NUR 242 Exam 3
Medical-Surgical Nursing Concepts
Questions and answers with rationales 2026 update
1. The nurse recognizes that a patient with sleep apnea may benefit from which
n, n, n, n, n, n, n, n, n, n, n, n,
n, intervention(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: n, n, n, n, n,
ANS>> A, B, C, E
n, n, n, n, n,
All interventions listed are viable interventions that can be of benefit to patients
n, n, n, n, n, n, n, n, n, n, n, n,
who have sleep apnea. Patients should work with their providers of care to
n , n, n, n, n, n, n, n, n, n, n, n,
n, determine the severity of their sleep apnea and which specific interventions
n, n, n, n, n, n, n, n, n, n,
would
n,
,be of most importance to them. Encouraging daytime sleepiness is the opposite of
n, n, n, n, n, n, n, n, n, n, n, n,
the effect needed for this patient.
n, n, n, n, n,
2. Based on the patient's diagnosis, which clinical manifestations would
n, n, n, n, n, n, n, n,
n, the nurse expect to see when assessing this patient? (Select all that
n, n, n, n, n, n, n, n, n, n, n,
n, apply.)
A. Bradycardia
B. Shortness of breath n, n,
C. Use of accessory musclesn, n, n,
D. Sitting in a forward posture n, n, n, n,
E. Barrel chest appearance: n, n,
n, ANS>> B, C, D, E n, n, n, n,
The patient with COPD often has a barrel chest appearance, is short of breath,
n, n, n, n, n, n, n, n, n, n, n, n, n,
n, and may use accessory muscles when breathing. These patients tend to move
n, n, n, n, n, n, n, n, n, n, n,
n, slowly and are slightly stooped. Usually they sit with a forward-bending posture.
n, n, n, n, n, n, n, n, n, n, n,
With severe dyspnea, they exhibit activity intolerance and activities such as
n, n, n, n, n, n, n, n, n, n, n,
n, bathing and grooming are avoided.
n, n, n, n,
3. When the patient arrives to the unit, she is assessed and is in acute respira- tory
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
, distress. Her respirations are labored and her respiratory rate is 34. She states that
n, n, n, n, n, n, n, n, n, n, n, n, n, n,
, she had a peak flow meter measurement of "Red Zone" on the way and is severely
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
short of air. 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, n, n, n ,
Based on these findings, what should the nurse do next?:
n, n, n, n, n, n, n, n, n,
ANS>> The Rapid Response Team should be notified immediately. All of these
n, n, n, n, n, n, n, n, n, n, n,
assessment findings indicate acute respiratory distress. The peak flow meter is in
n, n, n, n, n, n, n, n, n, n, n,
n, the RED Zone. The oxygen saturation should be at least 90% on 2 L per NC.
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
4. While the Rapid Response Team is at the bedside, the patient's
n, n, n, n, n, n, n, n, n, n,
n, healthcare provider arrives. The provider writes several orders.
n, n, n, n, n, n, n,
Which order is most important for the nurse to implement immediately?
n, n, n, n, n, n, n, n, n, n,
A. Transfer to ICU n, n,
B. Increase O2 to 3 L per nasal cannula n, n, n, n, n, n, n,
C. ABGs 30 minutes after oxygen is increased n, n, n, n, n, n,
D. Methylprednisolone sodium succinate (Solu-Medrol) 40 mg IVP: n, n, n, n, n, n,
ANS>> B
All of the provider's orders are very important, but based on the patient's
n, n, n, n, n, n, n, n, n, n, n, n,
n, severe shortness of breath, the first thing that should be done is to increase
n, n, n, n, n, n, n, n, n, n, n, n, n,
n, her oxygen. Once her oxygen is increased, the nurse should note the time
n, n, n, n, n, n, n, n, n, n, n, n,
Medical-Surgical Nursing Concepts
Questions and answers with rationales 2026 update
1. The nurse recognizes that a patient with sleep apnea may benefit from which
n, n, n, n, n, n, n, n, n, n, n, n,
n, intervention(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: n, n, n, n, n,
ANS>> A, B, C, E
n, n, n, n, n,
All interventions listed are viable interventions that can be of benefit to patients
n, n, n, n, n, n, n, n, n, n, n, n,
who have sleep apnea. Patients should work with their providers of care to
n , n, n, n, n, n, n, n, n, n, n, n,
n, determine the severity of their sleep apnea and which specific interventions
n, n, n, n, n, n, n, n, n, n,
would
n,
,be of most importance to them. Encouraging daytime sleepiness is the opposite of
n, n, n, n, n, n, n, n, n, n, n, n,
the effect needed for this patient.
n, n, n, n, n,
2. Based on the patient's diagnosis, which clinical manifestations would
n, n, n, n, n, n, n, n,
n, the nurse expect to see when assessing this patient? (Select all that
n, n, n, n, n, n, n, n, n, n, n,
n, apply.)
A. Bradycardia
B. Shortness of breath n, n,
C. Use of accessory musclesn, n, n,
D. Sitting in a forward posture n, n, n, n,
E. Barrel chest appearance: n, n,
n, ANS>> B, C, D, E n, n, n, n,
The patient with COPD often has a barrel chest appearance, is short of breath,
n, n, n, n, n, n, n, n, n, n, n, n, n,
n, and may use accessory muscles when breathing. These patients tend to move
n, n, n, n, n, n, n, n, n, n, n,
n, slowly and are slightly stooped. Usually they sit with a forward-bending posture.
n, n, n, n, n, n, n, n, n, n, n,
With severe dyspnea, they exhibit activity intolerance and activities such as
n, n, n, n, n, n, n, n, n, n, n,
n, bathing and grooming are avoided.
n, n, n, n,
3. When the patient arrives to the unit, she is assessed and is in acute respira- tory
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
, distress. Her respirations are labored and her respiratory rate is 34. She states that
n, n, n, n, n, n, n, n, n, n, n, n, n, n,
, she had a peak flow meter measurement of "Red Zone" on the way and is severely
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
short of air. 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, n, n, n ,
Based on these findings, what should the nurse do next?:
n, n, n, n, n, n, n, n, n,
ANS>> The Rapid Response Team should be notified immediately. All of these
n, n, n, n, n, n, n, n, n, n, n,
assessment findings indicate acute respiratory distress. The peak flow meter is in
n, n, n, n, n, n, n, n, n, n, n,
n, the RED Zone. The oxygen saturation should be at least 90% on 2 L per NC.
n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,
4. While the Rapid Response Team is at the bedside, the patient's
n, n, n, n, n, n, n, n, n, n,
n, healthcare provider arrives. The provider writes several orders.
n, n, n, n, n, n, n,
Which order is most important for the nurse to implement immediately?
n, n, n, n, n, n, n, n, n, n,
A. Transfer to ICU n, n,
B. Increase O2 to 3 L per nasal cannula n, n, n, n, n, n, n,
C. ABGs 30 minutes after oxygen is increased n, n, n, n, n, n,
D. Methylprednisolone sodium succinate (Solu-Medrol) 40 mg IVP: n, n, n, n, n, n,
ANS>> B
All of the provider's orders are very important, but based on the patient's
n, n, n, n, n, n, n, n, n, n, n, n,
n, severe shortness of breath, the first thing that should be done is to increase
n, n, n, n, n, n, n, n, n, n, n, n, n,
n, her oxygen. Once her oxygen is increased, the nurse should note the time
n, n, n, n, n, n, n, n, n, n, n, n,
