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Exam (elaborations)

NUR 242 FINAL EXAM QUESTIONS AND VERIFIED ANSWERS | UPDATED | GRADED A+ | NEW VERSION | GALEN

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NUR 242 FINAL EXAM QUESTIONS AND VERIFIED ANSWERS | UPDATED | GRADED A+ | NEW VERSION | GALEN. The patient is scheduled for surgery later in the afternoon. He is scheduled to have PCA therapy after surgery. The nurse should: - CORRECT-ANSWER-a. Teach the patient about PCA therapy after the patient comes out of recovery b. Teach the patient about PCA therapy before surgery and before preoperative medication administration c. Tell the patient not to use the PCA unless he can no longer tolerate pain d. Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it ANS:B You want to teach them before surgery They should be doing PCA regardless Family cannot decide for him/her The nurse is preparing to administer a unit of blood to a patient using blood tubing. On the blood product side of the Y tubing, she will hang blood. What will she hand on the other side of the Y tubing? - CORRECT-ANSWER-a. 0.45% Normal Saline b. 0.9% Normal Saline c. Dextrose 10% d. Dextrose 5% Normal saline ANS:B Dont use dextrose with blood The patient voices concern to the nurse regarding his PCA pump. He states that he is afraid of getting an overdose if he pushes the button too many times. The nurse reassures the patient stating that: (select all that apply) - CORRECT-ANSWER-a. There is a time delay (lockout) between patient doses b.The pump is programmed with a specific limit to the total amount of drug that can be received, which is ordered by the physician c. The patient has the right to be concerned and needs to be careful d.The patient could be put on a continuous infusion instead, because it is safer ANS: A,B There are safety measures to ensure he does not It is not safer to be put on continuous While assessing the patient's IV infusion, the nurse notes that it is infusing slower than it should be. What should the nurse do first? - CORRECT-ANSWER-a. Discontinue the IV b. Increase the rate of the infusion c. Observe for fluid overload d. Check the position of the IV fluid and extremity ANS:D You could maybe fix the problem before stopping IV This could give him too much at once when the IV rate goes back to normal Need to check site The nurse is preparing to start an infusion of ciprofloxacin to run as a piggyback infusion. For the system to run properly, the nurse must: (Select all that apply) - CORRECT-ANSWER-a. Hang the bag lower than the primary infusion b. Hand the bag higher than the primary infusion c. Plug the piggyback into the lowest port on the primary bag's tubing d. Connect the bag to the upper Y-port of a primary infusion line ANS:B,D The patient is brought to the emergency room following a motor vehicle accident and has lost a large volume of blood. The patient's blood type is AB. Which type of blood may this patient safely receive in a transfusion? - CORRECT-ANSWER-a. Can receive only type AB b. Can receive only type O blood c. Can receive all blood types d. Can receive only type A blood The patient is brought to the emergency room following a motor vehi

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Uploaded on
November 1, 2025
Number of pages
39
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • nur 242
  • nur 242 med surg
  • med surg

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NUR 242 FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS | UPDATED 2026-2027
| GRADED A+ | NEW VERSION | GALEN




The patient is scheduled for surgery later in the afternoon. He is
scheduled to have PCA therapy after surgery. The nurse should: -
CORRECT-ANSWER-a. Teach the patient about PCA therapy after the
patient comes out of recovery
b. Teach the patient about PCA therapy before surgery and before
preoperative medication administration
c. Tell the patient not to use the PCA unless he can no longer tolerate
pain
d. Inform the patient's family to watch him carefully and to depress
the PCA administration button whenever they think he needs it
ANS:B
You want to teach them before surgery
They should be doing PCA regardless
Family cannot decide for him/her

,The nurse is preparing to administer a unit of blood to a patient using
blood tubing. On the blood product side of the Y tubing, she will hang
blood. What will she hand on the other side of the Y tubing? -
CORRECT-ANSWER-a. 0.45% Normal Saline
b. 0.9% Normal Saline
c. Dextrose 10%
d. Dextrose 5% Normal saline
ANS:B
Dont use dextrose with blood




The patient voices concern to the nurse regarding his PCA pump. He
states that he is afraid of getting an overdose if he pushes the button too
many times. The nurse reassures the patient stating that: (select all that
apply) - CORRECT-ANSWER-a. There is a time delay (lockout)
between patient doses
b. The pump is programmed with a specific limit to the total amount of
drug that can be received, which is ordered by the physician
c. The patient has the right to be concerned and needs to be careful
d. The patient could be put on a continuous infusion instead, because it is
safer
ANS: A,B
There are safety measures to ensure he does not

,It is not safer to be put on continuous




While assessing the patient's IV infusion, the nurse notes that it is
infusing slower than it should be. What should the nurse do first? -
CORRECT-ANSWER-a. Discontinue the IV
b. Increase the rate of the infusion
c. Observe for fluid overload
d. Check the position of the IV fluid and extremity
ANS:D
You could maybe fix the problem before stopping IV
This could give him too much at once when the IV rate goes back to
normal
Need to check site




The nurse is preparing to start an infusion of ciprofloxacin to run as a
piggyback infusion. For the system to run properly, the nurse must:
(Select all that apply) - CORRECT-ANSWER-a. Hang the bag lower
than the primary infusion
b. Hand the bag higher than the primary infusion
c. Plug the piggyback into the lowest port on the primary bag's tubing

, d. Connect the bag to the upper Y-port of a primary infusion line
ANS:B,D




The patient is brought to the emergency room following a motor vehicle
accident and has lost a large volume of blood. The patient's blood type is
AB. Which type of blood may this patient safely receive in a
transfusion? - CORRECT-ANSWER-a. Can receive only type AB
b. Can receive only type O blood
c. Can receive all blood types
d. Can receive only type A blood
ANS:C




The CDC (2011) recommends that IV administration tubing which is
continuously used, including secondary sets and add-on devices, for
patients NOT receiving blood, blood products or fat emulsions, are
changed no more frequently than at ______ hour intervals to reduce IV
fluid contamination and prevent catheter site complications. -
CORRECT-ANSWER-a. 24
b. 48
c. 84

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