NUR 242 Medical-Surgical Nursing Concepts | Galen
College of Nursing | Academic Year 2026/2027 |
Examination 2 Comprehensive Practice Examination
Galen describes NUR 242 as focusing on adult patients with common and less-complex
acute health problems, emphasizing critical thinking, the nursing process, psychomotor
skills, communication, and safe patient-centered care.
Note: The following are original practice questions for study purposes, not actual,
leaked, or verified Galen Examination 2 questions.
Questions 1–25
1. A client with heart failure reports increasing shortness of breath and a 3-lb weight gain
over 2 days. Which finding requires the nurse's priority attention?
A. Mild fatigue
B. Increased appetite
C. Bilateral crackles and dyspnea
D. Occasional nocturia
Correct Answer: C. Bilateral crackles and dyspnea
,2. Which assessment finding is most characteristic of left-sided heart failure?
A. Peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Ascites
Correct Answer: C. Pulmonary crackles
3. A client with hypertension is learning about lifestyle modifications. Which statement
indicates understanding?
A. “I should increase my sodium intake.”
B. “I should exercise regularly as tolerated.”
C. “I should stop taking medication when my pressure improves.”
D. “I should avoid monitoring my blood pressure at home.”
Correct Answer: B. “I should exercise regularly as tolerated.”
4. A client experiencing angina reports chest pressure after climbing stairs. What should the
nurse instruct the client to do first?
A. Continue exercising slowly
B. Sit down and rest
,C. Drink a glass of water
D. Eat a high-carbohydrate snack
Correct Answer: B. Sit down and rest
5. Which finding is most concerning in a client with suspected myocardial infarction?
A. Mild nausea
B. Anxiety
C. New-onset crushing chest pain
D. Slight fatigue
Correct Answer: C. New-onset crushing chest pain
6. A client receiving nitroglycerin for angina should be taught to expect which common
effect?
A. Severe constipation
B. Headache
C. Increased appetite
D. Urinary retention
Correct Answer: B. Headache
7. Which assessment finding is associated with peripheral arterial disease?
, A. Warm, edematous legs
B. Brown ankle pigmentation
C. Diminished peripheral pulses
D. Bounding pedal pulses
Correct Answer: C. Diminished peripheral pulses
8. Which intervention is appropriate for a client with chronic venous insufficiency?
A. Elevate the legs when resting
B. Keep the legs dependent continuously
C. Avoid compression therapy completely
D. Apply ice directly to the skin
Correct Answer: A. Elevate the legs when resting
9. A client with COPD is receiving oxygen. Which nursing action is appropriate?
A. Administer oxygen exactly as prescribed
B. Discontinue oxygen whenever the client becomes dyspneic
C. Encourage prolonged breath-holding
D. Place the client flat in bed
Correct Answer: A. Administer oxygen exactly as prescribed
College of Nursing | Academic Year 2026/2027 |
Examination 2 Comprehensive Practice Examination
Galen describes NUR 242 as focusing on adult patients with common and less-complex
acute health problems, emphasizing critical thinking, the nursing process, psychomotor
skills, communication, and safe patient-centered care.
Note: The following are original practice questions for study purposes, not actual,
leaked, or verified Galen Examination 2 questions.
Questions 1–25
1. A client with heart failure reports increasing shortness of breath and a 3-lb weight gain
over 2 days. Which finding requires the nurse's priority attention?
A. Mild fatigue
B. Increased appetite
C. Bilateral crackles and dyspnea
D. Occasional nocturia
Correct Answer: C. Bilateral crackles and dyspnea
,2. Which assessment finding is most characteristic of left-sided heart failure?
A. Peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Ascites
Correct Answer: C. Pulmonary crackles
3. A client with hypertension is learning about lifestyle modifications. Which statement
indicates understanding?
A. “I should increase my sodium intake.”
B. “I should exercise regularly as tolerated.”
C. “I should stop taking medication when my pressure improves.”
D. “I should avoid monitoring my blood pressure at home.”
Correct Answer: B. “I should exercise regularly as tolerated.”
4. A client experiencing angina reports chest pressure after climbing stairs. What should the
nurse instruct the client to do first?
A. Continue exercising slowly
B. Sit down and rest
,C. Drink a glass of water
D. Eat a high-carbohydrate snack
Correct Answer: B. Sit down and rest
5. Which finding is most concerning in a client with suspected myocardial infarction?
A. Mild nausea
B. Anxiety
C. New-onset crushing chest pain
D. Slight fatigue
Correct Answer: C. New-onset crushing chest pain
6. A client receiving nitroglycerin for angina should be taught to expect which common
effect?
A. Severe constipation
B. Headache
C. Increased appetite
D. Urinary retention
Correct Answer: B. Headache
7. Which assessment finding is associated with peripheral arterial disease?
, A. Warm, edematous legs
B. Brown ankle pigmentation
C. Diminished peripheral pulses
D. Bounding pedal pulses
Correct Answer: C. Diminished peripheral pulses
8. Which intervention is appropriate for a client with chronic venous insufficiency?
A. Elevate the legs when resting
B. Keep the legs dependent continuously
C. Avoid compression therapy completely
D. Apply ice directly to the skin
Correct Answer: A. Elevate the legs when resting
9. A client with COPD is receiving oxygen. Which nursing action is appropriate?
A. Administer oxygen exactly as prescribed
B. Discontinue oxygen whenever the client becomes dyspneic
C. Encourage prolonged breath-holding
D. Place the client flat in bed
Correct Answer: A. Administer oxygen exactly as prescribed
