Examl 3:l NUR242l /l NURl 242l (Latestl
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
Q:l Al clientl withl Crohn'sl diseasel requiresl additionall instructionl onl corticosteroidl use.l
Whichl informationl doesl thel nursel givel thel clientl prescribedl long-terml corticosteroidl
therapy?l Selectl alll thatl apply.
Answer:
l -l expectl somel weightl gain
-l Avoidl Aspirinl andl otherl OTCl drugs
-l Maintainl al dietl highl protein,l calcium,l andl Vitaminl D
-l Bruisingl easily
Q:l Al clientl isl beingl evaluatedl forl pancreatitis.l Whichl labsl inl thel comprehensivel
metabolicl panel,l ifl criticall willl indicatel tol thel nursel al diagnosisl ofl pancreatitis?
Answer:
l Amylasel andl lipase
Q:l Thel clientl recentlyl diagnosedl withl gastroesophageall refluxl diseasel (GERD)l tellsl
thel nursel theyl seeml tol neverl rememberl tol takel theirl esomeprazole.l Thel nursel explainsl
tol thel clientl aboutl thel needl tol takel thel medicationl duel tol whichl seriousl conditionl
causedl byl GERD?
Answer:
l Esophageall cancer
Q:l Thel clientl hasl beenl newlyl diagnosedl withl diverticulitisl andl isl readyl tol bel
discharged.l Gatheringl thel client'sl dischargel papers,l thel nursel shouldl reviewl whatl thel
,clientl canl dol tol reducel al recurrence.l Whichl educationl willl youl reviewl withl thel client?l
Selectl alll thatl apply
Answer:
l Increasel fiberl diet,l Exercisel forl atl leastl 90l minutesl perl week,l takel OTCl stooll
softener,l Increasel dailyl fluidsl atl leastl 2L
Q:l Al clientl withl al hiatall hernial wouldl mostl likelyl complainl ofl whichl symptom?
Answer:
l regurgitation
Q:l hiatall hernia
Answer:
l isl whenl partl ofl thel stomachl breachesl throughl thel diaphragml andl intol thel thorax
Q:l Thel nursel isl developingl al teachingl planl forl al clientl withl virall hepatitis.l Thel
nursel wouldl planl tol includel whatl informationl inl thel teachingl session?
Answer:
l Activityl wouldl bel limitedl tol preventl fatigue
Q:l Virall hepatitis
Answer:
l -l eatl smalll mealsl perl day
-l restl inl necessary
-l Avoidl alcohol
-l Limitl activityl tol avoidl fatigue
Q:l Sengstacke-Blakemorel tubel mayl bel usedl inl al clientl withl al diagnosisl ofl cirrhosisl
withl rupturesl esophageall varicesl ifl otherl treatmentl ensurel arel unsuccessful.l Whatl levelsl
shouldl bel monitored?
,Answer:
l Hemoglobin
Q:l Thel nursel isl performingl anl assessmentl onl al clientl withl suspectedl acutel
pancreatitis.l Whichl complaintl madel byl thel clientl supportsl thel diagnosis?
Answer:
l I'vel beenl experiencingl constant,l severel abdominall painl thatl isl unrelievedl byl vomiting
Q:l Thel nursel whol isl caringl forl clientl withl al diagnosisl ofl cirrhosisl isl monitoringl thel
clientl forl signsl ofl portall hypertension.l Whichl findingl wouldl thel nursel interpretl asl al
signl orl symptomsl ofl portall hypertension?
Answer:
l Abdominall distention
Q:l Thel nursel isl creatingl al planl ofl carel forl al clientl withl cirrhosisl andl ascites.l Whichl
nursingl actionsl wouldl bel includedl inl thel carel planl forl thisl client?
Answer:
l -l monitorl dailyl weight
-l measurel abdominall girth
-l monitorl respiratoryl status
-l assistl thel clientl withl carel asl needed
-l semi-fowlersl position
Q:l Thel nursel isl monitoringl al clientl withl cirrhosisl ofl thel liverl signsl ofl hepaticl
encephalopathy.l Whichl assessmentl findingl wouldl thel nursel notel asl anl earlyl signl ofl
hepaticl encephalopathy?
