NU 155 EXAM 2 /NU 155 MEDICAL SURGICAL
NURSING I EXAM 2 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS| CURRENTLY TESTING VERSION |
ALREADY GRADED A+|NEWEST|EXPERT
VERIFIED FOR GUARANTEED PASS 2026/2027
The client is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation
procedures should the nurse implement?
1. Standard Precautions.
2. Contact Precautions.
3. Droplet Precautions.
4. Airborne Precautions.
4. Tuberculosis bacteria are capable of dis- seminating over long distances on air cur-
rents. Clients with tuberculosis are placed in negative air pressure rooms where the air
in the room is not allowed to cross- contaminate the air in the hallway.
TEST-TAKING HINT: Standard Precautions and Contact Precautions can be ruled out as
the correct answer if the test taker is aware that Tb is usually a respiratory illness. This at
least gives the reader a 1:2 chance of select- ing the correct answer if the answer is not
known.
The nurse observes the unlicensed assistive personnel (UAP) entering an airborne
isolation room and leaving the door open. Which action is the nurse's best response?
1. Close the door and discuss the UAP's action after coming out of the room.
2. Make the UAP come back outside the room and then reenter, closing the door.
3. Say nothing to the UAP but report the incident to the nursing supervisor.
4. Enter the client's room and discuss the matter with the UAP immediately.
1. Closing the door reestablishes the negative air pressure, which prevents the air from
entering the hall and contaminating the hospital environment. When correct- ing an
1|Page
,individual, it is always best to do so in a private manner.
TEST-TAKING HINT: An action must be taken; the test taker must determine which
action would have the desired results with the least amount of disruption to client care.
Correct- ing the UAP in this manner has the greatest chance of creating a win-win
situation.
The client is admitted to a medical unit with a diagnosis of pneumonia. Which signs and
symptoms should the nurse assess in the client?
1. Pleuritic chest discomfort and anxiety.
2. Asymmetrical chest expansion and pallor.
3. Leukopenia and CRT <three (3) seconds.
4. Substernal chest pain and diaphoresis
1. Pleuritic chest pain and anxiety from diminished oxygenation occur along with fever,
chills, dyspnea, and cough.
Wrong answers:
2. Asymmetrical chest expansion occurs if the client has a collapsed lung from a
pneumothorax or hemothorax, and the client would be cyanotic from decreased
oxygenation.
3. The client would have leukocytosis, not leukopenia, and a capillary refill time (CRT) of
less than 3 seconds is normal.
4. Substernal chest pain and diaphoresis are symptoms of myocardial infarction.
The nurse is assessing the client with COPD. Which health promotion information is
most important for the nurse to obtain?
1. Number of years the client has smoked.
2. Risk factors for complications.
3. Ability to administer inhaled medication.
4. Willingness to modify lifestyle.
4. The client's attitude toward lifestyle changes is the most important consideration in
health promotion, in this case smoking cessation. The nurse should assess if the client
2|Page
,is willing to consider cessation of smoking and carry out the plan.
TEST-TAKING HINT: The test taker should read the stem for words such as "health
promotion." These words make all the other answer options incorrect because they do
not promote health.
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
1. Assist the client into a sitting position at
90 degrees.
2. Administer oxygen at six (6) LPM via nasal
cannula.
3. Monitor vital signs with the client sitting
upright.
4. Notify the health-care provider about the
client's status.
1. The client should be assisted into a sitting position either on the side of the bed or in
the bed. This position decreases the work of breathing. Some clients find it easier sitting
on the side of the bed lean- ing over the bed table. The nurse needs to maintain the
client's safety.
TEST-TAKING HINT: When a question asks for the test taker to choose the intervention to
implement first, the test taker should select an intervention directly caring for the client.
Remember: in distress do not assess.
The nurse is assessing the client diagnosed with COPD. Which data require immediate
intervention by the nurse?
1. Large amounts of thick white sputum.
2. Oxygen flowmeter set on eight (8) liters.
3. Use of accessory muscles during inspiration.
4. Presence of a barrel chest and dyspnea.
3|Page
, 2. The nurse should decrease the oxygen rate to two (2) to three (3) liters. Hypoxemia is
the stimulus for breathing in the client with COPD. If the hypoxemia improves and the
oxygen level increases, the drive to breathe may be eliminated.
TEST-TAKING HINT: This question requires interpreting the data to determine which are
abnormal or unexpected and require intervention. Options "1," "3," and "4" are expected
for the client's disease process.
The nurse is caring for the client diagnosed with COPD. Which outcome requires a
revision in the plan of care?1. The client has no signs of respiratory distress.
2. The client shows an improved respiratory
pattern.
3. The client demonstrates intolerance to
activity.
4. The client participates in establishing goals.
3. The expected outcome should be that the client has tolerance for activity; because
the client is not meeting the expected out- come, the plan of care needs revision.
TEST-TAKING HINT: This question is an "except" question. Three of the options indicate
desired outcomes and only one (1) option indicates the need for improvement.
The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant
immediate intervention by the nurse?
1. The client's pulse oximeter reading is 92%.
2. The client's arterial blood gas level is 74.
3. The client has SOB when walking to the
bathroom.
4. The client's sputum is rusty colored.
4. Rusty-colored sputum indicates blood in the sputum and requires further
assessment by the nurse.
