GALEN COLLEGE OF NURSING • MEDICAL-SURGICAL
NUR 170 Med Surg Exam 2-V1 and V2
2026/2027 A+
Official-Style Objective Assessment • Clinical Med-Surg Scenarios • Full Rationales
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Sensory / Perception
■ Mobility, Sensation & Cognition
■ Oxygenation – Assessment & Disorders
■ Oxygenation – Interventions & Acute Care
■ Integrated Priority & Safety
STUVIAACTUALEXAM
All content original • Aligned to NUR 170 Exam 2 domains • For educational practice only
, SECTION: SENSORY / PERCEPTION
Q1. A 78-year-old client with progressive bilateral hearing loss is admitted for pneumonia. The nurse notices the client nodding but giving
incorrect answers to questions. Which action best supports accurate communication?
A. Shout from behind the client while looking at the chart
B. Assume understanding because the client is nodding
C. Face the client, speak clearly at a moderate pace, reduce background noise, and use written cues or a communication board as needed
D. Speak only to family members and exclude the client
Correct Answer: C
Rationale: Clients with hearing impairment rely on visual cues and clear speech. Facing the client, minimizing noise, and adding written support improve comprehension and
safety.
Q2. A client with severe visual impairment is being oriented to a new hospital room. Which nursing action best promotes safety and
independence?
A. Leave the room dark at all times to “rest the eyes”
B. Rearrange furniture daily without informing the client
C. Avoid describing the environment so the client will explore independently
D. Describe the room layout, keep pathways clear, announce yourself before touching the client, and place call light and personal items in consistent
locations
Correct Answer: D
Rationale: Consistent orientation, clear pathways, and verbal notification before contact reduce fall risk and anxiety for clients with low vision.
Q3. A client recovering from cataract surgery in the right eye is discharged with an eye shield and activity restrictions. Which instruction is most
important?
A. Apply firm pressure to the eye if it feels itchy
B. Remove the eye shield permanently after the first night
C. Avoid rubbing the eye, bending from the waist, heavy lifting, and straining; report sudden pain, vision loss, or flashing lights immediately
D. Resume all normal activities including contact sports the same day
Correct Answer: C
Rationale: Post-cataract precautions protect the surgical site and intraocular pressure. Sudden pain or vision change may signal hemorrhage, infection, or increased pressure
and requires prompt reporting.
Q4. A client with Ménière’s disease reports sudden severe vertigo, tinnitus, and nausea. Which priority nursing intervention is appropriate during
an acute attack?
A. Ambulate the client vigorously in the hallway
B. Provide a quiet, dimly lit environment, assist the client to a safe position, and implement fall precautions
C. Encourage rapid head movements to “reset” the vestibular system
D. Withhold antiemetics so the client can “work through” the nausea
Correct Answer: B
Rationale: During an acute Ménière attack the client is at high fall risk. Reducing sensory stimulation and ensuring safety are immediate priorities.
Q5. A nurse is caring for a client with a newly fitted hearing aid. Which teaching point is essential for proper use and care?
A. Increase the volume to maximum at all times
B. Wear the aid only during sleep
C. Keep the device dry, clean the earmold regularly, start with short wearing periods, and report whistling or discomfort
D. Submerge the hearing aid in water daily for cleaning
Correct Answer: C
Rationale: Hearing aids are moisture-sensitive and require gradual acclimation. Proper cleaning and volume adjustment improve comfort and function while preventing
damage.
STUVIAACTUALEXAM Page 2 of 11 NUR 170 Exam 2
NUR 170 Med Surg Exam 2-V1 and V2
2026/2027 A+
Official-Style Objective Assessment • Clinical Med-Surg Scenarios • Full Rationales
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Sensory / Perception
■ Mobility, Sensation & Cognition
■ Oxygenation – Assessment & Disorders
■ Oxygenation – Interventions & Acute Care
■ Integrated Priority & Safety
STUVIAACTUALEXAM
All content original • Aligned to NUR 170 Exam 2 domains • For educational practice only
, SECTION: SENSORY / PERCEPTION
Q1. A 78-year-old client with progressive bilateral hearing loss is admitted for pneumonia. The nurse notices the client nodding but giving
incorrect answers to questions. Which action best supports accurate communication?
A. Shout from behind the client while looking at the chart
B. Assume understanding because the client is nodding
C. Face the client, speak clearly at a moderate pace, reduce background noise, and use written cues or a communication board as needed
D. Speak only to family members and exclude the client
Correct Answer: C
Rationale: Clients with hearing impairment rely on visual cues and clear speech. Facing the client, minimizing noise, and adding written support improve comprehension and
safety.
Q2. A client with severe visual impairment is being oriented to a new hospital room. Which nursing action best promotes safety and
independence?
A. Leave the room dark at all times to “rest the eyes”
B. Rearrange furniture daily without informing the client
C. Avoid describing the environment so the client will explore independently
D. Describe the room layout, keep pathways clear, announce yourself before touching the client, and place call light and personal items in consistent
locations
Correct Answer: D
Rationale: Consistent orientation, clear pathways, and verbal notification before contact reduce fall risk and anxiety for clients with low vision.
Q3. A client recovering from cataract surgery in the right eye is discharged with an eye shield and activity restrictions. Which instruction is most
important?
A. Apply firm pressure to the eye if it feels itchy
B. Remove the eye shield permanently after the first night
C. Avoid rubbing the eye, bending from the waist, heavy lifting, and straining; report sudden pain, vision loss, or flashing lights immediately
D. Resume all normal activities including contact sports the same day
Correct Answer: C
Rationale: Post-cataract precautions protect the surgical site and intraocular pressure. Sudden pain or vision change may signal hemorrhage, infection, or increased pressure
and requires prompt reporting.
Q4. A client with Ménière’s disease reports sudden severe vertigo, tinnitus, and nausea. Which priority nursing intervention is appropriate during
an acute attack?
A. Ambulate the client vigorously in the hallway
B. Provide a quiet, dimly lit environment, assist the client to a safe position, and implement fall precautions
C. Encourage rapid head movements to “reset” the vestibular system
D. Withhold antiemetics so the client can “work through” the nausea
Correct Answer: B
Rationale: During an acute Ménière attack the client is at high fall risk. Reducing sensory stimulation and ensuring safety are immediate priorities.
Q5. A nurse is caring for a client with a newly fitted hearing aid. Which teaching point is essential for proper use and care?
A. Increase the volume to maximum at all times
B. Wear the aid only during sleep
C. Keep the device dry, clean the earmold regularly, start with short wearing periods, and report whistling or discomfort
D. Submerge the hearing aid in water daily for cleaning
Correct Answer: C
Rationale: Hearing aids are moisture-sensitive and require gradual acclimation. Proper cleaning and volume adjustment improve comfort and function while preventing
damage.
STUVIAACTUALEXAM Page 2 of 11 NUR 170 Exam 2
