EXAMINATION DOCUMENT - 2026/2027
NUR 242 Medical-Surgical Nursing
Exam 3 2026 Practice Questions Bank -
Renal and Musculoskeletal Systems -
Verified Solutions - Just Released
Questions and Answers | Galen College of Nursing | Med-Surg Nursing | Board Readiness - Pass
Guaranteed - A+ Graded
Medical-Surgical Concepts, Clinical Judgment, Pharmacology, Prioritization | Application/Analysis
Level
A+ VERIFIED
2026/27
,Contents: Renal Failure, Musculoskeletal Trauma, and Postoperative
Care
1. Chapter 1: Fluid Electrolyte - Page 4
2. Chapter 2: Respiratory Failure - Page 8
3. Chapter 3: GI Disorders - Page 12
4. Chapter 4: Musculoskeletal Care - Page 16
5. Chapter 5: Fluid Electrolyte - Page 20
6. Chapter 6: Oncology Nursing - Page 24
7. Chapter 7: Respiratory Failure - Page 28
8. Chapter 8: Immune Disorders - Page 32
9. Chapter 9: Respiratory Failure - Page 36
10. Chapter 10: Respiratory Failure - Page 40
11. Chapter 11: GI Disorders - Page 44
12. Chapter 12: Cardiac Nursing - Page 48
13. Chapter 13: Cardiac Nursing - Page 52
14. Chapter 14: Immune Disorders - Page 56
15. Chapter 15: Immune Disorders - Page 60
16. Chapter 16: Cardiac Nursing - Page 64
17. Chapter 17: Musculoskeletal Care - Page 68
18. Chapter 18: Endocrine Management - Page 72
19. Chapter 19: Respiratory Failure - Page 76
20. Chapter 20: Oncology Nursing - Page 80
21. Chapter 21: Immune Disorders - Page 84
22. Chapter 22: Postoperative Care - Page 88
23. Chapter 23: Fluid Electrolyte - Page 92
24. Chapter 24: Respiratory Failure - Page 96
25. Chapter 25: Renal Failure - Page 100
,1. The nurse monitors for which sign of compartment syndrome in a patient with a
scenario requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3
blueprint. The patient presents with relevant vital signs, labs, and history. What is the
most appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Assess airway, breathing, circulation and intervene promptly
B. Delegate unstable patient to unlicensed personnel
C. Chart false assessment data
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests GI management and prioritization, essential for
med-surg practice.
2. Which dietary teaching is essential for a patient with renal calculi and a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Provide targeted patient education and evaluate understanding
B. Delegate unstable patient to unlicensed personnel
C. Chart false assessment data
D. Provide incorrect discharge instructions
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests GI management and prioritization, essential for
med-surg practice.
3. Which dietary teaching is essential for a patient with renal calculi and a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Assess airway, breathing, circulation and intervene promptly
B. Ignore abnormal lab values
C. Fail to maintain sterile technique
D. Provide incorrect discharge instructions
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
, aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests GI management and prioritization, essential for
med-surg practice.
4. The nurse monitors for which sign of compartment syndrome in a patient with a
scenario requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3
blueprint. The patient presents with relevant vital signs, labs, and history. What is the
most appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Provide targeted patient education and evaluate understanding
B. Give medication without checking allergies
C. Fail to maintain sterile technique
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests renal management and prioritization, essential for
med-surg practice.
5. A 70-year-old patient with chronic kidney disease presents with elevated creatinine
and a scenario requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3
blueprint. The patient presents with relevant vital signs, labs, and history. What is the
most appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Monitor labs and report critical values to provider
B. Delay assessment and document without action
C. Withhold necessary oxygen therapy
D. Provide incorrect discharge instructions
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests endocrine management and prioritization, essential
for med-surg practice.
6. The nurse monitors for which sign of compartment syndrome in a patient with a
scenario requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3
blueprint. The patient presents with relevant vital signs, labs, and history. What is the
most appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Monitor labs and report critical values to provider
B. Delegate unstable patient to unlicensed personnel