GALEN COLLEGE OF NURSING NUR 242 EXAM 4 QUESTIONS & ANSWERS 2026-… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Galen College of Nursing
NUR 242 Exam 4 Questions
& Answers 2026-2027
(Rationales)
Verified Answers Exam Ready With Rationales
100 QUESTIONS
DOCUMENT OVERVIEW
This document contains 100 verified exam questions with correct answers and detailed rationales, focusing
on nursing concepts essential for clinical practice. Each question is designed to enhance understanding of
critical nursing topics, making it suitable for exam preparation, course review, and certification study. The
comprehensive explanations ensure that students grasp the reasoning behind each answer, facilitating
effective learning and retention.
CONTENTS
01 Hypertension Management Q1–Q14
02 Peripheral Vascular Disorders Q15–Q31
03 Post-Operative Care Q32–Q42
Page 1
, 04 Cardiac Assessment Q43–Q55
05 Arrhythmias and Treatments Q56–Q69
06 Neurological Conditions Q70–Q81
07 Ocular Health Q82–Q90
08 Musculoskeletal Disorders Q91–Q100
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
Normal BP
CORRECT ANSWER
Systolic <120 / Diastolic <80
RATIONALE
Blood pressure classification is based on systolic and diastolic measurements, with normal levels defined as systolic
pressure below 120 mmHg and diastolic pressure below 80 mmHg, indicating optimal cardiovascular health and
reduced risk of hypertension-related complications. Understanding these thresholds is critical for effective
cardiovascular risk assessment and management.
Q2 QUESTION 2 OF 100
Pre-HTN
CORRECT ANSWER
Systolic =120-139 / Diastolic=80-89
RATIONALE
Blood pressure classification designates pre-hypertension as systolic values ranging from 120 to 139 mmHg and
diastolic values from 80 to 89 mmHg, indicating a stage where cardiovascular risk begins to increase. This
classification emphasizes the need for lifestyle modifications to prevent progression to hypertension.
Page 2
, Q3 QUESTION 3 OF 100
Stage 1 HTN
CORRECT ANSWER
Systolic=140-159 / Diastolic=90-99
RATIONALE
Stage 1 hypertension is characterized by systolic blood pressure readings between 140-159 mmHg and diastolic
readings of 90-99 mmHg, reflecting the clinical definition established by the American College of Cardiology and
the American Heart Association. This classification aids in determining appropriate management strategies to
prevent cardiovascular complications.
Q4 QUESTION 4 OF 100
Stage 2 HTN
CORRECT ANSWER
Systolic=>160 / Diastolic=>100
RATIONALE
Stage 2 hypertension is defined by elevated blood pressure readings of 160 mmHg or higher for systolic and 100
mmHg or higher for diastolic, indicating a more severe cardiovascular risk that necessitates immediate intervention
to prevent complications. Understanding these thresholds is critical for effective management and treatment
planning in hypertensive patients.
Q5 QUESTION 5 OF 100
Malignant HTN
CORRECT ANSWER
Extremely high BP >180/110
Page 3
, RATIONALE
Malignant hypertension is characterized by severely elevated blood pressure, typically exceeding 180/110 mmHg,
which can lead to acute end-organ damage, particularly affecting the kidneys, heart, and brain. This condition
requires immediate medical intervention to prevent life-threatening complications.
Q6 QUESTION 6 OF 100
S/S of Malignant HTN
CORRECT ANSWER
initially asymptomatic, headache upon awakening, blurred vision, dizziness, chest pain, difficult breathing,
numbness in face and legs, tinnitus, flushed face, epistaxis
RATIONALE
Malignant hypertension often presents with non-specific symptoms initially, transitioning to more pronounced
signs like headaches, visual disturbances, and neurological deficits due to end-organ damage from severely elevated
blood pressure. Recognizing these symptoms is critical for timely intervention to prevent irreversible complications.
Q7 QUESTION 7 OF 100
HTN Crisis
CORRECT ANSWER
acute and life threatening; accelerated HTN requires ER treatment because organ damage can occur quickly
RATIONALE
Accelerated hypertension is characterized by a significant increase in blood pressure that can lead to rapid end-
organ damage, necessitating immediate emergency intervention. Timely management in a critical care setting is
essential to prevent complications such as hypertensive encephalopathy, myocardial infarction, or renal failure.
