NUR 265
EXAM 3
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 3 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
The nurse has provided information to a client who was recently
diagnosed with trigeminal neuralgia (tic douloreux). Which of the
,following client statements would require additional teaching by the
nurse?
A. "I may require surgery if my pain does not subside"
B. "I may need to take a seizure medication for treatment".
C. "Chewing may increase the pain in my face"
D. "I will tape my affected eye closed at bed time"
D. "I will tape my affected eye closed at bed time"
Taping the eye closed is not an appropriate intervention for patients with
trigeminal neuralgia. The other choices are appropriate for a patient with
trigeminal neuralgia. Eating can make the pain with this disorder worse, the
first choice for drug therapy is carbamazepine. Surgery may be needed.
The nurse has provided teaching to a client who was just diagnosed
with Bell's palsy. Which of the following would be an expected
finding?
A. Sharp stabbing pain on affected side
B. Treatment with corticosteroids for three months
C. Paralysis of the eye, forehead and cheek
D. Numbness and tingling of the hands and feet
C. Paralysis of the eye, forehead and cheek
Bells palsy presents with paralysis of the facial muscles, usually resolves in
a few months
The nurse is caring for a client with encephalitis. Which of the
following client findings would indicate to the nurse that the client
has developed an early indicator of a change in neurological status?
A. The development of a red macular rash
B. The development of irritability and confusion
C. Pupils that react sluggish to light
D.A report of N/V
, B. The development of irritability and confusion
Change in mental status is an early sign of neuro decline
The newly hired nurse is caring for a client who has encephalitis and
increased intracranial pressure. It would require follow up by the
preceptor if the newly hired nurse indicates that a priority action is to
report
A. a change In pupil size from 6mm to 8mm over the past two hours
B. The development of projectile vomiting
C. a change in blood pressure from 120/82 to 170/60
D. sensitivity to noise and light
D. sensitivity to noise and light
Sensitivity to noise and light is expected with these patients and not the
priority. The preceptor would follow up for this. Projectile vomiting would be
a concern, In severe cases of encephalitis, the patient may have increased
ICP resulting from cerebral edema, hemorrhage, and necrosis brain tissue.
Monitor vital signs for indications of a widened pulse pressure, bradycardia,
and irregular respirations. The pupils become increasingly dilated and less
responsive to light. Left untreated, increased ICP leads to herniation of the
brain tissue and possible death
The nurse is admitting a client who has meningitis caused by
Haemophilus influenza. Which of the following actions would be
appropriate for the nurse to take?
A. Wear a surgical mask when working within three feet of the client.
B. Place the client in a room with another client who requires contact
precautions.
C. Place the client in a private room with monitored negative airflow.
D. Wear disposable gloves when entering the clients room.
A. Wear a surgical mask when working within three feet of the client.
EXAM 3
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 3 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
The nurse has provided information to a client who was recently
diagnosed with trigeminal neuralgia (tic douloreux). Which of the
,following client statements would require additional teaching by the
nurse?
A. "I may require surgery if my pain does not subside"
B. "I may need to take a seizure medication for treatment".
C. "Chewing may increase the pain in my face"
D. "I will tape my affected eye closed at bed time"
D. "I will tape my affected eye closed at bed time"
Taping the eye closed is not an appropriate intervention for patients with
trigeminal neuralgia. The other choices are appropriate for a patient with
trigeminal neuralgia. Eating can make the pain with this disorder worse, the
first choice for drug therapy is carbamazepine. Surgery may be needed.
The nurse has provided teaching to a client who was just diagnosed
with Bell's palsy. Which of the following would be an expected
finding?
A. Sharp stabbing pain on affected side
B. Treatment with corticosteroids for three months
C. Paralysis of the eye, forehead and cheek
D. Numbness and tingling of the hands and feet
C. Paralysis of the eye, forehead and cheek
Bells palsy presents with paralysis of the facial muscles, usually resolves in
a few months
The nurse is caring for a client with encephalitis. Which of the
following client findings would indicate to the nurse that the client
has developed an early indicator of a change in neurological status?
A. The development of a red macular rash
B. The development of irritability and confusion
C. Pupils that react sluggish to light
D.A report of N/V
, B. The development of irritability and confusion
Change in mental status is an early sign of neuro decline
The newly hired nurse is caring for a client who has encephalitis and
increased intracranial pressure. It would require follow up by the
preceptor if the newly hired nurse indicates that a priority action is to
report
A. a change In pupil size from 6mm to 8mm over the past two hours
B. The development of projectile vomiting
C. a change in blood pressure from 120/82 to 170/60
D. sensitivity to noise and light
D. sensitivity to noise and light
Sensitivity to noise and light is expected with these patients and not the
priority. The preceptor would follow up for this. Projectile vomiting would be
a concern, In severe cases of encephalitis, the patient may have increased
ICP resulting from cerebral edema, hemorrhage, and necrosis brain tissue.
Monitor vital signs for indications of a widened pulse pressure, bradycardia,
and irregular respirations. The pupils become increasingly dilated and less
responsive to light. Left untreated, increased ICP leads to herniation of the
brain tissue and possible death
The nurse is admitting a client who has meningitis caused by
Haemophilus influenza. Which of the following actions would be
appropriate for the nurse to take?
A. Wear a surgical mask when working within three feet of the client.
B. Place the client in a room with another client who requires contact
precautions.
C. Place the client in a private room with monitored negative airflow.
D. Wear disposable gloves when entering the clients room.
A. Wear a surgical mask when working within three feet of the client.
