NU 155
FINAL EXAM
Tested Questions with Rationales
Medical-Surgical Nursing I
Galen College of Nursing
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Final Exam of NU 155 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,**1. The nurse is caring for a client who has been diagnosed with a *Candida albicans* (yeast)
infection. Which of the following findings does the nurse expect to observe?**
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
**Correct Answer:** B) Cottage cheese-like discharge
**Expert Rationale:** *Candida albicans* typically causes a thick, white, curd-like (cottage cheese)
vaginal discharge accompanied by itching and irritation. This is characteristic of a yeast infection,
differentiating it from bacterial or other causes of vaginitis.
---
**2. The nurse is reinforcing instruction with a client who has gonorrhea. Which of the following
statements by the client indicates a need for further instruction?**
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
**Correct Answer:** C) "I can continue to have sex as long as I am taking antibiotics."
**Expert Rationale:** Sexual activity should be avoided until the infection and symptoms fully resolve
and the healthcare provider confirms that the client is no longer contagious. Having sex during treatment
can lead to continued transmission and reinfection.
---
, **3. The nurse is contributing to a community education program about testicular self-examination
(TSE). Which of the following information should the nurse suggest including?**
A) Gently roll each testicle between the thumb and fingers to check for lumps or swelling.
B) Examine the testicles once a year during a routine physical.
C) Use vigorous squeezing if swelling is suspected.
D) Use a mirror to check for changes in skin color around the scrotum.
**Correct Answer:** A) Gently roll each testicle between the thumb and fingers to check for lumps or
swelling.
**Expert Rationale:** TSE involves a gentle but thorough examination of each testicle to detect lumps,
swelling, or changes. Frequent monthly self-examinations increase early detection of testicular cancer.
---
**4. The nurse is reinforcing teaching with a female client about breast self-examinations (BSE).
Which of the following should the nurse include as the best time to perform BSE?**
A) The first day of the menstrual cycle
B) 1 week after the menstrual cycle
C) Midnight before going to bed
D) During ovulation
**Correct Answer:** B) 1 week after the menstrual cycle
**Expert Rationale:** Performing BSE about 1 week after menstruation ensures that the breasts are
least tender and swollen, making abnormalities easier to detect.
---
FINAL EXAM
Tested Questions with Rationales
Medical-Surgical Nursing I
Galen College of Nursing
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Final Exam of NU 155 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,**1. The nurse is caring for a client who has been diagnosed with a *Candida albicans* (yeast)
infection. Which of the following findings does the nurse expect to observe?**
A) Thick, yellow-green discharge
B) Cottage cheese-like discharge
C) Bloody vaginal discharge
D) Clear, watery discharge
**Correct Answer:** B) Cottage cheese-like discharge
**Expert Rationale:** *Candida albicans* typically causes a thick, white, curd-like (cottage cheese)
vaginal discharge accompanied by itching and irritation. This is characteristic of a yeast infection,
differentiating it from bacterial or other causes of vaginitis.
---
**2. The nurse is reinforcing instruction with a client who has gonorrhea. Which of the following
statements by the client indicates a need for further instruction?**
A) "I will complete all my antibiotics before resuming sexual activity."
B) "I should notify my sexual partners about my infection."
C) "I can continue to have sex as long as I am taking antibiotics."
D) "I should use condoms to prevent reinfection and spread."
**Correct Answer:** C) "I can continue to have sex as long as I am taking antibiotics."
**Expert Rationale:** Sexual activity should be avoided until the infection and symptoms fully resolve
and the healthcare provider confirms that the client is no longer contagious. Having sex during treatment
can lead to continued transmission and reinfection.
---
, **3. The nurse is contributing to a community education program about testicular self-examination
(TSE). Which of the following information should the nurse suggest including?**
A) Gently roll each testicle between the thumb and fingers to check for lumps or swelling.
B) Examine the testicles once a year during a routine physical.
C) Use vigorous squeezing if swelling is suspected.
D) Use a mirror to check for changes in skin color around the scrotum.
**Correct Answer:** A) Gently roll each testicle between the thumb and fingers to check for lumps or
swelling.
**Expert Rationale:** TSE involves a gentle but thorough examination of each testicle to detect lumps,
swelling, or changes. Frequent monthly self-examinations increase early detection of testicular cancer.
---
**4. The nurse is reinforcing teaching with a female client about breast self-examinations (BSE).
Which of the following should the nurse include as the best time to perform BSE?**
A) The first day of the menstrual cycle
B) 1 week after the menstrual cycle
C) Midnight before going to bed
D) During ovulation
**Correct Answer:** B) 1 week after the menstrual cycle
**Expert Rationale:** Performing BSE about 1 week after menstruation ensures that the breasts are
least tender and swollen, making abnormalities easier to detect.
---
