Page |1
Galen NUR 242 Exam 1 Med-Surg Tested (Latest 2025 /
2026) Questions with Revised Rationalized Answers, (A+
Guarantee)
Adaptive equipment - ANSWER-buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
.Airborne Precautions - ANSWER-private room with negative
pressure airflow, keep door closed, N95 respirator, patient to
wear surgical mask when leaving room a clinical reason
M - measles
T - tuberculosis
V - varicella (including disseminated zoster)
, Page |2
.cane teaching - ANSWER-- be sure cane is at the height of the
patients wrist when the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
.Care of Patient in Sickle Call Crisis - ANSWER-Give prescribed
pain medication
hydrate with normal saline IV, encourage oral intake of fluids
without caffeine
administer oxygen
remove restrictive clothing, no blood pressure with external
cuff
check circulation in extremities every hour
.Cellulitis - ANSWER-generalized infection with either
staphylococcus or streptococcus and involves deeper
connection tissue
infection can spread by scratching or rubbing the skin
, Page |3
can result from a secondary bacterial infection of an open
wound or unrelated to skin trauma
localized area of inflammation that may enlarge rapidly if not
treated
warm compresses to the area are recommended
treatment with IVABT
.Central Line Access Devices - ANSWER-All central line access
devices terminate in the superior vena cava (PICC line,
implantable ports, tunneled and non-tunneled catheters, and
central lines)
insertion requires informed consent
need to have a chest x-ray prior to use
.Changes in Dark skin - Bleeding - ANSWER-- Compare the
affected area with the same area on the unaffected body side
for swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be
present on the oral mucosa or conjunctiva
, Page |4
.Changes in Dark skin - cyanosis - ANSWER-- examine lips and
tongue for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
.Changes in Dark skin - Inflammation - ANSWER-- Compare
effective area with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny
or taut or pits with pressure
- Compare the skin color of affected area with the same area
on the opposite side of the body
- palpate the affected area and compare it with unaffected
area to determine whether texture is different (affected area
may feel hard or "woody"
.Changes in Dark skin - Jaundice - ANSWER-- Check for yellow
tinge to oral mucous membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners
of the eye
.Chapter 24 - skin layers - ANSWER-- Epidermis
Galen NUR 242 Exam 1 Med-Surg Tested (Latest 2025 /
2026) Questions with Revised Rationalized Answers, (A+
Guarantee)
Adaptive equipment - ANSWER-buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
.Airborne Precautions - ANSWER-private room with negative
pressure airflow, keep door closed, N95 respirator, patient to
wear surgical mask when leaving room a clinical reason
M - measles
T - tuberculosis
V - varicella (including disseminated zoster)
, Page |2
.cane teaching - ANSWER-- be sure cane is at the height of the
patients wrist when the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
.Care of Patient in Sickle Call Crisis - ANSWER-Give prescribed
pain medication
hydrate with normal saline IV, encourage oral intake of fluids
without caffeine
administer oxygen
remove restrictive clothing, no blood pressure with external
cuff
check circulation in extremities every hour
.Cellulitis - ANSWER-generalized infection with either
staphylococcus or streptococcus and involves deeper
connection tissue
infection can spread by scratching or rubbing the skin
, Page |3
can result from a secondary bacterial infection of an open
wound or unrelated to skin trauma
localized area of inflammation that may enlarge rapidly if not
treated
warm compresses to the area are recommended
treatment with IVABT
.Central Line Access Devices - ANSWER-All central line access
devices terminate in the superior vena cava (PICC line,
implantable ports, tunneled and non-tunneled catheters, and
central lines)
insertion requires informed consent
need to have a chest x-ray prior to use
.Changes in Dark skin - Bleeding - ANSWER-- Compare the
affected area with the same area on the unaffected body side
for swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be
present on the oral mucosa or conjunctiva
, Page |4
.Changes in Dark skin - cyanosis - ANSWER-- examine lips and
tongue for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
.Changes in Dark skin - Inflammation - ANSWER-- Compare
effective area with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny
or taut or pits with pressure
- Compare the skin color of affected area with the same area
on the opposite side of the body
- palpate the affected area and compare it with unaffected
area to determine whether texture is different (affected area
may feel hard or "woody"
.Changes in Dark skin - Jaundice - ANSWER-- Check for yellow
tinge to oral mucous membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners
of the eye
.Chapter 24 - skin layers - ANSWER-- Epidermis
