NU 185 EXAM 1 (GALEN) NEWEST 2026/ 2027 ACTUAL
EXAM| NU185 MEDICAL-SURGICAL NURSING II
EXAM 1 REVIEW WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
EXAM OVERVIEW
Detail Information
Course NU 185 – Medical-Surgical Nursing II
Institution Galen College of Nursing
Exam Exam 1
Question
NCLEX-style multiple choice, SATA, prioritization
Format
Parkinson's Disease, Seizure Disorders, ABG Interpretation, Perioperative Care,
Key Topics
Fluid/Electrolytes, Professional Nursing Concepts
SECTION 1: PARKINSON'S DISEASE (Questions 1-15)
Question 1: A nurse is assessing a client diagnosed with Parkinson's disease. Which
of the following findings should the nurse report to the healthcare provider
immediately?
A) Pill-rolling tremor in the right hand
B) Cogwheel rigidity in both upper extremities
,C) Shuffling gait with a stooped posture
D) Episodes of freezing while ambulating, increasing in frequency
Answer: D. Episodes of freezing while ambulating, increasing in frequency
Rationale: Freezing episodes that increase in frequency may indicate worsening
mobility and higher fall risk. This change requires prompt intervention to ensure patient
safety .
Question 2: Which clinical manifestation is most characteristic of Parkinson's
disease?
A) Muscle flaccidity
B) Hyperactive reflexes
C) Pill-rolling tremor
D) Sudden onset of muscle weakness
Answer: C. Pill-rolling tremor
Rationale: A resting "pill-rolling" tremor is a hallmark symptom of Parkinson's disease,
particularly affecting the hands. This tremor is most noticeable when the hands are at
rest. Parkinson's is caused by progressive degeneration of dopamine-producing neurons
in the substantia nigra .
Question 3: A nurse is assessing a client with Parkinson's disease. Which of the
following should the nurse expect to observe? (Select all that apply)
,A) Shuffling gait
B) Hyperreflexia
C) Mask-like facial expression
D) Resting tremor
E) Flaccid muscle tone
Answers: A, C, D
Rationale: Common signs of Parkinson's include a shuffling gait, a mask-like facial
expression, and a resting tremor. Hyperreflexia and flaccid muscle tone are not typical
findings in Parkinson's disease .
Question 4: Which nursing diagnosis is most appropriate for a client in the early
stages of Parkinson's disease?
A) Risk for infection related to immobility
B) Risk for disturbed body image related to facial changes and motor symptoms
C) Impaired memory related to neurodegeneration
D) Ineffective airway clearance related to excessive mucus production
Answer: B. Risk for disturbed body image related to facial changes and motor
symptoms
Rationale: In the early stages, clients may begin to notice facial changes (mask-like
expression), tremors, and shuffling gait, all of which can affect body image and self-
esteem. This is a priority psychosocial concern .
, Question 5: A nurse is developing a plan of care for a client with Parkinson's
disease. Which of the following interventions is most important to reduce the risk
of injury?
A) Encourage the client to rest frequently during the day
B) Provide a cane for ambulation without assessment
C) Keep the client's environment clutter-free and well-lit
D) Instruct the client to limit movement to conserve energy
Answer: C. Keep the client's environment clutter-free and well-lit
Rationale: Clients with Parkinson's are at increased risk for falls due to poor balance and
shuffling gait. A clear and well-lit environment promotes safety and reduces fall risk .
Question 6: A client with Parkinson's disease reports frustration with slow
movements and communication difficulties. Which of the following is the most
appropriate nursing intervention?
A) Suggest the client avoid social interactions until symptoms improve
B) Encourage the client to express feelings and join a support group
C) Teach the client to speak more loudly and quickly
D) Recommend the client ignore their symptoms and focus on others
Answer: B. Encourage the client to express feelings and join a support group
Rationale: Support groups provide emotional support and connection. Encouraging
expression of frustration is part of holistic care. The nurse should help the client find
adaptive strategies rather than avoidance .
