Examl 3:l NURl 201/l NUR201l (NEWl 2025/l
2026l Update)l Medical-Surgicall Nursingl Il
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Thel nursel isl performingl tuberculosisl (TB)l skinl testsl inl al clinicl thatl hasl manyl patientsl
whol havel immigratedl tol thel Unitedl States.l Whichl questionl isl importantl forl thel nursel
tol askl beforel thel skinl test?
a.l "Dol youl takel anyl over-the-counterl (OTC)l medications?"
b.l "Dol youl havel anyl familyl membersl withl al historyl ofl TB?"
c.l "Howl longl hasl itl beenl sincel youl movedl tol thel Unitedl States?"
d.l "Didl youl receivel thel bacillel Calmette-Guérinl (BCG)l vaccinel forl TB?"
Answer:
D
Patientsl whol havel receivedl thel BCGl vaccinel willl havel al positivel Mantouxl test.l
Anotherl methodl forl screeningl (e.g.,l chestl x-ray)l willl needl tol bel usedl inl determiningl
whetherl thel patientl hasl al TBl infection.l Thel otherl informationl alsol mayl bel valuablel butl
isl notl asl pertinentl tol thel decisionl aboutl doingl TBl skinl testing.
QUESTION
Al patientl isl admittedl tol thel emergencyl departmentl withl anl openl stabl woundl tol thel
leftl chest.l Whatl actionl shouldl thel nursel take?l a.l Keepl thel headl ofl thel patient'sl bedl
positionedl flat.
b.l Coverl thel woundl tightlyl withl anl occlusivel dressing.
c.l Positionl thel patientl sol thatl thel leftl chestl isl dependent.
d.l Tapel al nonporousl dressingl onl threel sidesl overl thel wound.
Answer:
D
Thel dressingl tapedl onl threel sidesl willl allowl airl tol escapel whenl intrapleurall pressurel
increasesl duringl expiration,l butl itl willl preventl airl froml movingl intol thel pleurall spacel
duringl inspiration.l Placingl thel patientl onl thel leftl sidel orl coveringl thel chestl woundl
withl anl occlusivel dressingl willl allowl trappedl airl inl thel pleurall spacel andl causel tensionl
,pneumothorax.l Thel headl ofl thel bedl shouldl bel elevatedl tol 30l tol 45l degreesl tol facilitatel
breathing.
QUESTION
Thel nursel notesl thatl al patientl hasl incisionall pain,l al poorl coughl effort,l andl scatteredl
coarsel cracklesl afterl al thoracotomy.l Whichl actionl shouldl thel nursel takel first?
a.l Assistl thel patientl tol sitl uprightl inl al chair.
b.l Splintl thel patient'sl chestl duringl coughing.
c.l Medicatel thel patientl withl prescribedl morphine.
d.l Observel thel patientl usel thel incentivel spirometer.
Answer:
C
Al majorl reasonl forl atelectasisl andl poorl airwayl clearancel inl patientsl afterl chestl surgeryl
isl incisionall painl (whichl increasesl withl deepl breathingl andl coughing).l Thel firstl actionl
byl thel nursel shouldl bel tol medicatel thel patientl tol minimizel incisionall pain.l Thel otherl
actionsl arel alll appropriatel waysl tol improvel airwayl clearancel butl shouldl bel donel afterl
thel morphinel isl given
QUESTION
Thel nursel isl caringl forl al patientl withl idiopathicl pulmonaryl arteriall hypertensionl
(IPAH).l Whichl assessmentl informationl requiresl thel mostl immediatel actionl byl thel nurse?
a.l Thel O2l saturationl isl 90%.
b.l Thel bloodl pressurel isl 98/56l mml Hg.
c.l Thel epoprostenoll (Flolan)l infusionl isl disconnected.
d.l Thel internationall normalizedl ratiol (INR)l isl prolonged
Answer:
C
Thel half-lifel ofl thisl drugl isl 6l minutes,l sol thel nursel willl needl tol restartl thel infusionl
asl soonl asl possiblel tol preventl rapidl clinicall deterioration.l Thel otherl datal alsol indicatel
al needl forl ongoingl monitoringl orl intervention,l butl thel priorityl actionl isl tol reconnectl
thel infusion.
QUESTION
Al patientl whol wasl admittedl thel previousl dayl withl pneumonial reportsl al sharpl painl ofl
7l (onl 0l tol 10l scale)l "wheneverl Il takel al deepl breath."l Whichl actionl willl thel nursel
takel next?
a.l Auscultatel forl breathl sounds.
,b.l Administerl as-neededl morphine.
c.l Havel thel patientl coughl forcefully.
d.l Notifyl thel patient'sl healthl carel provider.
