P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 242 Exam 1, 2, 3 & 4
Complete Review | Galen College
Medical Surgical Nursing
Concepts | Verified Questions
and Answers (2026-2027)
310+
Verified Answers Exam Ready With Rationales
319 QUESTIONS
DOCUMENT OVERVIEW
This 2026/27 examination package spans 4 modules — Exam 1 , Exam 2 , Exam
3 , and Exam 4 — totaling 319 verified questions tailored for Medical preparation.
Coverage is weighted toward Exam 3 (100 questions), with Exam 1 as the smallest
section (32 questions). Every item ships with detailed rationales explaining the
underlying principle, and verified correct answers. Best used as a structured review
across these sections, or as targeted remediation on any single module. See the Table of
Contents below for the full module breakdown and question ranges.
CONTENTS
Page 1
, 01 Exam 1 Q1–Q32
02 Exam 2 Q33–Q119
03 Exam 3 Q120–Q219
04 Exam 4 Q220–Q319
MODULE 1 OF 4
Exam 1
32 Questions Q1–Q32
Q1 QUESTION 1 OF 319 Exam 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?
CORRECT ANSWER
The concept of a no-lift policy is a pledge from administrators that proper
equipment, adequately maintained and in sufficient numbers, will be available to
care providers to reduce the risks associated with manual patient handling
RATIONALE
A no-lift policy mandates that healthcare facilities provide mechanical lifting devices and
training to staff, minimizing the physical strain on caregivers and decreasing the likelihood of
injury to both patients and providers. This approach adheres to safety protocols that
emphasize the importance of ergonomic practices in patient handling.
Page 2
, Q2 QUESTION 2 OF 319 Exam 1
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
D. Limiting fluid intake
E. ROM exercises
CORRECT ANSWER
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.
RATIONALE
Venous thromboembolism prophylaxis with TEDS/SCDs and the promotion of joint mobility
through range of motion exercises are critical interventions to mitigate the risks associated
with immobility, including circulatory complications and muscle atrophy. These strategies
enhance venous return and maintain musculoskeletal function, addressing key physiological
consequences of prolonged immobility.
Q3 QUESTION 3 OF 319 Exam 1
True or False: Nurses should do skin assessments once a week.
CORRECT ANSWER
False
Rational: Nurses should do full skin assessments a minimum of once per shift.
RATIONALE
Frequent skin assessments, ideally once per shift, are necessary to promptly identify early
signs of pressure injuries and other skin alterations, especially in high-risk patients. Weekly
assessments may delay detection and intervention, increasing the risk of complications.
Page 3
, Q4 QUESTION 4 OF 319 Exam 1
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?
CORRECT ANSWER
Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
RATIONALE
Inflammation and swelling in the calf following a cut suggest a localized bacterial infection,
commonly seen in cellulitis, which occurs when pathogens invade the dermis and
subcutaneous tissue. This condition is characterized by redness, warmth, and pain, reflecting
an immune response to infection.
Q5 QUESTION 5 OF 319 Exam 1
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?
CORRECT ANSWER
Wound care nurse, Dietician, Physical therapist. OT can also be included, however
they deal more with fine motor skills.
RATIONALE
Involving a wound care nurse ensures specialized management of the pressure ulcer, while a
dietician addresses nutritional needs to promote healing, and a physical therapist aids in
mobility, which is critical in preventing further skin breakdown. Each role addresses distinct
aspects of care that contribute to the holistic management of the patient's condition.
Page 4
NUR 242 Exam 1, 2, 3 & 4
Complete Review | Galen College
Medical Surgical Nursing
Concepts | Verified Questions
and Answers (2026-2027)
310+
Verified Answers Exam Ready With Rationales
319 QUESTIONS
DOCUMENT OVERVIEW
This 2026/27 examination package spans 4 modules — Exam 1 , Exam 2 , Exam
3 , and Exam 4 — totaling 319 verified questions tailored for Medical preparation.
Coverage is weighted toward Exam 3 (100 questions), with Exam 1 as the smallest
section (32 questions). Every item ships with detailed rationales explaining the
underlying principle, and verified correct answers. Best used as a structured review
across these sections, or as targeted remediation on any single module. See the Table of
Contents below for the full module breakdown and question ranges.
CONTENTS
Page 1
, 01 Exam 1 Q1–Q32
02 Exam 2 Q33–Q119
03 Exam 3 Q120–Q219
04 Exam 4 Q220–Q319
MODULE 1 OF 4
Exam 1
32 Questions Q1–Q32
Q1 QUESTION 1 OF 319 Exam 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?
CORRECT ANSWER
The concept of a no-lift policy is a pledge from administrators that proper
equipment, adequately maintained and in sufficient numbers, will be available to
care providers to reduce the risks associated with manual patient handling
RATIONALE
A no-lift policy mandates that healthcare facilities provide mechanical lifting devices and
training to staff, minimizing the physical strain on caregivers and decreasing the likelihood of
injury to both patients and providers. This approach adheres to safety protocols that
emphasize the importance of ergonomic practices in patient handling.
Page 2
, Q2 QUESTION 2 OF 319 Exam 1
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
D. Limiting fluid intake
E. ROM exercises
CORRECT ANSWER
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.
RATIONALE
Venous thromboembolism prophylaxis with TEDS/SCDs and the promotion of joint mobility
through range of motion exercises are critical interventions to mitigate the risks associated
with immobility, including circulatory complications and muscle atrophy. These strategies
enhance venous return and maintain musculoskeletal function, addressing key physiological
consequences of prolonged immobility.
Q3 QUESTION 3 OF 319 Exam 1
True or False: Nurses should do skin assessments once a week.
CORRECT ANSWER
False
Rational: Nurses should do full skin assessments a minimum of once per shift.
RATIONALE
Frequent skin assessments, ideally once per shift, are necessary to promptly identify early
signs of pressure injuries and other skin alterations, especially in high-risk patients. Weekly
assessments may delay detection and intervention, increasing the risk of complications.
Page 3
, Q4 QUESTION 4 OF 319 Exam 1
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?
CORRECT ANSWER
Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
RATIONALE
Inflammation and swelling in the calf following a cut suggest a localized bacterial infection,
commonly seen in cellulitis, which occurs when pathogens invade the dermis and
subcutaneous tissue. This condition is characterized by redness, warmth, and pain, reflecting
an immune response to infection.
Q5 QUESTION 5 OF 319 Exam 1
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?
CORRECT ANSWER
Wound care nurse, Dietician, Physical therapist. OT can also be included, however
they deal more with fine motor skills.
RATIONALE
Involving a wound care nurse ensures specialized management of the pressure ulcer, while a
dietician addresses nutritional needs to promote healing, and a physical therapist aids in
mobility, which is critical in preventing further skin breakdown. Each role addresses distinct
aspects of care that contribute to the holistic management of the patient's condition.
Page 4
