NUR242 / NUR 242 Exam 1, 2, 3 & 4 Galen
Medical-Surgical Nursing Concepts
Tested Questions with Revised Answers (A+ Guarantee)
each exam consists of 50 questions with Answers
TABLE OF CONTENTS
NUR 242 Exam 1 ……………………02
NUR 242 Exam 2 ……………………16
NUR 242 Exam 3 ……………………31
NUR 242 Exam 4 ……………………47
, NUR242 / NUR 242 Exam 1
Medical-Surgical Nursing Concepts
Guarantee passing score of 90% or higher
Consist of 50 Questions with Answers
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse
aide that there is a No Lift Policy in place in the establishment. What does this policy
entail
: Answer The concept of a no-lift policy is a pledge from adminis- trators that proper
equipment, adequately maintained and in sufficient numbers, will be available to care
providers to reduce the risks associated with manual patient handling
2. 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
1/5
,D. Limiting fluid intake
E. ROM exercises
: 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.
3. 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.
4. 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.
5. 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
2/5
,: Answer Wound care nurse, Dietician, Physical therapist. OT can also be included,
however they deal more with fine motor skills.
6. 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
3/5
,-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
7. 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 nonblanch- able
erythema (fancy word for redness).
8. 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 adequate intake of calories
protein, vitamins, minerals and water.
9. 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
4/5
, 10. What pain rating scale might you use for a child or a nonverbal patient
: Answer -
Wong Baker-Faces Scale
11. 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
12. 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.
13. When adjusting a TENs machine on a patient, how do you know the con- duction of
electricity has reached a therapeutic level
: Answer The patient will verbalize feeling a sensation of pins and needles.
5/5
Medical-Surgical Nursing Concepts
Tested Questions with Revised Answers (A+ Guarantee)
each exam consists of 50 questions with Answers
TABLE OF CONTENTS
NUR 242 Exam 1 ……………………02
NUR 242 Exam 2 ……………………16
NUR 242 Exam 3 ……………………31
NUR 242 Exam 4 ……………………47
, NUR242 / NUR 242 Exam 1
Medical-Surgical Nursing Concepts
Guarantee passing score of 90% or higher
Consist of 50 Questions with Answers
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse
aide that there is a No Lift Policy in place in the establishment. What does this policy
entail
: Answer The concept of a no-lift policy is a pledge from adminis- trators that proper
equipment, adequately maintained and in sufficient numbers, will be available to care
providers to reduce the risks associated with manual patient handling
2. 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
1/5
,D. Limiting fluid intake
E. ROM exercises
: 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.
3. 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.
4. 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.
5. 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
2/5
,: Answer Wound care nurse, Dietician, Physical therapist. OT can also be included,
however they deal more with fine motor skills.
6. 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
3/5
,-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
7. 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 nonblanch- able
erythema (fancy word for redness).
8. 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 adequate intake of calories
protein, vitamins, minerals and water.
9. 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
4/5
, 10. What pain rating scale might you use for a child or a nonverbal patient
: Answer -
Wong Baker-Faces Scale
11. 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
12. 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.
13. When adjusting a TENs machine on a patient, how do you know the con- duction of
electricity has reached a therapeutic level
: Answer The patient will verbalize feeling a sensation of pins and needles.
5/5
