Galen NUR 242 Exam P a g e | 1
Galen NUR 242 Exam 2 () | Med-
Surg Nursing | (A+ Guarantee) | PDF VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest
Guidelines | Graded A+
What is the primary nursing problem for a client with asymptomatic primary syphilis?
A: Acute pain.
B: Risk for injury.
C: Sexual dysfunction.
D: Deficient knowledge. –
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, Galen NUR 242 Exam P a g e | 2
Correct Answer :D: Deficient knowledge.
Rationale:
An asymptomatic client with primary syphilis is most likely unaware of this disease, so to prevent
transmission to others and recurrence in the client, the priority nursing diagnosis is deficient
knowledge of the disease pathophysiology.
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history of
allergic rhinitis. Which information is most important for the nurse to provide the client about using
over-the-counter (OTC) medications for allergies?
A: Notify your healthcare provider if there is an increase in heart rate.
B: Increase fluid intake while taking an antihistamine or decongestant.
C: Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D: Ophthalmic lubricating drops may be used for eye dryness due to allergy medications. –
Correct Answer :C: Avoid allergy medications that contain pseudoephedrine or phenylephrine.
Rationale:
OTC allergy medications may contain ephedrine, phenylephrine, or pseudoephedrine, which can cause
adrenergic side effects, such as increased intraocular pressure, so a client with glaucoma should avoid
using these OTC medications.
The nurse is assessing a client with a chest tube that is attached to suction and a closed drainage
system. Which finding is most important for the nurse to further assess?
A: Upper chest subcutaneous emphysema.
B: Tidaling (fluctuation) of fluid in the water-seal chamber.
C: Constant air bubbling in the suction-control chamber.
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D: Pain rated "8" (0-10) at the insertion site. –
Correct Answer :A: Upper chest subcutaneous emphysema.
Rationale:
Subcutaneous emphysema is a complication and indicates air is leaking beneath the skin surrounding
the chest tube.
The nurse is caring for a client with multiple trauma after a motor vehicle collision. The nurse learns
that the client has secondary syphilis. What precaution should the nurse implement?
A: A mask should be worn by anyone entering the client's room.
B: Handwashing is required before and after contact with the client.
C: Gloves should be worn during direct contact with the client's skin.
D: No precautions in addition to standard precautions are necessary. –
Correct Answer :C: Gloves should be worn during direct contact with the client's skin.
Rationale:
The secondary stage of syphilis is a systemic blood-borne disease that presents with skin lesions and
rashes that may drain the highly contagious spirochete, so gloves should be worn during direct
contact with the client's skin. The client should be placed on "contact precautions".
The home health nurse is assessing a client with terminal lung cancer who is receiving hospice care.
Which activity should be assigned to the hospice practical nurse (PN)?
A: Administer medications for pain relief, shortness of breath, and nausea.
B: Clarify family members' feelings about the meaning of client behaviors and symptoms.
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, Galen NUR 242 Exam P a g e | 4
C: Develop a plan of care after assessing the needs of the client and family.
D: Teach the family to recognize restlessness and grimacing as signs of client discomfort. –
Correct Answer :A: Administer medications for pain relief, shortness of breath, and nausea.
Rationale:
Hospice care provides symptom management and pain control during the dying process and
enhances the quality of life for a client who is terminally ill. Administering medication and monitoring
for therapeutic and adverse effects is within the scope of practice for the PN.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing to the
difficulty that he and his wife are having getting pregnant. What information is best for the nurse to
provide? (Select all that apply.)
A: Only marijuana cigarettes affect sperm count.
B: Smoking can decrease the quantity and quality of sperm.
C: The first semen analysis should be repeated to confirm sperm counts.
D: Cessation of smoking improves general health and fertility.
E: Sperm specimens should be collected in 2 subsequent days. –
Correct Answer :B: Smoking can decrease the quantity and quality of sperm.
C: The first semen analysis should be repeated to confirm sperm counts.
D: Cessation of smoking improves general health and fertility.
