NU 155 Exam 2 / NU 155 Medical Surgical
Nursing I Exam 2 Newest Practice Test Bank
with 220 Questions and Correct Answers/
NU155 Exam 2 prep (Latest 2026-2027)
Which task is most appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
1. Feed a client who is postoperative
tonsillectomy the first meal of clear liquids.
2. Encourage the client diagnosed with a cold to
drink a glass of orange juice.
3. Obtain a throat culture on a client diagnosed
with bacterial pharyngitis.
4. Escort the client diagnosed with laryngitis
outside to smoke a cigarette
2. Clients with colds are encouraged to drink 2,000 mL of liquids a day. The UAP
could do this.
Wrong answers:
1. Tonsillectomies cause throat edema and difficulty swallowing; the nurse must
observe the client's ability to swallow before this task can be delegated.
3. Throat swabs for culture must be done correctly or false-negative results can
occur. The nurse should obtain the swab.
4. Clients with laryngitis are instructed not to smoke. Smoking is discouraged in all
health- care facilities. Sending nursing personnel out- side encourages an unhealthy
practice, which is not the best use of the personnel.
The nurse is caring for a client diagnosed with a cold. Which is an example of an
alternative therapy?
1. Vitamin C, 2,000 mg daily.
2. Strict bedrest.
1
,3. Humidification of the air.
4. Decongestant therapy.
1. Alternative therapies are therapies not accepted as standard medical practice.
These may be encouraged as long as they do not interfere with the medical
regimen. Vitamin C in large doses is thought to improve the immune system's
functions.
TEST-TAKING HINT: Only one of the answer options is not common advice for a
client with a cold. When all options but one (1) match each other, then the odd
option should be selected as the correct answer.
The nurse is assessing a 79-year-old client diagnosed with pneumonia. Which
signs and symptoms should the nurse expect to assess in the client?
1. Confusion and lethargy.
2. High fever and chills.
3. Frothy sputum and edema.
4. Bradypnea and jugular vein distention.
1. The elderly client diagnosed with pneumonia may present with weakness,
fatigue, lethargy, confusion, and poor appetite but not have any of the classic signs
and symptoms of pneumonia.
Wrong answers:
2. Fever and chills are classic symptoms of pneumonia, but they are usually absent
in the elderly client.
3. Frothy sputum and edema are signs and symptoms of heart failure, not
pneumonia.
4. The client has tachypnea (fast respirations), not bradypnea (slow respirations),
and jugular vein distention accompanies heart failure.
The nurse is discussing the care of a child diagnosed with asthma with the parent.
Which referral is important to include in the teaching?
1. Referral to a dietitian.
2. Referral for allergy testing.
3. Referral to the developmental psychologist.
4. Referral to a home health nurse.
2. Because asthma can be a reaction to an allergen, it is important to determine
which substances may trigger an attack.
2
,Wrong answers:
1. A child with asthma can eat a regular diet if the child is not allergic to the
components of the diet.
3. The stem did not indicate the child is developmentally delayed.
4. The child does not require a home health nurse solely on the basis of asthma; the
school nurse or any child-care provider should be informed of the child's diagnosis,
and the parents must know the individual caring for the child is prepared to
intervene during an attack.
The nurse is discharging a client newly diagnosed with restrictive airway disease
(asthma). Which statement indicates the client understands the discharge
instructions?
1. "I will call 911 if my medications don't control an attack."
2. "I should wash my bedding in warm water."
3. "I can still eat at the Chinese restaurant when
I want."
4. "If I get a headache, I should take a
nonsteroidal anti-inflammatory drug."
1. The client must be able to recognize a life-threatening situation and initiate the
correct procedure.
Wrong answers:
2. Bedding is washed in hot water to kill dust mites.
3. Many Chinese dishes are prepared with monosodium glutamate, an ingredient
that can initiate an asthma attack.
4. Nonsteroidal anti-inflammatory medications, aspirin, and beta blockers have
been known to initiate asthma attacks.
