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NUR 242: Exam 4 Med-Surg Concepts | 2026 Questions and Answers With Rationales – Galen College Of Nursing

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NUR 242: Exam 4 Med-Surg Concepts | 2026 Questions and Answers With Rationales – Galen College Of Nursing

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The nurse has attended a staff education conference about clinical
manifestations of hypertensive crisis, which of the following
manifestations stated by the nurse indicates a need for further
teaching?

A) Carotid bruit
B) Dyspnea
C) Blurred vision
D) Severe headache


Answer: A

Rationale:
Hypertensive crisis presents with symptoms related to acute elevation in
blood pressure such as dyspnea, blurred vision, severe headache,
nausea, vomiting, and anxiety. A carotid bruit is associated with arterial
narrowing and turbulent blood flow, not hypertensive crisis. Selecting
this indicates misunderstanding. Recognizing true symptoms is critical
for timely intervention.

...

2. The nurse is teaching a middle-aged client about lifestyle
modifications for managing hypertension, which of the following
information should the nurse include in the teaching?

A) Planto exercise 3 to 4 days per week for 40 minutes each day.
B) Avoid all physical activity
C) Exercise once weekly
D) Only exercise when symptomatic


Answer: A

Rationale:
Regular exercise helps lower blood pressure and improves
cardiovascular health. Engaging in physical activity 3–4 times per week
for about 40 minutes is recommended. Sedentary lifestyle increases

, 1.


cardiovascular risk. Consistent exercise supports long-term blood
pressure control.

...

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