NUR 242 MED SURG EXAM 4 QUESTIONS AND CORRECT
ANSWERS LATEST 2024 GUIDE - GALEN COLLEGE OF
NURSING
1. The nurse has instructed a client about how to care for a hearing aid, which of the following
client statement requires a follow up by nurse?
A: I will use an alcohol-soaked coGon tipped applicator to clean the part that goes into the canal
2. Which symptoms would occur in Retinal detachment?
A: flashing lights and floaters
3. A patient suspected of glaucoma. What’s normal intraocular pressure?
A: Normal = 10-21mmHg
A: Glaucoma pt= 50-70 mmHg
4. What tool would be used to determine the pressure in a patient with glaucoma?
A: Tonometry and Tunnel Pen
5. A patient with cataracts will exhibit which symptoms as early-stage cataracts?
A: Blurred vision and diplopia
6. A client with glaucoma asks the nurse is complete vision will return. The most appropriate
response A: Although some vision has been lost and cannot be restored. Further loss may be
prevented by adhering to treatment plan
7. The home health nurse has made a visit to the older adult client, the client tells the nurse they have
to distoration of vision when reading, which of the following actions should the nurse take?
A: Notify the HCP office for further evaluation
8. The nurse is providing DC teaching to a client on repair of retinal detachment with gas bubble,
which of the following client statement indicate a need for a follow up teaching?
(NEGATIVE ?- WRONG ANSWER GIVEN)
A: I can resume reading magazines and newspaper 48 hours after surgery
9. The nurse is providing DC teaching to a client following trabeculectomy for open angled
glaucoma, which of the following client statements indicate a CORRECT understanding of the
instructions? A: If I miss a dose of eye drops, I should not double up on then at the next time
they are due
10. The client with a detached retina asked the nurse what may have contributed to its
development. Which of the following demonstrates that the nurse understands the predisposing
factors of retinal detachment?
A: Near- sightedness , curtain drawn over eye
11. The nurse is caring for a client who is being DC after cataract surgery, which of the following
client statements should nurse report to the HCP immediately?
A: I have flashes of light in my field of vision
, 12. The nurse is creating a teaching plan on Meniere’s disease. The nurse will include the
following important information;
A: This disease is managed well by giving diuretic to the client and maintaining the client on low sodium
diet
13. The nurse taught the client who was recently diagnosed with Meniere’s disease about hwo to
manage the condition, which of the following statements by the client indicates a need for further
teaching? (NEGATIVE ? WRONG ANSWER)
A: I will increase my intake of foods that are high in sodium
14. The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which of
the following lifestyle changes is most important for the client to make?
A: Eliminate tobacco
15. The nurse knows the patient shows a correct understanding in regards to Buergers disease when
the patient states
A: I will stop smoking , Avoid injury to upper or lower extremities can cause gangrene, take meds as
prescribed
16. The nurse is instructing a client who was recently diagnosed with Reynauld’s disease, which of
the following statements by the client indicates a correct understanding of the teaching?
A: I should drink decaf beverages as much as possible
17. Patient teaching for Raynaulds Disease?
A: Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed
18. The nurse is caring for a client who was recently diagnosed with gout , which of the following should
the nurse identify as an etiology for developing the condition?
A: depositis of uric crystals in the joints
19. The nurse is providing teaching to a client with a below the knee amputation, which of the
following should the nurse include in the teaching ?
A: Tourinely push the residual limb down toward the bed to prepare for the prosthesis
A: teach patient to push the residual limb down toward the bed while supporting it on a soft pillow first
then instruct using a firm pillow and progress to a harder surface
20. The nurse is working in a PHCP office is assessing a client who is being seen 6 weeks post op above
the knee amputation , the client reports experiencing phantom pain, which of the following
interventions should the nurse provide client?
A: take their prescribed gabapentin
A: take their pain as the patient states and assess pain level
21. The nurse is caring for a client who has a femur fracture and is at risk of developing fat embolism or
FES which of the following from the box below should the nurse recognize as manifestations of
FES?