The client is diagnosed with a pulmonary embolus (PE) and is receiving a heparin
drip. The bag hanging is 20,000 units/500 mLof D5W infusing at 22 mL/hr. How
many units of heparin is the client receiving each hour? ________
880 units. If there are 20,000 units of heparin in 500 mL of D5W, there are 40
units in each mL: 20,000 " 500 # 40 units If 22 mL are infused per hour, then 880
units of heparin are infused each hour:40 × 22 # 880
3
, The nurse is planning the care of a client diagnosed with pneumonia and writes a
problem of "impaired gas exchange." Which is an expected outcome for this
problem?
1. Performs chest physiotherapy three (3) times
a day.
2. Able to complete activities of daily living.
3. Ambulates in the hall several times during
each shift.
4. Alert and oriented to person, place, time, and
events.
4. Impaired gas exchange results in hypoxia, the earliest sign/symptom of which is
a change in the level of consciousness.
Wrong answers:
1. Clients do not perform chest physiotherapy; this is normally done by the
respiratory therapist. This is a staff goal, not a client goal.
2. This would be a goal for self-care deficit but not for impaired gas exchange.
3. This would be a goal for the problem of activity intolerance.
The nurse in a long-term care facility is planning the care for a client with a
percutaneous endoscopic gastrostomy (PEG) feeding tube used for bolus feedings.
Which intervention should the nurse include in the plan of care?
1. Inspect the insertion line at the naris prior to instilling formula.
2. Elevate the head of the bed (HOB) after feeding the client.
3. Place the client in the Sims position following each feeding.
4. Change the dressing on the feeding tube every three (3) days.
2. Elevating the head of the bed uses
gravity to keep the formula in the gastric cavity and help prevent it from refluxing
into the esophagus, which predisposes the client to aspiration.
TEST-TAKING HINT: The test taker should try to picture the positioning of the
client to determine the correct answer. In option "4," the test taker should question
if the time given, three (3) days, is the correct time interval for performing this
intervention.
The client diagnosed with a community- acquired pneumonia is being admitted to
the medical unit. Which nursing intervention has the highest priority?
4
Nursing I Exam 2 Newest Practice Test Bank
with 220 Questions and Correct Answers/
NU155 Exam 2 prep (Latest 2026-2027)
Which task is most appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
1. Feed a client who is postoperative
tonsillectomy the first meal of clear liquids.
2. Encourage the client diagnosed with a cold to
drink a glass of orange juice.
3. Obtain a throat culture on a client diagnosed
with bacterial pharyngitis.
4. Escort the client diagnosed with laryngitis
outside to smoke a cigarette
2. Clients with colds are encouraged to drink 2,000 mL of liquids a day. The UAP
could do this.
Wrong answers:
1. Tonsillectomies cause throat edema and difficulty swallowing; the nurse must
observe the client's ability to swallow before this task can be delegated.
3. Throat swabs for culture must be done correctly or false-negative results can
occur. The nurse should obtain the swab.
4. Clients with laryngitis are instructed not to smoke. Smoking is discouraged in all
health- care facilities. Sending nursing personnel out- side encourages an unhealthy
practice, which is not the best use of the personnel.
The nurse is caring for a client diagnosed with a cold. Which is an example of an
alternative therapy?
1. Vitamin C, 2,000 mg daily.
2. Strict bedrest.
1
,3. Humidification of the air.
4. Decongestant therapy.
1. Alternative therapies are therapies not accepted as standard medical practice.
These may be encouraged as long as they do not interfere with the medical
regimen. Vitamin C in large doses is thought to improve the immune system's
functions.
TEST-TAKING HINT: Only one of the answer options is not common advice for a
client with a cold. When all options but one (1) match each other, then the odd
option should be selected as the correct answer.
The nurse is assessing a 79-year-old client diagnosed with pneumonia. Which
signs and symptoms should the nurse expect to assess in the client?
1. Confusion and lethargy.
2. High fever and chills.
3. Frothy sputum and edema.
4. Bradypnea and jugular vein distention.
1. The elderly client diagnosed with pneumonia may present with weakness,
fatigue, lethargy, confusion, and poor appetite but not have any of the classic signs
and symptoms of pneumonia.
