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Exam 4: NUR 170 Concepts of Medical-Surgical Nursing – Galen College (2026–2027) | Complete Study Guide with Q&A and Elaborations

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This study guide is tailored for Exam 4 of NUR 170: Concepts of Medical-Surgical Nursing at Galen College and reflects the latest 2026–2027 updates. It includes exam-focused questions with correct answers and detailed elaborations covering core medical-surgical concepts to support strong understanding and a Grade A outcome.

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Exam 4: NUR170 / NUR 170 (Latest 2026–2027 Update)
| Concepts of Medical-Surgical Nursing Study Guide |
Questions & Answers | Actual Elaborations | Grade A –
Galen College



What are the symptoms for GERD or a Hiatal Hernia?

-Heartburn

-Indigestion

-Pain

-N&V




What are ways to manage the symptoms of GERD or a Hiatal Hernia?

-Lifestyle changes (diet=Low residue or bland)

-Nutrition

-Medications




Which patients are at risk for GERD?
-Obese

-Older adults

-Pregnant women

-Tight clothing




Patients with GERD are at risk for what?

Aspiration

, Exam 4: NUR170 / NUR 170 (Latest 2026–2027 Update)
| Concepts of Medical-Surgical Nursing Study Guide |
Questions & Answers | Actual Elaborations | Grade A –
Galen College



Can a patient have GERD and not have a hernia?

Yes




Can a patient have a hernia and not have GERD?

No




If a patient has GERD, how should they lay in bed?

On their right side or with the head of the bed at 30 degree angle




What are common causes of peptic ulcer disease?

- H. Pylori
- NSAIDS

- Stress




How is the patient with an upper GI bleed managed?

- 2-4L of oxygen nasal canula

-Two large bore IV's
-Isotonic solution

, Exam 4: NUR170 / NUR 170 (Latest 2026–2027 Update)
| Concepts of Medical-Surgical Nursing Study Guide |
Questions & Answers | Actual Elaborations | Grade A –
Galen College
- N/G tube

- EGD with cauterization




What is a sign of peritonitis?

Boardlike abdomen




What are the vital signs for a patient with an active bleed?
Low BP, High pulse




What part of the body does Crohns disease affect?

"Gum to Bum"= Mouth all the way through the digestive tract is inflammed




What part of the body does Ulcerative Colitis affect?

Rectum/ Sigmoid colon




Which disease is highly genetic?

--Ulcerative Colitis

-- Crohns
Ulverative Colitis

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