NUR 265 EXAM 4
Med-Surg – Galen College Actual Questions
and Answers (2026-2027)
1. The nurse working in the ED has triaged a client who presented with chest pain, SOB, a productive
cough, and reports of night sweats. The client has a health history of AIDS and recent labs show a low
CD4+ count. Which action should the nurse take next?
A. Initiate airborne precautions
B. Check the client's temperature
C. Assess the client for shingles
D. Obtain a throat culture
Correct Answer: A. Initiate airborne precautions
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with PJP. Which intervention should the nurse preceptor question?
A. Offering the client foods high in calories and protein
B. Instructing the client to drink at least 2–3 L of fluid throughout the day
C. Wearing a surgical mask when standing within 3 ft of the client
D. Auscultating the client's breath sounds for crackles at least once per shift
Correct Answer: C. Wearing a surgical mask when standing within 3 ft of the client
3. The nurse is caring for a patient who has AIDS and has just been diagnosed with toxoplasmosis
encephalitis. Which action should the nurse take?
,A. Thicken the patient's liquids to honey consistency
B. Initiate airborne precautions for the next 72 hours
C. Ask the client if they ingested undercooked meat
D. Monitor the client's level of orientation
Correct Answer: C. Ask the client if they ingested undercooked meat
4. The nurse working in a community health center has instructed a group of clients who have AIDS
about ways to prevent infection. Which statement indicates the need for additional teaching?
A. I should clean my toothbrush by running it through the dishwasher once a week.
B. I will avoid eating undercooked fruits and vegetables.
C. I will notify my provider if my temperature is greater than 101°F.
D. I will avoid drinking water that has been standing for longer than an hour.
Correct Answer: C. I will notify my provider if my temperature is greater than 101°F.
5. The nurse is admitting a client who has AIDS and has developed an infection caused by
cryptosporidium. Which client statement is consistent with the diagnosis?
A. "I have lost 5 lbs this past week."
B. "I have developed a persistent dry cough."
C. "I have noticed that my speech has become slurred."
D. "I have noticed that my food does not taste the same."
Correct Answer: C. "I have noticed that my speech has become slurred."
6. The nurse is caring for a client who had a heart transplant 10 years ago. Which findings require follow-
up by the nurse?
Prolonged prothrombin time (PT)
Activity intolerance
Weight gain of 3 lbs
, Shortness of breath
Hypotension
Irritability
Correct Answer: 2, 3, 4, and 5.
7. The nurse attended a conference about kidney transplantations. Which client who has end-stage renal
disease (ESRD) does the nurse recognize as being a transplant candidate?
A. A 35-year-old client who is reporting burning with urination and is receiving abdominal radiation
B. A 42-year-old client who is sobbing after receiving a new diagnosis of ovarian cancer
C. A 24-year-old client who is receiving neck radiation and is reporting xerostomia
D. A 56-year-old client who is receiving chest radiation and has developed changes in taste
Correct Answer: A. A 35-year-old client who is reporting burning with urination and is receiving
abdominal radiation
8. The nurse is caring for a client who has had a liver transplant 48 hours ago. It is a priority for the nurse
to notify the PHCP if the client has:
A. An increasing bilirubin level
B. Scant amounts of serosanguinous drainage from the incision
C. A urine output that has decreased from 65 to 45 mL/hr since surgery
D. An increase in BP from 115/68 to 122/74
Correct Answer: A. An increasing bilirubin level
9. The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the nurse to
notify the PHCP if the client has:
A. Only used the incentive spirometer once since last evening
B. Developed sputum that is yellow-tinged
Med-Surg – Galen College Actual Questions
and Answers (2026-2027)
1. The nurse working in the ED has triaged a client who presented with chest pain, SOB, a productive
cough, and reports of night sweats. The client has a health history of AIDS and recent labs show a low
CD4+ count. Which action should the nurse take next?
A. Initiate airborne precautions
B. Check the client's temperature
C. Assess the client for shingles
D. Obtain a throat culture
Correct Answer: A. Initiate airborne precautions
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with PJP. Which intervention should the nurse preceptor question?
A. Offering the client foods high in calories and protein
B. Instructing the client to drink at least 2–3 L of fluid throughout the day
C. Wearing a surgical mask when standing within 3 ft of the client
D. Auscultating the client's breath sounds for crackles at least once per shift
Correct Answer: C. Wearing a surgical mask when standing within 3 ft of the client
3. The nurse is caring for a patient who has AIDS and has just been diagnosed with toxoplasmosis
encephalitis. Which action should the nurse take?
,A. Thicken the patient's liquids to honey consistency
B. Initiate airborne precautions for the next 72 hours
C. Ask the client if they ingested undercooked meat
D. Monitor the client's level of orientation
Correct Answer: C. Ask the client if they ingested undercooked meat
4. The nurse working in a community health center has instructed a group of clients who have AIDS
about ways to prevent infection. Which statement indicates the need for additional teaching?
A. I should clean my toothbrush by running it through the dishwasher once a week.
B. I will avoid eating undercooked fruits and vegetables.
C. I will notify my provider if my temperature is greater than 101°F.
D. I will avoid drinking water that has been standing for longer than an hour.
Correct Answer: C. I will notify my provider if my temperature is greater than 101°F.
5. The nurse is admitting a client who has AIDS and has developed an infection caused by
cryptosporidium. Which client statement is consistent with the diagnosis?
A. "I have lost 5 lbs this past week."
B. "I have developed a persistent dry cough."
C. "I have noticed that my speech has become slurred."
D. "I have noticed that my food does not taste the same."
Correct Answer: C. "I have noticed that my speech has become slurred."
6. The nurse is caring for a client who had a heart transplant 10 years ago. Which findings require follow-
up by the nurse?
Prolonged prothrombin time (PT)
Activity intolerance
Weight gain of 3 lbs
, Shortness of breath
Hypotension
Irritability
Correct Answer: 2, 3, 4, and 5.
7. The nurse attended a conference about kidney transplantations. Which client who has end-stage renal
disease (ESRD) does the nurse recognize as being a transplant candidate?
A. A 35-year-old client who is reporting burning with urination and is receiving abdominal radiation
B. A 42-year-old client who is sobbing after receiving a new diagnosis of ovarian cancer
C. A 24-year-old client who is receiving neck radiation and is reporting xerostomia
D. A 56-year-old client who is receiving chest radiation and has developed changes in taste
Correct Answer: A. A 35-year-old client who is reporting burning with urination and is receiving
abdominal radiation
8. The nurse is caring for a client who has had a liver transplant 48 hours ago. It is a priority for the nurse
to notify the PHCP if the client has:
A. An increasing bilirubin level
B. Scant amounts of serosanguinous drainage from the incision
C. A urine output that has decreased from 65 to 45 mL/hr since surgery
D. An increase in BP from 115/68 to 122/74
Correct Answer: A. An increasing bilirubin level
9. The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the nurse to
notify the PHCP if the client has:
A. Only used the incentive spirometer once since last evening
B. Developed sputum that is yellow-tinged
