NUR 170 Med Surg EXAM 1
NUR 170 Med Surg EXAM 1 /NUR170
Exam 1 Actual Exam Newest 2025/2026
With Complete 140 Questions And
Correct Answers |Already Graded A+
When planning care for a client with right renal calculi, which nursing diagnosis has the highest
priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to obstructed flow of urine.
c. Risk for infection related to urinary stasis.
d. Deficient knowledge related to need for prevention of recurrence of calculi.
- Correct Answer :a. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the the renal calculi's
movement".
Which client should the nurse assess first?
a. A 27-year-old complaining of severe back pain.
b. A 63-year-old complaining of foot and ankle pain.
c. A 49-year-old with pancreatitis complaining of unrelenting abdominal pain.
d. A 55-year-old newly admitted client complaining of jaw pain and indigestion. –
Correct Answer :d. A 55-year-old newly admitted client complaining of jaw pain and indigestion.
Rationale
The 55-year-old client should be assessed first to rule out cardiac involvement because jaw pain
and indigestion are common descriptors of myocardial injury.
To implement change in the work environment, which action is most important for the nurse-
manager to take?
a. Solicit input from coworkers at the beginning of the process.
b. Present to coworkers the advantages of using a different plan.
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
c. Examine similar change processes in other institutions.
d. Evaluate the feasibility of implementing the proposed change
. - Correct Answer :a. solicit input from coworkers at the beginning of the process
Rationale: The most important component for successful change is soliciting input from
coworkers (A) which gives all team members ownership in the change. Although a successful
change process involves cognitive exposure to the change idea (B) and working to generate
alternative solutions (C and D), (A) best ensures cooperation and success of the change.
A school-aged child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for the
treatment of attention-deficit hyperactivity disorder (ADHD). The mother tells the nurse that she
gives the medication at bedtime so it is "working" during school the next morning. What
modification to the administration plan should the nurse recommend to this mother?
a. Continue administering the medication dose at bedtime.
b. Give the medication when the child arrives at school.
c. Take the medication with meals.
d. Administer at least six hours before bedtime
. - Correct Answer :d. Administer at least six hours before bedtime.
Rationale
Central nervous system stimulants, such as Ritalin, should be taken at least six hours before
bedtime to decrease insomnia.
An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
a. Palpate the pedal pulse volume.
b. Count the brachial pulse rate.
c. Measure the blood pressure.
d. Assess for a carotid bruit.
- Correct Answer :c. measure the blood pressure
Rationale
Elderly clients who take antihypertensive medications often experience side effects, such as
hypotension, which causes tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be measured.
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
The nurse is designing a community health project based on a report provided by the World
Health Organization that describes healthcare problems in the United States. Which healthcare
issue should the nurse give the highest priority when planning the project?
a. Overuse of diagnostic technology.
b. Government-based health insurance.
c. The neonatal and infant mortality rates.
d. Number of people without access to health care.
- Correct Answer :d. Number of people without access to health care.
Rationale
The most important concern of the World Health Organization is the number of people in the
United States who are not receiving health care services (D), either through public- or private-
sector funding. France, Japan, and the United States do overuse diagnostic technology (A) but
this is not the priority issue. All developed countries except the United States have national
healthcare systems (B) dedicated to universal healthcare services to their populations, which is
not the priority. Hungary, Korea, Mexico, Poland, and Turkey all have higher infant mortality
rates than the United States (C).
A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an acute attack
of gouty arthritis. The healthcare provider prescribes concurrent low-dose colchicine. What
information should the nurse provide the client that best explains the action of the colchicine?
a. Acts like aspirin to relieve pain.
b. Facilitates the excretion of uric acid.
c. Reduces inflammation at the affected site.
d. Prevents formation of uric acid crystals
- Correct Answer :c. reduces inflammation at the affected side
Rationale
Allopurinol (Zyloprim) improves joint function in chronic gouty arthritis by reducing blood uric
acid levels to prevent and promote regression of tophi. Low-dose colchicine, an
antiinflammatory agent specific for gout, is used concurrently with allopurinol, which can
precipitate an incident of acute gouty arthritis.
