lOMoAR cPSD| 67756003
Galen College of Nursing
Medical-Surgical Nursing Concepts
NUR 242 Medical-Surgical Nursing Concepts Final Examination
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. create targeted study
materials like quizzes, summaries, and study guides.
Section 40 total marks Multiple Choice
Select the single best answer for each of the following 40 questions. Each question is worth 1 mark.
Question 1 40 total marks
Clinical Case Study: Immobility and Safety
An 78-year-old adult patient is admitted to the medical-surgical unit following a severe bout of influenza that has
resulted in generalized weakness and limited mobility. The patient has been on bed rest for the past four days. The
nursing assessment reveals that the patient is at high risk for skin breakdown and vascular complications. According to
the course syllabus guidelines on immobility, the nurse must implement specific nursing considerations to mitigate
these risks. The patient also reports feeling 'bored' and 'isolated' due to the lack of sensory input during the
hospitalization.
A According to the 'Precautions for Hospitalized Patients' section of the syllabus, which type of transmission-based
precaution should be maintained for this patient diagnosed with influenza?
, lOMoAR cPSD| 67756003
A Droplet Precautions
B Contact Precautions
C Standard Precautions only
D Airborne Precautions
B The patient expresses feelings of isolation. Which action by the nurse best demonstrates 'Caring Behaviors in Nursing
Practice' as defined by the Universal Competencies?
A Focusing communication strictly on clinical data to ensure accuracy.
B Directing the focus of communication toward the patient’s interests not related to the illness.
C Maintaining 'positive neutrality' at all times to avoid emotional attachment.
D Completing tasks quickly to allow the patient more time for rest.
, lOMoAR cPSD| 67756003
C The nurse needs to report the patient's risk for thrombus formation to the primary healthcare provider.
Which competency is essential for ensuring this information supports effective clinical decision-making?
A Utilizing medical terminology only.
B Providing a narrative note at the end of the shift.
C Allowing the patient to communicate the risk themselves.
D Effective verbal, nonverbal, and written communication skills.
D Based on the 'Immobility Complication' table in the syllabus, the nurse identifies a potential for
hypercalcemia. Which action represents the application of clinical judgment in prioritizing patient care?
A Encouraging the patient to stay on bed rest to prevent falls.
B Decreasing cardiac workload by limiting all physical activity.
C Monitoring fluid and electrolyte balances and increasing mobilization as tolerated.
D Ignoring the lab values until the patient shows physical symptoms.
E To improve the outcome of the patient’s mobility, the nurse coordinates with a physical therapist. This
action reflects which nursing competency?
A Leadership skills in managing care.
B Psychomotor skills competency.
C Collaborative relationships in nursing care.
D Legal and ethical responsibilities.
F The nurse notices a breach in the sterile technique while another staff member is performing care. Which
leadership behavior is required by the professional nurse in this setting?
A Advocating for patient safety by immediately addressing the breach.
B Waiting for the clinical examiner to intervene.
C Reporting the incident only if the patient develops an infection.
D Filing a report at the end of the quarter.
Galen College of Nursing
Medical-Surgical Nursing Concepts
NUR 242 Medical-Surgical Nursing Concepts Final Examination
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. create targeted study
materials like quizzes, summaries, and study guides.
Section 40 total marks Multiple Choice
Select the single best answer for each of the following 40 questions. Each question is worth 1 mark.
Question 1 40 total marks
Clinical Case Study: Immobility and Safety
An 78-year-old adult patient is admitted to the medical-surgical unit following a severe bout of influenza that has
resulted in generalized weakness and limited mobility. The patient has been on bed rest for the past four days. The
nursing assessment reveals that the patient is at high risk for skin breakdown and vascular complications. According to
the course syllabus guidelines on immobility, the nurse must implement specific nursing considerations to mitigate
these risks. The patient also reports feeling 'bored' and 'isolated' due to the lack of sensory input during the
hospitalization.
A According to the 'Precautions for Hospitalized Patients' section of the syllabus, which type of transmission-based
precaution should be maintained for this patient diagnosed with influenza?
, lOMoAR cPSD| 67756003
A Droplet Precautions
B Contact Precautions
C Standard Precautions only
D Airborne Precautions
B The patient expresses feelings of isolation. Which action by the nurse best demonstrates 'Caring Behaviors in Nursing
Practice' as defined by the Universal Competencies?
A Focusing communication strictly on clinical data to ensure accuracy.
B Directing the focus of communication toward the patient’s interests not related to the illness.
C Maintaining 'positive neutrality' at all times to avoid emotional attachment.
D Completing tasks quickly to allow the patient more time for rest.
, lOMoAR cPSD| 67756003
C The nurse needs to report the patient's risk for thrombus formation to the primary healthcare provider.
Which competency is essential for ensuring this information supports effective clinical decision-making?
A Utilizing medical terminology only.
B Providing a narrative note at the end of the shift.
C Allowing the patient to communicate the risk themselves.
D Effective verbal, nonverbal, and written communication skills.
D Based on the 'Immobility Complication' table in the syllabus, the nurse identifies a potential for
hypercalcemia. Which action represents the application of clinical judgment in prioritizing patient care?
A Encouraging the patient to stay on bed rest to prevent falls.
B Decreasing cardiac workload by limiting all physical activity.
C Monitoring fluid and electrolyte balances and increasing mobilization as tolerated.
D Ignoring the lab values until the patient shows physical symptoms.
E To improve the outcome of the patient’s mobility, the nurse coordinates with a physical therapist. This
action reflects which nursing competency?
A Leadership skills in managing care.
B Psychomotor skills competency.
C Collaborative relationships in nursing care.
D Legal and ethical responsibilities.
F The nurse notices a breach in the sterile technique while another staff member is performing care. Which
leadership behavior is required by the professional nurse in this setting?
A Advocating for patient safety by immediately addressing the breach.
B Waiting for the clinical examiner to intervene.
C Reporting the incident only if the patient develops an infection.
D Filing a report at the end of the quarter.
