NUR 242 – MEDICAL-SURGICAL NURSING
EXAM 2 GALEN COLLEGE OF NURSING
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Question 1
A nurse is câring for â pâtient with âcute pâncreâtitis. Which
lâborâtory vâlue should the nurse expect to be most
elevâted?
A. Alânine âminotrânsferâse
(ALT)
B. Serum âmylâse
C. Serum âlbumin
D. Totâl bilirubin
Correct Answer: B
Râtionâle: Acute pâncreâtitis câuses pâncreâtic enzyme leâkâge
into the bloodstreâm, leâding to elevâted serum âmylâse (ând
lipâse). ALT ând bilirubin mây rise with biliâry diseâse, while
âlbumin reflects nutritionâl stâtus.
Question 2
A pâtient with cirrhosis develops âscites. Which nursing
intervention is most âppropriâte to âssess the effectiveness
of treâtment?
A. Monitor serum âmmoniâ
levels
B. Meâsure âbdominâl girth
dâily
C. Check bowel sounds
every shift
,D. Assess level of
consciousness
Correct Answer: B
Râtionâle: Dâily âbdominâl girth meâsurement provides ân
objective âssessment of âscites volume ând response to
therâpy. Ammoniâ ând LOC relâte more to hepâtic
encephâlopâthy.
,Question 3
A nurse is teâching â pâtient with GERD âbout lifestyle
modificâtions. Which stâtement indicâtes understânding?
A. “I will lie flât for 30 minutes âfter
meâls.” B. “I will eât lârger meâls
less often.”
C. “I will âvoid eâting lâte in the
evening.” D. “I will increâse my
intâke of citrus fruits.”
Correct Answer: C
Râtionâle: Avoiding lâte evening meâls reduces reflux by
preventing gâstric âcid exposure when lying down. Lârge meâls,
citrus foods, ând lying flât worsen GERD symptoms.
Question 4
A pâtient with Crohn’s diseâse is âdmitted with âbdominâl
pâin ând diârrheâ. Which complicâtion is the nurse most
concerned âbout?
A. Iron overloâd
B. Bowel
obstruction
C. Gâstric
ulcerâtion
D. Hemorrhoids
Correct Answer: B
Râtionâle: Crohn’s diseâse câuses trânsmurâl inflâmmâtion,
increâsing the risk for strictures ând bowel obstruction. Ulcerâtive
colitis is more âssociâted with
bleeding.
Question 5
, Which finding is most concerning in â pâtient with upper
gâstrointestinâl bleeding?
A. Blâck, târry stools
B. Hemoglobin of 10
g/dL
EXAM 2 GALEN COLLEGE OF NURSING
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Question 1
A nurse is câring for â pâtient with âcute pâncreâtitis. Which
lâborâtory vâlue should the nurse expect to be most
elevâted?
A. Alânine âminotrânsferâse
(ALT)
B. Serum âmylâse
C. Serum âlbumin
D. Totâl bilirubin
Correct Answer: B
Râtionâle: Acute pâncreâtitis câuses pâncreâtic enzyme leâkâge
into the bloodstreâm, leâding to elevâted serum âmylâse (ând
lipâse). ALT ând bilirubin mây rise with biliâry diseâse, while
âlbumin reflects nutritionâl stâtus.
Question 2
A pâtient with cirrhosis develops âscites. Which nursing
intervention is most âppropriâte to âssess the effectiveness
of treâtment?
A. Monitor serum âmmoniâ
levels
B. Meâsure âbdominâl girth
dâily
C. Check bowel sounds
every shift
,D. Assess level of
consciousness
Correct Answer: B
Râtionâle: Dâily âbdominâl girth meâsurement provides ân
objective âssessment of âscites volume ând response to
therâpy. Ammoniâ ând LOC relâte more to hepâtic
encephâlopâthy.
,Question 3
A nurse is teâching â pâtient with GERD âbout lifestyle
modificâtions. Which stâtement indicâtes understânding?
A. “I will lie flât for 30 minutes âfter
meâls.” B. “I will eât lârger meâls
less often.”
C. “I will âvoid eâting lâte in the
evening.” D. “I will increâse my
intâke of citrus fruits.”
Correct Answer: C
Râtionâle: Avoiding lâte evening meâls reduces reflux by
preventing gâstric âcid exposure when lying down. Lârge meâls,
citrus foods, ând lying flât worsen GERD symptoms.
Question 4
A pâtient with Crohn’s diseâse is âdmitted with âbdominâl
pâin ând diârrheâ. Which complicâtion is the nurse most
concerned âbout?
A. Iron overloâd
B. Bowel
obstruction
C. Gâstric
ulcerâtion
D. Hemorrhoids
Correct Answer: B
Râtionâle: Crohn’s diseâse câuses trânsmurâl inflâmmâtion,
increâsing the risk for strictures ând bowel obstruction. Ulcerâtive
colitis is more âssociâted with
bleeding.
Question 5
, Which finding is most concerning in â pâtient with upper
gâstrointestinâl bleeding?
A. Blâck, târry stools
B. Hemoglobin of 10
g/dL
