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West Coast University NURS 201
NURS201 Actual Exam Questions and Answers
with Rationales 2026/2027 | Medical-Surgical
Nursing Midterm | Pass Guarantee
Q001: A 58-year-old client with compensated heart failure asks how to maintain
wellness at home. Which daily self-monitoring action is most important for the
client to perform?
Options:
A. Record weight every Monday morning
B. Weigh self daily at the same time wearing similar clothing
C. Measure ankle circumference twice weekly
D. Check blood sugar once daily
ANSWER: B
Q002: A client receiving IV potassium chloride at 10 mEq/hr complains of burning
at the insertion site. What is the nurse’s priority wellness-promoting action?
Options:
A. Slow the infusion rate
B. Assess the IV site and verify dilution per protocol
C. Apply warm compress to the site
D. Document the complaint and continue the infusion
ANSWER: B
Q003: A client with COPD is prescribed low-flow oxygen at 2 L/min via nasal
cannula. The client asks why the flow cannot be increased for comfort. Which
explanation promotes wellness and safety?
Options:
, 2
A. Higher flow dries the mucosa
B. High flow reduces the hypoxic drive in COPD clients
C. Oxygen toxicity develops quickly
D. Insurance only covers 2 L/min
ANSWER: B
Q004: A client with hypertension is starting lisinopril. Which wellness teaching
point is most important?
Options:
A. Take the medication with grapefruit juice
B. Rise slowly from lying or sitting positions
C. Expect ankle swelling
D. Discontinue if cough develops
ANSWER: B
Q005: A client recovering from pneumonia asks when to resume exercise. Which
nurse response best promotes wellness?
Options:
A. Avoid exercise for 6 weeks
B. Resume when fever and fatigue resolve, gradually increase activity
C. Return to gym immediately if afebrile
D. Wait until chest x-ray is clear
ANSWER: B
Q006: A client with diabetes mellitus has a fasting glucose of 140 mg/dL and
HbA1c 7.8 %. Which wellness outcome is most appropriate?
Options:
A. Maintain current glucose levels
, 3
B. Reduce HbA1c to < 7 % within 3 months
C. Eliminate all carbohydrates
D. Achieve glucose < 70 mg/dL daily
ANSWER: B
Q007: A client with peptic ulcer disease is prescribed omeprazole. Which wellness
teaching point is essential?
Options:
A. Take medication with food to enhance absorption
B. Swallow capsule whole 30 minutes before breakfast
C. Dissolve capsule in orange juice
D. Double dose if heartburn occurs
ANSWER: B
Q008: A client with hypothyroidism takes levothyroxine. Which morning wellness
habit best supports medication absorption?
Options:
A. Take with soy milk
B. Take with full glass of water on empty stomach, wait 30–60 minutes before
eating
C. Take with high-fiber cereal
D. Take with iron supplement
ANSWER: B
Q009: A client with cirrhosis is advised to limit sodium. Which dietary choice best
supports wellness?
Options:
A. Canned soup labeled “low sodium”
West Coast University NURS 201
NURS201 Actual Exam Questions and Answers
with Rationales 2026/2027 | Medical-Surgical
Nursing Midterm | Pass Guarantee
Q001: A 58-year-old client with compensated heart failure asks how to maintain
wellness at home. Which daily self-monitoring action is most important for the
client to perform?
Options:
A. Record weight every Monday morning
B. Weigh self daily at the same time wearing similar clothing
C. Measure ankle circumference twice weekly
D. Check blood sugar once daily
ANSWER: B
Q002: A client receiving IV potassium chloride at 10 mEq/hr complains of burning
at the insertion site. What is the nurse’s priority wellness-promoting action?
Options:
A. Slow the infusion rate
B. Assess the IV site and verify dilution per protocol
C. Apply warm compress to the site
D. Document the complaint and continue the infusion
ANSWER: B
Q003: A client with COPD is prescribed low-flow oxygen at 2 L/min via nasal
cannula. The client asks why the flow cannot be increased for comfort. Which
explanation promotes wellness and safety?
Options:
, 2
A. Higher flow dries the mucosa
B. High flow reduces the hypoxic drive in COPD clients
C. Oxygen toxicity develops quickly
D. Insurance only covers 2 L/min
ANSWER: B
Q004: A client with hypertension is starting lisinopril. Which wellness teaching
point is most important?
Options:
A. Take the medication with grapefruit juice
B. Rise slowly from lying or sitting positions
C. Expect ankle swelling
D. Discontinue if cough develops
ANSWER: B
Q005: A client recovering from pneumonia asks when to resume exercise. Which
nurse response best promotes wellness?
Options:
A. Avoid exercise for 6 weeks
B. Resume when fever and fatigue resolve, gradually increase activity
C. Return to gym immediately if afebrile
D. Wait until chest x-ray is clear
ANSWER: B
Q006: A client with diabetes mellitus has a fasting glucose of 140 mg/dL and
HbA1c 7.8 %. Which wellness outcome is most appropriate?
Options:
A. Maintain current glucose levels
, 3
B. Reduce HbA1c to < 7 % within 3 months
C. Eliminate all carbohydrates
D. Achieve glucose < 70 mg/dL daily
ANSWER: B
Q007: A client with peptic ulcer disease is prescribed omeprazole. Which wellness
teaching point is essential?
Options:
A. Take medication with food to enhance absorption
B. Swallow capsule whole 30 minutes before breakfast
C. Dissolve capsule in orange juice
D. Double dose if heartburn occurs
ANSWER: B
Q008: A client with hypothyroidism takes levothyroxine. Which morning wellness
habit best supports medication absorption?
Options:
A. Take with soy milk
B. Take with full glass of water on empty stomach, wait 30–60 minutes before
eating
C. Take with high-fiber cereal
D. Take with iron supplement
ANSWER: B
Q009: A client with cirrhosis is advised to limit sodium. Which dietary choice best
supports wellness?
Options:
A. Canned soup labeled “low sodium”