Answer:
l Presencel ofl asterixis
, Q:l Al clientl arrivesl atl thel hospitall emergencyl departmentl complainingl ofl acutel rightl
lowerl quadrantl abdominall pain,l andl appendicitisl isl suspected.l Laboratoryl testsl arel
performed,l andl thel nursel notesl thel client'sl WBCl countl isl elevated.l Onl thel basisl ofl
thesel findings,l thel nursel wouldl questionl whichl PCPl prescriptionl documentationl inl thel
client'sl medicall record?
Answer:
l Administerl 30l Mll OFl milkl ofl magnesial (MOM)
Q:l Al nursel isl providingl dietaryl instructionsl tol al clientl withl al diagnosisl ofl irritablel
bowell syndrome.l Thel nursel determinesl thatl educationl wasl effectivel ifl thel clientl statesl
thel needl tol avoidl whichl food?
Answer:
l corn
Q:l Al nursel isl providingl dietaryl instructionsl tol al clientl withl al diagnosisl ofl irritablel
bowell syndrome.l Thel nursel determinesl thatl educationl wasl effectivel ifl thel client?
Answer:
l Increasesl fiberl intakel 30-40l gramsl daily,l drinksl 8-10l glassesl ofl waterl daily
Q:l Diphenoxylatel Hydrochloridel withl Atropinel Sulfatel isl prescribedl forl al clientl withl
ulcerativel colitis.l Thel nursel wouldl monitorl thel clientl forl whichl therapeuticl effectl ofl
thisl medication?
Answer:
l Decreasedl diarrhea
Q:l Sulfasalazinel isl prescribedl forl al clientl withl al diagnosisl ofl ulcerativel colitis,l andl
thel nursel instructsl thel clientl aboutl thel medication.l Whichl statementl madel byl thel clientl
indicatesl al needl forl furtherl teaching?
Answer:
l Thel medicationl isl anl anti-inflammatoryl thatl willl causel constipation
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
Q:l Al clientl withl Crohn'sl diseasel requiresl additionall instructionl onl corticosteroidl use.l
Whichl informationl doesl thel nursel givel thel clientl prescribedl long-terml corticosteroidl
therapy?l Selectl alll thatl apply.
Answer:
l -l expectl somel weightl gain
-l Avoidl Aspirinl andl otherl OTCl drugs
-l Maintainl al dietl highl protein,l calcium,l andl Vitaminl D
-l Bruisingl easily
Q:l Al clientl isl beingl evaluatedl forl pancreatitis.l Whichl labsl inl thel comprehensivel
metabolicl panel,l ifl criticall willl indicatel tol thel nursel al diagnosisl ofl pancreatitis?
Answer:
l Amylasel andl lipase
Q:l Thel clientl recentlyl diagnosedl withl gastroesophageall refluxl diseasel (GERD)l tellsl
thel nursel theyl seeml tol neverl rememberl tol takel theirl esomeprazole.l Thel nursel explainsl
tol thel clientl aboutl thel needl tol takel thel medicationl duel tol whichl seriousl conditionl
causedl byl GERD?
Answer:
l Esophageall cancer
Q:l Thel clientl hasl beenl newlyl diagnosedl withl diverticulitisl andl isl readyl tol bel
discharged.l Gatheringl thel client'sl dischargel papers,l thel nursel shouldl reviewl whatl thel
,clientl canl dol tol reducel al recurrence.l Whichl educationl willl youl reviewl withl thel client?l
Selectl alll thatl apply
Answer:
l Increasel fiberl diet,l Exercisel forl atl leastl 90l minutesl perl week,l takel OTCl stooll
softener,l Increasel dailyl fluidsl atl leastl 2L
Q:l Al clientl withl al hiatall hernial wouldl mostl likelyl complainl ofl whichl symptom?
