NU 155
FINAL EXAM
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 Final
Exam 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. The nurse is caring for a client who has been diagnosed with a
*Candida albicans* (yeast) infection. Which of the following findings
does the nurse expect to observe?**
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
**Correct Answer:** B) Cottage cheese-like discharge
**Expert Rationale:** *Candida albicans* typically causes a thick, white,
curd-like (cottage cheese) vaginal discharge accompanied by itching and
irritation. This is characteristic of a yeast infection, differentiating it from
bacterial or other causes of vaginitis.
---
**2. The nurse is reinforcing instruction with a client who has
gonorrhea. Which of the following statements by the client indicates a
need for further instruction?**
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
,**Correct Answer:** C) "I can continue to have sex as long as I am taking
antibiotics."
**Expert Rationale:** Sexual activity should be avoided until the infection
and symptoms fully resolve and the healthcare provider confirms that the
client is no longer contagious. Having sex during treatment can lead to
continued transmission and reinfection.
---
**3. The nurse is contributing to a community education program
about testicular self-examination (TSE). Which of the following
information should the nurse suggest including?**
A) Gently roll each testicle between the thumb and fingers to check for
lumps or swelling.
B) Examine the testicles once a year during a routine physical.
C) Use vigorous squeezing if swelling is suspected.
D) Use a mirror to check for changes in skin color around the scrotum.
**Correct Answer:** A) Gently roll each testicle between the thumb and
fingers to check for lumps or swelling.
**Expert Rationale:** TSE involves a gentle but thorough examination of
each testicle to detect lumps, swelling, or changes. Frequent monthly self-
examinations increase early detection of testicular cancer.
, ---
**4. The nurse is reinforcing teaching with a female client about breast
self-examinations (BSE). Which of the following should the nurse
include as the best time to perform BSE?**
A) The first day of the menstrual cycle
B) 1 week after the menstrual cycle
C) Midnight before going to bed
D) During ovulation
**Correct Answer:** B) 1 week after the menstrual cycle
**Expert Rationale:** Performing BSE about 1 week after menstruation
ensures that the breasts are least tender and swollen, making
abnormalities easier to detect.
---
**5. The nurse is caring for a client who is diagnosed with viral
meningitis. Which of the following client findings supports this
diagnosis?**
A) Positive Brudzinski's sign
B) Positive Babinski's reflex
FINAL EXAM
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 Final
Exam 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. The nurse is caring for a client who has been diagnosed with a
*Candida albicans* (yeast) infection. Which of the following findings
does the nurse expect to observe?**
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
**Correct Answer:** B) Cottage cheese-like discharge
**Expert Rationale:** *Candida albicans* typically causes a thick, white,
curd-like (cottage cheese) vaginal discharge accompanied by itching and
irritation. This is characteristic of a yeast infection, differentiating it from
bacterial or other causes of vaginitis.
---
**2. The nurse is reinforcing instruction with a client who has
gonorrhea. Which of the following statements by the client indicates a
need for further instruction?**
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
,**Correct Answer:** C) "I can continue to have sex as long as I am taking
antibiotics."
**Expert Rationale:** Sexual activity should be avoided until the infection
and symptoms fully resolve and the healthcare provider confirms that the
client is no longer contagious. Having sex during treatment can lead to
continued transmission and reinfection.
---
**3. The nurse is contributing to a community education program
about testicular self-examination (TSE). Which of the following
information should the nurse suggest including?**
A) Gently roll each testicle between the thumb and fingers to check for
lumps or swelling.
B) Examine the testicles once a year during a routine physical.
C) Use vigorous squeezing if swelling is suspected.
D) Use a mirror to check for changes in skin color around the scrotum.
**Correct Answer:** A) Gently roll each testicle between the thumb and
fingers to check for lumps or swelling.
**Expert Rationale:** TSE involves a gentle but thorough examination of
each testicle to detect lumps, swelling, or changes. Frequent monthly self-
examinations increase early detection of testicular cancer.
, ---
**4. The nurse is reinforcing teaching with a female client about breast
self-examinations (BSE). Which of the following should the nurse
include as the best time to perform BSE?**
A) The first day of the menstrual cycle
B) 1 week after the menstrual cycle
C) Midnight before going to bed
D) During ovulation
**Correct Answer:** B) 1 week after the menstrual cycle
**Expert Rationale:** Performing BSE about 1 week after menstruation
ensures that the breasts are least tender and swollen, making
abnormalities easier to detect.
---
**5. The nurse is caring for a client who is diagnosed with viral
meningitis. Which of the following client findings supports this
diagnosis?**
A) Positive Brudzinski's sign
B) Positive Babinski's reflex
