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NUR 242 Exam 4 Review 2026 | 200+ Exam Questions & Verified Answers | Musculoskeletal, Neurological, Cardiovascular, Stroke, Parkinson's Disease, Heart Failure & Medical-Surgical Nursing | Galen College of Nursing

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This comprehensive NUR 242 Exam 4 Review 2026 study guide contains 200+ exam-style questions and verified answers designed to prepare students for Galen College of Nursing NUR 242 Exam 4. The resource provides extensive coverage of musculoskeletal disorders, osteoarthritis, rheumatoid arthritis, osteoporosis, osteomyelitis, fractures, traction, compartment syndrome, fat embolism syndrome, amputations, total hip and knee replacement care, neurological disorders, stroke, transient ischemic attack (TIA), Parkinson's disease, multiple sclerosis, seizure management, lumbar puncture, Ménière's disease, cataracts, glaucoma, retinal detachment, cardiovascular disorders, heart failure, hypertension, peripheral arterial disease (PAD), Raynaud's disease, Buerger's disease, atherosclerosis, pacemaker management, cardiac dysrhythmias, and essential pharmacology. The structured question-and-answer format reinforces clinical reasoning, nursing prioritization, and evidence-based interventions while preparing students for medical-surgical nursing examinations and NCLEX-style assessments. The study guide thoroughly reviews high-yield nursing concepts, including **traction safety, deep vein thrombosis (DVT) prevention after hip surgery, assessment and management of osteoarthritis and rheumatoid arthritis, osteoporosis prevention, calcium and vitamin D supplementation, recognition of fat embolism syndrome, stroke assessment using FAST, thrombolytic (tPA) therapy, hemorrhagic versus ischemic stroke, lumbar puncture positioning and complications, Parkinson's disease management, multiple sclerosis education, seizure precautions, hearing aid care, glaucoma medications, cataract surgery teaching, retinal detachment postoperative care, heart failure assessment, sodium restriction, potassium imbalances, antihypertensive therapy, peripheral vascular disease, EKG interpretation, pacemaker education, compartment syndrome assessment, cast care, fracture management, pin-site care, carpal tunnel syndrome, TENS therapy, and medication education for timolol, spironolactone, furosemide, diltiazem, interferons, antiepileptic medications, and sumatriptan. The material emphasizes patient safety, interdisciplinary care, therapeutic communication, discharge education, and nursing interventions commonly tested in medical-surgical nursing courses. This resource is ideal for students preparing for NUR 242 Exam 4, ATI and HESI examinations, NCLEX-RN preparation, medical-surgical nursing competency assessments, and clinical practice evaluations. It strengthens clinical judgment, prioritization, pharmacology knowledge, and evidence-based nursing care across musculoskeletal, neurological, cardiovascular, and sensory system disorders. Relevant Students: Galen College of Nursing students, NUR 242 students, Medical-Surgical Nursing students, ADN Nursing students, BSN Nursing students, Practical Nursing (LPN) students, Registered Nursing (RN) students, Prelicensure Nursing students, ATI preparation students, HESI preparation students, NCLEX-RN candidates, Clinical Nursing students, Healthcare students preparing for medical-surgical nursing examinations. APA References: Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2023). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (12th ed.). Elsevier. Hinkle, J. L., & Cheever, K. H. (2022). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer. Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2023). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care (11th ed.). Elsevier. Keywords NUR 242, NUR 242 Exam 4, Galen College of Nursing, Medical Surgical Nursing, Osteoarthritis, Rheumatoid Arthritis, Osteoporosis, Osteomyelitis, Fractures, Traction, Compartment Syndrome, Fat Embolism Syndrome, Total Hip Replacement, Total Knee Replacement, Deep Vein Thrombosis, DVT, Cast Care, Pin Care, Carpal Tunnel Syndrome, Amputation, Phantom Limb Pain, TENS Therapy, Stroke, FAST Assessment, Ischemic Stroke, Hemorrhagic Stroke, Thrombolytic Therapy, tPA, Lumbar Puncture, Increased Intracranial Pressure, Parkinson Disease, Multiple Sclerosis, Interferon Therapy, Seizure Precautions, Antiepileptic Drugs, Meniere Disease, Glaucoma, Timolol Eye Drops, Cataracts, Cataract Surgery, Retinal Detachment, Hearing Aid Care, Heart Failure, Left-Sided Heart Failure, Right-Sided Heart Failure, Hypertension, Peripheral Arterial Disease, PAD, Raynaud Disease, Buerger Disease, Atherosclerosis, Pacemaker Care, EKG Interpretation, Diltiazem, Furosemide, Spironolactone, Hypokalemia, Sumatriptan, Migraine Management, Neurological Assessment, Pharmacology, ATI Review, HESI Review, NCLEX Preparation, Nursing Practice Questions, Verified Answers

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NUR 242 Exam 4 Review 2026
Expert Verifed Ace the Test



Traction - ANSWER ✔✔weights should never be adjusted or moved

by nurse or family.

The nurse should call the health care provider


Total Hip Post Op complication - ANSWER ✔✔in the first day that

would take priority would be DVT


Osteoarthritis - ANSWER ✔✔Progressive deterioration and loss of

cartilage

Characterized by joint pain and loss of function

cause: unknown, but may be triggered by aging, obesity, smoking or

trauma.

,- bone on bone

- effects the "large " bones: hip, knee's

- as disease progresses you will see swelling at the joints

-Risk factors : obesity , age, trauma, sports, gene, chronic med

conditions

- assessment questions to ask: how does it affect your daily living, where

is it located, are ADL limited, is there stiffness or swelling of the joints,

what helps the pain, what is the nature of the pain ?


rheumatoid arthritis Early stage SxS - ANSWER ✔✔usually complain

of having low grade fever

- pt will have flare up and remission


rheumatoid arthritis Late Stage sxs - ANSWER ✔✔Ulnar deviation


- affects the small joints

- Parenthesis: numbness, tingling, burning in feet and hands


Osteomyelitis - ANSWER ✔✔would expect to find swelling in the

affected extremity


Osteoporosis Education - ANSWER ✔✔Increase calcium and vitamin

D, salmon, Orange Juice, walk daily for weight bearing, reduced caffeine

, and carbonated drinks, long term use of steroids can contribute to

osteoporosis


Fat embolism - ANSWER ✔✔lethargy, Petechiae, Hypoxemia,

Tacypenia

observe for and report chest pain, dyspenia, anxiety, and mental status

changes.

more common in people with spinal fusion


Stroke - ANSWER ✔✔Do not put water pitchers in a patients room if

they have NOT had any swallow studies completed.


Stroke Goal - ANSWER ✔✔independece with rehab


Meniere's disease - ANSWER ✔✔reduce sodium intake, caffeine,

and alcohol.

-chronic illiness


MS and Parkinsons - ANSWER ✔✔Interdisciplinary team approach


- schedule rehab around the peak of medication


Interferon - ANSWER ✔✔educate clients to report any signs of sore

throat, cough, ect

- they are at high risk for infection


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