A: Lethargy , Petechiae
ANSWERS LATEST 2024 GUIDE - GALEN COLLEGE OF
NURSING
1. The nurse has instructed a client about how to care for a hearing aid, which of the following
client statement requires a follow up by nurse?
A: I will use an alcohol-soaked coGon tipped applicator to clean the part that goes into the canal
2. Which symptoms would occur in Retinal detachment?
A: flashing lights and floaters
3. A patient suspected of glaucoma. What’s normal intraocular pressure?
A: Normal = 10-21mmHg
A: Glaucoma pt= 50-70 mmHg
4. What tool would be used to determine the pressure in a patient with glaucoma?
A: Tonometry and Tunnel Pen
5. A patient with cataracts will exhibit which symptoms as early-stage cataracts?
A: Blurred vision and diplopia
6. A client with glaucoma asks the nurse is complete vision will return. The most appropriate
response A: Although some vision has been lost and cannot be restored. Further loss may be
prevented by adhering to treatment plan
7. The home health nurse has made a visit to the older adult client, the client tells the nurse they have
to distoration of vision when reading, which of the following actions should the nurse take?
A: Notify the HCP office for further evaluation
8. The nurse is providing DC teaching to a client on repair of retinal detachment with gas bubble,
which of the following client statement indicate a need for a follow up teaching?
(NEGATIVE ?- WRONG ANSWER GIVEN)
A: I can resume reading magazines and newspaper 48 hours after surgery
9. The nurse is providing DC teaching to a client following trabeculectomy for open angled
glaucoma, which of the following client statements indicate a CORRECT understanding of the
instructions? A: If I miss a dose of eye drops, I should not double up on then at the next time
they are due
10. The client with a detached retina asked the nurse what may have contributed to its
development. Which of the following demonstrates that the nurse understands the predisposing
factors of retinal detachment?
A: Near- sightedness , curtain drawn over eye
11. The nurse is caring for a client who is being DC after cataract surgery, which of the following
client statements should nurse report to the HCP immediately?
A: I have flashes of light in my field of vision
, 12. The nurse is creating a teaching plan on Meniere’s disease. The nurse will include the
following important information;
A: This disease is managed well by giving diuretic to the client and maintaining the client on low sodium
diet
13. The nurse taught the client who was recently diagnosed with Meniere’s disease about hwo to
manage the condition, which of the following statements by the client indicates a need for further
teaching? (NEGATIVE ? WRONG ANSWER)
A: I will increase my intake of foods that are high in sodium
14. The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which of
the following lifestyle changes is most important for the client to make?
A: Eliminate tobacco
15. The nurse knows the patient shows a correct understanding in regards to Buergers disease when
the patient states
A: I will stop smoking , Avoid injury to upper or lower extremities can cause gangrene, take meds as
prescribed
16. The nurse is instructing a client who was recently diagnosed with Reynauld’s disease, which of
the following statements by the client indicates a correct understanding of the teaching?
A: I should drink decaf beverages as much as possible
17. Patient teaching for Raynaulds Disease?
A: Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed
18. The nurse is caring for a client who was recently diagnosed with gout , which of the following should
the nurse identify as an etiology for developing the condition?
A: depositis of uric crystals in the joints
19. The nurse is providing teaching to a client with a below the knee amputation, which of the
following should the nurse include in the teaching ?
A: Tourinely push the residual limb down toward the bed to prepare for the prosthesis
A: teach patient to push the residual limb down toward the bed while supporting it on a soft pillow first
then instruct using a firm pillow and progress to a harder surface
20. The nurse is working in a PHCP office is assessing a client who is being seen 6 weeks post op above
the knee amputation , the client reports experiencing phantom pain, which of the following
interventions should the nurse provide client?
A: take their prescribed gabapentin
A: take their pain as the patient states and assess pain level
21. The nurse is caring for a client who has a femur fracture and is at risk of developing fat embolism or
FES which of the following from the box below should the nurse recognize as manifestations of
FES?
A: Lethargy , Petechiae