Answer:
A
Thel patient'sl statementl indicatesl thatl pleurisyl orl al pleurall effusionl mayl havel developed,l
andl thel nursel willl needl tol listenl forl al pleurall frictionl rubl andl decreasedl breathl sounds.l
Assessmentl shouldl occurl beforel administrationl ofl painl medications.l Thel patientl isl
unlikelyl tol bel ablel tol coughl forcefullyl untill painl medicationl hasl beenl administered.l
Thel nursel willl wantl tol obtainl morel assessmentl datal beforel callingl thel healthl carel
provider.
QUESTION
Al patientl hasl acutel bronchitisl withl al nonproductivel coughl andl wheezes.l Whichl topicl
shouldl thel nursel planl tol includel inl thel teachingl plan?
a.l Purposel ofl antibioticl therapy
b.l Waysl tol limitl orall fluidl intake
c.l Appropriatel usel ofl coughl suppressants
d.l Safetyl concernsl withl homel O2therapy
Answer:
C
Coughl suppressantsl arel frequentlyl prescribedl forl acutel bronchitis.l Becausel mostl acutel
bronchitisl isl virall inl origin,l antibioticsl arel notl prescribedl unlessl therel arel systemicl
symptoms.l Fluidl intakel isl encouraged.l Homel O2isl notl prescribedl forl acutel bronchitis,l
althoughl itl mayl bel usedl forl chronicl bronchitis.
QUESTION
Whichl actionl byl thel nursel willl bel mostl effectivel inl decreasingl thel spreadl ofl pertussisl
inl al communityl setting?l a.l Providingl supportivel carel tol patientsl diagnosedl withl pertussis
b.l Teachingl familyl membersl aboutl thel needl forl carefull handl washing
c.l Teachingl patientsl aboutl thel needl forl adultl pertussisl immunizations
d.l Encouragingl patientsl tol completel thel prescribedl coursel ofl antibiotics
Answer:
C
Thel increasedl ratel ofl pertussisl inl adultsl isl thoughtl tol bel causedl byl decreasingl
immunityl afterl childhoodl immunization.l Immunizationl isl thel mostl effectivel methodl ofl
protectingl communitiesl froml infectiousl diseases.l Handl washingl shouldl bel taught,l butl
, pertussisl isl spreadl byl dropletsl andl contactl withl secretions.l Supportivel carel doesl notl
shortenl thel coursel ofl thel diseasel orl thel riskl forl transmission.l Takingl antibioticsl asl
prescribedl doesl assistl withl decreasedl transmission,l butl patientsl arel likelyl tol havel
alreadyl transmittedl thel diseasel byl thel timel thel diagnosisl isl made.
QUESTION
Anl experiencedl nursel instructsl al newl nursel aboutl howl tol carel forl al patientl withl
dyspneal causedl byl al pulmonaryl fungall infection.l Whichl actionl byl thel newl nursel
indicatesl al needl forl furtherl teaching?
a.l Listeningl tol thel patient'sl lungl soundsl severall timesl duringl thel shift
b.l Placingl thel patientl onl dropletl precautionsl inl al privatel hospitall room
c.l Monitoringl patientl serologyl resultsl tol identifyl thel infectingl organism
d.l Titratingl thel O2flowratel asl prescribedl tol keepl thel O2saturationl overl 90%
Answer:
B
Fungall infectionsl arel notl transmittedl froml personl tol person.l Therefore,l nol isolationl
proceduresl arel necessary.l Thel otherl actionsl byl thel newl nursel arel appropriate.
QUESTION
Whichl interventionl willl thel nursel includel inl thel planl ofl carel forl al patientl whol isl
diagnosedl withl al lungl abscess?l a.l Assistl thel patientl withl chestl physiotherapyl andl
posturall drainage.
b.l Teachl thel patientl tol avoidl thel usel ofl over-the-counterl expectorants.
c.l Notifyl thel healthl carel providerl immediatelyl aboutl anyl bloodyl orl foul-smelling
sputum.
d.l Teachl aboutl thel needl forl prolongedl antibioticl therapyl afterl dischargel froml the
hospital.
