NUR 242 Med Surg Exam 4 | NUR 242 Medical-Surgical Nursing Concepts Exam 4 Questions and
100% Correct Answers Latest 2025/26 Update – Galen College of Nursing
1. The nurse is caring for a client who is having a hypertensive crisis. Which of the following findings
should the nurse expect to observe? (P. 727)
A. Facial flushing
B. An s3 heart sound
C. Tingling in the hands
D. Auscultation of crackles
The nurse has attended a staff education conference about clinical manifestations of hypertensive crisis, which of the
following manifestation stated by the nurse indicates a need for further teaching? Carotid bruit(Manifestations are dyspnea, blurred
vision, severHA, N/V, anxiety)
2. The nurse is teaching a middle-age client about lifestyle modifications for managing hypertension.
Which of the following information should the nurse include in the teaching? (P.723)
A. Plan to exercise 3-4 days per week for 40 minutes each day
B. Plan to lower saturated fats to 10% of your daily calorie intake
C. Limit your alcohol consumption to 3 drinks a day
D. Your ideal blood pressure should be 150/90 mm Hg or less
3. The nurse is caring for a client who has hypertension and is receiving the prescribed medication,
spironolactone 10mg PO three times a day. Which of the following findings would indicate the
client is experiencing a common side effect of this medication? (P. 725)
A. An increase in creatinine from 1 .9-2.5 mg/dL
B. An increase in potassium from 4.8-5.7 mE/L
C. A decrease in systolic blood pressure from 132-122 mm Hg
D. A decrease in urine specific gravity from 1 .020-1 .00
4. The nurse is teaching a client with chronic venous insufficiency about the prevention of
varicose veins. Which of the following clients statements indicates that additional teaching is
needed? (P. 748)
A. I 'll need to lose some weight because I am obese
B. I need to decrease the amount I smoke to help with circulation
C. I should wear compression stockings to increase circulation
D. I should do daily mild exercising such as walking
5. The nurse is assessing a client with Buerger's disease. Which of the following would be an expected
finding? (P. 741 )
A. Pain in the lower extremities with walking
B. Bounding pedal pulses
C. Decreased deep tendon reflexes
D. I ncreased sensitivity to warm temperature
The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which
ofthe following lifestyle change is mostimportant for the client to make? Eliminate tobacco
6. The nurse is instructing a client who was recently diagnosed with Reynaud's disease. Which of the
NUR 242 Med Surg Exam 4
, following statements by the client would indicate a need for further instruction? (P. 741 )
A. I will need to participate in a smoking cessation class to help me stop smoking
B. Wearing gloves and warm clothing is important when the weather becomes cold
C. I need to avoid activities that cause me to raise my arms and hands above my head
D. I should drink decaffeinated beverages as much as possible
The nurse is instructing a client who was recently diagnosed with Reynaud's disease. Which of the
following statements by the client would indicate correct understanding of the teaching? Ishoulddrink
decaf beverages as much as possible
7. The nurse is caring for a client who has peripheral arterial disease and suspected intermittent
claudication. Which of the following assessment findings is consistent with this suspicion? (P. 733)
A. Shooting pain down the back of the leg
B. Pain that can be reproduced with exercise
C. Intense pain that occurs in the calf
D. Sharp leg pain that is relieved with elevation
8. A nurse is admitting a 45-yr old client to the medical unit who has a history of peripheral arterial
disease. The client reports smoking about 2 packs of cigarettes a day, having a history of alcohol
abuse, and does not exercise. Which of the following health education statements is the priority for
this client? (P. 734)
A. Cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate PAD
B. Alcohol suppresses the immune system, creates high glucose levels and may cause PAD
C. The likelihood that heavy alcohol intake is a significant risk factor for PAD
D. The lack of exercise which is the main cause of PAD
NUR 242 Med Surg Exam 4
100% Correct Answers Latest 2025/26 Update – Galen College of Nursing
1. The nurse is caring for a client who is having a hypertensive crisis. Which of the following findings
should the nurse expect to observe? (P. 727)
A. Facial flushing
B. An s3 heart sound
C. Tingling in the hands
D. Auscultation of crackles
The nurse has attended a staff education conference about clinical manifestations of hypertensive crisis, which of the
following manifestation stated by the nurse indicates a need for further teaching? Carotid bruit(Manifestations are dyspnea, blurred
vision, severHA, N/V, anxiety)
2. The nurse is teaching a middle-age client about lifestyle modifications for managing hypertension.
Which of the following information should the nurse include in the teaching? (P.723)
A. Plan to exercise 3-4 days per week for 40 minutes each day
B. Plan to lower saturated fats to 10% of your daily calorie intake
C. Limit your alcohol consumption to 3 drinks a day
D. Your ideal blood pressure should be 150/90 mm Hg or less
3. The nurse is caring for a client who has hypertension and is receiving the prescribed medication,
spironolactone 10mg PO three times a day. Which of the following findings would indicate the
client is experiencing a common side effect of this medication? (P. 725)
A. An increase in creatinine from 1 .9-2.5 mg/dL
B. An increase in potassium from 4.8-5.7 mE/L
C. A decrease in systolic blood pressure from 132-122 mm Hg
D. A decrease in urine specific gravity from 1 .020-1 .00
4. The nurse is teaching a client with chronic venous insufficiency about the prevention of
varicose veins. Which of the following clients statements indicates that additional teaching is
needed? (P. 748)
A. I 'll need to lose some weight because I am obese
B. I need to decrease the amount I smoke to help with circulation
C. I should wear compression stockings to increase circulation
D. I should do daily mild exercising such as walking
5. The nurse is assessing a client with Buerger's disease. Which of the following would be an expected
finding? (P. 741 )
A. Pain in the lower extremities with walking
B. Bounding pedal pulses
C. Decreased deep tendon reflexes
D. I ncreased sensitivity to warm temperature
The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which
ofthe following lifestyle change is mostimportant for the client to make? Eliminate tobacco
6. The nurse is instructing a client who was recently diagnosed with Reynaud's disease. Which of the
NUR 242 Med Surg Exam 4
, following statements by the client would indicate a need for further instruction? (P. 741 )
A. I will need to participate in a smoking cessation class to help me stop smoking
B. Wearing gloves and warm clothing is important when the weather becomes cold
C. I need to avoid activities that cause me to raise my arms and hands above my head
D. I should drink decaffeinated beverages as much as possible
The nurse is instructing a client who was recently diagnosed with Reynaud's disease. Which of the
following statements by the client would indicate correct understanding of the teaching? Ishoulddrink
decaf beverages as much as possible
7. The nurse is caring for a client who has peripheral arterial disease and suspected intermittent
claudication. Which of the following assessment findings is consistent with this suspicion? (P. 733)
A. Shooting pain down the back of the leg
B. Pain that can be reproduced with exercise
C. Intense pain that occurs in the calf
D. Sharp leg pain that is relieved with elevation
8. A nurse is admitting a 45-yr old client to the medical unit who has a history of peripheral arterial
disease. The client reports smoking about 2 packs of cigarettes a day, having a history of alcohol
abuse, and does not exercise. Which of the following health education statements is the priority for
this client? (P. 734)
A. Cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate PAD
B. Alcohol suppresses the immune system, creates high glucose levels and may cause PAD
C. The likelihood that heavy alcohol intake is a significant risk factor for PAD
D. The lack of exercise which is the main cause of PAD
NUR 242 Med Surg Exam 4