What action should the nurse implement when caring for a newborn receiving phototherapy?
a. Reposition every 6 hours.
b. Place an eyeshield over the eyes.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
c. Limit the intake of formula.
d. Apply an oil-based lotion to the skin
. - Correct Answer :b. Place an eyeshield over the eyes.
Rationale
Phototherapy converts unconjugated bilirubin, which is deposited in the skin, to a water-soluble
form that is more easily excreted by the liver. Exposure to the light source can increase the risk
for ocular damage, so an eyeshield (B) is placed while the infant is under the light source. To
ensure all body surfaces are exposed to the lights, the newborn should be reposition every 2 to 4
hours, not every 6 hours (A). Phototherapy can increase insensible water loss, and to prevent
dehydration, fluid intake should be encouraged, not restricted (C). Lotions (D) absorb heat and
can potentially cause burns and should not be used on the skin while phototherapy is in
progress.
The nurse is caring for a female client who is admitted for depression with the nursing diagnosis,
"Self-esteem, chronic low." Which client response indicates to the nurse that the client has
improved self-esteem?
a. Identifies own strengths.
b. Stops crying during every session.
c. Talks with other clients about marital advice.
d. Asks the nurse if her behavior has improved
- Correct Answer :a. Identifies own strengths.
Rationale
Identifying one's personal strengths is an important part of increasing self-esteem. The other
client behaviors do not indicate an improved self-esteem or self-confidence.
A client with a history of alcoholism is admitted with a compound fracture of the femur after
falling down the previous night. What additional assessment should be the priority focus for the
nurse?
a. Collect a specimen for a blood alcohol level (BAL).
b. Do nothing because the time for BAL determination is passed.
c. Review the results of a Breathalyzer obtained in the emergency department upon admission.
d. Ask the client about the quantity, frequency, and time the last alcohol drink was ingested.
- Correct Answer :d. Ask the client about the quantity, frequency, and time the last alcohol drink
was ingested.
Rationale
A+ TEST BANK 4
NUR 170 Med Surg EXAM 1 /NUR170
Exam 1 Actual Exam Newest 2025/2026
With Complete 140 Questions And
Correct Answers |Already Graded A+
When planning care for a client with right renal calculi, which nursing diagnosis has the highest
priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to obstructed flow of urine.
c. Risk for infection related to urinary stasis.
d. Deficient knowledge related to need for prevention of recurrence of calculi.
- Correct Answer :a. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the the renal calculi's
movement".
Which client should the nurse assess first?
a. A 27-year-old complaining of severe back pain.
b. A 63-year-old complaining of foot and ankle pain.
c. A 49-year-old with pancreatitis complaining of unrelenting abdominal pain.
d. A 55-year-old newly admitted client complaining of jaw pain and indigestion. –
Correct Answer :d. A 55-year-old newly admitted client complaining of jaw pain and indigestion.
Rationale
The 55-year-old client should be assessed first to rule out cardiac involvement because jaw pain
and indigestion are common descriptors of myocardial injury.
To implement change in the work environment, which action is most important for the nurse-
manager to take?
a. Solicit input from coworkers at the beginning of the process.
b. Present to coworkers the advantages of using a different plan.
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
c. Examine similar change processes in other institutions.
d. Evaluate the feasibility of implementing the proposed change
. - Correct Answer :a. solicit input from coworkers at the beginning of the process
Rationale: The most important component for successful change is soliciting input from
coworkers (A) which gives all team members ownership in the change. Although a successful
change process involves cognitive exposure to the change idea (B) and working to generate
alternative solutions (C and D), (A) best ensures cooperation and success of the change.
A school-aged child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for the
treatment of attention-deficit hyperactivity disorder (ADHD). The mother tells the nurse that she
gives the medication at bedtime so it is "working" during school the next morning. What
modification to the administration plan should the nurse recommend to this mother?
a. Continue administering the medication dose at bedtime.
b. Give the medication when the child arrives at school.
c. Take the medication with meals.
d. Administer at least six hours before bedtime
. - Correct Answer :d. Administer at least six hours before bedtime.
