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NUR 242 Week 2 Practice Questions 2025 Medical-
Surgical Nursing Concepts (Galen College of
Nursing)
Beginning of Week 2 Quiz
Question 1
CBC: Lab values for blood components such as WBC, RBC
Coagulation panel: This lab value indicates how fast a clot forms and includes values for PT,
PTT, and INR
Chest x-ray: This will provide a picture of the lungs and heart and can indicate many things such
as if there is fluid or infection in the lungs, or if the heart in the wrong size
Chemistry profile: This lab test will indicate the values of K, Na, and other electrolytes
Question 2
Emergent: Severe bleeding
Urgent: Acute gallbladder infection
Elective: Cosmetic surgery
Optional: Repair of scars
Question 3
Which nursing action or statement is most likely to reduce anxiety in a client being brought to
the surgical suite?
A) Explaining to the client that this surgical area is the most technologically advanced in the
city
B) Asking the client if he or she wants family members to be with them in the holding area
C) Asking the client if he or she has talked with the hospital chaplain
D) Asking the client what specific surgery he or she is having done today
Most anxious clients would feel some relief by having one or more familiar persons waiting with
them until the time of surgery. In addition, asking the client what he or she wants is allowing the
client to have more control over the situation. Asking the client about having visited with the
pg. 1
, 2
hospital chaplain and telling the client about the advanced technology can imply to the client that
the procedure is dangerous. Although it is routine to ask the client what procedure he or she is
having (to ascertain that the client does know what is to be done), often this question makes the
client worry about the competency of the staff.
Question 4
The client tells you during the preoperative history that he is a three pack per day cigarette
smoker. This information alerts you to which potential complication during the intraoperative
and postoperative periods?
A) A decreased tolerance to pain
B) An increased risk for excessive scar tissue formation
C) A decreased clotting ability
D) An increased risk for atelectasis and hypoxia
Smoking increases the level of circulating carboxyhemoglobin, which decreases oxygen delivery
to the tissues. In addition, cigarette smoking damages the cilia of mucous membranes, decreasing
transport of secretions and increasing the risk of pulmonary infection and atelectasis.
End of Week 2 Quiz
Question 1
The client scheduled to have surgery cannot read or write. The surgeon obtaining the consent
wants to have the client's spouse sign the consent instead. What is your best action?
A) Nothing, a signed informed consent statement does not need to be obtained from this
client.
B) Locate the spouse because the informed consent statement must be signed by the client's
closest relative.
C) Notify the administration because the court must appoint a legal guardian to represent the
client's best interest and give consent for all surgical procedures.
D) Inform the surgeon that the client may sign the informed consent statement with an X in
front of two witnesses.
The lack of ability to read or write does not constitute incapacity to give legal consent. If the
client meets all other legal and clinical aspects of competence, he or she may use an X to
demonstrate consent if the act is witnessed by two persons.
pg. 2
NUR 242 Week 2 Practice Questions 2025 Medical-
Surgical Nursing Concepts (Galen College of
Nursing)
Beginning of Week 2 Quiz
Question 1
CBC: Lab values for blood components such as WBC, RBC
Coagulation panel: This lab value indicates how fast a clot forms and includes values for PT,
PTT, and INR
Chest x-ray: This will provide a picture of the lungs and heart and can indicate many things such
as if there is fluid or infection in the lungs, or if the heart in the wrong size
Chemistry profile: This lab test will indicate the values of K, Na, and other electrolytes
Question 2
Emergent: Severe bleeding
Urgent: Acute gallbladder infection
Elective: Cosmetic surgery
Optional: Repair of scars
Question 3
Which nursing action or statement is most likely to reduce anxiety in a client being brought to
the surgical suite?
A) Explaining to the client that this surgical area is the most technologically advanced in the
city
B) Asking the client if he or she wants family members to be with them in the holding area
C) Asking the client if he or she has talked with the hospital chaplain
D) Asking the client what specific surgery he or she is having done today
Most anxious clients would feel some relief by having one or more familiar persons waiting with
them until the time of surgery. In addition, asking the client what he or she wants is allowing the
client to have more control over the situation. Asking the client about having visited with the
pg. 1
, 2
hospital chaplain and telling the client about the advanced technology can imply to the client that
the procedure is dangerous. Although it is routine to ask the client what procedure he or she is
having (to ascertain that the client does know what is to be done), often this question makes the
client worry about the competency of the staff.
Question 4
The client tells you during the preoperative history that he is a three pack per day cigarette
smoker. This information alerts you to which potential complication during the intraoperative
and postoperative periods?
A) A decreased tolerance to pain
B) An increased risk for excessive scar tissue formation
C) A decreased clotting ability
D) An increased risk for atelectasis and hypoxia
Smoking increases the level of circulating carboxyhemoglobin, which decreases oxygen delivery
to the tissues. In addition, cigarette smoking damages the cilia of mucous membranes, decreasing
transport of secretions and increasing the risk of pulmonary infection and atelectasis.
End of Week 2 Quiz
Question 1
The client scheduled to have surgery cannot read or write. The surgeon obtaining the consent
wants to have the client's spouse sign the consent instead. What is your best action?
A) Nothing, a signed informed consent statement does not need to be obtained from this
client.
B) Locate the spouse because the informed consent statement must be signed by the client's
closest relative.
C) Notify the administration because the court must appoint a legal guardian to represent the
client's best interest and give consent for all surgical procedures.
D) Inform the surgeon that the client may sign the informed consent statement with an X in
front of two witnesses.
The lack of ability to read or write does not constitute incapacity to give legal consent. If the
client meets all other legal and clinical aspects of competence, he or she may use an X to
demonstrate consent if the act is witnessed by two persons.
pg. 2
