NU 155 EXAM 4 MEDICAL-SURGICAL
NURSING I COMPREHENSIVE
QUESTIONS & ANSWERS 100%
GUARANTEE PASS | GALEN COLLEGE
OF NURSING
1. A patient with COPD is being discharged. Which statement by the patient indicates a need
for further teaching regarding pursed-lip breathing?
A. I should inhale through my nose to a count of two.
B. I should exhale for twice as long as I inhale.
C. I should puff out my cheeks while I am exhaling.
D. I should keep my lips like I am going to whistle when I breathe out.
Answer: C
Conceptual Explanation: Pursed-lip breathing involves exhaling through tight lips, but the
cheeks should not be puffed out. The goal is to create backpressure in the airways to keep
them open longer and promote carbon dioxide elimination.
2. A nurse is caring for a patient with Right-Sided Heart Failure. Which clinical manifestation
should the nurse expect to find during the assessment?
A. Jugular Venous Distention (JVD)
,B. Pulmonary crackles
C. Dyspnea on exertion
D. Orthopnea
Answer: A
Conceptual Explanation: Right-sided heart failure leads to systemic congestion.
Manifestations include JVD, peripheral edema, and hepatomegaly. Pulmonary symptoms
like crackles and dyspnea are associated with left-sided heart failure.
3. The nurse is monitoring a patient receiving a blood transfusion. Which action is the priority
if a transfusion reaction is suspected?
A. Slow the infusion rate and notify the physician.
B. Stop the transfusion and hang normal saline with new tubing.
C. Administer diphenhydramine immediately.
D. Document the patients vital signs and re-check the bag labels.
Answer: B
Conceptual Explanation: If a reaction is suspected, the priority is to stop the transfusion
immediately at the catheter hub and maintain the IV line with normal saline using an
entirely new set of tubing to prevent further blood from entering the patient.
, 4. A patient with Peripheral Arterial Disease (PAD) reports pain in the calves when walking
that resolves with rest. What is the correct term for this finding?
A. Intermittent Claudication
B. Neuropathy
C. Paresthesia
D. Rest Pain
Answer: A
Conceptual Explanation: Intermittent claudication is the classic symptom of PAD,
characterized by ischemic muscle pain triggered by exercise and relieved by rest.
5. The nurse is preparing to administer Digoxin to a patient with heart failure. Which
laboratory value should the nurse check first to minimize the risk of toxicity?
A. Potassium level
B. Sodium level
C. Hemoglobin
D. Platelet count
Answer: A
Conceptual Explanation: Hypokalemia (low potassium) sensitizes the myocardium to
digoxin, significantly increasing the risk of digoxin toxicity, even if the digoxin level is
within a normal range.
NURSING I COMPREHENSIVE
QUESTIONS & ANSWERS 100%
GUARANTEE PASS | GALEN COLLEGE
OF NURSING
1. A patient with COPD is being discharged. Which statement by the patient indicates a need
for further teaching regarding pursed-lip breathing?
A. I should inhale through my nose to a count of two.
B. I should exhale for twice as long as I inhale.
C. I should puff out my cheeks while I am exhaling.
D. I should keep my lips like I am going to whistle when I breathe out.
Answer: C
Conceptual Explanation: Pursed-lip breathing involves exhaling through tight lips, but the
cheeks should not be puffed out. The goal is to create backpressure in the airways to keep
them open longer and promote carbon dioxide elimination.
2. A nurse is caring for a patient with Right-Sided Heart Failure. Which clinical manifestation
should the nurse expect to find during the assessment?
A. Jugular Venous Distention (JVD)
,B. Pulmonary crackles
C. Dyspnea on exertion
D. Orthopnea
Answer: A
Conceptual Explanation: Right-sided heart failure leads to systemic congestion.
Manifestations include JVD, peripheral edema, and hepatomegaly. Pulmonary symptoms
like crackles and dyspnea are associated with left-sided heart failure.
3. The nurse is monitoring a patient receiving a blood transfusion. Which action is the priority
if a transfusion reaction is suspected?
A. Slow the infusion rate and notify the physician.
B. Stop the transfusion and hang normal saline with new tubing.
C. Administer diphenhydramine immediately.
D. Document the patients vital signs and re-check the bag labels.
Answer: B
Conceptual Explanation: If a reaction is suspected, the priority is to stop the transfusion
immediately at the catheter hub and maintain the IV line with normal saline using an
entirely new set of tubing to prevent further blood from entering the patient.
, 4. A patient with Peripheral Arterial Disease (PAD) reports pain in the calves when walking
that resolves with rest. What is the correct term for this finding?
A. Intermittent Claudication
B. Neuropathy
C. Paresthesia
D. Rest Pain
Answer: A
Conceptual Explanation: Intermittent claudication is the classic symptom of PAD,
characterized by ischemic muscle pain triggered by exercise and relieved by rest.
5. The nurse is preparing to administer Digoxin to a patient with heart failure. Which
laboratory value should the nurse check first to minimize the risk of toxicity?
A. Potassium level
B. Sodium level
C. Hemoglobin
D. Platelet count
Answer: A
Conceptual Explanation: Hypokalemia (low potassium) sensitizes the myocardium to
digoxin, significantly increasing the risk of digoxin toxicity, even if the digoxin level is
within a normal range.