Rationale
Central nervous system stimulants, such as Ritalin, should be taken at least six hours before
bedtime to decrease insomnia.
An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
a. Palpate the pedal pulse volume.
b. Count the brachial pulse rate.
c. Measure the blood pressure.
d. Assess for a carotid bruit.
- Correct Answer :c. measure the blood pressure
Rationale
Elderly clients who take antihypertensive medications often experience side effects, such as
hypotension, which causes tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be measured.
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
The nurse is designing a community health project based on a report provided by the World
Health Organization that describes healthcare problems in the United States. Which healthcare
issue should the nurse give the highest priority when planning the project?
a. Overuse of diagnostic technology.
b. Government-based health insurance.
c. The neonatal and infant mortality rates.
d. Number of people without access to health care.
- Correct Answer :d. Number of people without access to health care.
Rationale
The most important concern of the World Health Organization is the number of people in the
United States who are not receiving health care services (D), either through public- or private-
sector funding. France, Japan, and the United States do overuse diagnostic technology (A) but
this is not the priority issue. All developed countries except the United States have national
healthcare systems (B) dedicated to universal healthcare services to their populations, which is
not the priority. Hungary, Korea, Mexico, Poland, and Turkey all have higher infant mortality
rates than the United States (C).
A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an acute attack
of gouty arthritis. The healthcare provider prescribes concurrent low-dose colchicine. What
information should the nurse provide the client that best explains the action of the colchicine?
a. Acts like aspirin to relieve pain.
b. Facilitates the excretion of uric acid.
c. Reduces inflammation at the affected site.
d. Prevents formation of uric acid crystals
- Correct Answer :c. reduces inflammation at the affected side
Rationale
Allopurinol (Zyloprim) improves joint function in chronic gouty arthritis by reducing blood uric
acid levels to prevent and promote regression of tophi. Low-dose colchicine, an
antiinflammatory agent specific for gout, is used concurrently with allopurinol, which can
precipitate an incident of acute gouty arthritis.
What action should the nurse implement when caring for a newborn receiving phototherapy?
a. Reposition every 6 hours.
b. Place an eyeshield over the eyes.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
c. Limit the intake of formula.
d. Apply an oil-based lotion to the skin
. - Correct Answer :b. Place an eyeshield over the eyes.
Rationale
Phototherapy converts unconjugated bilirubin, which is deposited in the skin, to a water-soluble
form that is more easily excreted by the liver. Exposure to the light source can increase the risk
for ocular damage, so an eyeshield (B) is placed while the infant is under the light source. To
ensure all body surfaces are exposed to the lights, the newborn should be reposition every 2 to 4
hours, not every 6 hours (A). Phototherapy can increase insensible water loss, and to prevent
dehydration, fluid intake should be encouraged, not restricted (C). Lotions (D) absorb heat and
can potentially cause burns and should not be used on the skin while phototherapy is in
progress.
The nurse is caring for a female client who is admitted for depression with the nursing diagnosis,
"Self-esteem, chronic low." Which client response indicates to the nurse that the client has
improved self-esteem?
a. Identifies own strengths.
b. Stops crying during every session.
c. Talks with other clients about marital advice.
d. Asks the nurse if her behavior has improved
- Correct Answer :a. Identifies own strengths.
Rationale
Identifying one's personal strengths is an important part of increasing self-esteem. The other
client behaviors do not indicate an improved self-esteem or self-confidence.
A client with a history of alcoholism is admitted with a compound fracture of the femur after
falling down the previous night. What additional assessment should be the priority focus for the
nurse?
a. Collect a specimen for a blood alcohol level (BAL).
b. Do nothing because the time for BAL determination is passed.
c. Review the results of a Breathalyzer obtained in the emergency department upon admission.
d. Ask the client about the quantity, frequency, and time the last alcohol drink was ingested.
- Correct Answer :d. Ask the client about the quantity, frequency, and time the last alcohol drink
was ingested.
Rationale
A+ TEST BANK 4
