GALEN NUR 242 MED SURG EXAM 3 STUDY
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ World Health Organization definition of health.
Answer: Health is a state of complete physical, mental and social well-
being and not merely the absence of disease or infirmity.
⩥ Framework of Healthy People 2030.
Answer: Principles
Overarching Goals
Plan of Action
History & Context
⩥ Level of Prevention.
Answer: Primary- Prevention
Secondary- Screening
Tertiary-Rehab
⩥ Risk Factors.
Answer: Modifiable
Non-modifiable
,⩥ Prevent Constipation in Older Adults.
Answer: Increase Fiber (35 to 50g) & Fluid Intake (2L), Exercise
Regularly
⩥ Common Adverse Drug Events in older Adults.
Answer: Edema, N/V, Anorexia, constipation, dehydration, dizziness,
syncope, acute confusion, dysrhythmias, urinary retention, and
hypotension
⩥ Major predictor of morbidity & morality.
Answer: Delirium
⩥ Confusion Assessment Method (CAM).
Answer: Acute onset and fluctuating course
Inattention
Disorganized thinking
Altered level of consciousness
⩥ Monitor Older Adults receiving Antipsychotics ADEs.
Answer: Anticholingeric Effects
ORTHOSTATIC Hypotension
Parkinsonism
,Restlessness
Hyperglycemia & DM
⩥ When do you assess skin on pt that is reddened?.
Answer: Every 8 hours
⩥ Immobility.
Answer: Long periods of immobility
⩥ Musculoskeletal Immobility.
Answer: Wasting, Osteoporosis
⩥ Integumentary Immobility.
Answer: Pressure Injuries
⩥ GI Immonility.
Answer: Constipation
⩥ Cardiovascular Immobility.
Answer: orthostatic hypotension, thrombus formation (DVT)
⩥ Neurological Immobility.
, Answer: depression, forgetfulness, anxiety, confusion
-pressure on skin will cause nerve pain/damage
⩥ Renal/Urinary Immobility.
Answer: Stones
Incontinence
⩥ Respiratory Immobility.
Answer: atelectasis -> pneumonia
⩥ Metabolic Fluid & Electrolyte Imbalance-Immobility.
Answer: Dehydration or Fluid Overload
⩥ Orthostatic Hypotension.
Answer: A drop of more than 10 mmHg in systolic or 10 mmHg in
diastolic pressure between positions
⩥ Walker Procedure.
Answer: Lift Walker
Move walker about 2 feet forward
Small Steps
Check Balance Repeat
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ World Health Organization definition of health.
Answer: Health is a state of complete physical, mental and social well-
being and not merely the absence of disease or infirmity.
⩥ Framework of Healthy People 2030.
Answer: Principles
Overarching Goals
Plan of Action
History & Context
⩥ Level of Prevention.
Answer: Primary- Prevention
Secondary- Screening
Tertiary-Rehab
⩥ Risk Factors.
Answer: Modifiable
Non-modifiable
,⩥ Prevent Constipation in Older Adults.
Answer: Increase Fiber (35 to 50g) & Fluid Intake (2L), Exercise
Regularly
⩥ Common Adverse Drug Events in older Adults.
Answer: Edema, N/V, Anorexia, constipation, dehydration, dizziness,
syncope, acute confusion, dysrhythmias, urinary retention, and
hypotension
⩥ Major predictor of morbidity & morality.
Answer: Delirium
⩥ Confusion Assessment Method (CAM).
Answer: Acute onset and fluctuating course
Inattention
Disorganized thinking
Altered level of consciousness
⩥ Monitor Older Adults receiving Antipsychotics ADEs.
Answer: Anticholingeric Effects
ORTHOSTATIC Hypotension
Parkinsonism
,Restlessness
Hyperglycemia & DM
⩥ When do you assess skin on pt that is reddened?.
Answer: Every 8 hours
⩥ Immobility.
Answer: Long periods of immobility
⩥ Musculoskeletal Immobility.
Answer: Wasting, Osteoporosis
⩥ Integumentary Immobility.
Answer: Pressure Injuries
⩥ GI Immonility.
Answer: Constipation
⩥ Cardiovascular Immobility.
Answer: orthostatic hypotension, thrombus formation (DVT)
⩥ Neurological Immobility.
, Answer: depression, forgetfulness, anxiety, confusion
-pressure on skin will cause nerve pain/damage
⩥ Renal/Urinary Immobility.
Answer: Stones
Incontinence
⩥ Respiratory Immobility.
Answer: atelectasis -> pneumonia
⩥ Metabolic Fluid & Electrolyte Imbalance-Immobility.
Answer: Dehydration or Fluid Overload
⩥ Orthostatic Hypotension.
Answer: A drop of more than 10 mmHg in systolic or 10 mmHg in
diastolic pressure between positions
⩥ Walker Procedure.
Answer: Lift Walker
Move walker about 2 feet forward
Small Steps
Check Balance Repeat
