NUR 170 Exam 2: Concepts of Medical-
Surgical Nursing Test Bank | Galen
College | Verified Questions & Answers
| Latest 2025/2026 Edition
The home health nurse has been discussing interventions to prevent constipation in a client
with multiple sclerosis. The nurse determines that the client is using the information most
effectively if the client reports which action?
Initiating a bowel movement every other day, 45 minutes after the largest meal of the day
The nurse is administering an intravenous dose of methocarbamol to a client with multiple
sclerosis. For which adverse effect should the nurse monitor?
bradycardia
A client with vascular headaches is taking ergotamine. The home health nurse should
periodically assess him or her for which finding?
Cool, numb fingers and toes
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease. Which findings would the nurse expect to note on assessment of this
client? Select all that apply.
,A hyperinflated chest noted on the chest x-ray
Decreased oxygen saturation with mild exercise
The nurse is preparing a list of home care instructions for a client who has been hospitalized
and treated for tuberculosis. Which instructions should the nurse include on the list? Select all
that apply.
Activities should be resumed gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
Respiratory isolation is not necessary, because family members already have been exposed.
Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
The nurse has conducted discharge teaching with a client diagnosed with tuberculosis who
has been receiving medication for 2 weeks. The nurse determines that the client has
understood the information if the client makes which statement?
"I should not be contagious after 2 to 3 weeks of medication therapy."
The community health nurse is conducting an educational session with community members
regarding the signs and symptoms associated with tuberculosis. The nurse informs the
participants that tuberculosis is considered as a diagnosis if which signs and symptoms are
present? Select all that apply.
Dyspnea
Night sweats
A bloody, productive cough
A cough with the expectoration of mucoid sputum
The nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The
nurse should check the results of which diagnostic test that will confirm this diagnosis?
Sputum culture
The nurse is teaching a client about changes in body image related to chronic obstructive
pulmonary disease (COPD). Which statement by the client would indicate that teaching was
successful?
"My nails may become clubbed."
The nurse instructs a client with chronic obstructive pulmonary disease (COPD) to use the
pursed-lip method of breathing and evaluates the teaching by asking the client about the
purpose of this type of breathing. The nurse determines that the client understands if the
client states that the primary purpose of pursed-lip breathing is to promote which outcome?
,Promote carbon dioxide elimination.
The nurse is caring for a client with tuberculosis (TB) who is fearful of the disease and anxious
about the prognosis. In planning nursing care, the nurse should incorporate which
intervention as the best strategy to assist the client in coping with the illness?
Provide reassurance that continued compliance with medication therapy is the most proactive
way to cope with the disease.
A client diagnosed with tuberculosis (TB) is distressed over fatigue and the loss of physical
stamina. What should the nurse tell the client?
This is expected, and the client should gradually increase activity as tolerated.
The nurse is assessing a client with the typical clinical manifestations of tuberculosis (TB).
During history-taking the nurse anticipates that the client will report presence of cough and
fatigue for what period of time?
Several weeks to months
The clinic nurse administers a tuberculin skin test to a client. The nurse tells the client to
return to the clinic for the results in how long?
48 to 72 hours
A client with a history of recent upper respiratory infection comes to the urgent care center
complaining of chest pain. The nurse determines that the pain is most likely of a respiratory
origin if the client makes which statement about the pain?
"It hurts more when I breathe in."
A client who experiences frequent upper respiratory infections (URIs) asks the nurse why food
does not seem to have any taste during illness. Which response by the nurse is most
appropriate?
"Blocked nasal passages impair the sense of smell."
The nurse reads in the progress notes for a client with pneumonia that areas of the client's
lungs are being perfused but are not being ventilated. How does the nurse correctly interpret
this documentation?
A shunt unit exists.
Which are possible causes of upper airway obstruction? Select all that apply.
, Laryngeal edema
Head and neck cancer
Foreign body aspiration
Lymph node enlargement
The nurse monitors the respiratory status of the client being treated for acute exacerbation of
chronic obstructive pulmonary disease (COPD). Which assessment finding would indicate
deterioration in ventilation?
Rapid, shallow respirations
The nurse is planning care for an 81-year-old unresponsive client admitted to the hospital
with a medical diagnosis of pneumonia. The nurse has identified the problem of inability to
clear the airway related to retained secretions. Which intervention is most appropriate?
Provide nasotracheal suctioning as needed to remove secretions.
A client with chronic obstructive pulmonary disease (COPD) has a respiratory rate of 24
breaths per minute, bilateral crackles, and cyanosis and is coughing but unable to expectorate
sputum. Which problem is the priority?
Inability to clear the airway related to inability to expectorate sputum
The nurse is caring for a client diagnosed with tuberculosis (TB). Which assessments, if made
by the nurse, are consistent with the usual clinical presentation of TB? Select all that apply.
Cough
Dyspnea
chills and night sweats
A client with chronic obstructive pulmonary disease (COPD) is being evaluated for lung
transplantation. The nurse performs the initial physical assessment. Which findings should
the nurse anticipate in this client? Select all that apply.
Dyspnea at rest
Clubbed fingers
Muscle retractions
Prolonged expiratory breathing phase
Which position would best help the breathing of a client with chronic obstructive pulmonary
disease (COPD)?
