STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT - 2026/2027
NUR 242 Med-Surg Nursing 2026/2027
Ultimate Review - Respiratory and
Oncology - A+ Graded Solutions
Questions and Answers | Galen College of Nursing | Med-Surg Nursing | Board Readiness - Pass
Guaranteed - A+ Graded
Medical-Surgical Concepts, Clinical Judgment, Pharmacology, Prioritization | Application/Analysis
Level
A+ VERIFIED
2026/27
,Outline: Oxygenation, Ventilation, Cancer Management, and
Palliative Considerations
1. Chapter 1: GI Disorders - Page 4
2. Chapter 2: Endocrine Management - Page 8
3. Chapter 3: GI Disorders - Page 12
4. Chapter 4: Renal Failure - Page 16
5. Chapter 5: Endocrine Management - Page 20
6. Chapter 6: Fluid Electrolyte - Page 24
7. Chapter 7: Neuro Assessment - Page 28
8. Chapter 8: Cardiac Nursing - Page 32
9. Chapter 9: Cardiac Nursing - Page 36
10. Chapter 10: Neuro Assessment - Page 40
11. Chapter 11: Hematology - Page 44
12. Chapter 12: GI Disorders - Page 48
13. Chapter 13: Endocrine Management - Page 52
14. Chapter 14: Postoperative Care - Page 56
15. Chapter 15: Immune Disorders - Page 60
16. Chapter 16: Musculoskeletal Care - Page 64
17. Chapter 17: Neuro Assessment - Page 68
18. Chapter 18: Oncology Nursing - Page 72
19. Chapter 19: Respiratory Failure - Page 76
20. Chapter 20: Fluid Electrolyte - Page 80
21. Chapter 21: Renal Failure - Page 84
22. Chapter 22: Neuro Assessment - Page 88
23. Chapter 23: Postoperative Care - Page 92
24. Chapter 24: GI Disorders - Page 96
25. Chapter 25: Hematology - Page 100
,1. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
history. What is the most appropriate nursing action to ensure safe, prioritized,
evidence-based care?
A. Administer prescribed medication after checking contraindications
B. Give medication without checking allergies
C. Withhold necessary oxygen therapy
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests respiratory management and prioritization, essential for med-surg
practice.
2. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
history. What is the most appropriate nursing action to ensure safe, prioritized,
evidence-based care?
A. Provide targeted patient education and evaluate understanding
B. Delegate unstable patient to unlicensed personnel
C. Perform contraindicated procedure
D. Skip hand hygiene before procedure
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests neuro management and prioritization, essential for
med-surg practice.
3. A patient with COPD exacerbation has oxygen saturation 88% on room air and
reports a scenario requiring medical-surgical clinical judgment per Galen NUR 242
Exam 3 blueprint. The patient presents with relevant vital signs, labs, and history. What
is the most appropriate nursing action to ensure safe, prioritized, evidence-based
care?
A. Administer prescribed medication after checking contraindications
B. Delegate unstable patient to unlicensed personnel
C. Chart false assessment data
D. Provide incorrect discharge instructions
, Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests GI management and prioritization, essential for med-surg
practice.
4. The nurse evaluates the effectiveness of incentive spirometry for a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Administer prescribed medication after checking contraindications
B. Delay assessment and document without action
C. Perform contraindicated procedure
D. Skip hand hygiene before procedure
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests respiratory management and prioritization, essential for med-surg
practice.
5. The nurse evaluates the effectiveness of incentive spirometry for a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Assess airway, breathing, circulation and intervene promptly
B. Ignore abnormal lab values
C. Fail to maintain sterile technique
D. Provide incorrect discharge instructions
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests respiratory management and prioritization,
essential for med-surg practice.
6. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
EXAMINATION DOCUMENT - 2026/2027
NUR 242 Med-Surg Nursing 2026/2027
Ultimate Review - Respiratory and
Oncology - A+ Graded Solutions
Questions and Answers | Galen College of Nursing | Med-Surg Nursing | Board Readiness - Pass
Guaranteed - A+ Graded
Medical-Surgical Concepts, Clinical Judgment, Pharmacology, Prioritization | Application/Analysis
Level
A+ VERIFIED
2026/27
,Outline: Oxygenation, Ventilation, Cancer Management, and
Palliative Considerations
1. Chapter 1: GI Disorders - Page 4
2. Chapter 2: Endocrine Management - Page 8
3. Chapter 3: GI Disorders - Page 12
4. Chapter 4: Renal Failure - Page 16
5. Chapter 5: Endocrine Management - Page 20
6. Chapter 6: Fluid Electrolyte - Page 24
7. Chapter 7: Neuro Assessment - Page 28
8. Chapter 8: Cardiac Nursing - Page 32
9. Chapter 9: Cardiac Nursing - Page 36
10. Chapter 10: Neuro Assessment - Page 40
11. Chapter 11: Hematology - Page 44
12. Chapter 12: GI Disorders - Page 48
13. Chapter 13: Endocrine Management - Page 52
14. Chapter 14: Postoperative Care - Page 56
15. Chapter 15: Immune Disorders - Page 60
16. Chapter 16: Musculoskeletal Care - Page 64
17. Chapter 17: Neuro Assessment - Page 68
18. Chapter 18: Oncology Nursing - Page 72
19. Chapter 19: Respiratory Failure - Page 76
20. Chapter 20: Fluid Electrolyte - Page 80
21. Chapter 21: Renal Failure - Page 84
22. Chapter 22: Neuro Assessment - Page 88
23. Chapter 23: Postoperative Care - Page 92
24. Chapter 24: GI Disorders - Page 96
25. Chapter 25: Hematology - Page 100
,1. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
history. What is the most appropriate nursing action to ensure safe, prioritized,
evidence-based care?
A. Administer prescribed medication after checking contraindications
B. Give medication without checking allergies
C. Withhold necessary oxygen therapy
D. Dismiss patient concerns without evaluation
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests respiratory management and prioritization, essential for med-surg
practice.
2. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
history. What is the most appropriate nursing action to ensure safe, prioritized,
evidence-based care?
A. Provide targeted patient education and evaluate understanding
B. Delegate unstable patient to unlicensed personnel
C. Perform contraindicated procedure
D. Skip hand hygiene before procedure
Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests neuro management and prioritization, essential for
med-surg practice.
3. A patient with COPD exacerbation has oxygen saturation 88% on room air and
reports a scenario requiring medical-surgical clinical judgment per Galen NUR 242
Exam 3 blueprint. The patient presents with relevant vital signs, labs, and history. What
is the most appropriate nursing action to ensure safe, prioritized, evidence-based
care?
A. Administer prescribed medication after checking contraindications
B. Delegate unstable patient to unlicensed personnel
C. Chart false assessment data
D. Provide incorrect discharge instructions
, Answer: A
Rationale: Correct choice is supported by current medical-surgical nursing textbooks and practice
guidelines for endocrine, GI, renal, cardiac, respiratory, and neuro systems. The rationale focuses on
assessment, intervention, evaluation, and health promotion while ensuring patient safety. Distractors
are plausible but represent common errors, such as incorrect delegation, inadequate monitoring, or
failure to recognize emergency situations. This content is essential for A+ performance on Galen
College NUR 242 exams. This scenario tests GI management and prioritization, essential for med-surg
practice.
4. The nurse evaluates the effectiveness of incentive spirometry for a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Administer prescribed medication after checking contraindications
B. Delay assessment and document without action
C. Perform contraindicated procedure
D. Skip hand hygiene before procedure
Answer: A
Rationale: This answer is correct because it reflects Galen College NUR 242 med-surg standards for
safe, evidence-based care. It prioritizes airway, breathing, circulation, and early recognition of
complications while incorporating pathophysiology, pharmacology, and nursing interventions. Incorrect
options delay care, increase risk for harm, or demonstrate poor clinical judgment. Understanding this
concept is critical for Exam 3 success and for providing competent medical-surgical nursing care in
acute settings. This scenario tests respiratory management and prioritization, essential for med-surg
practice.
5. The nurse evaluates the effectiveness of incentive spirometry for a scenario
requiring medical-surgical clinical judgment per Galen NUR 242 Exam 3 blueprint. The
patient presents with relevant vital signs, labs, and history. What is the most
appropriate nursing action to ensure safe, prioritized, evidence-based care?
A. Assess airway, breathing, circulation and intervene promptly
B. Ignore abnormal lab values
C. Fail to maintain sterile technique
D. Provide incorrect discharge instructions
Answer: A
Rationale: The selected option demonstrates appropriate prioritization and clinical reasoning per
NCLEX and Galen med-surg guidelines. It addresses the underlying cause, prevents deterioration, and
aligns with provider orders and scope of practice. Alternatives are inappropriate as they either ignore
key assessment data, violate safety protocols, or are not evidence-based. Mastery of fluid-electrolyte,
medication administration, and patient education principles supports positive outcomes and is
high-yield for NUR 242 Exam 3. This scenario tests respiratory management and prioritization,
essential for med-surg practice.
6. Which intervention is priority for a patient with lung cancer receiving chemotherapy
and experiencing a scenario requiring medical-surgical clinical judgment per Galen
NUR 242 Exam 3 blueprint. The patient presents with relevant vital signs, labs, and
