1|Page
NU 155 Exam 3 Medical-Surgical Nursing I
(2026) PDF | Galen College of Nursing.
The nurse is monitoring a client's surgical incision and notes an increase
in the amount of drainage, a separation of the incision line, and the
appearance of underlying tissue. Which of the following is an
appropriate action for the nurse to take? - ANSWER-Apply a sterile,
normal-saline soaked dressing to the wound.
The nurse is providing preoperative instructions to a client who is
scheduled for surgery to correct
spinal curvature. Which of the following statements by the client best
demonstrates a correct
understanding of the teaching? - ANSWER-"I will show you the method
of turning I will use after surgery."
The nurse is assessing a postoperative client who has advanced cognitive
impairment. Which of the
following actions by the nurse is most effective when assessing the
client's level of pain? - ANSWER-Monitor the client's body language,
facial expressions, emotional status, and consolability.
The nurse is caring for a client who has diabetes melltus and reports
sharp, burning pain in bilateral lower extremities. The nurse understands
that the cilent may be experiencing - ANSWER-Neuropathic pain.
The nurse is caring for a client who is scheduled to have surgery the
following day. It requires notification to the primary health care provider
,2|Page
(PHCP) if the client - ANSWER-Reports a family history of high fever
during a surgical procedure.
The nurse is caring for a client who is postoperative. Which of the
following actions should the nure, take to minimize the client's risk of
developing deep vein thrombosis (DVT)? - ANSWER-Assist the client
to ambulate frequently as early as tolerated.
The nurse is caring for a group of assigned clients. Which of the
folowing clients requires immeciate
follow-up by the nurse? - ANSWER-The client who had a cardiac
catheterization via the right femoral artery 1 hour ago who is reporting
numbness in the right leg.
The nurse has reinforced teaching with a client about risk factors for
deep vein thrombosis (DVT). Which of the following risk factors
identified by the client indicates a need for further teaching? -
ANSWER-Intake of foods high in calcium.
Which of the following findings from the box below should be of
immediate concern to the nurse?
1 . Shortness of b r e a t h .
2. Back pain.
3 . Temperature.
4 . History of
hyperlipidemia.
5 . History of asthma.
6 . Respiratory rate.
7 . Blood pressure. - ANSWER-1, 2, 6, 7.
The nurse is caring for a client who has left-sided heart failure (HF) and
has developed a cough, crackles, and weak peripheral pulses. Which of
the following additional findings should the nurse expect to observe? -
ANSWER-Confusion
,3|Page
The nurse has reinforced dietary teaching with a client who has
hypercholesteremia. Which of the
following client statements indicates a correct understanding about ways
to lower cholesterol in the diet ? - ANSWER-"I will use egg whites for
my breakfast and in recipes."
The nurse is caring for a client who experienced an acute myocardial
infarction (MI) 24 hours ago. It is
necessary for the nurse to immediately notify the charge nurse it the
client has - ANSWER-An indwelling urethral catheter output of 20 ml
over the past 2 hours.
The nurse is caring for a client who has diabetes mellitus (type 2), takes
metformin daily, and is scheduled for surgery. Which of the following
should the nurse anticipate will be included in the plan of care while the
client has nothing by mouth (NPO) status? - ANSWER-Regular insulin
subcutaneously per sliding scale
The nurse is caring for a client who has an acute small-bowel
obstruction. Which of the following assessment findings is a priority to
report? - ANSWER-Abdominal rigidity.
The nurse is caring for a client who has peptic ulcer disease (PUD) and
has a new prescription for magnesium hydroxide. The nurse understands
that this medication may be used in the management of PUD to -
ANSWER-Neutralize gastric acid.
The nurse is caring for a client who has appendicitis. Which of the
following laboratory findings does
the nurse expect? - ANSWER-Increased white blood cell (WBC) count.
The nurse is caring for a client who is experiencing an acute
exacerbation of ulcerative collie. The nurse recognizes which of the
following actions as the priority? - ANSWER-Evaluate client for signs
of hypovolemia.
, 4|Page
The nurse is assisting with the admission of a client who is suspected of
having acute cholecystitis to cholelithiasis. The nurse should assess the
client for - ANSWER-Abdominal pain that is triggered by high-fat
meals.
The nurse is reinforcing teaching for a client who has cirrhosis, has a
distended abdomen, and experiencing dyspnea. Which of the following
statements should the nurse include in the teaching - ANSWER-"Sleep
with 2 or 3 pillows to elevate your head."
The nurse is caring for a client who has ulcerative colitis. Which of the
following findings indicates client is experiencing a complication? -
ANSWER-Tachycardia
The nurse has inserted a nasogastric tube what exam would indicate
correct placement? - ANSWER-X-ray
When educating a patient on way to improve their HTN, we would
encourage them to decrease this in their diet? - ANSWER-Sodium
The patient has a history of ulcerative colitis. What would you anticipate
the stool to be? - ANSWER-Diarrhea, 10-20 bloody stools
A patient has hiatal hernia and has heartburn after meals. What would
the nurse teach the client to avoid? - ANSWER-Laying supine after
meals
What risk factor are NOT associated with DVT( deep vein thrombosis)?
- ANSWER-Fever
What risk factors are associated with DVT(deep vein thrombosis) -
ANSWER-Oral contraceptives
Immobility
NU 155 Exam 3 Medical-Surgical Nursing I
(2026) PDF | Galen College of Nursing.
