STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT - 2026/2027
NUR 242 Med-Surg Nursing Exam 3
2026/2027 Q&A; - Galen College of
Nursing - Endocrine and GI Focus - A+
Graded - Latest Update This Year
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
,Table of Contents: Endocrine Disorders, GI Assessment, and
Fluid-Electrolyte Balance
1. Chapter 1: GI Disorders - Page 4
2. Chapter 2: Respiratory Failure - Page 8
3. Chapter 3: Oncology Nursing - Page 12
4. Chapter 4: Musculoskeletal Care - Page 16
5. Chapter 5: Immune Disorders - Page 20
6. Chapter 6: Oncology Nursing - Page 24
7. Chapter 7: Neuro Assessment - Page 28
8. Chapter 8: Neuro Assessment - Page 32
9. Chapter 9: Musculoskeletal Care - Page 36
10. Chapter 10: Musculoskeletal Care - Page 40
11. Chapter 11: Cardiac Nursing - Page 44
12. Chapter 12: Fluid Electrolyte - Page 48
13. Chapter 13: Endocrine Management - Page 52
14. Chapter 14: Immune Disorders - Page 56
15. Chapter 15: Postoperative Care - Page 60
16. Chapter 16: Hematology - Page 64
17. Chapter 17: Respiratory Failure - Page 68
18. Chapter 18: Fluid Electrolyte - Page 72
19. Chapter 19: Respiratory Failure - Page 76
20. Chapter 20: Musculoskeletal Care - Page 80
21. Chapter 21: Respiratory Failure - Page 84
22. Chapter 22: Immune Disorders - Page 88
23. Chapter 23: Renal Failure - Page 92
24. Chapter 24: Hematology - Page 96
25. Chapter 25: Endocrine Management - Page 100
,1. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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 neuro management and prioritization, essential for
med-surg practice.
2. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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. Fail to maintain sterile technique
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests endocrine management and prioritization, essential for med-surg
practice.
3. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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. Chart false assessment data
D. Provide incorrect discharge instructions
, Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests renal management and prioritization, essential for med-surg
practice.
4. The priority nursing intervention for a patient with pancreatitis who reports 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. Administer prescribed medication after checking contraindications
B. Give medication without checking allergies
C. Fail to maintain sterile technique
D. Administer IV push too rapidly
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests neuro management and prioritization, essential for
med-surg practice.
5. The priority nursing intervention for a patient with pancreatitis who reports 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. Perform contraindicated procedure
D. Provide incorrect discharge instructions
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests cardiac management and prioritization, essential for
med-surg practice.
6. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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
EXAMINATION DOCUMENT - 2026/2027
NUR 242 Med-Surg Nursing Exam 3
2026/2027 Q&A; - Galen College of
Nursing - Endocrine and GI Focus - A+
Graded - Latest Update This Year
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
,Table of Contents: Endocrine Disorders, GI Assessment, and
Fluid-Electrolyte Balance
1. Chapter 1: GI Disorders - Page 4
2. Chapter 2: Respiratory Failure - Page 8
3. Chapter 3: Oncology Nursing - Page 12
4. Chapter 4: Musculoskeletal Care - Page 16
5. Chapter 5: Immune Disorders - Page 20
6. Chapter 6: Oncology Nursing - Page 24
7. Chapter 7: Neuro Assessment - Page 28
8. Chapter 8: Neuro Assessment - Page 32
9. Chapter 9: Musculoskeletal Care - Page 36
10. Chapter 10: Musculoskeletal Care - Page 40
11. Chapter 11: Cardiac Nursing - Page 44
12. Chapter 12: Fluid Electrolyte - Page 48
13. Chapter 13: Endocrine Management - Page 52
14. Chapter 14: Immune Disorders - Page 56
15. Chapter 15: Postoperative Care - Page 60
16. Chapter 16: Hematology - Page 64
17. Chapter 17: Respiratory Failure - Page 68
18. Chapter 18: Fluid Electrolyte - Page 72
19. Chapter 19: Respiratory Failure - Page 76
20. Chapter 20: Musculoskeletal Care - Page 80
21. Chapter 21: Respiratory Failure - Page 84
22. Chapter 22: Immune Disorders - Page 88
23. Chapter 23: Renal Failure - Page 92
24. Chapter 24: Hematology - Page 96
25. Chapter 25: Endocrine Management - Page 100
,1. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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 neuro management and prioritization, essential for
med-surg practice.
2. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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. Fail to maintain sterile technique
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests endocrine management and prioritization, essential for med-surg
practice.
3. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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. Chart false assessment data
D. Provide incorrect discharge instructions
, Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests renal management and prioritization, essential for med-surg
practice.
4. The priority nursing intervention for a patient with pancreatitis who reports 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. Administer prescribed medication after checking contraindications
B. Give medication without checking allergies
C. Fail to maintain sterile technique
D. Administer IV push too rapidly
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests neuro management and prioritization, essential for
med-surg practice.
5. The priority nursing intervention for a patient with pancreatitis who reports 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. Perform contraindicated procedure
D. Provide incorrect discharge instructions
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests cardiac management and prioritization, essential for
med-surg practice.
6. A 52-year-old patient with type 2 diabetes is admitted with hyperglycemia. The nurse
reviews 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