EXAM| NU185 MEDICAL-SURGICAL NURSING II
EXAM 1 REVIEW WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
EXAM OVERVIEW
Detail Information
Course NU 185 – Medical-Surgical Nursing II
Institution Galen College of Nursing
Exam Exam 1
Question
NCLEX-style multiple choice, SATA, prioritization
Format
Parkinson's Disease, Seizure Disorders, ABG Interpretation, Perioperative Care,
Key Topics
Fluid/Electrolytes, Professional Nursing Concepts
SECTION 1: PARKINSON'S DISEASE (Questions 1-15)
Question 1: A nurse is assessing a client diagnosed with Parkinson's disease. Which
of the following findings should the nurse report to the healthcare provider
immediately?
A) Pill-rolling tremor in the right hand
B) Cogwheel rigidity in both upper extremities
,C) Shuffling gait with a stooped posture
D) Episodes of freezing while ambulating, increasing in frequency
Answer: D. Episodes of freezing while ambulating, increasing in frequency
Rationale: Freezing episodes that increase in frequency may indicate worsening
mobility and higher fall risk. This change requires prompt intervention to ensure patient
safety .
Question 2: Which clinical manifestation is most characteristic of Parkinson's
disease?
A) Muscle flaccidity
B) Hyperactive reflexes
C) Pill-rolling tremor
D) Sudden onset of muscle weakness
Answer: C. Pill-rolling tremor
Rationale: A resting "pill-rolling" tremor is a hallmark symptom of Parkinson's disease,
particularly affecting the hands. This tremor is most noticeable when the hands are at
rest. Parkinson's is caused by progressive degeneration of dopamine-producing neurons
in the substantia nigra .
Question 3: A nurse is assessing a client with Parkinson's disease. Which of the
following should the nurse expect to observe? (Select all that apply)
,A) Shuffling gait
B) Hyperreflexia
C) Mask-like facial expression
D) Resting tremor
E) Flaccid muscle tone
Answers: A, C, D
Rationale: Common signs of Parkinson's include a shuffling gait, a mask-like facial
expression, and a resting tremor. Hyperreflexia and flaccid muscle tone are not typical
findings in Parkinson's disease .
Question 4: Which nursing diagnosis is most appropriate for a client in the early
stages of Parkinson's disease?
A) Risk for infection related to immobility
B) Risk for disturbed body image related to facial changes and motor symptoms
C) Impaired memory related to neurodegeneration
D) Ineffective airway clearance related to excessive mucus production
Answer: B. Risk for disturbed body image related to facial changes and motor
symptoms
Rationale: In the early stages, clients may begin to notice facial changes (mask-like
expression), tremors, and shuffling gait, all of which can affect body image and self-
esteem. This is a priority psychosocial concern .
, Question 5: A nurse is developing a plan of care for a client with Parkinson's
disease. Which of the following interventions is most important to reduce the risk
of injury?
A) Encourage the client to rest frequently during the day
B) Provide a cane for ambulation without assessment
C) Keep the client's environment clutter-free and well-lit
D) Instruct the client to limit movement to conserve energy
Answer: C. Keep the client's environment clutter-free and well-lit
Rationale: Clients with Parkinson's are at increased risk for falls due to poor balance and
shuffling gait. A clear and well-lit environment promotes safety and reduces fall risk .
Question 6: A client with Parkinson's disease reports frustration with slow
movements and communication difficulties. Which of the following is the most
appropriate nursing intervention?
A) Suggest the client avoid social interactions until symptoms improve
B) Encourage the client to express feelings and join a support group
C) Teach the client to speak more loudly and quickly
D) Recommend the client ignore their symptoms and focus on others
Answer: B. Encourage the client to express feelings and join a support group
Rationale: Support groups provide emotional support and connection. Encouraging
expression of frustration is part of holistic care. The nurse should help the client find
adaptive strategies rather than avoidance .
