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NUR 170 EXAM 1 Concepts of Medical-Surgical Nursing
ACTUAL EXAM COMPLETE 150 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
EXAM COVERAGE
NUR 170 – Exam 1: Concepts of Medical-Surgical Nursing
• Medical-Surgical Nursing Foundations – nursing process (ADPIE), critical thinking,
clinical judgment
• Health Assessment – head-to-toe assessment, vital signs, pain evaluation,
documentation
• Infection Control – standard/transmission-based precautions, hand hygiene, isolation
• Fluid & Electrolyte Balance – key electrolytes, dehydration/overload, acid-base
imbalances, IV basics
• Medication Safety – 6 rights, dosage calculation, adverse effects, high-alert meds
• Perioperative Care – pre/intra/post-op assessment, complication prevention
• Respiratory Care – oxygen delivery, respiratory assessment, early distress recognition
• Mobility & Immobility – pressure injury prevention, safe patient handling
• Pain & Comfort – acute/chronic pain, pharmacologic and non-pharmacologic
interventions
• Patient Education & Communication – therapeutic communication, cultural
considerations
• Safety & Risk Reduction – fall prevention, seizure precautions, restraints
QUESTION: A nurse is teaching a client who is newly diagnosed with diabetes mellitus. The
client tells the nurse, "Thank you. I never really knew what caused diabetes." Using the
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Schramm model of communication, the nurse should recognize the client's statement as an
example of which of the following components of the model?
A. Sender
B. Channel
C. Feedback
D. Receiver - ANSWER-C. Feedback
QUESTION: A nurse in a providers office is caring for a client who has hypertension during a
follow-up appointment and is focussing on the clients ability to make healthy behavior changes.
Which of the following statements by the nurse is an example of the use of affirmations?
A. "I'm glad you decided to continue your fitness routine."
B. "You could achieve better results if you applied yourself more."
C. "You are adjusting very well for your age."
D. "Reducing your caffeine intake is good, but you really need to stop completely." - ANSWER-A.
"I'm glad you decided to continue your fitness routine."
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QUESTION: A hospice nurse is caring for a client who states that they want to have their last
rites before they die. The nurse recognizes that which of the following factors is influencing the
clients request?
A. Cultural factor
B. Developmental factor
C. Environmental factor
D. Physiological Factor - ANSWER-A. Cultural factor
QUESTION: A nurse is caring for a client who has a new prescription for dialysis three times a
week. The client avoids eye contact while talking to the nurse and explains that they work two
jobs to support their partner and two children. The client states, "I do not know how I will have
time for dialysis." Which of the following factors is influencing the clients' communication?
(select all that apply)
A. Psychosocial factors
B. Cognitive factors
C. Situational factors
D. Environmental Factors
E. Physiological Factors - ANSWER-A. Psychosocial factors
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C. Situational factors
QUESTION: A nurse in the PACU is determining if a client has pain. The client is drowsy and
opens their eyes to verbal stimuli but cannot communicate their pain level. Which of the
following actions should the nurse take?
A. Administer an antagonist to reverse the effects of the anesthesia.
B. Use an alternative method for determining the clients' pain level.
C. Administer pain medication as prescribed for severe pain.
D. Wait until the client is awake, alert, and can vocalize their pain level. - ANSWER-B. Use an
alternative method for determining the clients' pain level.
QUESTION: A nurse receives a phone call from a client who was discharged yesterday. The
client ask
the nurse to email them a copy of their discharge instructions. Which of the following
responses should the nurse make?
A."The nurse manager will need to email the discharge instructions to you."
B. "I am unable to send your discharge instructions via email due to the HIPAA Privacy
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Act.
C. "You will need to ask your provider to email the discharge instructions to you."
D. "Sending the discharge instructions to you via email would be a violation of the
Affordable Care Act." - ANSWER-B. "I am unable to send your discharge instructions via email
due to the HIPAA Privacy
Act.
QUESTION: A nurse should identify that which of the following is the goal of surgical asepsis?
A. To create and maintain a micro-organism-free environment.
B. To kill all micro-organisms on all instruments involved in a procedure.
C.To reduce the presence of pathogenic organisms in the environment.
D. To minimize exposure to the clients blood during an invasive procedure. - ANSWER-A. To
create and maintain a micro-organism-free environment.
QUESTION: A nurse is providing teaching to an assistive personal (AP) about the use of sterile
gloves. Which of the following instructions regarding the open-gloving method should the nurse
give?
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A. "Ask another team member to assist with donning gloves."
B. "Choose a pair of gloves at least one size smaller than usual."
C. "Grasp only the underside of the cuff with your ungloved hand."
D. "Grasp only the inside of the glove with your ungloved hand."
A nurse is preparing a sterile field. The nurse should identify which of the following actions
contaminated the sterile field. Select all that apply.
A. A cotton ball dampened w sterile normal saline is placed on the field.
B. A contaminated instrument touches the outer edge of the sterile field.
C. A sterile instrument is dropped onto the near side of the sterile field.
D. The nurse turns to address the client's question concerning the procedure.
E. The procedure is postponed - ANSWER-D. "Grasp only the inside of the glove with your
ungloved hand."
