nursing concepts review | Actual Exam
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This Galen NUR 242 Exam 4 covers advanced Medical-Surgical nursing
concepts. The exam typically features roughly 80 multiple-choice questions
focusing on sensory system disorders (eyes and ears), musculoskeletal and
integumentary problems, and neurological management. The exam heavily tests
priority nursing interventions, patient safety, and teaching.
Key Exam Topics
• Eye Disorders:
o Glaucoma management and intraocular pressure.
o Cataract symptoms and post-op care.
1
, o Retinal detachment signs (flashing lights, floaters).
• Ear Disorders:
o Hearing aid care and troubleshooting.
o Meniere's disease and vertigo management.
• Musculoskeletal:
o Fracture types, cast care, and compartment syndrome.
o Osteoporosis prevention and hip precautions.
• Neurological:
o Increased Intracranial Pressure (ICP) monitoring.
o Stroke (CVA) protocols, swallow evaluations, and aspiration
prevention.
Question Formats
• Prioritization: Questions require you to identify the first action a nurse
should take.
• Teaching Evaluation: Selecting which client statement indicates a need
for further instruction.
• Complication Prevention: Recognizing early signs of medical
emergencies.
2
, Quiz_________________?
Traction -
Answer☑️
weights should never be adjusted or moved by nurse or family.
The nurse should call the health care provider
Quiz_________________?
Total Hip Post Op complication -
Answer☑️
in the first day that would take priority would be DVT
Quiz_________________?
Osteoarthritis -
Answer☑️
Progressive deterioration and loss of cartilage
Characterized by joint pain and loss of function
3
, cause: unknown, but may be triggered by aging, obesity, smoking or trauma.
- bone on bone
- effects the "large " bones: hip, knee's
- as disease progresses you will see swelling at the joints
-Risk factors : obesity , age, trauma, sports, gene, chronic med conditions
- assessment questions to ask: how does it affect your daily living, where is it
located, are ADL limited, is there stiffness or swelling of the joints, what helps the
pain, what is the nature of the pain ?
Quiz_________________?
rheumatoid arthritis Early stage SxS -
Answer☑️
usually complain of having low grade fever
- pt will have flare up and remission
Quiz_________________?
4