NUR 242 | Exam 3
OBJECTIVE ASSESSMENT - EXAM
NUR 242 Exam 3 (2026/2027) |
Med-Surg Nursing | Galen
College (A+ Guarantee) | PDF
2026/2027
Medical-Surgical Nursing | Galen College of Nursing
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Heart Failure and Dysrhythmias Diabetes Mellitus Management
Acute Coronary Syndromes Stroke and Seizure Disorders
COPD and Pneumonia Osteoarthritis and Joint Replacement
COVER PAGE - 1
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q1 Question 1 of 75
A 68-year-old male is admitted with new-onset atrial fibrillation and a heart rate of 142
bpm. He reports mild dyspnea on exertion and palpitations but denies chest pain. His
blood pressure is 118/76 mmHg. The nurse is preparing to administer diltiazem per
protocol. What is the priority nursing assessment before giving this medication?
A. Check the patient's potassium level and renal function panel.
B. Verify the patient's blood pressure and heart rate are within acceptable parameters.
C. Assess the patient's pain level using a 0-10 numeric rating scale.
D. Review the patient's allergy history to sulfa-containing medications.
Correct Answer: B
Rationale:
Diltiazem is a calcium channel blocker that can cause significant hypotension and bradycardia. The priority
assessment before administration is confirming the blood pressure and heart rate are stable enough to
tolerate the medication's effects. While checking labs and allergies is important, hemodynamic stability takes
precedence in acute rate control for atrial fibrillation.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 2 of {total_page
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q2 Question 2 of 75
A 72-year-old female with a history of heart failure presents to the clinic with a
5-pound weight gain over 3 days, increased peripheral edema, and orthopnea. Her
current medications include furosemide 40 mg daily, lisinopril 10 mg daily, and
metoprolol 25 mg twice daily. Which assessment finding would most strongly indicate
that her heart failure is worsening?
A. A decrease in serum creatinine from baseline.
B. An increase in jugular venous pressure and new crackles on auscultation.
C. A stable blood pressure reading of 130/82 mmHg.
D. Improved exercise tolerance during daily walks.
Correct Answer: B
Rationale:
Elevated jugular venous pressure and new crackles are classic signs of fluid volume overload consistent with
worsening heart failure. These findings reflect increased pulmonary venous pressure and interstitial fluid
accumulation. Weight gain and edema support this diagnosis, while stable blood pressure does not indicate
worsening status.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 3 of {total_page
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q3 Question 3 of 75
A 55-year-old male is recovering from an acute myocardial infarction that was treated
with PCI and stent placement 2 days ago. He asks the nurse when he can resume
sexual activity. Which response by the nurse is most appropriate?
A. "You should wait at least 6 months before resuming sexual activity to allow full healing."
B. "Sexual activity is generally safe once you can climb two flights of stairs without symptoms,
typically within a week."
C. "You must avoid all physical exertion, including sexual activity, for the first 3 months after a
heart attack."
D. "Sexual activity is only permitted after your cardiologist performs a repeat cardiac
catheterization."
Correct Answer: B
Rationale:
Current guidelines indicate that sexual activity is generally safe for stable post-MI patients once they can
perform moderate exertion without symptoms, which typically equates to climbing two flights of stairs. This
usually occurs within one week for uncomplicated cases. Six months and 3-month restrictions are outdated,
and repeat catheterization is not required.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 4 of {total_page
OBJECTIVE ASSESSMENT - EXAM
NUR 242 Exam 3 (2026/2027) |
Med-Surg Nursing | Galen
College (A+ Guarantee) | PDF
2026/2027
Medical-Surgical Nursing | Galen College of Nursing
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Heart Failure and Dysrhythmias Diabetes Mellitus Management
Acute Coronary Syndromes Stroke and Seizure Disorders
COPD and Pneumonia Osteoarthritis and Joint Replacement
COVER PAGE - 1
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q1 Question 1 of 75
A 68-year-old male is admitted with new-onset atrial fibrillation and a heart rate of 142
bpm. He reports mild dyspnea on exertion and palpitations but denies chest pain. His
blood pressure is 118/76 mmHg. The nurse is preparing to administer diltiazem per
protocol. What is the priority nursing assessment before giving this medication?
A. Check the patient's potassium level and renal function panel.
B. Verify the patient's blood pressure and heart rate are within acceptable parameters.
C. Assess the patient's pain level using a 0-10 numeric rating scale.
D. Review the patient's allergy history to sulfa-containing medications.
Correct Answer: B
Rationale:
Diltiazem is a calcium channel blocker that can cause significant hypotension and bradycardia. The priority
assessment before administration is confirming the blood pressure and heart rate are stable enough to
tolerate the medication's effects. While checking labs and allergies is important, hemodynamic stability takes
precedence in acute rate control for atrial fibrillation.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 2 of {total_page
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q2 Question 2 of 75
A 72-year-old female with a history of heart failure presents to the clinic with a
5-pound weight gain over 3 days, increased peripheral edema, and orthopnea. Her
current medications include furosemide 40 mg daily, lisinopril 10 mg daily, and
metoprolol 25 mg twice daily. Which assessment finding would most strongly indicate
that her heart failure is worsening?
A. A decrease in serum creatinine from baseline.
B. An increase in jugular venous pressure and new crackles on auscultation.
C. A stable blood pressure reading of 130/82 mmHg.
D. Improved exercise tolerance during daily walks.
Correct Answer: B
Rationale:
Elevated jugular venous pressure and new crackles are classic signs of fluid volume overload consistent with
worsening heart failure. These findings reflect increased pulmonary venous pressure and interstitial fluid
accumulation. Weight gain and edema support this diagnosis, while stable blood pressure does not indicate
worsening status.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 3 of {total_page
, SECTION 1 | Cardiovascular and Hematologic Disorders | Q1-Q15 | NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing |
Q3 Question 3 of 75
A 55-year-old male is recovering from an acute myocardial infarction that was treated
with PCI and stent placement 2 days ago. He asks the nurse when he can resume
sexual activity. Which response by the nurse is most appropriate?
A. "You should wait at least 6 months before resuming sexual activity to allow full healing."
B. "Sexual activity is generally safe once you can climb two flights of stairs without symptoms,
typically within a week."
C. "You must avoid all physical exertion, including sexual activity, for the first 3 months after a
heart attack."
D. "Sexual activity is only permitted after your cardiologist performs a repeat cardiac
catheterization."
Correct Answer: B
Rationale:
Current guidelines indicate that sexual activity is generally safe for stable post-MI patients once they can
perform moderate exertion without symptoms, which typically equates to climbing two flights of stairs. This
usually occurs within one week for uncomplicated cases. Six months and 3-month restrictions are outdated,
and repeat catheterization is not required.
NUR 242 Exam 3 (2026/2027) | Med-Surg Nursing | Galen College (A+ Guarantee) | PDF 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 4 of {total_page