NUR 170 EXAM 1 Concepts of Medical-Surgical Nursing
ACTUAL EXAM COMPLETE 150 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
EXAM COVERAGE
NUR 170 – Exam 1: Concepts of Medical-Surgical Nursing
• Medical-Surgical Nursing Foundations – nursing process (ADPIE), critical thinking,
clinical judgment
• Health Assessment – head-to-toe assessment, vital signs, pain evaluation,
documentation
• Infection Control – standard/transmission-based precautions, hand hygiene, isolation
• Fluid & Electrolyte Balance – key electrolytes, dehydration/overload, acid-base
imbalances, IV basics
• Medication Safety – 6 rights, dosage calculation, adverse effects, high-alert meds
• Perioperative Care – pre/intra/post-op assessment, complication prevention
• Respiratory Care – oxygen delivery, respiratory assessment, early distress recognition
• Mobility & Immobility – pressure injury prevention, safe patient handling
• Pain & Comfort – acute/chronic pain, pharmacologic and non-pharmacologic
interventions
• Patient Education & Communication – therapeutic communication, cultural
considerations
• Safety & Risk Reduction – fall prevention, seizure precautions, restraints
QUESTION: A nurse is teaching a client who is newly diagnosed with diabetes mellitus. The
client tells the nurse, "Thank you. I never really knew what caused diabetes." Using the
,Page 2 of 60
Schramm model of communication, the nurse should recognize the client's statement as an
example of which of the following components of the model?
A. Sender
B. Channel
C. Feedback
D. Receiver - ANSWER-C. Feedback
QUESTION: A nurse in a providers office is caring for a client who has hypertension during a
follow-up appointment and is focussing on the clients ability to make healthy behavior changes.
Which of the following statements by the nurse is an example of the use of affirmations?
A. "I'm glad you decided to continue your fitness routine."
B. "You could achieve better results if you applied yourself more."
C. "You are adjusting very well for your age."
D. "Reducing your caffeine intake is good, but you really need to stop completely." - ANSWER-A.
"I'm glad you decided to continue your fitness routine."
,Page 3 of 60
QUESTION: A hospice nurse is caring for a client who states that they want to have their last
rites before they die. The nurse recognizes that which of the following factors is influencing the
clients request?
A. Cultural factor
B. Developmental factor
C. Environmental factor
D. Physiological Factor - ANSWER-A. Cultural factor
QUESTION: A nurse is caring for a client who has a new prescription for dialysis three times a
week. The client avoids eye contact while talking to the nurse and explains that they work two
jobs to support their partner and two children. The client states, "I do not know how I will have
time for dialysis." Which of the following factors is influencing the clients' communication?
(select all that apply)
A. Psychosocial factors
B. Cognitive factors
C. Situational factors
D. Environmental Factors
E. Physiological Factors - ANSWER-A. Psychosocial factors
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C. Situational factors
QUESTION: A nurse in the PACU is determining if a client has pain. The client is drowsy and
opens their eyes to verbal stimuli but cannot communicate their pain level. Which of the
following actions should the nurse take?
A. Administer an antagonist to reverse the effects of the anesthesia.
B. Use an alternative method for determining the clients' pain level.
C. Administer pain medication as prescribed for severe pain.
D. Wait until the client is awake, alert, and can vocalize their pain level. - ANSWER-B. Use an
alternative method for determining the clients' pain level.
QUESTION: A nurse receives a phone call from a client who was discharged yesterday. The
client ask
the nurse to email them a copy of their discharge instructions. Which of the following
responses should the nurse make?
A."The nurse manager will need to email the discharge instructions to you."
B. "I am unable to send your discharge instructions via email due to the HIPAA Privacy
,Page 5 of 60
Act.
C. "You will need to ask your provider to email the discharge instructions to you."
D. "Sending the discharge instructions to you via email would be a violation of the
Affordable Care Act." - ANSWER-B. "I am unable to send your discharge instructions via email
due to the HIPAA Privacy
Act.
QUESTION: A nurse should identify that which of the following is the goal of surgical asepsis?
A. To create and maintain a micro-organism-free environment.
B. To kill all micro-organisms on all instruments involved in a procedure.
C.To reduce the presence of pathogenic organisms in the environment.
D. To minimize exposure to the clients blood during an invasive procedure. - ANSWER-A. To
create and maintain a micro-organism-free environment.
QUESTION: A nurse is providing teaching to an assistive personal (AP) about the use of sterile
gloves. Which of the following instructions regarding the open-gloving method should the nurse
give?
, Page 6 of 60
A. "Ask another team member to assist with donning gloves."
B. "Choose a pair of gloves at least one size smaller than usual."
C. "Grasp only the underside of the cuff with your ungloved hand."
D. "Grasp only the inside of the glove with your ungloved hand."
A nurse is preparing a sterile field. The nurse should identify which of the following actions
contaminated the sterile field. Select all that apply.
A. A cotton ball dampened w sterile normal saline is placed on the field.
B. A contaminated instrument touches the outer edge of the sterile field.
C. A sterile instrument is dropped onto the near side of the sterile field.
D. The nurse turns to address the client's question concerning the procedure.
E. The procedure is postponed - ANSWER-D. "Grasp only the inside of the glove with your
ungloved hand."
