lOMoAR cPSD| 67756003
Galen College of Nursing
Medical/Surgical Nursing Concepts
NUR 242 Medical-Surgical Nursing - Exam 4 Final
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu AI to create
targeted study materials like quizzes, summaries, and study guides.
Section 1/1 100 total marks Multiple Choice
Select the most appropriate answer for each question based on the medical-surgical nursing concepts discussed in
Units 9, 10, and 11.
Question 1 2 marks
A nurse is assessing a patient with Systemic Lupus Erythematosus (SLE). Which clinical manifestation should the
nurse recognize as a classic sign of this autoimmune disorder?
A A butterfly-shaped erythematous rash across the bridge of the nose and cheeks B
Heberden's nodes on the distal interphalangeal joints
C A dry, scaly rash on the extensor surfaces of the elbows D
Painless, small red nodules on the palms of the hands
Question 2 2 marks
A patient diagnosed with lung cancer presents to the emergency department with periorbital edema and reports
that their shirt collar feels tighter than usual. Which oncologic emergency should the nurse suspect?
, lOMoAR cPSD| 67756003
A Disseminated Intravascular Coagulation (DIC) B
Spinal Cord Compression
C Superior Vena Cava (SVC) Syndrome D
Tumor Lysis Syndrome
Question 3 2 marks
During a mass casualty incident (MCI), the triage nurse assesses a victim with a sucking chest wound and labored
respirations. Using the disaster triage tag system, what color tag should this patient receive?
A Green B
Black
C Red
D Yellow
, lOMoAR cPSD| 67756003
2 marks
Question 4
A patient who received a kidney transplant 4 days ago reports sudden tenderness at the transplant site, a
temperature of 101.2 F, and a significant decrease in urine output. Which type of rejection is
the patient likely experiencing?
A Chronic Rejection
B Hyperacute Rejection
C Acute Rejection
D Graft-versus-host disease
Question 5 2 marks
A nurse is monitoring a patient with leukemia who is receiving intensive chemotherapy. Which laboratory finding is
most indicative of Tumor Lysis Syndrome (TLS)?
A Serum Sodium 148 mEq/L
B Serum Uric Acid 2.4 mg/dL
C Serum Potassium 6.2 mEq/L D Serum Calcium 11.5 mg/dL
Question 6 2 marks
A patient is brought to the emergency department with a core temperature of 105.4 F (40.8 C), hot
and dry skin, and altered mental status. Which is the priority nursing intervention for this patient?
A Administer oral antipyretics like acetaminophen
B Initiate aggressive external cooling measures such as ice packs to the axilla and groin
C Administer broad-spectrum antibiotics
D Perform a comprehensive neurological assessment every 4 hours
Question 7
A nurse is teaching a patient with HIV about medication adherence. Which clinical metric best indicates that the
antiretroviral therapy (ART) is effective?
Galen College of Nursing
Medical/Surgical Nursing Concepts
NUR 242 Medical-Surgical Nursing - Exam 4 Final
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu AI to create
targeted study materials like quizzes, summaries, and study guides.
Section 1/1 100 total marks Multiple Choice
Select the most appropriate answer for each question based on the medical-surgical nursing concepts discussed in
Units 9, 10, and 11.
Question 1 2 marks
A nurse is assessing a patient with Systemic Lupus Erythematosus (SLE). Which clinical manifestation should the
nurse recognize as a classic sign of this autoimmune disorder?
A A butterfly-shaped erythematous rash across the bridge of the nose and cheeks B
Heberden's nodes on the distal interphalangeal joints
C A dry, scaly rash on the extensor surfaces of the elbows D
Painless, small red nodules on the palms of the hands
Question 2 2 marks
A patient diagnosed with lung cancer presents to the emergency department with periorbital edema and reports
that their shirt collar feels tighter than usual. Which oncologic emergency should the nurse suspect?
, lOMoAR cPSD| 67756003
A Disseminated Intravascular Coagulation (DIC) B
Spinal Cord Compression
C Superior Vena Cava (SVC) Syndrome D
Tumor Lysis Syndrome
Question 3 2 marks
During a mass casualty incident (MCI), the triage nurse assesses a victim with a sucking chest wound and labored
respirations. Using the disaster triage tag system, what color tag should this patient receive?
A Green B
Black
C Red
D Yellow
, lOMoAR cPSD| 67756003
2 marks
Question 4
A patient who received a kidney transplant 4 days ago reports sudden tenderness at the transplant site, a
temperature of 101.2 F, and a significant decrease in urine output. Which type of rejection is
the patient likely experiencing?
A Chronic Rejection
B Hyperacute Rejection
C Acute Rejection
D Graft-versus-host disease
Question 5 2 marks
A nurse is monitoring a patient with leukemia who is receiving intensive chemotherapy. Which laboratory finding is
most indicative of Tumor Lysis Syndrome (TLS)?
A Serum Sodium 148 mEq/L
B Serum Uric Acid 2.4 mg/dL
C Serum Potassium 6.2 mEq/L D Serum Calcium 11.5 mg/dL
Question 6 2 marks
A patient is brought to the emergency department with a core temperature of 105.4 F (40.8 C), hot
and dry skin, and altered mental status. Which is the priority nursing intervention for this patient?
A Administer oral antipyretics like acetaminophen
B Initiate aggressive external cooling measures such as ice packs to the axilla and groin
C Administer broad-spectrum antibiotics
D Perform a comprehensive neurological assessment every 4 hours
Question 7
A nurse is teaching a patient with HIV about medication adherence. Which clinical metric best indicates that the
antiretroviral therapy (ART) is effective?
