GALEN NUR 242 EXAM 4 MED-SURG TESTED (LATEST 2025 / 2026) QUESTIONS WITH REVISED ANSWERS

GALEN NUR 242 EXAM 4 MED-SURG TESTED (LATEST
) QUESTIONS WITH REVISED ANSWERS




1. After a cardiac catheterization, the client needs to increase his or her fluid
intake for which reason?

NPO status will cause the client to be thirsty.
The dye causes an osmotic diuresis.

The dye contains a heavy sodium load.

The pedal pulses will be more easily palpable. ANS The dye causes osmotic
diuresis

2. A client who is suffering from dyspnea on exertion and congestive heart
failure (CHF) will most likely report which symptom during the health history?
Fatigue

Swelling of one leg
Slow heart rate

1 VV/ VV
85

,Brown discoloration of lower extremities ANS Fatigue

3. Which statement by the client with a recent cardiovascular diagnosis indi-
cates maladaptive denial?

"I don't know how I am going to change my lifestyle."
"I don't need to change. It hasn't killed me yet."

"I don't think it is as bad as the doctors say."


"I will have to change my diet and exercise more." ANS "I don't need to change
hasn't killed me yet."

4. Which client has the highest risk for cardiovascular disease?


Man who smokes and whose father died at 49 of myocardial infarction (MI)
Woman with abdominal obesity who exercises three times per week

Woman with diabetes whose high-density lipoprotein (HDL) cholesterol is 75
mg/dL (1.94 mmol/L)

Man who is sedentary and reports four episodes of strep throat ANS Man who
smokes and whose father died at 49 of myocardial infarction (MI)

5. Which client would the charge nurse assign to a graduate RN who has
completed 2 months of orientation to the coronary care unit?

Client with a new diagnosis of heart failure who needs a pulmonary artery
catheter inserted

Client who has just arrived after a coronary arteriogram and has vital signs
requested every 15 minutes
2 VV/ VV
85

,Client with acute electrocardiographic changes who is requesting nitroglyc-
erin for left anterior chest pain

Client who has many questions about the electrophysiology studies (EPS)
scheduled for today ANS Client who has just arrived after a coronary arteriogram
and has vital signs requested every 15 minutes

6. Which of these factors contribute to the risk for cardiovascular disease?
Select all that apply.




3 VV/ VV
85

, Consuming a diet rich in fiber VV VV VV VV VV


Elevated C-reactive protein
VV VV VV


levels Low blood pressure
VV VV VV VV




Elevated high-density lipoprotein (HDL) cholesterol level
VV VV VV VV VV


Smoking ANS Elevated C-reactive protein levels
VV VV VV VV VV VV




Smoking

7. Which client has pain most consistent with myocardial infarction (MI)
VV VV VV VV VV VV VV VV VV


requir- ing notification of the health care provider?
VV VV VV VV VV VV VV VV




Client with abdominal pain and belching
VV VV VV VV VV




Client with pressure in the mid-abdomen and profound diaphoresis
VV VV VV VV VV VV VV VV




Client with dyspnea on exertion (DOE) and inability to sleep flat who
VV VV VV VV VV VV VV VV VV VV VV


sleeps on four pillows
VV VV VV VV




Client with claudication and fatigue ANS Client with pressure in the mid-
VV VV VV VV VV VV VV VV VV VV VV


abdomen and profound diaphoresis
VV VV VV




8. A client with heart failure reports a 7.6-pound (3.4 kg) weight gain in the
VV VV VV VV VV VV VV VV VV VV VV VV VV


past week. What intervention does the nurse anticipate from the primary
VV VV VV VV VV VV VV VV VV VV VV


health care provider?
VV VV VV




Dietary consult VV


Sodium restriction
VV VV




4 VV/ VV
85