(GALEN)NUR 242 Med Surg Exam 1,2,3 and 4 questions and answers
2025-2026 update complete set
TABLE OF CONTENT
EXAM 1…………………………13
EXAM 2,………………………...34
EXAM 3….................................58
EXAM 4………………………….68
100% verified exams
Exam 1
Four Major subgroups of Late Adulthood - ANS 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - ANS Yearly flu vaccine pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years wear seat belts alcohol in moderation avoid smoking smoke detectors
prevent falls - waxed floors and scattered rugs medications as prescribed
avoid OTC medications unless primary care phyisican directs Yearly physicial regular exercise socialization
reminisce
,Common health Issues and Concerns older adults - ANS Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse) Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - ANS Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - ANS Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - ANS slowly progresses generally chronic intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - ANS Acute and fluctuating onset results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - ANS Advocate for the patient and family Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and family
Evaluate effectiveness of plan of care for the patient and family Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - ANS -Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
,walker - assisted and cane - assisted procedure - ANS - Apply a transfer belt around patients waist - guide
patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - ANS - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - ANS - 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
Adaptive equipment - ANS buttonhook extended shoehorn plate guard and spork gel pad foam buildups hook
and loop fasteners long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - ANS Prophylactic antibiotic received within one hour prior to surgical incision (to establish
bactericidal blood and tissue levels by the time the surgical incision is made)
SCIP infection - 2 - ANS Prophylactic antibiotic selection for surgical patients (increased risk for surgical
infections)
SCIP infection - 3 - ANS Prophylactic Antibiotics discontinued within 24 hours after surgery end time (provides
benefit without risk)
SCIP infection - 4 - ANS Cardiac surgery patients with controlled 6 am postoperative blood glucose (cardiac
patients only) To avoid hyperglycemia
SCIP infection - 6 - ANS Surgery patients with appropriate hair removal (removal is performed with electric
clippers or chemical depilatories) to avoid skin abrasions and increase risk of surgical site infections
SCIP infection - 9 - ANS Urinary catheter removed on postoperative day 1 or postoperative day 2 with day of
surgery being day zero ( to avoid urinary tract infections)
, SCIP infection - 10 - ANS Surgery patients with preoperative temperature management (prevent prolonged
hyperthermia, which is associated with wound healing, serious cardiac complications, altered drug metabolism,
coagulation problems, and higher surgical infections.
SCIP CARD - 2 - ANS Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during
the perioperative period ( receive beta-blocker prior and continue immediately after surgery)
SCIP Venous Thromboembolism - 1 - ANS Surgical patients with recommended venous thromboembolism
prophylaxis ordered (reduce complications from postoperative VTE)
SCIP Venous Thromboembolism - 2 - ANS Surgery Patients who received appropriate Venous thromboembolism
prophylaxis within 24 hours of prior to surgery to 24 hours after surgery ( reduce complications from
postoperative VTE particularly among patients undergoing the types of surgeries in which the risk was highest
Chapter 24 - skin layers - ANS - Epidermis
- dermis
- subcutaneous - hypodermis
Epidermis - ANS - protection
- keratin provides protection from injury by corrosive material
- inhibits proliferation of microorganisms because of dry external surface -mechanical strength through
intercellular bonds
Dermis - ANS -provides cells for wound healing
- provides mechanical strength - collagen fibers - elastic fibers - ground substance
- sensory nerve receptors signal skin injury and inflammation
Subcutaneous tissue - ANS - mechanical shock absorber
-energy reserve
- insulation
Skin assessment - lesions - ANS Primary lesions - direct result of a disease process
Secondary lesions - evolve from primary or develop as a consequence of a patient's activity
Skin assessment - Color - ANS - is affected by blood flow, gas exchange, body temperature, and pigmentation.
