A. Lownhemoglobinn(Hgb) B. Lownwhitenbloodncelln(WBC)nlevel C. Lownhematocritn(Hct)

D. PositivenfornH.npylorinbacteria E. Lownpotassiumnofn3.4nmEq/L:nANS:nA,nC,nD LownHctnandnHgbnoftennoccurnrelatedntonbleeding.nPresencenofninfectionnwithnH.npylorinisnthenseco ndnmostncommonnfactornassociatednwithndevelopmentnofnPUD.nThenpatientnwouldnhavenanhigh,nn otnlow,nWBCncount.nPotassiumnlevelnisnnotnandiagnosticnfactornfornPUD.

  1. AnnEGD,nEsophagogastroduodenoscopy.nconfirmsnthatnthenpatientnhasnPUD.nThreenhou rsnlater,nthenpatientnisnadmittedntonthenmedicalnunitnfornworkupnandnfurtherntesting.nOnnadmi ssionnthenpatientnreportsnmidlinenepigastricnten- ndernessnandnindigestionn(dyspepsia).nThenpatientnisnprescribedntriplentherapy.nWhichndrugs ndoesnthennursenpreparentonadminister? A. Protonnpumpninhibitorn(PPI)nandntwonantibiotics