TEST-TAKING HINT: The test taker could rule out options "1" and "2" as correct answers
4|Page
NURSING I EXAM 2 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS| CURRENTLY TESTING VERSION |
ALREADY GRADED A+|NEWEST|EXPERT
VERIFIED FOR GUARANTEED PASS 2026/2027
The client is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation
procedures should the nurse implement?
1. Standard Precautions.
2. Contact Precautions.
3. Droplet Precautions.
4. Airborne Precautions.
4. Tuberculosis bacteria are capable of dis- seminating over long distances on air cur-
rents. Clients with tuberculosis are placed in negative air pressure rooms where the air
in the room is not allowed to cross- contaminate the air in the hallway.
TEST-TAKING HINT: Standard Precautions and Contact Precautions can be ruled out as
the correct answer if the test taker is aware that Tb is usually a respiratory illness. This at
least gives the reader a 1:2 chance of select- ing the correct answer if the answer is not
known.
The nurse observes the unlicensed assistive personnel (UAP) entering an airborne
isolation room and leaving the door open. Which action is the nurse's best response?
1. Close the door and discuss the UAP's action after coming out of the room.
2. Make the UAP come back outside the room and then reenter, closing the door.
3. Say nothing to the UAP but report the incident to the nursing supervisor.
4. Enter the client's room and discuss the matter with the UAP immediately.
1. Closing the door reestablishes the negative air pressure, which prevents the air from
entering the hall and contaminating the hospital environment. When correct- ing an
1|Page
,individual, it is always best to do so in a private manner.
TEST-TAKING HINT: An action must be taken; the test taker must determine which
action would have the desired results with the least amount of disruption to client care.
Correct- ing the UAP in this manner has the greatest chance of creating a win-win
situation.
The client is admitted to a medical unit with a diagnosis of pneumonia. Which signs and
symptoms should the nurse assess in the client?
1. Pleuritic chest discomfort and anxiety.
2. Asymmetrical chest expansion and pallor.
3. Leukopenia and CRT <three (3) seconds.
4. Substernal chest pain and diaphoresis
1. Pleuritic chest pain and anxiety from diminished oxygenation occur along with fever,
chills, dyspnea, and cough.
Wrong answers:
2. Asymmetrical chest expansion occurs if the client has a collapsed lung from a
pneumothorax or hemothorax, and the client would be cyanotic from decreased
oxygenation.
3. The client would have leukocytosis, not leukopenia, and a capillary refill time (CRT) of
less than 3 seconds is normal.
4. Substernal chest pain and diaphoresis are symptoms of myocardial infarction.
The nurse is assessing the client with COPD. Which health promotion information is
most important for the nurse to obtain?
1. Number of years the client has smoked.
2. Risk factors for complications.
3. Ability to administer inhaled medication.
4. Willingness to modify lifestyle.
4. The client's attitude toward lifestyle changes is the most important consideration in
health promotion, in this case smoking cessation. The nurse should assess if the client
2|Page
,is willing to consider cessation of smoking and carry out the plan.
TEST-TAKING HINT: The test taker should read the stem for words such as "health
promotion." These words make all the other answer options incorrect because they do
not promote health.
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
1. Assist the client into a sitting position at
90 degrees.
2. Administer oxygen at six (6) LPM via nasal
cannula.
3. Monitor vital signs with the client sitting
upright.
4. Notify the health-care provider about the
client's status.
1. The client should be assisted into a sitting position either on the side of the bed or in
the bed. This position decreases the work of breathing. Some clients find it easier sitting
on the side of the bed lean- ing over the bed table. The nurse needs to maintain the
client's safety.
TEST-TAKING HINT: When a question asks for the test taker to choose the intervention to
implement first, the test taker should select an intervention directly caring for the client.
Remember: in distress do not assess.
The nurse is assessing the client diagnosed with COPD. Which data require immediate
intervention by the nurse?
1. Large amounts of thick white sputum.
2. Oxygen flowmeter set on eight (8) liters.
3. Use of accessory muscles during inspiration.
4. Presence of a barrel chest and dyspnea.
3|Page
, 2. The nurse should decrease the oxygen rate to two (2) to three (3) liters. Hypoxemia is
the stimulus for breathing in the client with COPD. If the hypoxemia improves and the
oxygen level increases, the drive to breathe may be eliminated.
TEST-TAKING HINT: This question requires interpreting the data to determine which are
abnormal or unexpected and require intervention. Options "1," "3," and "4" are expected
for the client's disease process.
The nurse is caring for the client diagnosed with COPD. Which outcome requires a
revision in the plan of care?1. The client has no signs of respiratory distress.
2. The client shows an improved respiratory
pattern.
3. The client demonstrates intolerance to
activity.
4. The client participates in establishing goals.
3. The expected outcome should be that the client has tolerance for activity; because
the client is not meeting the expected out- come, the plan of care needs revision.
TEST-TAKING HINT: This question is an "except" question. Three of the options indicate
desired outcomes and only one (1) option indicates the need for improvement.
The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant
immediate intervention by the nurse?
1. The client's pulse oximeter reading is 92%.
2. The client's arterial blood gas level is 74.
3. The client has SOB when walking to the
bathroom.
4. The client's sputum is rusty colored.
4. Rusty-colored sputum indicates blood in the sputum and requires further
assessment by the nurse.
TEST-TAKING HINT: The test taker could rule out options "1" and "2" as correct answers
4|Page
