NUR 201 EXAM 3 FORTIS/NUR 201 MEDICAL-SURGICAL
NURSING I EXAM 3 NEWEST 2025/2026 COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A patient scheduled for a total laryngectomy and radical neck dissection for cancer
of the larynx asks the nurse, "Will I be able to talk normally after surgery?" What is
the most accurate response by the nurse?
a. "You will breathe through a permanent opening in your neck, but you will not
be able to communicate orally."
b. "You won't be able to talk right after surgery, but you will be able to speak again
after the tracheostomy tube is removed."
c. "You will have a permanent opening into your neck, and you will need
rehabilitation for some type of voice restoration."
d. "You won't be able to speak as you used to, but there are artificial voice devices
that will give you the ability to speak normally." - ANSWER-c
A patient who had a total laryngectomy has a nursing diagnosis of hopelessness
related to loss of control of personal care. Which information obtained by the
nurse indicates that this identified problem is resolving?
a. The patient allows the nurse to suction the tracheostomy.
b. The patient's spouse provides the daily tracheostomy care.
c. The patient asks how to clean the tracheostomy stoma and tube.
d. The patient uses a communication board to request "No Visitors." - ANSWER-c
1|Page
, Nur 201 Exam 3 Fortis/Nur 201 Medical-Surgical Nursing I Exam 3
A patient diagnosed with active tuberculosis (TB) is homeless and has a history of
alcohol abuse. Which intervention by the nurse will be most effective in ensuring
adherence with the treatment regimen?
a. Repeat warnings about the high risk for infecting others several times.
b. Give the patient written instructions about how to take the medications.
c. Arrange for a daily meal and drug administration at a community center.
d. Arrange for the patient's friend to administer the medication on schedule. -
ANSWER-c
The nurse plans to teach a patient how to manage allergic rhinitis. Which
information should the nurse include in the teaching plan?
a. Using oral antihistamines for 2 weeks before the allergy season may prevent
reactions.
b. Identifying and avoiding environmental triggers are the best way to prevent
symptoms.
c. Frequent hand washing is the primary way to prevent spreading the condition
to others.
d. Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit
their use. - ANSWER-b
The nurse teaches a patient about discharge instructions after a rhinoplasty.
Which statement, if made by the patient, indicates that the teaching was
successful?
a. "My nose will look normal after 24 to 48 hours."
b. "I can take 800 mg ibuprofen every 6 hours for pain."
c. "I will remove and reapply the nasal packing every day."
2|Page
, Nur 201 Exam 3 Fortis/Nur 201 Medical-Surgical Nursing I Exam 3
d. "I will elevate my head for 48 hours to minimize swelling." - ANSWER-d
The nurse completes discharge instructions for a patient with a total
laryngectomy. Which statement by the patient indicates that additional instruction
is needed?
a. "I must keep the stoma covered with an occlusive dressing."
b. "I need to have smoke and carbon monoxide detectors installed."
c. "I can participate in my prior fitness activities except swimming."
d. "I should wear a Medic-Alert bracelet to identify me as a neck breather." -
ANSWER-a
Which action should the nurse take first when a patient develops epistaxis?
a. Pack the affected nare tightly with an epistaxis balloon.
b. Apply squeezing pressure to the nostrils for 10 minutes.
c. Obtain silver nitrate that may be needed for cauterization.
d. Instill a vasoconstrictor medication into the affected nare. - ANSWER-b
After being hit by a baseball, a patient arrives in the emergency department with
a possible nasal fracture. Which finding by the nurse is most important to report
to the health care provider?
a. Clear nasal drainage
b. Complaint of nasal pain
c. Bilateral nose swelling and bruising
d. Inability to breathe through the nose - ANSWER-a
3|Page
, Nur 201 Exam 3 Fortis/Nur 201 Medical-Surgical Nursing I Exam 3
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The
nurse should notify the health care provider if the patient exhibits which finding?
a. Yellow-tinged sclera
b. Orange-colored sputum
c. Thickening of the fingernails
d. Difficulty hearing high-pitched voices - ANSWER-a
A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue
being "stuck up my nose" and with foul-smelling nasal drainage from the right
nare. Which action should the nurse take first?
a. Notify the clinic health care provider.
b. Obtain aerobic culture specimens of the drainage.
c. Ask the patient about how the cotton got into the nose.
d. Have the patient occlude the left nare and blow the nose. - ANSWER-d
The nurse is caring for a hospitalized older patient who has nasal packing in place
after a nosebleed. Which assessment finding will require the most immediate
action by the nurse?
a. The oxygen saturation is 89%.
b. The nose appears red and swollen.
c. The patient reports level 8 (0 to 10 scale) pain.
d. The patient's temperature is 100.1° F (37.8° C). - ANSWER-a
4|Page