Answer:
D
Long-terml antibioticl therapyl isl neededl forl effectivel eradicationl ofl thel infectingl
organismsl inl lungl abscess.l Chestl physiotherapyl andl posturall drainagel arel notl
recommendedl forl lungl abscessl becausel theyl mayl leadl tol spreadl ofl thel infection.l Foul-
smellingl andl bloodyl sputuml arel commonl clinicall manifestationsl inl lungl abscess.l
Expectorantsl mayl bel usedl becausel thel patientl isl encouragedl tol cough
QUESTION
2026l Update)l Medical-Surgicall Nursingl Il
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Thel nursel isl performingl tuberculosisl (TB)l skinl testsl inl al clinicl thatl hasl manyl patientsl
whol havel immigratedl tol thel Unitedl States.l Whichl questionl isl importantl forl thel nursel
tol askl beforel thel skinl test?
a.l "Dol youl takel anyl over-the-counterl (OTC)l medications?"
b.l "Dol youl havel anyl familyl membersl withl al historyl ofl TB?"
c.l "Howl longl hasl itl beenl sincel youl movedl tol thel Unitedl States?"
d.l "Didl youl receivel thel bacillel Calmette-Guérinl (BCG)l vaccinel forl TB?"
Answer:
D
Patientsl whol havel receivedl thel BCGl vaccinel willl havel al positivel Mantouxl test.l
Anotherl methodl forl screeningl (e.g.,l chestl x-ray)l willl needl tol bel usedl inl determiningl
whetherl thel patientl hasl al TBl infection.l Thel otherl informationl alsol mayl bel valuablel butl
isl notl asl pertinentl tol thel decisionl aboutl doingl TBl skinl testing.
QUESTION
Al patientl isl admittedl tol thel emergencyl departmentl withl anl openl stabl woundl tol thel
leftl chest.l Whatl actionl shouldl thel nursel take?l a.l Keepl thel headl ofl thel patient'sl bedl
positionedl flat.
b.l Coverl thel woundl tightlyl withl anl occlusivel dressing.
c.l Positionl thel patientl sol thatl thel leftl chestl isl dependent.
d.l Tapel al nonporousl dressingl onl threel sidesl overl thel wound.
Answer:
D
Thel dressingl tapedl onl threel sidesl willl allowl airl tol escapel whenl intrapleurall pressurel
increasesl duringl expiration,l butl itl willl preventl airl froml movingl intol thel pleurall spacel
duringl inspiration.l Placingl thel patientl onl thel leftl sidel orl coveringl thel chestl woundl
withl anl occlusivel dressingl willl allowl trappedl airl inl thel pleurall spacel andl causel tensionl
,pneumothorax.l Thel headl ofl thel bedl shouldl bel elevatedl tol 30l tol 45l degreesl tol facilitatel
breathing.
QUESTION
Thel nursel notesl thatl al patientl hasl incisionall pain,l al poorl coughl effort,l andl scatteredl
coarsel cracklesl afterl al thoracotomy.l Whichl actionl shouldl thel nursel takel first?
a.l Assistl thel patientl tol sitl uprightl inl al chair.
b.l Splintl thel patient'sl chestl duringl coughing.
c.l Medicatel thel patientl withl prescribedl morphine.
d.l Observel thel patientl usel thel incentivel spirometer.
Answer:
C
Al majorl reasonl forl atelectasisl andl poorl airwayl clearancel inl patientsl afterl chestl surgeryl
isl incisionall painl (whichl increasesl withl deepl breathingl andl coughing).l Thel firstl actionl
byl thel nursel shouldl bel tol medicatel thel patientl tol minimizel incisionall pain.l Thel otherl
actionsl arel alll appropriatel waysl tol improvel airwayl clearancel butl shouldl bel donel afterl
thel morphinel isl given
QUESTION
Thel nursel isl caringl forl al patientl withl idiopathicl pulmonaryl arteriall hypertensionl
(IPAH).l Whichl assessmentl informationl requiresl thel mostl immediatel actionl byl thel nurse?
a.l Thel O2l saturationl isl 90%.
b.l Thel bloodl pressurel isl 98/56l mml Hg.
c.l Thel epoprostenoll (Flolan)l infusionl isl disconnected.
d.l Thel internationall normalizedl ratiol (INR)l isl prolonged
Answer:
C
Thel half-lifel ofl thisl drugl isl 6l minutes,l sol thel nursel willl needl tol restartl thel infusionl
asl soonl asl possiblel tol preventl rapidl clinicall deterioration.l Thel otherl datal alsol indicatel
al needl forl ongoingl monitoringl orl intervention,l butl thel priorityl actionl isl tol reconnectl
thel infusion.
QUESTION
Al patientl whol wasl admittedl thel previousl dayl withl pneumonial reportsl al sharpl painl ofl
7l (onl 0l tol 10l scale)l "wheneverl Il takel al deepl breath."l Whichl actionl willl thel nursel
takel next?
a.l Auscultatel forl breathl sounds.
,b.l Administerl as-neededl morphine.
c.l Havel thel patientl coughl forcefully.
d.l Notifyl thel patient'sl healthl carel provider.
