NUR 242 Exam 1,2,3,4,5 Review med-surg nursing concepts Questions & Answers 2026

NUR242 / NUR 242 Exam 1, 2, 3, 4 & 5 Review v v v v v v v v v v v v




Medical Surgical Nursing Concepts 100% v v v v




Guarantee passing score 2026 update v v




Exam 1 v




1. Cane:: -Appropriate height (at wrist level when arm is at side)
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-Pt strong hand on cane
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*MOVE CANE WITH WEAKER LEG*
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2. At risk for falls due to:: incontenience
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3. Transferring pt to WC:: -Place WC on strong side angled to bed
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-Strong hand to armrest, then pivot
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4. Safe pt handling:: -
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Keep pt directly in front of you and as close as possible to prevent back injuries
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5. Skin integrity:: -dont wear restrictive clothing
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-WC pt lift themselves off buttock for 10 seconds q1hr
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6. Pressure Ulcer stages:: *Stage 2- skin is not intact; open or fluid blister*
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,7. Wet-to-


damp wound care:: mechanically removes necrotic tissue does more
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damage than good bc it removes the good tissue as well
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8. Informed consent:: -surgeon is responsible for having consent signed
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-Pt who can not sign can sign with an "X" but must be witnessed by two people
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-If the pt doesn't understand the surgery, the surgeon has to be notified
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-A blind pt can sign the consent, has to be witnessed by 2 people
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-Nurses DO NOT clarify orders/procedure/risks, must call the MD to explain to pt
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9. Pre-OP:: -Report these to surgeon: v v v v




-increased PT/INR/aPTT/Creatinine v




-Verify operative permit is signed
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-Side rails up, bed down, call light within reach
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10. Intra-OP:: -Pts are lifted into position onto the OR table to prevent shearing
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-Gel pads are placed on the OR table to prevent pressure ulcers
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-Warming blankets are used v v v




-Cover the pts head and feet (decrease hypothermia)
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*If saving is necessary, hair should be removed using disposable sterile supplies immed
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,iately before the start of the procedure*
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-Sterile scrubbing from fingertips to elbow for 3-5 minutes
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, 11. Post-OP:: -in PACU, nurse immediately assess pt airway, LOC v v v v v v v v




-RR <10 may indicate respiratory depression due to anesthesia
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-Sanguineous to serosanguineous drainage is normal v v v v v




-Crusting at incision line and swelling is normal
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12. Malignant hyperthermia:: -life threatening v v v




-you will see HIGH TEMPERATURE
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-early sign is tachycardia, muscle rigidity
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-Dantrolene is used to treat v v v v




13. Pain Management:: *Pain management referral for pts in chronic pain unre-
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lieved*
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Pain after abdominal sx is from trapped carbon dioxide, ambulate pt as soon as possible
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-Use FACES scale in pts with dementia
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14. PCA Pump:: -Lockout interval of 5-15 minutes
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-Pt cannot be cognitively impaired
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-Only the pt can press the button
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15. If incision opens:: -cover with wet sterile gauze
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-Do not try to reinsert protruding organ
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-Reassure pt v




-Supine position with knees bent v v v v




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