Answer:
l regurgitation
Q:l hiatall hernia
Answer:
l isl whenl partl ofl thel stomachl breachesl throughl thel diaphragml andl intol thel thorax
Q:l Thel nursel isl developingl al teachingl planl forl al clientl withl virall hepatitis.l Thel
nursel wouldl planl tol includel whatl informationl inl thel teachingl session?
Answer:
l Activityl wouldl bel limitedl tol preventl fatigue
Q:l Virall hepatitis
Answer:
l -l eatl smalll mealsl perl day
-l restl inl necessary
-l Avoidl alcohol
-l Limitl activityl tol avoidl fatigue
Q:l Sengstacke-Blakemorel tubel mayl bel usedl inl al clientl withl al diagnosisl ofl cirrhosisl
withl rupturesl esophageall varicesl ifl otherl treatmentl ensurel arel unsuccessful.l Whatl levelsl
shouldl bel monitored?
,Answer:
l Hemoglobin
Q:l Thel nursel isl performingl anl assessmentl onl al clientl withl suspectedl acutel
pancreatitis.l Whichl complaintl madel byl thel clientl supportsl thel diagnosis?
Answer:
l I'vel beenl experiencingl constant,l severel abdominall painl thatl isl unrelievedl byl vomiting
Q:l Thel nursel whol isl caringl forl clientl withl al diagnosisl ofl cirrhosisl isl monitoringl thel
clientl forl signsl ofl portall hypertension.l Whichl findingl wouldl thel nursel interpretl asl al
signl orl symptomsl ofl portall hypertension?
Answer:
l Abdominall distention
Q:l Thel nursel isl creatingl al planl ofl carel forl al clientl withl cirrhosisl andl ascites.l Whichl
nursingl actionsl wouldl bel includedl inl thel carel planl forl thisl client?
Answer:
l -l monitorl dailyl weight
-l measurel abdominall girth
-l monitorl respiratoryl status
-l assistl thel clientl withl carel asl needed
-l semi-fowlersl position
Q:l Thel nursel isl monitoringl al clientl withl cirrhosisl ofl thel liverl signsl ofl hepaticl
encephalopathy.l Whichl assessmentl findingl wouldl thel nursel notel asl anl earlyl signl ofl
hepaticl encephalopathy?
Answer:
l Presencel ofl asterixis
, Q:l Al clientl arrivesl atl thel hospitall emergencyl departmentl complainingl ofl acutel rightl
lowerl quadrantl abdominall pain,l andl appendicitisl isl suspected.l Laboratoryl testsl arel
performed,l andl thel nursel notesl thel client'sl WBCl countl isl elevated.l Onl thel basisl ofl
thesel findings,l thel nursel wouldl questionl whichl PCPl prescriptionl documentationl inl thel
client'sl medicall record?
Answer:
l Administerl 30l Mll OFl milkl ofl magnesial (MOM)
Q:l Al nursel isl providingl dietaryl instructionsl tol al clientl withl al diagnosisl ofl irritablel
bowell syndrome.l Thel nursel determinesl thatl educationl wasl effectivel ifl thel clientl statesl
thel needl tol avoidl whichl food?
Answer:
l corn
Q:l Al nursel isl providingl dietaryl instructionsl tol al clientl withl al diagnosisl ofl irritablel
bowell syndrome.l Thel nursel determinesl thatl educationl wasl effectivel ifl thel client?
Answer:
l Increasesl fiberl intakel 30-40l gramsl daily,l drinksl 8-10l glassesl ofl waterl daily
Q:l Diphenoxylatel Hydrochloridel withl Atropinel Sulfatel isl prescribedl forl al clientl withl
ulcerativel colitis.l Thel nursel wouldl monitorl thel clientl forl whichl therapeuticl effectl ofl
thisl medication?
Answer:
l Decreasedl diarrhea
Q:l Sulfasalazinel isl prescribedl forl al clientl withl al diagnosisl ofl ulcerativel colitis,l andl
thel nursel instructsl thel clientl aboutl thel medication.l Whichl statementl madel byl thel clientl
indicatesl al needl forl furtherl teaching?
Answer:
l Thel medicationl isl anl anti-inflammatoryl thatl willl causel constipation
