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Exam (elaborations)

NUR 242 | 200+ Exam Questions | Surgical Nursing, IV Therapy, Wound & Stoma Care | 2025/2026 | Chamberlain University

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This document features over 200 fully answered and A+ verified exam questions tailored for NUR 242 students in the 2025/2026 academic year. Designed specifically for nursing programs at institutions such as Chamberlain University, it is highly relevant for students in BSN (Bachelor of Science in Nursing), ADN, LPN-to-RN, or international bridging programs focused on acute and perioperative care. It comprehensively covers key nursing domains including pre- and post-operative care, MET call and ADDS scoring criteria, fluid balance, wound care strategies based on healing phases, urinary catheterization (IDC, IMC), stoma management, IV therapy including PICC and CVC protocols, and medication safety procedures. Students will also find critical topics on VTE prevention, NSQHS and Registered Nurse Standards, post-anesthesia discharge criteria, patient education for stoma and catheter care, and the management of complications like urinary retention, phlebitis, and catheter-associated infections. This document is ideal for preparing for midterms, finals, clinical assessments, and practicals. It includes evidence-based rationales and nursing interventions aligned with national safety and practice guidelines. A valuable resource for nursing students aiming to solidify clinical reasoning and confidently approach exams in surgical and acute care nursing. Keywords: NUR 242, nursing exam questions, surgical nursing, wound care, stoma care, IV therapy, catheterization, PICC line, post-op care, ADDS scoring, MET call, urinary management, nursing standards, medication safety, NSQHS, nursing assessments

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NUR242 2025/2026 Exam Questions and
Answers | A+ Score Assured



What is the MET call criteria for children? - 🧠 ANSWER ✔✔-Resp rate 5 or

below

-Heart rate 50 or below

-Blood pressure 55 or below

-Unresponsive

-Airway threatened

-Apnea

-Seizure

,-Bleeding

-You are worried about the patient


What are normal vital signs for children? - 🧠 ANSWER ✔✔Resps: 15-30


02: 93% and above

Temp: 35.5-37.5

Heart Rate: 80-130

What should you do if you patients ADDS score between 1-3? - 🧠

ANSWER ✔✔-Inform shift coordinator


-Increase obs to 4 hourly

-Manage, fever, pain distress

-Review 02 needs

What should you do if you patients ADDS score between 4-5? - 🧠

ANSWER ✔✔-Request review


-RMO in 30 mins

-Obs increase to hourly

-Patient must have escort if they have to leave the ward

,What should you do if you patients ADDS score between 6-7? - 🧠

ANSWER ✔✔-Registrar must review in 30 mins


-Shift coordinator must review

-Half hourly observations

-Escort required


What should you do if you patients ADDS score of 8 - 🧠 ANSWER ✔✔-MET

call

-Continuous monitoring

It is recommended that patients fast for 6 hours from food and 2 hours from

clear fluids. List 5 possible side effects of prolonged fasting? - 🧠 ANSWER

✔✔confusion, irritability, dehydration, headaches, hypoglycaemia,

electrolyte imbalance, nausea and vomiting

Venous thromboembolism (VTE) is a major risk factor for patients

undergoing surgical procedures. Explain why - 🧠 ANSWER ✔✔DVT is

common after an operation because patients will usually stay in bed for

long periods of time while they recover. When they stop moving, blood

flows more slowly in the deep veins, which can lead to a clot.



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3

, List 6 contraindications to the application of anti-embolic stockings. - 🧠

ANSWER ✔✔-Suspected or proven peripheral arterial disease, including

history of peripheral arterial bypass grafting

-Severe peripheral neuropathy or other cause of sensory impairment

-Allergy to stocking material

-Massive leg edema or pulmonary edema from congestive cardiac failure

-Local skin or soft-tissue condition, including recent skin graft, fragile

"tissue paper" skin, gangrene, oozing dermatitis and severe cellulitis

-Extreme deformity of the leg, or unusual leg shape or size preventing

correct fit

When should jewellery be removed prior to a procedure and what are the

nursing actions to take? - 🧠 ANSWER ✔✔Jewellery must be removed if it is

likely to cause:




A risk of alternate site burns when using electrosurgery

Difficulty with intubation or a possibility of inhalation. Oral tissue piercing

can cause trauma to tongue and difficult airway management due to

bleeding and tongue oedema 3 [Level IV]

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