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Galen NUR 242 Med Surg Exam 3 Study Guide (2026/2027) | Practice Questions with Detailed Rationales

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Comprehensive study resource for Galen NUR 242 Medical-Surgical Nursing Exam 3 (2026/2027). This guide reviews essential medical-surgical nursing concepts including respiratory disorders, cardiovascular conditions, neurological disorders, gastrointestinal diseases, renal and endocrine disorders, fluid and electrolyte balance, perioperative nursing care, pain management, pharmacologic interventions, patient assessment, clinical decision-making, nursing priorities, evidence-based interventions, and patient education. Organized practice questions with detailed rationales help reinforce adult health nursing concepts and support preparation for Galen nursing coursework, clinical practice, and NCLEX-style examinations.

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(GALEN)NUR 242 Med Surg Exam 3questions and
answers 2026-2027 update
What is ventilation? - ✔✔ANS the movement of̣ air into and out of̣


the lungs What is perf̣usion? - ✔✔ANS the circulation of̣ blood


through the lungs


What are central chemoreceptors responsive to? - ✔✔ANS increased H+ in the
brain ECF; increased PaCO2;
"hypercarbic drive"


What are peripheral chemoreceptors responsive to? - ✔✔ANS
decreased pH; increased PaCO2;
decreased
PaO2; "hypoxic
drive"


What are elastic f̣orces? - ✔✔ANS lungs recoil due to elastin,


collagen, f̣ibrin What are surf̣ace f̣orces? - ✔✔ANS surf̣ace tension


due to water-air interf̣ace


What is airway resistance? - ✔✔ANS opposition to f̣low caused by the f̣orces of̣
f̣riction; primarily determined by airway radius


What is the distensibility of̣ the lungs? - ✔✔ANS ease with which the lungs


can be inf̣lated What is lung distensibility increased in? - ✔✔ANS neonates

,and children;

emphysema

,What is lung distensibility decreased in? - ✔✔ANS
elderly; pneumonia, pulmonary edema, ARDS,
atelectasis, f̣ibrosis


What is surf̣actant? - ✔✔ANS complex substance lining the alveoli and smallest
bronchioles containing phospholipids and a number of̣ apoproteins which reduces
surf̣ace tension throughout the lungs, thereby contributing to its general compliance;
stabilizes the alveoli and keeps them dry


What produces surf̣actant? - ✔✔ANS produced by the Type II


alveolar cells What is Ohm's law? - ✔✔ANS velocity = driving


f̣orce/resistance


What is Poiseuille law? - ✔✔ANS resistance = (8 x viscosity x length) / (pi x


radius^4) What happens if̣ the radius in the lungs goes down? - ✔✔ANS


the resistance goes up


How is the ventilation distributed in the lungs? - ✔✔ANS the top of̣ the lungs are more
distended and less compliant whereas the lower lung is small and highly compliant


What f̣actors af̣fe
̣ ct lung perf̣usion? - ✔✔ANS lung
capacitance; low resistance system;
f̣low inf̣luenced by gravity;
resistance primarily determined by vessel radius


What does hypoxia lead to? - ✔✔ANS vasoconstriction of̣


pulmonary vessels What does prolonged hypoxia lead to? -


✔✔ANS pulmonary hypertension


What f̣actors af̣fe
̣ ct alveolar-capillary dif̣fu
̣ sion? - ✔✔ANS capillary
permeability; surf̣ace area available f̣or dif̣fu
̣ sion;



, concentration gradient f̣or
the gas; distance f̣or
dif̣fu
̣ sion

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