Wrong answers:
2. Fever and chills are classic symptoms of pneumonia, but they are usually absent
in the elderly client.
3. Frothy sputum and edema are signs and symptoms of heart failure, not
pneumonia.
4. The client has tachypnea (fast respirations), not bradypnea (slow respirations),
and jugular vein distention accompanies heart failure.
The nurse is discussing the care of a child diagnosed with asthma with the parent.
Which referral is important to include in the teaching?
1. Referral to a dietitian.
2. Referral for allergy testing.
3. Referral to the developmental psychologist.
4. Referral to a home health nurse.
2. Because asthma can be a reaction to an allergen, it is important to determine
which substances may trigger an attack.
2
,Wrong answers:
1. A child with asthma can eat a regular diet if the child is not allergic to the
components of the diet.
3. The stem did not indicate the child is developmentally delayed.
4. The child does not require a home health nurse solely on the basis of asthma; the
school nurse or any child-care provider should be informed of the child's diagnosis,
and the parents must know the individual caring for the child is prepared to
intervene during an attack.
The nurse is discharging a client newly diagnosed with restrictive airway disease
(asthma). Which statement indicates the client understands the discharge
instructions?
1. "I will call 911 if my medications don't control an attack."
2. "I should wash my bedding in warm water."
3. "I can still eat at the Chinese restaurant when
I want."
4. "If I get a headache, I should take a
nonsteroidal anti-inflammatory drug."
1. The client must be able to recognize a life-threatening situation and initiate the
correct procedure.
Wrong answers:
2. Bedding is washed in hot water to kill dust mites.
3. Many Chinese dishes are prepared with monosodium glutamate, an ingredient
that can initiate an asthma attack.
4. Nonsteroidal anti-inflammatory medications, aspirin, and beta blockers have
been known to initiate asthma attacks.
The client is diagnosed with a pulmonary embolus (PE) and is receiving a heparin
drip. The bag hanging is 20,000 units/500 mLof D5W infusing at 22 mL/hr. How
many units of heparin is the client receiving each hour? ________
880 units. If there are 20,000 units of heparin in 500 mL of D5W, there are 40
units in each mL: 20,000 " 500 # 40 units If 22 mL are infused per hour, then 880
units of heparin are infused each hour:40 × 22 # 880
3
, The nurse is planning the care of a client diagnosed with pneumonia and writes a
problem of "impaired gas exchange." Which is an expected outcome for this
problem?
1. Performs chest physiotherapy three (3) times
a day.
2. Able to complete activities of daily living.
3. Ambulates in the hall several times during
each shift.
4. Alert and oriented to person, place, time, and
events.
4. Impaired gas exchange results in hypoxia, the earliest sign/symptom of which is
a change in the level of consciousness.
Wrong answers:
1. Clients do not perform chest physiotherapy; this is normally done by the
respiratory therapist. This is a staff goal, not a client goal.
2. This would be a goal for self-care deficit but not for impaired gas exchange.
3. This would be a goal for the problem of activity intolerance.
The nurse in a long-term care facility is planning the care for a client with a
percutaneous endoscopic gastrostomy (PEG) feeding tube used for bolus feedings.
Which intervention should the nurse include in the plan of care?
1. Inspect the insertion line at the naris prior to instilling formula.
2. Elevate the head of the bed (HOB) after feeding the client.
3. Place the client in the Sims position following each feeding.
4. Change the dressing on the feeding tube every three (3) days.
2. Elevating the head of the bed uses
gravity to keep the formula in the gastric cavity and help prevent it from refluxing
into the esophagus, which predisposes the client to aspiration.
TEST-TAKING HINT: The test taker should try to picture the positioning of the
client to determine the correct answer. In option "4," the test taker should question
if the time given, three (3) days, is the correct time interval for performing this
intervention.
The client diagnosed with a community- acquired pneumonia is being admitted to
the medical unit. Which nursing intervention has the highest priority?
4
