, NU 155 Final Exam – Medical-Surgical
Nursing I (2026) | Galen College of Nursing
| Complete Final Exam Questions &
Verified Answers with Detailed Rationales
| Comprehensive Study Guide | A+ Graded
Q1. A nurse is caring for a patient recently diagnosed
with metastatic lung cancer who expresses concern
about managing at home alone. Which action by the case
manager is the priority?
A) Arrange a referral to Meals on Wheels for food
support.
B) Refer the patient to a social worker for evaluation of
available home support.
C) Set up a follow-up appointment with the oncologist.
D) Provide information about local cancer support
groups.
Correct Answer: B) Refer the patient to a social worker
for evaluation of available home support.
,Rationale: The priority is assessing psychosocial support
systems and home resources through a social worker to
ensure safety and appropriate planning for home care
needs. While referrals to community services, oncology,
and support groups are important, they are not the
priority.
Q2. A hospitalized patient requires a home oxygen setup
upon discharge. Which of the following is the most
appropriate case management action?
A) Teach the patient how to use oxygen equipment
before discharge.
B) Notify the physician that the patient requires oxygen
at home.
C) Contact durable medical equipment (DME) services to
coordinate home oxygen delivery.
D) Remind the patient to pick up oxygen equipment at a
pharmacy.
Correct Answer: C) Contact durable medical equipment
(DME) services to coordinate home oxygen delivery.
, Rationale: Case managers coordinate services between
hospital and community resources. Oxygen delivery
requires a DME provider referral and arrangement.
Education (A) is the nurse's role, and patients cannot pick
up oxygen at a retail pharmacy.
Q3. A nurse is preparing to discharge a patient with
newly diagnosed diabetes. Which action by the nurse is
most important to ensure continuity of care?
A) Provide a handout on dietary changes.
B) Inform the patient's primary care provider about the
hospitalization.
C) Refer the patient to a diabetes education program and
schedule follow-up appointments.
D) Instruct the patient to check blood glucose daily.
Correct Answer: C) Refer the patient to a diabetes
education program and schedule follow-up
appointments.
Rationale: Continuity of care means ensuring the patient
has uninterrupted support after leaving the hospital.
Nursing I (2026) | Galen College of Nursing
| Complete Final Exam Questions &
Verified Answers with Detailed Rationales
| Comprehensive Study Guide | A+ Graded
Q1. A nurse is caring for a patient recently diagnosed
with metastatic lung cancer who expresses concern
about managing at home alone. Which action by the case
manager is the priority?
A) Arrange a referral to Meals on Wheels for food
support.
B) Refer the patient to a social worker for evaluation of
available home support.
C) Set up a follow-up appointment with the oncologist.
D) Provide information about local cancer support
groups.
Correct Answer: B) Refer the patient to a social worker
for evaluation of available home support.
,Rationale: The priority is assessing psychosocial support
systems and home resources through a social worker to
ensure safety and appropriate planning for home care
needs. While referrals to community services, oncology,
and support groups are important, they are not the
priority.
Q2. A hospitalized patient requires a home oxygen setup
upon discharge. Which of the following is the most
appropriate case management action?
A) Teach the patient how to use oxygen equipment
before discharge.
B) Notify the physician that the patient requires oxygen
at home.
C) Contact durable medical equipment (DME) services to
coordinate home oxygen delivery.
D) Remind the patient to pick up oxygen equipment at a
pharmacy.
Correct Answer: C) Contact durable medical equipment
(DME) services to coordinate home oxygen delivery.
, Rationale: Case managers coordinate services between
hospital and community resources. Oxygen delivery
requires a DME provider referral and arrangement.
Education (A) is the nurse's role, and patients cannot pick
up oxygen at a retail pharmacy.
Q3. A nurse is preparing to discharge a patient with
newly diagnosed diabetes. Which action by the nurse is
most important to ensure continuity of care?
A) Provide a handout on dietary changes.
B) Inform the patient's primary care provider about the
hospitalization.
C) Refer the patient to a diabetes education program and
schedule follow-up appointments.
D) Instruct the patient to check blood glucose daily.
Correct Answer: C) Refer the patient to a diabetes
education program and schedule follow-up
appointments.
Rationale: Continuity of care means ensuring the patient
has uninterrupted support after leaving the hospital.
