NUR 242 Exam 3 Med-surg study questions Unit 7 & 8 with Verified Rationalized Answers Updated (2025/2026) -Galen
1 view 0 purchase
Course
NUR 242
Institution
NUR 242
NUR 242 exam prep
medical surgical study questions
unit 7 and 8 med-surg questions
Galen nursing exam questions
NUR 242 study materials 2025
med-surg exam questions with answers
nursing exam rationalized answers
NUR 242 updated study guide
2026 med-surg exam preparation
Galen NUR 242 quest...
NUR 242 Exam 3 Med-surg study questions Unit 7 & 8
with Verified Rationalized Answers Updated (2025/2026) - Galen
1. The nurse immediately checks on the patient and finds that she appears anxious and
n n n n n n n n n n n n n
her vital signs are as follows:
n n n n n n
ØBlood pressure: 128/84 mm Hg ØHeart ratn n n n n n
e: 114 (sinus tachycardia)
n n n
ØRespiratory rate: 24, labored and restless ØTemperature: 99.4° F ( n n n n n n n n n
axillary)
ØO2 saturation: 91% on 40% O2 via trach collar
n n n n n n n n
Which of these findings are cause for concern?: ANS: **The BP is within normal range and onl
n n n n n n n n n n n n n n n n
y slightly elevated. **The temperature is only slightly elevated. **Her heart rate is elevated; t
n n n n n n n n n n n n n n
he nurse should check the patient's medications to see if she is on a bronchodilator or other
n n n n n n n n n n n n n n n n n
medication that could cause her heart rate to increase. The priority concern is the RESTLESS
n n n n n n n n n n n n n n
NESS with increased respiratory rate and the decreased oxygen saturation despite the 40% o
n n n n n n n n n n n n n
xygen setting. n
2. A patient with a history of chronic obstructive pulmonary disease is admit-
n n n n n n n n n n n
ted with shortness of breath.Which nursing intervention is most appropriate?
n n n n n n n n n n n
A. Do not administer oxygen.n n n
B. Administer oxygen via Venturi mask. n n n n
C. Use nasal cannula to administer high flow oxygen.
n n n n n n n
D. Administer oxygen at 6L per simple face mask.: ANS: B n n n n n n n n n
1n/n36
,Oxygen therapy is prescribed at the lowest liter flow needed to manage hypoxemia. A system th
n n n n n n n n n n n n n n n
at delivers more precise oxygen levels (e.g., a Venturi mask) is preferred. Monitor the patient's re
n n n n n n n n n n n n n n n
sponse to therapy closely to ensure adequate gas exchange and correction of hypoxemia.
n n n n n n n n n n n n
3. While suctioning a patient, vagal stimulation occurs.What is the appropriate nursing acti
n n n n n n n n n n n n
on?
A. Instruct the patient to cough. n n n n
B. Place the patient in a high Fowler's position.
n n n n n n n
C. Oxygenate the patient with 100% oxygen. n n n n n
D. Instruct the patient to breathe slowly and deeply.: ANS: C
n n n n n n n n n
Vagal stimulation may occur during suctioning and result in severe bradycardia, hypotension
n n n n n n n n n n n
, heart block, ventricular tachycardia, asystole, or other dysrhythmias. If vagal stimulation oc
n n n n n n n n n n n n
curs, stop suctioning immediately and oxygenate the patient manually with 100% oxygen. Re
n n n n n n n n n n n n
positioning the patient, slow deep breathing, and coughing will not address the cardiovascul
n n n n n n n n n n n n
ar effects of vagal stimulation.
n n n n
2n/n36
,4. The nurse recognizes that a patient with sleep apnea may benefit from which intervention(
n n n n n n n n n n n n n
s)? (Select all that apply.)
n n n n
A. Weight loss n
B. Nasal mask to deliver BiPAP n n n n
C. A change in sleeping position
n n n n
D. Medication to increase daytime sleepiness n n n n
E. Position-fixing device that prevents tongue subluxation: ANS: A, B, C, E n n n n n n n n n n
All interventions listed are viable interventions that can be of benefit to patients who have slee
n n n n n n n n n n n n n n n
p apnea. Patients should work with their providers of care to determine the severity of their sle
n n n n n n n n n n n n n n n n
ep apnea and which specific interventions would be of most importance to them. Encouragin
n n n n n n n n n n n n n
g daytime sleepiness is the opposite of the effect needed for this patient.
n n n n n n n n n n n n
5. Based on the patient's diagnosis, which clinical manifestations would the nurse expe
n n n n n n n n n n n
ct to see when assessing this patient? (Select all that apply.)
n n n n n n n n n n
A. Bradycardia
B. Shortness of breath n n
C. Use of accessory muscles n n n
D. Sitting in a forward posture n n n n
E. Barrel chest appearance: ANS: B, C, D, E
n n n n n n n
The patient with COPD often has a barrel chest appearance, is short of breath, and may use a
n n n n n n n n n n n n n n n n n
ccessory muscles when breathing. These patients tend to move slowly and are slightly stoope
n n n n n n n n n n n n n
d. Usually they sit with a forward-
n n n n n n
3n/n36
, bending posture.With severe dyspnea, they exhibit activity intolerance and activities such as b
n n n n n n n n n n n n n
athing and grooming are avoided.
n n n n
6. When the patient arrives to the unit, she is assessed and is in acute respira-
n n n n n n n n n n n n n n
n tory distress. Her respirations are labored and her respiratory rate is 34. She states that s
n n n n n n n n n n n n n n n
he had a peak flow meter measurement of "Red Zone" on the way and is severely short of air.
n n n n n n n n n n n n n n n n n n
n Her oxygen saturation is 82% on O2 at 2 L via nasal cannula.
n n n n n n n n n n n n
Based on these findings, what should the nurse do next?: ANS: The Rapid Response Team sh
n n n n n n n n n n n n n n n
uld be notified immediately. All of these assessment findings indicate acute respiratory distres
n n n n n n n n n n n n
The peak flow meter is in the RED Zone. The oxygen saturation should be at least 90% on 2 L pe
n n n n n n n n n n n n n n n n n n n n
NC.
4n/n36
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Excelsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