The nurse is monitoring a client's surgical incision and notes an increase
in the amount of drainage, a separation of the incision line, and the
appearance of underlying tissue. Which of the following is an
appropriate action for the nurse to take? - ANSWER-Apply a sterile,
normal-saline soaked dressing to the wound.
The nurse is providing preoperative instructions to a client who is
scheduled for surgery to correct
spinal curvature. Which of the following statements by the client best
demonstrates a correct
understanding of the teaching? - ANSWER-"I will show you the method
of turning I will use after surgery."
The nurse is assessing a postoperative client who has advanced cognitive
impairment. Which of the
following actions by the nurse is most effective when assessing the
client's level of pain? - ANSWER-Monitor the client's body language,
facial expressions, emotional status, and consolability.
The nurse is caring for a client who has diabetes melltus and reports
sharp, burning pain in bilateral lower extremities. The nurse understands
that the cilent may be experiencing - ANSWER-Neuropathic pain.
The nurse is caring for a client who is scheduled to have surgery the
following day. It requires notification to the primary health care provider
,2|Page
(PHCP) if the client - ANSWER-Reports a family history of high fever
during a surgical procedure.
The nurse is caring for a client who is postoperative. Which of the
following actions should the nure, take to minimize the client's risk of
developing deep vein thrombosis (DVT)? - ANSWER-Assist the client
to ambulate frequently as early as tolerated.
The nurse is caring for a group of assigned clients. Which of the
folowing clients requires immeciate
follow-up by the nurse? - ANSWER-The client who had a cardiac
catheterization via the right femoral artery 1 hour ago who is reporting
numbness in the right leg.
The nurse has reinforced teaching with a client about risk factors for
deep vein thrombosis (DVT). Which of the following risk factors
identified by the client indicates a need for further teaching? -
ANSWER-Intake of foods high in calcium.
Which of the following findings from the box below should be of
immediate concern to the nurse?
1 . Shortness of b r e a t h .
2. Back pain.
3 . Temperature.
4 . History of
hyperlipidemia.
5 . History of asthma.
6 . Respiratory rate.
7 . Blood pressure. - ANSWER-1, 2, 6, 7.
The nurse is caring for a client who has left-sided heart failure (HF) and
has developed a cough, crackles, and weak peripheral pulses. Which of
the following additional findings should the nurse expect to observe? -
ANSWER-Confusion
,3|Page
The nurse has reinforced dietary teaching with a client who has
hypercholesteremia. Which of the
following client statements indicates a correct understanding about ways
to lower cholesterol in the diet ? - ANSWER-"I will use egg whites for
my breakfast and in recipes."
The nurse is caring for a client who experienced an acute myocardial
infarction (MI) 24 hours ago. It is
necessary for the nurse to immediately notify the charge nurse it the
client has - ANSWER-An indwelling urethral catheter output of 20 ml
over the past 2 hours.
The nurse is caring for a client who has diabetes mellitus (type 2), takes
metformin daily, and is scheduled for surgery. Which of the following
should the nurse anticipate will be included in the plan of care while the
client has nothing by mouth (NPO) status? - ANSWER-Regular insulin
subcutaneously per sliding scale
The nurse is caring for a client who has an acute small-bowel
obstruction. Which of the following assessment findings is a priority to
report? - ANSWER-Abdominal rigidity.
The nurse is caring for a client who has peptic ulcer disease (PUD) and
has a new prescription for magnesium hydroxide. The nurse understands
that this medication may be used in the management of PUD to -
ANSWER-Neutralize gastric acid.
The nurse is caring for a client who has appendicitis. Which of the
following laboratory findings does
the nurse expect? - ANSWER-Increased white blood cell (WBC) count.
The nurse is caring for a client who is experiencing an acute
exacerbation of ulcerative collie. The nurse recognizes which of the
following actions as the priority? - ANSWER-Evaluate client for signs
of hypovolemia.
, 4|Page
The nurse is assisting with the admission of a client who is suspected of
having acute cholecystitis to cholelithiasis. The nurse should assess the
client for - ANSWER-Abdominal pain that is triggered by high-fat
meals.
The nurse is reinforcing teaching for a client who has cirrhosis, has a
distended abdomen, and experiencing dyspnea. Which of the following
statements should the nurse include in the teaching - ANSWER-"Sleep
with 2 or 3 pillows to elevate your head."
The nurse is caring for a client who has ulcerative colitis. Which of the
following findings indicates client is experiencing a complication? -
ANSWER-Tachycardia
The nurse has inserted a nasogastric tube what exam would indicate
correct placement? - ANSWER-X-ray
When educating a patient on way to improve their HTN, we would
encourage them to decrease this in their diet? - ANSWER-Sodium
The patient has a history of ulcerative colitis. What would you anticipate
the stool to be? - ANSWER-Diarrhea, 10-20 bloody stools
A patient has hiatal hernia and has heartburn after meals. What would
the nurse teach the client to avoid? - ANSWER-Laying supine after
meals
What risk factor are NOT associated with DVT( deep vein thrombosis)?
- ANSWER-Fever
What risk factors are associated with DVT(deep vein thrombosis) -
ANSWER-Oral contraceptives
Immobility