Tripod position
Surgical Nursing Test Bank | Galen
College | Verified Questions & Answers
| Latest 2025/2026 Edition
The home health nurse has been discussing interventions to prevent constipation in a client
with multiple sclerosis. The nurse determines that the client is using the information most
effectively if the client reports which action?
Initiating a bowel movement every other day, 45 minutes after the largest meal of the day
The nurse is administering an intravenous dose of methocarbamol to a client with multiple
sclerosis. For which adverse effect should the nurse monitor?
bradycardia
A client with vascular headaches is taking ergotamine. The home health nurse should
periodically assess him or her for which finding?
Cool, numb fingers and toes
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease. Which findings would the nurse expect to note on assessment of this
client? Select all that apply.
,A hyperinflated chest noted on the chest x-ray
Decreased oxygen saturation with mild exercise
The nurse is preparing a list of home care instructions for a client who has been hospitalized
and treated for tuberculosis. Which instructions should the nurse include on the list? Select all
that apply.
Activities should be resumed gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
Respiratory isolation is not necessary, because family members already have been exposed.
Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
The nurse has conducted discharge teaching with a client diagnosed with tuberculosis who
has been receiving medication for 2 weeks. The nurse determines that the client has
understood the information if the client makes which statement?
"I should not be contagious after 2 to 3 weeks of medication therapy."
The community health nurse is conducting an educational session with community members
regarding the signs and symptoms associated with tuberculosis. The nurse informs the
participants that tuberculosis is considered as a diagnosis if which signs and symptoms are
present? Select all that apply.
Dyspnea
Night sweats
A bloody, productive cough
A cough with the expectoration of mucoid sputum
The nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The
nurse should check the results of which diagnostic test that will confirm this diagnosis?
Sputum culture
The nurse is teaching a client about changes in body image related to chronic obstructive
pulmonary disease (COPD). Which statement by the client would indicate that teaching was
successful?
"My nails may become clubbed."
The nurse instructs a client with chronic obstructive pulmonary disease (COPD) to use the
pursed-lip method of breathing and evaluates the teaching by asking the client about the
purpose of this type of breathing. The nurse determines that the client understands if the
client states that the primary purpose of pursed-lip breathing is to promote which outcome?
,Promote carbon dioxide elimination.
The nurse is caring for a client with tuberculosis (TB) who is fearful of the disease and anxious
about the prognosis. In planning nursing care, the nurse should incorporate which
intervention as the best strategy to assist the client in coping with the illness?
Provide reassurance that continued compliance with medication therapy is the most proactive
way to cope with the disease.
A client diagnosed with tuberculosis (TB) is distressed over fatigue and the loss of physical
stamina. What should the nurse tell the client?
This is expected, and the client should gradually increase activity as tolerated.
The nurse is assessing a client with the typical clinical manifestations of tuberculosis (TB).
During history-taking the nurse anticipates that the client will report presence of cough and
fatigue for what period of time?
Several weeks to months
The clinic nurse administers a tuberculin skin test to a client. The nurse tells the client to
return to the clinic for the results in how long?
48 to 72 hours
A client with a history of recent upper respiratory infection comes to the urgent care center
complaining of chest pain. The nurse determines that the pain is most likely of a respiratory
origin if the client makes which statement about the pain?
"It hurts more when I breathe in."
A client who experiences frequent upper respiratory infections (URIs) asks the nurse why food
does not seem to have any taste during illness. Which response by the nurse is most
appropriate?
"Blocked nasal passages impair the sense of smell."
The nurse reads in the progress notes for a client with pneumonia that areas of the client's
lungs are being perfused but are not being ventilated. How does the nurse correctly interpret
this documentation?
A shunt unit exists.
Which are possible causes of upper airway obstruction? Select all that apply.
, Laryngeal edema
Head and neck cancer
Foreign body aspiration
Lymph node enlargement
The nurse monitors the respiratory status of the client being treated for acute exacerbation of
chronic obstructive pulmonary disease (COPD). Which assessment finding would indicate
deterioration in ventilation?
Rapid, shallow respirations
The nurse is planning care for an 81-year-old unresponsive client admitted to the hospital
with a medical diagnosis of pneumonia. The nurse has identified the problem of inability to
clear the airway related to retained secretions. Which intervention is most appropriate?
Provide nasotracheal suctioning as needed to remove secretions.
A client with chronic obstructive pulmonary disease (COPD) has a respiratory rate of 24
breaths per minute, bilateral crackles, and cyanosis and is coughing but unable to expectorate
sputum. Which problem is the priority?
Inability to clear the airway related to inability to expectorate sputum
The nurse is caring for a client diagnosed with tuberculosis (TB). Which assessments, if made
by the nurse, are consistent with the usual clinical presentation of TB? Select all that apply.
Cough
Dyspnea
chills and night sweats
A client with chronic obstructive pulmonary disease (COPD) is being evaluated for lung
transplantation. The nurse performs the initial physical assessment. Which findings should
the nurse anticipate in this client? Select all that apply.
Dyspnea at rest
Clubbed fingers
Muscle retractions
Prolonged expiratory breathing phase
Which position would best help the breathing of a client with chronic obstructive pulmonary
disease (COPD)?
Tripod position
