NUR 265
FINAL EXAM
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Final Exam 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.
### 1. The nurse working in the emergency department (ED) has
triaged a client who presented with chest pain, shortness of breath, a
,productive cough, and reports of night sweats. The client's health
history includes acquired immune deficiency syndrome (AIDS) and
recent laboratory results that reveal a low CD4+ count. Which of the
following actions should the nurse take next?
A. Obtain a sputum culture for bacterial analysis
B. Initiate airborne precautions
C. Administer supplemental oxygen at 2 L/min
D. Prepare the client for chest X-ray
Correct Answer: B. Initiate airborne precautions
Rationale: Clients with AIDS and symptoms suggestive of tuberculosis
(TB), such as productive cough, night sweats, and low CD4 counts, are at
high risk for contagious airborne infections. TB is transmitted via airborne
droplets; thus, initiating airborne precautions immediately is critical to
prevent spread while further diagnostics and treatments are arranged.
---
### 2. The newly hired nurse is developing a plan of care for a client
who has acquired immune deficiency syndrome (AIDS) and was just
diagnosed with pneumocystis jiroveci pneumonia (PJP). Which of the
following interventions should the nurse preceptor question?
A. Wearing gloves when providing oral care
B. Wearing a surgical mask when standing within 3 feet of the client
C. Encouraging adequate fluid intake
D. Administering prescribed prophylactic antibiotics
Correct Answer: B. Wearing a surgical mask when standing within 3 feet
of the client
Rationale: Pneumocystis jiroveci pneumonia is not transmitted via droplets
but rather through opportunistic infection from the environment. Standard
, precautions suffice; surgical masks are unnecessary unless co-infections
(like TB) are suspected.
---
### 3. The nurse is caring for a client who has acquired immune
deficiency syndrome (AIDS) and has just been diagnosed with
toxoplasmosis encephalitis. Which of the following actions should the
nurse take?
A. Ask the client if they ingested undercooked meat
B. Start airborne precautions
C. Provide low-protein diet education
D. Assess for cardiac arrhythmias
Correct Answer: A. Ask the client if they ingested undercooked meat
Rationale: Toxoplasmosis is often contracted by ingestion of undercooked
or contaminated meat containing Toxoplasma gondii cysts. Identifying
sources of infection helps with patient education to prevent recurrence.
---
### 4. The nurse working in a community health center has instructed
a group of clients who have acquired immune deficiency syndrome
(AIDS) about ways to prevent infection. Which of the following
statements by a client indicates the need for additional teaching?
A. "I will avoid large crowds during flu season."
B. "I will notify my primary healthcare provider if my temperature is greater
than 101°F."
C. "I will wash my hands frequently and thoroughly."
D. "I will avoid eating raw or undercooked seafood and meat."
FINAL EXAM
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Final Exam 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.
### 1. The nurse working in the emergency department (ED) has
triaged a client who presented with chest pain, shortness of breath, a
,productive cough, and reports of night sweats. The client's health
history includes acquired immune deficiency syndrome (AIDS) and
recent laboratory results that reveal a low CD4+ count. Which of the
following actions should the nurse take next?
A. Obtain a sputum culture for bacterial analysis
B. Initiate airborne precautions
C. Administer supplemental oxygen at 2 L/min
D. Prepare the client for chest X-ray
Correct Answer: B. Initiate airborne precautions
Rationale: Clients with AIDS and symptoms suggestive of tuberculosis
(TB), such as productive cough, night sweats, and low CD4 counts, are at
high risk for contagious airborne infections. TB is transmitted via airborne
droplets; thus, initiating airborne precautions immediately is critical to
prevent spread while further diagnostics and treatments are arranged.
---
### 2. The newly hired nurse is developing a plan of care for a client
who has acquired immune deficiency syndrome (AIDS) and was just
diagnosed with pneumocystis jiroveci pneumonia (PJP). Which of the
following interventions should the nurse preceptor question?
A. Wearing gloves when providing oral care
B. Wearing a surgical mask when standing within 3 feet of the client
C. Encouraging adequate fluid intake
D. Administering prescribed prophylactic antibiotics
Correct Answer: B. Wearing a surgical mask when standing within 3 feet
of the client
Rationale: Pneumocystis jiroveci pneumonia is not transmitted via droplets
but rather through opportunistic infection from the environment. Standard
, precautions suffice; surgical masks are unnecessary unless co-infections
(like TB) are suspected.
---
### 3. The nurse is caring for a client who has acquired immune
deficiency syndrome (AIDS) and has just been diagnosed with
toxoplasmosis encephalitis. Which of the following actions should the
nurse take?
A. Ask the client if they ingested undercooked meat
B. Start airborne precautions
C. Provide low-protein diet education
D. Assess for cardiac arrhythmias
Correct Answer: A. Ask the client if they ingested undercooked meat
Rationale: Toxoplasmosis is often contracted by ingestion of undercooked
or contaminated meat containing Toxoplasma gondii cysts. Identifying
sources of infection helps with patient education to prevent recurrence.
---
### 4. The nurse working in a community health center has instructed
a group of clients who have acquired immune deficiency syndrome
(AIDS) about ways to prevent infection. Which of the following
statements by a client indicates the need for additional teaching?
A. "I will avoid large crowds during flu season."
B. "I will notify my primary healthcare provider if my temperature is greater
than 101°F."
C. "I will wash my hands frequently and thoroughly."
D. "I will avoid eating raw or undercooked seafood and meat."
