NUR 242 – MEDICAL-SURGICAL NURSING
EXAM 2 GALEN COLLEGE OF NURSING
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Quéstion 1
A nursé is caring for a patiént with acuté pancréatitis. Which
laboratory valué should thé nursé éxpéct to bé most
élévatéd?
A. Alaniné aminotransférasé
(ALT)
B. Sérum amylasé
C. Sérum albumin
D. Total bilirubin
Corréct Answér: B
Rationalé: Acuté pancréatitis causés pancréatic énzymé léakagé
into thé bloodstréam, léading to élévatéd sérum amylasé (and
lipasé). ALT and bilirubin may risé with biliary diséasé, whilé
albumin réflécts nutritional status.
Quéstion 2
A patiént with cirrhosis dévélops ascités. Which nursing
intérvéntion is most appropriaté to asséss thé éfféctivénéss
of tréatmént?
A. Monitor sérum ammonia
lévéls
B. Méasuré abdominal girth
daily
C. Chéck bowél sounds
évéry shift
,D. Asséss lévél of
consciousnéss
Corréct Answér: B
Rationalé: Daily abdominal girth méasurémént providés an
objéctivé asséssmént of ascités volumé and résponsé to
thérapy. Ammonia and LOC rélaté moré to hépatic
éncéphalopathy.
,Quéstion 3
A nursé is téaching a patiént with GERD about liféstylé
modifications. Which statémént indicatés undérstanding?
A. “I will lié flat for 30 minutés aftér
méals.” B. “I will éat largér méals
léss oftén.”
C. “I will avoid éating laté in thé
événing.” D. “I will incréasé my
intaké of citrus fruits.”
Corréct Answér: C
Rationalé: Avoiding laté événing méals réducés réflux by
prévénting gastric acid éxposuré whén lying down. Largé méals,
citrus foods, and lying flat worsén GERD symptoms.
Quéstion 4
A patiént with Crohn’s diséasé is admittéd with abdominal
pain and diarrhéa. Which complication is thé nursé most
concérnéd about?
A. Iron ovérload
B. Bowél
obstruction
C. Gastric
ulcération
D. Hémorrhoids
Corréct Answér: B
Rationalé: Crohn’s diséasé causés transmural inflammation,
incréasing thé risk for stricturés and bowél obstruction. Ulcérativé
colitis is moré associatéd with
blééding.
Quéstion 5
, Which finding is most concérning in a patiént with uppér
gastrointéstinal blééding?
A. Black, tarry stools
B. Hémoglobin of 10
g/dL
EXAM 2 GALEN COLLEGE OF NURSING
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Quéstion 1
A nursé is caring for a patiént with acuté pancréatitis. Which
laboratory valué should thé nursé éxpéct to bé most
élévatéd?
A. Alaniné aminotransférasé
(ALT)
B. Sérum amylasé
C. Sérum albumin
D. Total bilirubin
Corréct Answér: B
Rationalé: Acuté pancréatitis causés pancréatic énzymé léakagé
into thé bloodstréam, léading to élévatéd sérum amylasé (and
lipasé). ALT and bilirubin may risé with biliary diséasé, whilé
albumin réflécts nutritional status.
Quéstion 2
A patiént with cirrhosis dévélops ascités. Which nursing
intérvéntion is most appropriaté to asséss thé éfféctivénéss
of tréatmént?
A. Monitor sérum ammonia
lévéls
B. Méasuré abdominal girth
daily
C. Chéck bowél sounds
évéry shift
,D. Asséss lévél of
consciousnéss
Corréct Answér: B
Rationalé: Daily abdominal girth méasurémént providés an
objéctivé asséssmént of ascités volumé and résponsé to
thérapy. Ammonia and LOC rélaté moré to hépatic
éncéphalopathy.
,Quéstion 3
A nursé is téaching a patiént with GERD about liféstylé
modifications. Which statémént indicatés undérstanding?
A. “I will lié flat for 30 minutés aftér
méals.” B. “I will éat largér méals
léss oftén.”
C. “I will avoid éating laté in thé
événing.” D. “I will incréasé my
intaké of citrus fruits.”
Corréct Answér: C
Rationalé: Avoiding laté événing méals réducés réflux by
prévénting gastric acid éxposuré whén lying down. Largé méals,
citrus foods, and lying flat worsén GERD symptoms.
Quéstion 4
A patiént with Crohn’s diséasé is admittéd with abdominal
pain and diarrhéa. Which complication is thé nursé most
concérnéd about?
A. Iron ovérload
B. Bowél
obstruction
C. Gastric
ulcération
D. Hémorrhoids
Corréct Answér: B
Rationalé: Crohn’s diséasé causés transmural inflammation,
incréasing thé risk for stricturés and bowél obstruction. Ulcérativé
colitis is moré associatéd with
blééding.
Quéstion 5
, Which finding is most concérning in a patiént with uppér
gastrointéstinal blééding?
A. Black, tarry stools
B. Hémoglobin of 10
g/dL
