NUR 170 Med Surg EXAM 1
NUR 170 Med Surg EXAM 1 /NUR170
Exam 1 Actual Exam Newest 2025/2026
With Complete 140 Questions And
Correct Answers |Already Graded A+
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia
(tic douloureux)?
Tinnitus, vertigo, and hearing difficulties
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
- Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve (5th cranial). Women are more
often afflicted with this condition and generally occurs in clients over the age of 50 years old.
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which
finding should the nurse conclude as an early symptom of renal insufficiency?
Dyspnea
Nocturia
Confusion.
Stomatitis –
Correct Answer :Nocturia
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the
inability of the kidneys to concentrate urine and contributes to nocturia.
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client
for the first signs of decreasing oxygenation, the nurse should assess for which clinical cues?
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
Abominal distention.
Undue fatigue.
Cyanosis of the lips.
Confusion and tachycardia
- Correct Answer :Confusion and tachycardia
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate due to the decreased oxygen- carbon dioxide
exchange at the alveoli, known as the V-Q mismatch. Cyanosis is a very late sign.
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
Notify the healthcare provider for reinsertion.
Attempt to reinsert the tracheostomy tube.
Position the client in a lateral position with the neck extended.
Ventilate client's tracheostomy stoma with a manual bag-mask.
- Correct Answer :Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should
immediately be removed.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom would the nurse expect this client to
have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum.
- Correct Answer :Productive cough with grayish-white sputum.
Chronic bronchitis, one of the diseases comprising the diagnosis of chronic obstructive
pulmonary disease (COPD), is characterized by a productive cough with grayish-white sputum.
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems.
The visiting nurse is discussing home safety hazards with the client. The nurse suggests that the
edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow
. - Correct Answer :Medium yellow
The color yellow is the easiest for a person with failing vision to see.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety.
- Correct Answer :Elimination of hazards to home safety.
Discussion about fall prevention strategies is imperative for the discharged client with
osteoporosis. Advice about safety measures in the home should be provided such as the
elimination of throw rugs and proper lighting to minimize trip hazards and falls.
A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine.
The nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of chronic
illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of
infection.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to five years.
- Correct Answer :The immunization is administered once to older adults or persons with a
history of chronic illness.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
It is recommended by the CDC (Dec 2016) that persons over 65 years of age and those with a
history of chronic illness receive the vaccine once in a lifetime.
What types of medications should the nurse expect to administer to a client during an acute
respiratory distress episode?
Vasodilators and hormones.
Analgesics and sedatives.
Anticoagulants and expectorants.
Bronchodilators and steroids.
- Correct Answer :Bronchodilators and steroids.
Besides supplemental oxygen, a client with acute respiratory distress syndrome (ARDS) needs
medications to widen air passages, increase air space, and reduce alveolar membrane
inflammation, such as bronchodilators and steroids.
The nurse is teaching a female client about the best time to plan sexual intercourse in order to
conceive. Which information should the nurse provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning.
- Correct Answer :Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins during a typical 28 day cycle.
Sexual intercourse should occur within 24 hours of ovulation for an increase chance of
conception to occur. High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics to become more "slippery" and stretchy, along with a rise in
basal temperature. The timing during the day is not as significant in determining conception as
the day before and after ovulation.
Which nail color alteration should the nurse expect to observe in a client with chronic kidney
disease?
Horizontal white banding.
Diffuse blue discoloration.
Diffuse brown discoloration.
Thin, dark red vertical lines.
A+ TEST BANK 4
NUR 170 Med Surg EXAM 1 /NUR170
Exam 1 Actual Exam Newest 2025/2026
With Complete 140 Questions And
Correct Answers |Already Graded A+
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia
(tic douloureux)?
Tinnitus, vertigo, and hearing difficulties
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
- Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve (5th cranial). Women are more
often afflicted with this condition and generally occurs in clients over the age of 50 years old.
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which
finding should the nurse conclude as an early symptom of renal insufficiency?
Dyspnea
Nocturia
Confusion.
Stomatitis –
Correct Answer :Nocturia
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the
inability of the kidneys to concentrate urine and contributes to nocturia.
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client
for the first signs of decreasing oxygenation, the nurse should assess for which clinical cues?
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
Abominal distention.
Undue fatigue.
Cyanosis of the lips.
Confusion and tachycardia
- Correct Answer :Confusion and tachycardia
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate due to the decreased oxygen- carbon dioxide
exchange at the alveoli, known as the V-Q mismatch. Cyanosis is a very late sign.
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
Notify the healthcare provider for reinsertion.
Attempt to reinsert the tracheostomy tube.
Position the client in a lateral position with the neck extended.
Ventilate client's tracheostomy stoma with a manual bag-mask.
- Correct Answer :Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should
immediately be removed.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom would the nurse expect this client to
have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum.
- Correct Answer :Productive cough with grayish-white sputum.
Chronic bronchitis, one of the diseases comprising the diagnosis of chronic obstructive
pulmonary disease (COPD), is characterized by a productive cough with grayish-white sputum.
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems.
The visiting nurse is discussing home safety hazards with the client. The nurse suggests that the
edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow
. - Correct Answer :Medium yellow
The color yellow is the easiest for a person with failing vision to see.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety.
- Correct Answer :Elimination of hazards to home safety.
Discussion about fall prevention strategies is imperative for the discharged client with
osteoporosis. Advice about safety measures in the home should be provided such as the
elimination of throw rugs and proper lighting to minimize trip hazards and falls.
A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine.
The nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of chronic
illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of
infection.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to five years.
- Correct Answer :The immunization is administered once to older adults or persons with a
history of chronic illness.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
It is recommended by the CDC (Dec 2016) that persons over 65 years of age and those with a
history of chronic illness receive the vaccine once in a lifetime.
What types of medications should the nurse expect to administer to a client during an acute
respiratory distress episode?
Vasodilators and hormones.
Analgesics and sedatives.
Anticoagulants and expectorants.
Bronchodilators and steroids.
- Correct Answer :Bronchodilators and steroids.
Besides supplemental oxygen, a client with acute respiratory distress syndrome (ARDS) needs
medications to widen air passages, increase air space, and reduce alveolar membrane
inflammation, such as bronchodilators and steroids.
The nurse is teaching a female client about the best time to plan sexual intercourse in order to
conceive. Which information should the nurse provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning.
- Correct Answer :Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins during a typical 28 day cycle.
Sexual intercourse should occur within 24 hours of ovulation for an increase chance of
conception to occur. High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics to become more "slippery" and stretchy, along with a rise in
basal temperature. The timing during the day is not as significant in determining conception as
the day before and after ovulation.
Which nail color alteration should the nurse expect to observe in a client with chronic kidney
disease?
Horizontal white banding.
Diffuse blue discoloration.
Diffuse brown discoloration.
Thin, dark red vertical lines.
A+ TEST BANK 4
