NUR242 Exam 3 V1 | NUR 242 Med-Surg Exam
Q&A | Galen College of Nursing
────────────────────────────────────
This exam preparation resource is designed to help students strengthen their understanding of
neurological disorders, musculoskeletal conditions, and hematologic nursing care in adult
patients. The material emphasizes clinical nursing management, patient safety, and evidence-
based interventions.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve clinical
judgment, prioritization skills, and nursing knowledge.
════════════════════════════════════
The Exam Covers:
• Neurological assessment
• Stroke nursing management
• Seizure disorders
• Musculoskeletal disorders
• Orthopedic nursing care
• Hematologic disorders
• Rehabilitation nursing concepts
• Pain management strategies
════════════════════════════════════
1. A nurse is assessing a patient who recently experienced a right-sided stroke. Which clinical
manifestation should the nurse expect to observe?
A. Aphasia and slow, cautious behavior
B. Right-sided hemiplegia
C. Impulsivity and impaired judgment
,D. Agraphesthesia on the right side
Correct Answer: C
Expert Explanation: Patients who experience a right-sided stroke often manifest
impulsivity, an impaired sense of time, and left-sided neglect. They may also exhibit a lack
of awareness regarding their deficits, which increases their risk for falls. In contrast, left-
sided strokes are typically associated with language deficits and cautious behavior.
2. A patient is admitted for management of a sickle cell crisis. Which intervention is the
highest priority for the nurse to implement?
A. Starting a high-protein diet
B. Administration of prophylactic antibiotics
C. Aggressive intravenous hydration
D. Ice pack application to painful joints
Correct Answer: C
Expert Explanation: Hydration is the critical priority during a sickle cell crisis because it
helps reduce the viscosity of the blood and prevents further sickling of cells. Adequate fluid
intake assists in maintaining organ perfusion and helps manage the intense pain associated
with vaso-occlusive events. The nurse should also prioritize oxygenation and pain
management alongside hydration.
, 3. During a seizure, which nursing action is most important for protecting the patient from
injury?
A. Clearing the immediate environment of sharp objects
B. Restraining the patient’s limbs to prevent movement
C. Placing the patient in a prone position
D. Inserting a padded tongue blade into the mouth
Correct Answer: A
Expert Explanation: Safety is the primary concern during an active seizure, and removing
hazards from the environment prevents trauma to the patient. The nurse should never
attempt to place objects in the patient’s mouth as this can cause dental injury or airway
obstruction. Once the seizure ends, the patient should be turned to their side to facilitate
drainage of secretions.
4. A nurse is caring for a patient in Buck’s traction. Which finding indicates a need for
immediate intervention?
A. The weights are hanging freely off the floor
B. The skin under the foam boot is intact
C. The patient’s foot is touching the footboard
D. The patient reports a pain level of 3 out of 10
Correct Answer: C
Q&A | Galen College of Nursing
────────────────────────────────────
This exam preparation resource is designed to help students strengthen their understanding of
neurological disorders, musculoskeletal conditions, and hematologic nursing care in adult
patients. The material emphasizes clinical nursing management, patient safety, and evidence-
based interventions.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve clinical
judgment, prioritization skills, and nursing knowledge.
════════════════════════════════════
The Exam Covers:
• Neurological assessment
• Stroke nursing management
• Seizure disorders
• Musculoskeletal disorders
• Orthopedic nursing care
• Hematologic disorders
• Rehabilitation nursing concepts
• Pain management strategies
════════════════════════════════════
1. A nurse is assessing a patient who recently experienced a right-sided stroke. Which clinical
manifestation should the nurse expect to observe?
A. Aphasia and slow, cautious behavior
B. Right-sided hemiplegia
C. Impulsivity and impaired judgment
,D. Agraphesthesia on the right side
Correct Answer: C
Expert Explanation: Patients who experience a right-sided stroke often manifest
impulsivity, an impaired sense of time, and left-sided neglect. They may also exhibit a lack
of awareness regarding their deficits, which increases their risk for falls. In contrast, left-
sided strokes are typically associated with language deficits and cautious behavior.
2. A patient is admitted for management of a sickle cell crisis. Which intervention is the
highest priority for the nurse to implement?
A. Starting a high-protein diet
B. Administration of prophylactic antibiotics
C. Aggressive intravenous hydration
D. Ice pack application to painful joints
Correct Answer: C
Expert Explanation: Hydration is the critical priority during a sickle cell crisis because it
helps reduce the viscosity of the blood and prevents further sickling of cells. Adequate fluid
intake assists in maintaining organ perfusion and helps manage the intense pain associated
with vaso-occlusive events. The nurse should also prioritize oxygenation and pain
management alongside hydration.
, 3. During a seizure, which nursing action is most important for protecting the patient from
injury?
A. Clearing the immediate environment of sharp objects
B. Restraining the patient’s limbs to prevent movement
C. Placing the patient in a prone position
D. Inserting a padded tongue blade into the mouth
Correct Answer: A
Expert Explanation: Safety is the primary concern during an active seizure, and removing
hazards from the environment prevents trauma to the patient. The nurse should never
attempt to place objects in the patient’s mouth as this can cause dental injury or airway
obstruction. Once the seizure ends, the patient should be turned to their side to facilitate
drainage of secretions.
4. A nurse is caring for a patient in Buck’s traction. Which finding indicates a need for
immediate intervention?
A. The weights are hanging freely off the floor
B. The skin under the foam boot is intact
C. The patient’s foot is touching the footboard
D. The patient reports a pain level of 3 out of 10
Correct Answer: C