Answer:
A
Thel patient'sl statementl indicatesl thatl pleurisyl orl al pleurall effusionl mayl havel developed,l
andl thel nursel willl needl tol listenl forl al pleurall frictionl rubl andl decreasedl breathl sounds.l
Assessmentl shouldl occurl beforel administrationl ofl painl medications.l Thel patientl isl
unlikelyl tol bel ablel tol coughl forcefullyl untill painl medicationl hasl beenl administered.l
Thel nursel willl wantl tol obtainl morel assessmentl datal beforel callingl thel healthl carel
provider.
QUESTION
Al patientl hasl acutel bronchitisl withl al nonproductivel coughl andl wheezes.l Whichl topicl
shouldl thel nursel planl tol includel inl thel teachingl plan?
a.l Purposel ofl antibioticl therapy
b.l Waysl tol limitl orall fluidl intake
c.l Appropriatel usel ofl coughl suppressants
d.l Safetyl concernsl withl homel O2therapy
Answer:
C
Coughl suppressantsl arel frequentlyl prescribedl forl acutel bronchitis.l Becausel mostl acutel
bronchitisl isl virall inl origin,l antibioticsl arel notl prescribedl unlessl therel arel systemicl
symptoms.l Fluidl intakel isl encouraged.l Homel O2isl notl prescribedl forl acutel bronchitis,l
althoughl itl mayl bel usedl forl chronicl bronchitis.
QUESTION
Whichl actionl byl thel nursel willl bel mostl effectivel inl decreasingl thel spreadl ofl pertussisl
inl al communityl setting?l a.l Providingl supportivel carel tol patientsl diagnosedl withl pertussis
b.l Teachingl familyl membersl aboutl thel needl forl carefull handl washing
c.l Teachingl patientsl aboutl thel needl forl adultl pertussisl immunizations
d.l Encouragingl patientsl tol completel thel prescribedl coursel ofl antibiotics
Answer:
C
Thel increasedl ratel ofl pertussisl inl adultsl isl thoughtl tol bel causedl byl decreasingl
immunityl afterl childhoodl immunization.l Immunizationl isl thel mostl effectivel methodl ofl
protectingl communitiesl froml infectiousl diseases.l Handl washingl shouldl bel taught,l butl
, pertussisl isl spreadl byl dropletsl andl contactl withl secretions.l Supportivel carel doesl notl
shortenl thel coursel ofl thel diseasel orl thel riskl forl transmission.l Takingl antibioticsl asl
prescribedl doesl assistl withl decreasedl transmission,l butl patientsl arel likelyl tol havel
alreadyl transmittedl thel diseasel byl thel timel thel diagnosisl isl made.
QUESTION
Anl experiencedl nursel instructsl al newl nursel aboutl howl tol carel forl al patientl withl
dyspneal causedl byl al pulmonaryl fungall infection.l Whichl actionl byl thel newl nursel
indicatesl al needl forl furtherl teaching?
a.l Listeningl tol thel patient'sl lungl soundsl severall timesl duringl thel shift
b.l Placingl thel patientl onl dropletl precautionsl inl al privatel hospitall room
c.l Monitoringl patientl serologyl resultsl tol identifyl thel infectingl organism
d.l Titratingl thel O2flowratel asl prescribedl tol keepl thel O2saturationl overl 90%
Answer:
B
Fungall infectionsl arel notl transmittedl froml personl tol person.l Therefore,l nol isolationl
proceduresl arel necessary.l Thel otherl actionsl byl thel newl nursel arel appropriate.
QUESTION
Whichl interventionl willl thel nursel includel inl thel planl ofl carel forl al patientl whol isl
diagnosedl withl al lungl abscess?l a.l Assistl thel patientl withl chestl physiotherapyl andl
posturall drainage.
b.l Teachl thel patientl tol avoidl thel usel ofl over-the-counterl expectorants.
c.l Notifyl thel healthl carel providerl immediatelyl aboutl anyl bloodyl orl foul-smelling
sputum.
d.l Teachl aboutl thel needl forl prolongedl antibioticl therapyl afterl dischargel froml the
hospital.
Answer:
D
Long-terml antibioticl therapyl isl neededl forl effectivel eradicationl ofl thel infectingl
organismsl inl lungl abscess.l Chestl physiotherapyl andl posturall drainagel arel notl
recommendedl forl lungl abscessl becausel theyl mayl leadl tol spreadl ofl thel infection.l Foul-
smellingl andl bloodyl sputuml arel commonl clinicall manifestationsl inl lungl abscess.l
Expectorantsl mayl bel usedl becausel thel patientl isl encouragedl tol cough
QUESTION
