NUR 242 MED SURG 2025 EXAM UNIT 1, 2 AND 3
LATEST ACTUAL EXAM 180 QUESTIONS AND
CORRECT
DETAILED ANSWERS WITH RATIONALES ALREADY
GRADED A+ GALEN COLLEGE OF NURSING
After receiving shift report, the night nurse looks at the lab
values for a patient with cellulitis. What abnormal lab
values might you see? - ANSWER >>>>-WBC - elevated
-Creatinine- elevated
-Bicarbonate- low
-Albumin- low -Calcium-
low
What pain rating scale might you use for a child or a
nonverbal patient? - ANSWER >>>>Wong Baker-Faces
Scale
When assessing a pt's pain. He tells you that the pain
comes and goes. What part of the pain assessment is he
describing?
A. Quality
B. Intensity
,C. Onset and Duration
D. Location - ANSWER >>>>C. Onset and Duration
When explaining to a pt what an intraspinal analgesic the
pt states "So the medication will be given to me through
the IV in my arm." How would you correct him? -
ANSWER >>>>instraspinal analgesics are delivered into
the epidural space of the spine, also known as the
subarachnoid space.
When adjusting a TENs machine on a patient, how do you
know the conduction of electricity has reached a
therapeutic level? - ANSWER >>>>The patient will
verbalize feeling a sensation of pins and needles.
Your pt verbalizes a pain of 2/10 and requests their dose
of morphine. How would you educate your pt? - ANSWER
>>>>Morphine is an opioid analgesic used for moderate to
severe pain.
What is the most common side effect of analgesic use and
how can we prevent it? - ANSWER >>>>Constipation.
A high fiber diet, plenty of fluids, and stool softeners are
prophylactic measures.
Immobility effects multiple body systems. What are some
interventions that you can implement to decrease these
effects? Select all that apply.
,A. Utilizing waffle mattress to reduce the need for
repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER >>>>ANSWER: B and E
Rational:
-A is incorrect because regardless of implemented
mattress, positioning should be every 2 hours
-C is incorrect. You should not rub at reddened areas.
This increases the risk for skin break.
-D is incorrect. You should encourage proper hydration
to promote well hydrated and healthy skin.
True or False: Nurses should do skin assessments once a
week. - ANSWER >>>>False
Rational: Nurses should do full skin assessments a
minimum of once per shift.
A pt goes to the ER for swelling and pain in her right calf.
The PT states that it occurred after she accidentally cut
herself. Based on her symptoms, what skin condition
might the nurse suspect the patient has? - ANSWER
>>>>Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
, Pt A is admitted from a nursing home with a stage 3
pressure ulcer. When creating his plan of care, who else
would be involved besides the primary care physician? -
ANSWER >>>>Wound care nurse, Dietician, Physical
therapist. OT can also be included, however they deal
more with fine motor skills.
An 85 year old woman is admitted to the hospital. When
doing the initial assessment, what are some factors that
you know put her at risk for pressure injuries? - ANSWER
>>>>-if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception
The nurse notices a localized red area that is
nonblanchable on the the patient's coccyx. What stage
pressure injury is this recognized as? - ANSWER
>>>>Stage 1
Stage 1 pressure injury means the skin is intact with a
localized area of nonblanchable erythema (fancy word for
redness).
A pt asks you why what he eats has anything to do with
wound healing. What is your response? - ANSWER
>>>>Successful healing of pressure injuries depends on
LATEST ACTUAL EXAM 180 QUESTIONS AND
CORRECT
DETAILED ANSWERS WITH RATIONALES ALREADY
GRADED A+ GALEN COLLEGE OF NURSING
After receiving shift report, the night nurse looks at the lab
values for a patient with cellulitis. What abnormal lab
values might you see? - ANSWER >>>>-WBC - elevated
-Creatinine- elevated
-Bicarbonate- low
-Albumin- low -Calcium-
low
What pain rating scale might you use for a child or a
nonverbal patient? - ANSWER >>>>Wong Baker-Faces
Scale
When assessing a pt's pain. He tells you that the pain
comes and goes. What part of the pain assessment is he
describing?
A. Quality
B. Intensity
,C. Onset and Duration
D. Location - ANSWER >>>>C. Onset and Duration
When explaining to a pt what an intraspinal analgesic the
pt states "So the medication will be given to me through
the IV in my arm." How would you correct him? -
ANSWER >>>>instraspinal analgesics are delivered into
the epidural space of the spine, also known as the
subarachnoid space.
When adjusting a TENs machine on a patient, how do you
know the conduction of electricity has reached a
therapeutic level? - ANSWER >>>>The patient will
verbalize feeling a sensation of pins and needles.
Your pt verbalizes a pain of 2/10 and requests their dose
of morphine. How would you educate your pt? - ANSWER
>>>>Morphine is an opioid analgesic used for moderate to
severe pain.
What is the most common side effect of analgesic use and
how can we prevent it? - ANSWER >>>>Constipation.
A high fiber diet, plenty of fluids, and stool softeners are
prophylactic measures.
Immobility effects multiple body systems. What are some
interventions that you can implement to decrease these
effects? Select all that apply.
,A. Utilizing waffle mattress to reduce the need for
repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER >>>>ANSWER: B and E
Rational:
-A is incorrect because regardless of implemented
mattress, positioning should be every 2 hours
-C is incorrect. You should not rub at reddened areas.
This increases the risk for skin break.
-D is incorrect. You should encourage proper hydration
to promote well hydrated and healthy skin.
True or False: Nurses should do skin assessments once a
week. - ANSWER >>>>False
Rational: Nurses should do full skin assessments a
minimum of once per shift.
A pt goes to the ER for swelling and pain in her right calf.
The PT states that it occurred after she accidentally cut
herself. Based on her symptoms, what skin condition
might the nurse suspect the patient has? - ANSWER
>>>>Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
, Pt A is admitted from a nursing home with a stage 3
pressure ulcer. When creating his plan of care, who else
would be involved besides the primary care physician? -
ANSWER >>>>Wound care nurse, Dietician, Physical
therapist. OT can also be included, however they deal
more with fine motor skills.
An 85 year old woman is admitted to the hospital. When
doing the initial assessment, what are some factors that
you know put her at risk for pressure injuries? - ANSWER
>>>>-if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception
The nurse notices a localized red area that is
nonblanchable on the the patient's coccyx. What stage
pressure injury is this recognized as? - ANSWER
>>>>Stage 1
Stage 1 pressure injury means the skin is intact with a
localized area of nonblanchable erythema (fancy word for
redness).
A pt asks you why what he eats has anything to do with
wound healing. What is your response? - ANSWER
>>>>Successful healing of pressure injuries depends on
