NU 155
EXAM 1
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 1 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.
,A nurse is caring for a patient recently diagnosed with metastatic lung
cancer who expresses concern about managing at home alone. Which
action by the case manager is the priority?
A. Arrange a referral to Meals on Wheels for food support.
B. Refer the patient to a social worker for evaluation of available home
support.
C. Set up a follow-up appointment with the oncologist.
D. Provide information about local cancer support groups.
Correct Answer: B
Expert Rationale: While referrals to community services, oncology, and
support groups are important, the priority is assessing psychosocial support
systems and home resources through a social worker. This ensures safety
and appropriate planning for home care needs.
A hospitalized patient requires a home oxygen setup upon discharge.
Which of the following is the most appropriate case management
action?
A. Teach the patient how to use oxygen equipment before discharge.
B. Notify the physician that the patient requires oxygen at home.
C. Contact durable medical equipment (DME) services to coordinate
home oxygen delivery.
D. Remind the patient to pick up oxygen equipment at a pharmacy.
Correct Answer: C
Expert Rationale: Case managers coordinate services between hospital
and community resources. Oxygen delivery requires a DME provider
referral and arrangement, which is the case manager's role. Education (A)
is the nurse's role, and patients cannot pick up oxygen at a retail pharmacy.
A patient with a new spinal cord injury requires long-term
rehabilitation services. Which referral is most appropriate?
, A. Home health nurse
B. Skilled nursing facility
C. Rehabilitation facility
D. Hospice care
Correct Answer: C
Expert Rationale: A patient with a new spinal cord injury benefits from
intensive rehab services for mobility and function. Home health (A) may be
appropriate later, skilled nursing (B) is for sub-acute needs, and hospice
(D) is only for end-of-life care.
The nurse notes that a patient with limited English proficiency has
been missing follow-up appointments. Which case management
action is most important to promote continuity of care?
A. Arrange for transportation to appointments.
B. Provide written discharge instructions in English.
C. Refer to interpreter services for communication support.
D. Suggest the patient ask family members to interpret.
Correct Answer: C
Expert Rationale: Case managers ensure access to care by addressing
health literacy and communication barriers. Interpreter services are an
ethical and legal requirement, ensuring accurate communication. Family
interpretation is not appropriate due to risk of miscommunication.
A 78-year-old patient hospitalized with pneumonia is being
discharged but expresses concern about preparing meals and getting
to appointments. Which referrals should the case manager prioritize?
(Select all that apply.)
A. Meals on Wheels
B. Physical therapy
C. Transportation services
D. Hospice care
E. Home health nursing
EXAM 1
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 1 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.
,A nurse is caring for a patient recently diagnosed with metastatic lung
cancer who expresses concern about managing at home alone. Which
action by the case manager is the priority?
A. Arrange a referral to Meals on Wheels for food support.
B. Refer the patient to a social worker for evaluation of available home
support.
C. Set up a follow-up appointment with the oncologist.
D. Provide information about local cancer support groups.
Correct Answer: B
Expert Rationale: While referrals to community services, oncology, and
support groups are important, the priority is assessing psychosocial support
systems and home resources through a social worker. This ensures safety
and appropriate planning for home care needs.
A hospitalized patient requires a home oxygen setup upon discharge.
Which of the following is the most appropriate case management
action?
A. Teach the patient how to use oxygen equipment before discharge.
B. Notify the physician that the patient requires oxygen at home.
C. Contact durable medical equipment (DME) services to coordinate
home oxygen delivery.
D. Remind the patient to pick up oxygen equipment at a pharmacy.
Correct Answer: C
Expert Rationale: Case managers coordinate services between hospital
and community resources. Oxygen delivery requires a DME provider
referral and arrangement, which is the case manager's role. Education (A)
is the nurse's role, and patients cannot pick up oxygen at a retail pharmacy.
A patient with a new spinal cord injury requires long-term
rehabilitation services. Which referral is most appropriate?
, A. Home health nurse
B. Skilled nursing facility
C. Rehabilitation facility
D. Hospice care
Correct Answer: C
Expert Rationale: A patient with a new spinal cord injury benefits from
intensive rehab services for mobility and function. Home health (A) may be
appropriate later, skilled nursing (B) is for sub-acute needs, and hospice
(D) is only for end-of-life care.
The nurse notes that a patient with limited English proficiency has
been missing follow-up appointments. Which case management
action is most important to promote continuity of care?
A. Arrange for transportation to appointments.
B. Provide written discharge instructions in English.
C. Refer to interpreter services for communication support.
D. Suggest the patient ask family members to interpret.
Correct Answer: C
Expert Rationale: Case managers ensure access to care by addressing
health literacy and communication barriers. Interpreter services are an
ethical and legal requirement, ensuring accurate communication. Family
interpretation is not appropriate due to risk of miscommunication.
A 78-year-old patient hospitalized with pneumonia is being
discharged but expresses concern about preparing meals and getting
to appointments. Which referrals should the case manager prioritize?
(Select all that apply.)
A. Meals on Wheels
B. Physical therapy
C. Transportation services
D. Hospice care
E. Home health nursing
