NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
1. Based on the patient's diagnosis, which clinical manifestations would the
nurse expect to see when assessing this patient? (Select all that apply.)
,NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
A. Bradycardia
B. Shortness of breath
C. Use of accessory muscles
D. Sitting in a forward posture
E. Barrel chest appearance:
: ANSWER B, C, D, E
The patient with COPD often has a barrel chest appearance, is short of breath, and
may use accessory muscles when breathing. These patients tend to move slowly
and are slightly stooped. Usually they sit with a forward-bending posture. With
severe dyspnea, they exhibit activity intolerance and activities such as bathing and
grooming are avoided.
,NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
2. The nurse recognizes that a patient with sleep apnea may benefit from which
intervention(s)? (Select all that apply.)
A. Weight loss
B. Nasal mask to deliver BiPAP
C. A change in sleeping position
D. Medication to increase daytime sleepiness
E. Position-fixing device that prevents tongue subluxation: : ANSWER A,
B, C, E
All interventions listed are viable interventions that can be of benefit to patients
who have sleep apnea. Patients should work with their providers of care to
determine the severity of their sleep apnea and which specific interventions would
be of most importance to them. Encouraging daytime sleepiness is the opposite of
the effect needed for this patient.
, NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
3. When the patient arrives to the unit, she is assessed and is in acute respira-
tory distress. Her respirations are labored and her respiratory rate is 34. She states
that she had a peak flow meter measurement of "Red Zone" on the way and is
severely short of air. Her oxygen saturation is 82% on O2 at 2 L via nasal cannula.
Based on these findings, what should the nurse do next?:
: ANSWER The Rapid Response Team should be notified immediately. All of
these assessment findings indicate acute respiratory distress. The peak flow meter
is in the RED Zone. The oxygen saturation should be at least 90% on 2 L per NC.
4. While the Rapid Response Team is at the bedside, the patient's healthcare
provider arrives. The provider writes several orders.
Which order is most important for the nurse to implement immediately?
A. Transfer to ICU
B. Increase O2 to 3 L per nasal cannula
C. ABGs 30 minutes after oxygen is increased
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
1. Based on the patient's diagnosis, which clinical manifestations would the
nurse expect to see when assessing this patient? (Select all that apply.)
,NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
A. Bradycardia
B. Shortness of breath
C. Use of accessory muscles
D. Sitting in a forward posture
E. Barrel chest appearance:
: ANSWER B, C, D, E
The patient with COPD often has a barrel chest appearance, is short of breath, and
may use accessory muscles when breathing. These patients tend to move slowly
and are slightly stooped. Usually they sit with a forward-bending posture. With
severe dyspnea, they exhibit activity intolerance and activities such as bathing and
grooming are avoided.
,NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
2. The nurse recognizes that a patient with sleep apnea may benefit from which
intervention(s)? (Select all that apply.)
A. Weight loss
B. Nasal mask to deliver BiPAP
C. A change in sleeping position
D. Medication to increase daytime sleepiness
E. Position-fixing device that prevents tongue subluxation: : ANSWER A,
B, C, E
All interventions listed are viable interventions that can be of benefit to patients
who have sleep apnea. Patients should work with their providers of care to
determine the severity of their sleep apnea and which specific interventions would
be of most importance to them. Encouraging daytime sleepiness is the opposite of
the effect needed for this patient.
, NUR 242 Exam 3 Medical-Surgical Nursing Concepts 100% Guarantee passing score
of Complete Content Mastery Series 2026/2027 Study Guide with Verified Answers &
Rationales
3. When the patient arrives to the unit, she is assessed and is in acute respira-
tory distress. Her respirations are labored and her respiratory rate is 34. She states
that she had a peak flow meter measurement of "Red Zone" on the way and is
severely short of air. Her oxygen saturation is 82% on O2 at 2 L via nasal cannula.
Based on these findings, what should the nurse do next?:
: ANSWER The Rapid Response Team should be notified immediately. All of
these assessment findings indicate acute respiratory distress. The peak flow meter
is in the RED Zone. The oxygen saturation should be at least 90% on 2 L per NC.
4. While the Rapid Response Team is at the bedside, the patient's healthcare
provider arrives. The provider writes several orders.
Which order is most important for the nurse to implement immediately?
A. Transfer to ICU
B. Increase O2 to 3 L per nasal cannula
C. ABGs 30 minutes after oxygen is increased