Q8 QUESTION 8 OF 100
Pharmacological interventions for HTN
CORRECT ANSWER
ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Galen College of Nursing
NUR 242 Exam 4 Questions
& Answers 2026-2027
(Rationales)
Verified Answers Exam Ready With Rationales
100 QUESTIONS
DOCUMENT OVERVIEW
This document contains 100 verified exam questions with correct answers and detailed rationales, focusing
on nursing concepts essential for clinical practice. Each question is designed to enhance understanding of
critical nursing topics, making it suitable for exam preparation, course review, and certification study. The
comprehensive explanations ensure that students grasp the reasoning behind each answer, facilitating
effective learning and retention.
CONTENTS
01 Hypertension Management Q1–Q14
02 Peripheral Vascular Disorders Q15–Q31
03 Post-Operative Care Q32–Q42
Page 1
, 04 Cardiac Assessment Q43–Q55
05 Arrhythmias and Treatments Q56–Q69
06 Neurological Conditions Q70–Q81
07 Ocular Health Q82–Q90
08 Musculoskeletal Disorders Q91–Q100
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
Normal BP
CORRECT ANSWER
Systolic <120 / Diastolic <80
RATIONALE
Blood pressure classification is based on systolic and diastolic measurements, with normal levels defined as systolic
pressure below 120 mmHg and diastolic pressure below 80 mmHg, indicating optimal cardiovascular health and
reduced risk of hypertension-related complications. Understanding these thresholds is critical for effective
cardiovascular risk assessment and management.
Q2 QUESTION 2 OF 100
Pre-HTN
CORRECT ANSWER
Systolic =120-139 / Diastolic=80-89
RATIONALE
Blood pressure classification designates pre-hypertension as systolic values ranging from 120 to 139 mmHg and
diastolic values from 80 to 89 mmHg, indicating a stage where cardiovascular risk begins to increase. This
classification emphasizes the need for lifestyle modifications to prevent progression to hypertension.
Page 2
, Q3 QUESTION 3 OF 100
Stage 1 HTN
CORRECT ANSWER
Systolic=140-159 / Diastolic=90-99
RATIONALE
Stage 1 hypertension is characterized by systolic blood pressure readings between 140-159 mmHg and diastolic
readings of 90-99 mmHg, reflecting the clinical definition established by the American College of Cardiology and
the American Heart Association. This classification aids in determining appropriate management strategies to
prevent cardiovascular complications.
Q4 QUESTION 4 OF 100
Stage 2 HTN
CORRECT ANSWER
Systolic=>160 / Diastolic=>100
RATIONALE
Stage 2 hypertension is defined by elevated blood pressure readings of 160 mmHg or higher for systolic and 100
mmHg or higher for diastolic, indicating a more severe cardiovascular risk that necessitates immediate intervention
to prevent complications. Understanding these thresholds is critical for effective management and treatment
planning in hypertensive patients.
Q5 QUESTION 5 OF 100
Malignant HTN
CORRECT ANSWER
Extremely high BP >180/110
Page 3
, RATIONALE
Malignant hypertension is characterized by severely elevated blood pressure, typically exceeding 180/110 mmHg,
which can lead to acute end-organ damage, particularly affecting the kidneys, heart, and brain. This condition
requires immediate medical intervention to prevent life-threatening complications.
Q6 QUESTION 6 OF 100
S/S of Malignant HTN
CORRECT ANSWER
initially asymptomatic, headache upon awakening, blurred vision, dizziness, chest pain, difficult breathing,
numbness in face and legs, tinnitus, flushed face, epistaxis
RATIONALE
Malignant hypertension often presents with non-specific symptoms initially, transitioning to more pronounced
signs like headaches, visual disturbances, and neurological deficits due to end-organ damage from severely elevated
blood pressure. Recognizing these symptoms is critical for timely intervention to prevent irreversible complications.
Q7 QUESTION 7 OF 100
HTN Crisis
CORRECT ANSWER
acute and life threatening; accelerated HTN requires ER treatment because organ damage can occur quickly
RATIONALE
Accelerated hypertension is characterized by a significant increase in blood pressure that can lead to rapid end-
organ damage, necessitating immediate emergency intervention. Timely management in a critical care setting is
essential to prevent complications such as hypertensive encephalopathy, myocardial infarction, or renal failure.
Q8 QUESTION 8 OF 100
Pharmacological interventions for HTN
CORRECT ANSWER
ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
Page 4
