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NUR 242 Medical-Surgical Nursing – Exam 1 Study Guide 2024 – Practice Questions and Answers (Latest Update)

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This document covers NUR 242 Medical-Surgical Nursing Exam 1, including updated practice questions and answers designed to support structured exam preparation. It focuses on foundational med-surg concepts such as patient assessment, fluid and electrolyte balance, infection control, and common adult health conditions. The material is aligned with nursing course expectations and helps reinforce understanding through realistic clinical and multiple-choice questions. It serves as a comprehensive review resource for students preparing for the NUR 242 Exam 1 assessment.

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Institution
NUR 242
Course
NUR 242

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NUR 242 MED SURG EXAM 1 FINAL
FOR 2026 LATEST UPDATE WITH
DETAILED QUESTIONS AND
CORRECT ANSWERS GRADED A+
Four Major subgroups of Late Adulthood - answer-65 - 74 young old

75 - 84 middle old

85 - 99 old old

100 and older elite old



Lifestyle and Practice to Promote Wellness older adults - answer-Yearly flu vaccine

pneumococcal vaccine

Shingles vaccine

tetanus and booster every 10 years

wear seat belts

alcohol in moderation

avoid smoking

smoke detectors

prevent falls - waxed floors and scattered rugs

medications as prescribed

avoid OTC medications unless primary care phyisican directs

Yearly physicial

regular exercise

socialization

reminisce



Common health Issues and Concerns older adults - answer-Decreased nutrition and
hydration

,Decreased mobility

Stress and loss

Accidents - falls most common/MVA

Drug use and misuse

Mental health/cognition problems (including substance abuse)

Elder neglect and abuse



GFTT ( Geriatric Failure To Thrive) Complex Syndrome - answer-Under nutrition

Impaired mobility

Depression

Cognitive impairment



Depression older adults - answer-Most common mental health/behavioral health
problem among older adults.

Use Geriatric Depression Scale form

Mood disorder having cognitive, affective, physical manifestations

Primary (lack of neurotransmitters)

Secondary or situational



Dementia older adults - answer-slowly progresses

generally chronic

intellectual impairment

Most common Alzheimer's

Multi-infarct dementia, the second most common resulting from a vascular disorder



Delirium older adults - answer-Acute and fluctuating onset

results from an unfamiliar place

Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness

, Nurse's role in Rehab - answer-Advocate for the patient and family

Create therapeutic rehab milieu

provide whole person patient-centered care

Collaborate with healthcare team for patient outcome and develop care plan

Communicate with effectively with all members of the health care team, patient and
family

Evaluate effectiveness of plan of care for the patient and family

Use Braden scale - skin break down risk



Safe Patient Handing and Mobility (SPHM) - answer--Maintain a wide, stable base with
your feet

-Put the bed at the correct height - waist level while providing direct care and hip level
when moving patients

- Keep the patient or work directly in front of you to prevent your spine from rotating

- Keep the patient as close to your body as possible to prevent reaching



walker - assisted and cane - assisted procedure - answer-- Apply a transfer belt around
patients waist

- guide patient to a standing position

- remind patient to place both hands on the walker

- ensure that the patient's body is well balanced



walker teaching - answer-- lift the walker

- move the walker about 2 feet forward and set it down on all legs

-while resting on the walker, take small steps

- check balance

- repeat sequence

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NUR 242
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Number of pages
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2025/2026
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Questions & answers

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