,NU 155 Exam 4 | Med-Surg Nursing I (2026/2027)
PDF | Nursing | Galen College
1. The nurse is caring for a client who has been diagnosed with a Candida
albicans (yeast) infection. Which of the following findings does the nurse expect
to observe?
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
Correct Answer: B) Cottage cheese-like discharge
Rationale: Candida albicans typically causes a thick, white, curd-like (cottage
cheese) vaginal discharge accompanied by itching and irritation. This is
characteristic of a yeast infection, differentiating it from bacterial or other
causes of vaginitis. Yellow-green discharge suggests trichomoniasis, and bloody
discharge may indicate other pathology.
2. The nurse is reinforcing instruction with a client who has gonorrhea. Which of
the following statements by the client indicates a need for further instruction?
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
,Correct Answer: C) "I can continue to have sex as long as I am taking
antibiotics."
Rationale: Clients with gonorrhea should abstain from sexual activity until
treatment is completed and the infection is resolved. Continuing to have sex
while taking antibiotics can spread the infection and may lead to reinfection.
The other statements indicate correct understanding.
3. The nurse is contributing to a community education program about testicular
self-examination (TSE). Which of the following information should the nurse
suggest including?
A) Perform TSE once a year during a routine physical exam
B) Gently roll each testicle between the thumb and fingers to check for lumps or
swelling
C) Perform TSE immediately after a cold shower
D) TSE is only necessary for men over 50 years of age
Correct Answer: B) Gently roll each testicle between the thumb and fingers to
check for lumps or swelling
Rationale: Testicular self-examination should be performed monthly, ideally
after a warm shower or bath when the scrotal skin is relaxed. The client should
gently roll each testicle between the thumb and fingers to check for lumps or
swelling. TSE is recommended for all men, starting in adolescence.
4. The nurse is reinforcing teaching with a female client about breast self-
examinations (BSE). Which of the following should the nurse include as the best
time to perform BSE?
, A) 1 week after the menstrual cycle
B) During the menstrual cycle
C) Immediately before the menstrual cycle
D) Anytime, as timing does not matter
Correct Answer: A) 1 week after the menstrual cycle
Rationale: The best time to perform BSE is 1 week after the menstrual cycle,
when breasts are less tender and swollen. For postmenopausal women, a
consistent day each month should be chosen. Performing BSE during or
immediately before the cycle may be uncomfortable and less accurate.
5. The nurse is caring for a client who is diagnosed with viral meningitis. Which
of the following client findings supports this diagnosis?
A) Negative Kernig's sign
B) Positive Kernig's sign
C) Clear cerebrospinal fluid (CSF)
D) Absence of photophobia
Correct Answer: B) Positive Kernig's sign
Rationale: Viral meningitis often presents with signs of meningeal irritation,
including a positive Kernig's sign (pain with extension of the knee when the hip
is flexed), nuchal rigidity, and photophobia. Viral meningitis is generally less
severe than bacterial meningitis and is managed with supportive care.
PDF | Nursing | Galen College
1. The nurse is caring for a client who has been diagnosed with a Candida
albicans (yeast) infection. Which of the following findings does the nurse expect
to observe?
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
Correct Answer: B) Cottage cheese-like discharge
Rationale: Candida albicans typically causes a thick, white, curd-like (cottage
cheese) vaginal discharge accompanied by itching and irritation. This is
characteristic of a yeast infection, differentiating it from bacterial or other
causes of vaginitis. Yellow-green discharge suggests trichomoniasis, and bloody
discharge may indicate other pathology.
2. The nurse is reinforcing instruction with a client who has gonorrhea. Which of
the following statements by the client indicates a need for further instruction?
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
,Correct Answer: C) "I can continue to have sex as long as I am taking
antibiotics."
Rationale: Clients with gonorrhea should abstain from sexual activity until
treatment is completed and the infection is resolved. Continuing to have sex
while taking antibiotics can spread the infection and may lead to reinfection.
The other statements indicate correct understanding.
3. The nurse is contributing to a community education program about testicular
self-examination (TSE). Which of the following information should the nurse
suggest including?
A) Perform TSE once a year during a routine physical exam
B) Gently roll each testicle between the thumb and fingers to check for lumps or
swelling
C) Perform TSE immediately after a cold shower
D) TSE is only necessary for men over 50 years of age
Correct Answer: B) Gently roll each testicle between the thumb and fingers to
check for lumps or swelling
Rationale: Testicular self-examination should be performed monthly, ideally
after a warm shower or bath when the scrotal skin is relaxed. The client should
gently roll each testicle between the thumb and fingers to check for lumps or
swelling. TSE is recommended for all men, starting in adolescence.
4. The nurse is reinforcing teaching with a female client about breast self-
examinations (BSE). Which of the following should the nurse include as the best
time to perform BSE?
, A) 1 week after the menstrual cycle
B) During the menstrual cycle
C) Immediately before the menstrual cycle
D) Anytime, as timing does not matter
Correct Answer: A) 1 week after the menstrual cycle
Rationale: The best time to perform BSE is 1 week after the menstrual cycle,
when breasts are less tender and swollen. For postmenopausal women, a
consistent day each month should be chosen. Performing BSE during or
immediately before the cycle may be uncomfortable and less accurate.
5. The nurse is caring for a client who is diagnosed with viral meningitis. Which
of the following client findings supports this diagnosis?
A) Negative Kernig's sign
B) Positive Kernig's sign
C) Clear cerebrospinal fluid (CSF)
D) Absence of photophobia
Correct Answer: B) Positive Kernig's sign
Rationale: Viral meningitis often presents with signs of meningeal irritation,
including a positive Kernig's sign (pain with extension of the knee when the hip
is flexed), nuchal rigidity, and photophobia. Viral meningitis is generally less
severe than bacterial meningitis and is managed with supportive care.
