NU 155
EXAM 2
Tested Questions with Rationales
Medical-Surgical Nursing I
Galen College of Nursing
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Exam 2 of NU 155 at the Galen College of Nursing.
It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. A patient is being treated for fluid overload. What might you see in
the patient’s care plan regarding nutrition therapy? (Select all that
apply)
a. Patient is placed on fluid restrictions
b. Patient is placed on a sodium restricted diet
c. Patient is encouraged to drink 1500 mL of water
d. Patient education on checking food labels for sodium content
Correct Answers: a, b, d
Expert Rationale:
Fluid overload commonly results from excess sodium and fluid intake,
which can exacerbate edema and cardiovascular strain. Therefore, fluid
restrictions (a) and sodium restrictions (b) are essential components of
therapy. Patient education on reading sodium content in foods (d) helps
ensure ongoing adherence. Encouraging increased fluid intake (c) is
contraindicated in fluid overload.
---
2. A patient who has a colostomy is complaining about having excess
gas. You ask the patient to tell you what he has eaten in the past 48
hours. Which food would you suspect is causing the patient
excessive gas?
A. Squash, Spinach, and Pickles
,B. Chicken, grapes, and raspberries
C. Cherries, Radishes, and Watermelon
D. Caraway seeds, tomato soup, and eggs
Correct Answer: C
Expert Rationale:
Foods like cherries, radishes, and watermelon are known to cause
excessive intestinal gas due to fermentation of certain sugars and fibers.
Caraway seeds (D) might help reduce gas. Proteins and low-fiber fruits like
those in B typically do not cause gas.
---
3. A patient is diagnosed with Congestive Heart Failure and must
follow a specific diet. Which spices are okay for the patient to use
daily?
A. Garlic Sodium & Nutmeg
B. Sea Salt & Pepper
C. Onion Salt & Garlic Powder
D. Ginger & Bay Leaves
Correct Answer: D
Expert Rationale:
, Patients with CHF are advised to avoid high-sodium seasonings (such as
onion salt, garlic salt, and sea salt). Nutmeg has minimal sodium but can
be used sparingly. Ginger and bay leaves (D) are naturally sodium-free and
safe for daily use, providing flavor without increasing sodium intake.
---
4. A patient with gout should follow what type of diet?
A. High-calcium diet
B. Renal Diet
C. Low-purine diet
D. Potassium-modified diet
Correct Answer: C
Expert Rationale:
Gout is caused by uric acid accumulation, which originates from purine
metabolism. A low-purine diet reduces uric acid production, decreasing
flare-ups. Renal, calcium, or potassium diets are not specific nor effective
for gout management.
---
5. The client who was started on total parenteral nutrition (TPN)
yesterday has the following morning lab results. Which result
EXAM 2
Tested Questions with Rationales
Medical-Surgical Nursing I
Galen College of Nursing
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Exam 2 of NU 155 at the Galen College of Nursing.
It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. A patient is being treated for fluid overload. What might you see in
the patient’s care plan regarding nutrition therapy? (Select all that
apply)
a. Patient is placed on fluid restrictions
b. Patient is placed on a sodium restricted diet
c. Patient is encouraged to drink 1500 mL of water
d. Patient education on checking food labels for sodium content
Correct Answers: a, b, d
Expert Rationale:
Fluid overload commonly results from excess sodium and fluid intake,
which can exacerbate edema and cardiovascular strain. Therefore, fluid
restrictions (a) and sodium restrictions (b) are essential components of
therapy. Patient education on reading sodium content in foods (d) helps
ensure ongoing adherence. Encouraging increased fluid intake (c) is
contraindicated in fluid overload.
---
2. A patient who has a colostomy is complaining about having excess
gas. You ask the patient to tell you what he has eaten in the past 48
hours. Which food would you suspect is causing the patient
excessive gas?
A. Squash, Spinach, and Pickles
,B. Chicken, grapes, and raspberries
C. Cherries, Radishes, and Watermelon
D. Caraway seeds, tomato soup, and eggs
Correct Answer: C
Expert Rationale:
Foods like cherries, radishes, and watermelon are known to cause
excessive intestinal gas due to fermentation of certain sugars and fibers.
Caraway seeds (D) might help reduce gas. Proteins and low-fiber fruits like
those in B typically do not cause gas.
---
3. A patient is diagnosed with Congestive Heart Failure and must
follow a specific diet. Which spices are okay for the patient to use
daily?
A. Garlic Sodium & Nutmeg
B. Sea Salt & Pepper
C. Onion Salt & Garlic Powder
D. Ginger & Bay Leaves
Correct Answer: D
Expert Rationale:
, Patients with CHF are advised to avoid high-sodium seasonings (such as
onion salt, garlic salt, and sea salt). Nutmeg has minimal sodium but can
be used sparingly. Ginger and bay leaves (D) are naturally sodium-free and
safe for daily use, providing flavor without increasing sodium intake.
---
4. A patient with gout should follow what type of diet?
A. High-calcium diet
B. Renal Diet
C. Low-purine diet
D. Potassium-modified diet
Correct Answer: C
Expert Rationale:
Gout is caused by uric acid accumulation, which originates from purine
metabolism. A low-purine diet reduces uric acid production, decreasing
flare-ups. Renal, calcium, or potassium diets are not specific nor effective
for gout management.
---
5. The client who was started on total parenteral nutrition (TPN)
yesterday has the following morning lab results. Which result
