,NU 189/NU189 Exam 2,3,4 | Med-Surg Nursing
II (2026) Actual Q&A PDF | Galen College
Exam 2
1. A client with cancer is scheduled for chemotherapy. The nurse explains that
myelosuppression can cause which effect?
A) Increased platelet count
B) Decreased white blood cell count
C) Elevated hemoglobin
D) Improved immune function
Correct Answer: Decreased white blood cell count
Rationale: Myelosuppression is bone marrow suppression leading to reduced
production of all blood cells, including leukocytes (neutropenia). This increases
infection risk. Platelets and hemoglobin also drop. The other options describe
increased counts or enhanced function, which are incorrect.
2. The nurse is reviewing a client's laboratory results. Which hematocrit value is
within normal range for an adult male?
A) 35%
B) 45%
C) 52%
D) 47%
Correct Answer: 47%
,Rationale: Normal hematocrit for adult males is 42–52%. A value of 47% falls
within this range. 35% is low, 45% is borderline or female normal, and 52% is at
the upper limit but still considered normal for males; however, 47% is more
centrally normal.
3. A client with psoriasis asks how to manage skin scales. The nurse should
recommend:
A) Using emollient creams and oatmeal baths
B) Taking hot showers daily
C) Picking scales to remove them
D) Applying alcohol-based lotions
Correct Answer: Using emollient creams and oatmeal baths
Rationale: Psoriasis management includes moisturizing and softening scales
with emollients and oatmeal baths to reduce itching and scaling. Hot water
dries skin, picking can cause bleeding and infection, and alcohol-based products
are too drying.
4. Which diagnostic test uses ultraviolet light to detect fungal infections on the
skin?
A) Biopsy
B) CT scan
C) Wood's lamp examination
D) Patch test
, Correct Answer: Wood's lamp examination
Rationale: A Wood's lamp emits UV light that causes certain fungi to fluoresce,
aiding in diagnosis of tinea infections. Biopsy examines tissue, CT provides
internal images, and patch tests evaluate allergies.
5. A client newly diagnosed with basal cell carcinoma asks about its typical
appearance. The nurse describes it as:
A) A small waxy nodule with pearly borders
B) An irregular dark mole
C) A red scaly patch
D) A blister-like lesion
Correct Answer: A small waxy nodule with pearly borders
Rationale: Basal cell carcinoma often presents as a pearly, waxy, translucent
nodule, frequently on sun-exposed areas. Irregular dark moles suggest
melanoma, and red scaly patches may indicate squamous cell carcinoma.
6. The nurse is assessing a client with suspected iron deficiency anemia. Which
laboratory finding is most indicative?
A) Elevated mean corpuscular volume
B) Low hemoglobin and hematocrit
C) Increased platelet count
D) High serum ferritin
II (2026) Actual Q&A PDF | Galen College
Exam 2
1. A client with cancer is scheduled for chemotherapy. The nurse explains that
myelosuppression can cause which effect?
A) Increased platelet count
B) Decreased white blood cell count
C) Elevated hemoglobin
D) Improved immune function
Correct Answer: Decreased white blood cell count
Rationale: Myelosuppression is bone marrow suppression leading to reduced
production of all blood cells, including leukocytes (neutropenia). This increases
infection risk. Platelets and hemoglobin also drop. The other options describe
increased counts or enhanced function, which are incorrect.
2. The nurse is reviewing a client's laboratory results. Which hematocrit value is
within normal range for an adult male?
A) 35%
B) 45%
C) 52%
D) 47%
Correct Answer: 47%
,Rationale: Normal hematocrit for adult males is 42–52%. A value of 47% falls
within this range. 35% is low, 45% is borderline or female normal, and 52% is at
the upper limit but still considered normal for males; however, 47% is more
centrally normal.
3. A client with psoriasis asks how to manage skin scales. The nurse should
recommend:
A) Using emollient creams and oatmeal baths
B) Taking hot showers daily
C) Picking scales to remove them
D) Applying alcohol-based lotions
Correct Answer: Using emollient creams and oatmeal baths
Rationale: Psoriasis management includes moisturizing and softening scales
with emollients and oatmeal baths to reduce itching and scaling. Hot water
dries skin, picking can cause bleeding and infection, and alcohol-based products
are too drying.
4. Which diagnostic test uses ultraviolet light to detect fungal infections on the
skin?
A) Biopsy
B) CT scan
C) Wood's lamp examination
D) Patch test
, Correct Answer: Wood's lamp examination
Rationale: A Wood's lamp emits UV light that causes certain fungi to fluoresce,
aiding in diagnosis of tinea infections. Biopsy examines tissue, CT provides
internal images, and patch tests evaluate allergies.
5. A client newly diagnosed with basal cell carcinoma asks about its typical
appearance. The nurse describes it as:
A) A small waxy nodule with pearly borders
B) An irregular dark mole
C) A red scaly patch
D) A blister-like lesion
Correct Answer: A small waxy nodule with pearly borders
Rationale: Basal cell carcinoma often presents as a pearly, waxy, translucent
nodule, frequently on sun-exposed areas. Irregular dark moles suggest
melanoma, and red scaly patches may indicate squamous cell carcinoma.
6. The nurse is assessing a client with suspected iron deficiency anemia. Which
laboratory finding is most indicative?
A) Elevated mean corpuscular volume
B) Low hemoglobin and hematocrit
C) Increased platelet count
D) High serum ferritin