describe by their appearance. Are changes general or confined to one body region
Skin assessment - ABCDE - ANS A - Asymmetry
B- border irregularity
C- color variation within one lesion
2025-2026 update complete set
TABLE OF CONTENT
EXAM 1…………………………13
EXAM 2,………………………...34
EXAM 3….................................58
EXAM 4………………………….68
100% verified exams
Exam 1
Four Major subgroups of Late Adulthood - ANS 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - ANS Yearly flu vaccine pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years wear seat belts alcohol in moderation avoid smoking smoke detectors
prevent falls - waxed floors and scattered rugs medications as prescribed
avoid OTC medications unless primary care phyisican directs Yearly physicial regular exercise socialization
reminisce
,Common health Issues and Concerns older adults - ANS Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse) Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - ANS Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - ANS Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - ANS slowly progresses generally chronic intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - ANS Acute and fluctuating onset results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - ANS Advocate for the patient and family Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and family
Evaluate effectiveness of plan of care for the patient and family Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - ANS -Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
,walker - assisted and cane - assisted procedure - ANS - Apply a transfer belt around patients waist - guide
patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - ANS - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - ANS - 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
Adaptive equipment - ANS buttonhook extended shoehorn plate guard and spork gel pad foam buildups hook
and loop fasteners long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - ANS Prophylactic antibiotic received within one hour prior to surgical incision (to establish
bactericidal blood and tissue levels by the time the surgical incision is made)
SCIP infection - 2 - ANS Prophylactic antibiotic selection for surgical patients (increased risk for surgical
infections)
SCIP infection - 3 - ANS Prophylactic Antibiotics discontinued within 24 hours after surgery end time (provides
benefit without risk)
SCIP infection - 4 - ANS Cardiac surgery patients with controlled 6 am postoperative blood glucose (cardiac
patients only) To avoid hyperglycemia
SCIP infection - 6 - ANS Surgery patients with appropriate hair removal (removal is performed with electric
clippers or chemical depilatories) to avoid skin abrasions and increase risk of surgical site infections
SCIP infection - 9 - ANS Urinary catheter removed on postoperative day 1 or postoperative day 2 with day of
surgery being day zero ( to avoid urinary tract infections)
, SCIP infection - 10 - ANS Surgery patients with preoperative temperature management (prevent prolonged
hyperthermia, which is associated with wound healing, serious cardiac complications, altered drug metabolism,
coagulation problems, and higher surgical infections.
SCIP CARD - 2 - ANS Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during
the perioperative period ( receive beta-blocker prior and continue immediately after surgery)
SCIP Venous Thromboembolism - 1 - ANS Surgical patients with recommended venous thromboembolism
prophylaxis ordered (reduce complications from postoperative VTE)
SCIP Venous Thromboembolism - 2 - ANS Surgery Patients who received appropriate Venous thromboembolism
prophylaxis within 24 hours of prior to surgery to 24 hours after surgery ( reduce complications from
postoperative VTE particularly among patients undergoing the types of surgeries in which the risk was highest
Chapter 24 - skin layers - ANS - Epidermis
- dermis
- subcutaneous - hypodermis
Epidermis - ANS - protection
- keratin provides protection from injury by corrosive material
- inhibits proliferation of microorganisms because of dry external surface -mechanical strength through
intercellular bonds
Dermis - ANS -provides cells for wound healing
- provides mechanical strength - collagen fibers - elastic fibers - ground substance
- sensory nerve receptors signal skin injury and inflammation
Subcutaneous tissue - ANS - mechanical shock absorber
-energy reserve
- insulation
Skin assessment - lesions - ANS Primary lesions - direct result of a disease process
Secondary lesions - evolve from primary or develop as a consequence of a patient's activity
Skin assessment - Color - ANS - is affected by blood flow, gas exchange, body temperature, and pigmentation.
describe by their appearance. Are changes general or confined to one body region
Skin assessment - ABCDE - ANS A - Asymmetry
B- border irregularity
C- color variation within one lesion