Rationale:
The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
P a g e 4 | 81
Galen NUR 242 Exam 2 () | Med-
Surg Nursing | (A+ Guarantee) | PDF VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest
Guidelines | Graded A+
What is the primary nursing problem for a client with asymptomatic primary syphilis?
A: Acute pain.
B: Risk for injury.
C: Sexual dysfunction.
D: Deficient knowledge. –
P a g e 1 | 81
, Galen NUR 242 Exam P a g e | 2
Correct Answer :D: Deficient knowledge.
Rationale:
An asymptomatic client with primary syphilis is most likely unaware of this disease, so to prevent
transmission to others and recurrence in the client, the priority nursing diagnosis is deficient
knowledge of the disease pathophysiology.
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history of
allergic rhinitis. Which information is most important for the nurse to provide the client about using
over-the-counter (OTC) medications for allergies?
A: Notify your healthcare provider if there is an increase in heart rate.
B: Increase fluid intake while taking an antihistamine or decongestant.
C: Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D: Ophthalmic lubricating drops may be used for eye dryness due to allergy medications. –
Correct Answer :C: Avoid allergy medications that contain pseudoephedrine or phenylephrine.
Rationale:
OTC allergy medications may contain ephedrine, phenylephrine, or pseudoephedrine, which can cause
adrenergic side effects, such as increased intraocular pressure, so a client with glaucoma should avoid
using these OTC medications.
The nurse is assessing a client with a chest tube that is attached to suction and a closed drainage
system. Which finding is most important for the nurse to further assess?
A: Upper chest subcutaneous emphysema.
B: Tidaling (fluctuation) of fluid in the water-seal chamber.
C: Constant air bubbling in the suction-control chamber.
P a g e 2 | 81
, Galen NUR 242 Exam P a g e | 3
D: Pain rated "8" (0-10) at the insertion site. –
Correct Answer :A: Upper chest subcutaneous emphysema.
Rationale:
Subcutaneous emphysema is a complication and indicates air is leaking beneath the skin surrounding
the chest tube.
The nurse is caring for a client with multiple trauma after a motor vehicle collision. The nurse learns
that the client has secondary syphilis. What precaution should the nurse implement?
A: A mask should be worn by anyone entering the client's room.
B: Handwashing is required before and after contact with the client.
C: Gloves should be worn during direct contact with the client's skin.
D: No precautions in addition to standard precautions are necessary. –
Correct Answer :C: Gloves should be worn during direct contact with the client's skin.
Rationale:
The secondary stage of syphilis is a systemic blood-borne disease that presents with skin lesions and
rashes that may drain the highly contagious spirochete, so gloves should be worn during direct
contact with the client's skin. The client should be placed on "contact precautions".
The home health nurse is assessing a client with terminal lung cancer who is receiving hospice care.
Which activity should be assigned to the hospice practical nurse (PN)?
A: Administer medications for pain relief, shortness of breath, and nausea.
B: Clarify family members' feelings about the meaning of client behaviors and symptoms.
P a g e 3 | 81
, Galen NUR 242 Exam P a g e | 4
C: Develop a plan of care after assessing the needs of the client and family.
D: Teach the family to recognize restlessness and grimacing as signs of client discomfort. –
Correct Answer :A: Administer medications for pain relief, shortness of breath, and nausea.
Rationale:
Hospice care provides symptom management and pain control during the dying process and
enhances the quality of life for a client who is terminally ill. Administering medication and monitoring
for therapeutic and adverse effects is within the scope of practice for the PN.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing to the
difficulty that he and his wife are having getting pregnant. What information is best for the nurse to
provide? (Select all that apply.)
A: Only marijuana cigarettes affect sperm count.
B: Smoking can decrease the quantity and quality of sperm.
C: The first semen analysis should be repeated to confirm sperm counts.
D: Cessation of smoking improves general health and fertility.
E: Sperm specimens should be collected in 2 subsequent days. –
Correct Answer :B: Smoking can decrease the quantity and quality of sperm.
C: The first semen analysis should be repeated to confirm sperm counts.
D: Cessation of smoking improves general health and fertility.
Rationale:
The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
P a g e 4 | 81
