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NUR 254 Exam 3 – Galen College of Nursing

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2025/2026 Written for academic year
Institution Medical-Surgical Nursing
Course Medical-Surgical Nursing
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This study material is designed to support students preparing for NUR 254 Exam 3 at Galen College of Nursing. It provides review materials, practice questions, and assessment-focused content to help learners strengthen their understanding of medical-surgical nursing concepts, clinical reasoning, and evidence-based patient care. The material covers key topics including cardiovascular disorders, respiratory conditions, neurological disorders, endocrine and renal disorders, gastrointestinal diseases, fluid and electrolyte balance, acid-base disorders, medication administration, diagnostic testing, patient assessment, nursing interventions, prioritization, clinical judgment, patient education, interdisciplinary collaboration, and evidence-based nursing practice. Emphasis is placed on integrating theoretical knowledge with clinical application to promote safe, effective, and patient-centered care. This material is suitable for nursing students preparing for NUR 254 coursework, medical-surgical nursing examinations, competency assessments, NCLEX-style preparation, and professional nursing education.

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NUR 254 Exam 3 Galen College of
Nursing | Actual Exam Questions with
Correct Detailed Answers


1.patent ductus arteriosus (PDA) - ANSWER *ACYANOTIC - left to right
shunting - increased pulmonary bloodflow*
Ductus arteriosus fails to close normally in an infant soon after birth
Machine like Murmur
May be asymptomatic
Administer Indomethacin


2.Transposition of Great Vessels - ANSWER Cyanotic
Septal defects or PDA
Life threatening require surgery in the 1st week of life
Treatment- PGE
Vital Signs with pulses & BP on all 4 extremities
Monitor for CHF

, 3.Heart Failure - ANSWER Early signs- increase respiratory rate, poor
feeding
Digoxin (Apical pulse, monitor K & NA)
Lasix
Increase HR & RR @ rest
Increase weight


4.Right sided heart failure - ANSWER 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites


5.Heart Failure Goals - ANSWER apical pulse 90 beats per minute
Getting better
Weight decrease


6.Acute Epiglottis - ANSWER Emergency
Drooling, Irritable
No visualizing/ inspection
No throat culture


7.Laryngotracheobronchitis (Croup) - ANSWER Barking Cough
Priority- assess respiratory status


8.Ventricular Septal defects - ANSWER acyanotic

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