, NU 155 Exams 1–3 & Final Exam – Medical-
Surgical Nursing I (2026) | Galen College of
Nursing | Actual 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: While referrals to community services,
oncology, and support groups are important, the priority
is assessing psychosocial support systems and home
resources through a social worker. This ensures safety
and appropriate planning for home care needs .
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, which
is the case manager's role. Education (A) is the nurse's
role, and patients cannot pick up oxygen at a retail
pharmacy .
Q3. A patient with a new spinal cord injury requires long-
term rehabilitation services. Which referral is most
appropriate?
A) Home health nurse
B) Skilled nursing facility
C) Rehabilitation facility
D) Hospice care
Correct Answer: C) Rehabilitation facility
Rationale: A patient with a new spinal cord injury
benefits from intensive rehab services for mobility and
function. Home health (A) may be appropriate later,
skilled nursing (B) is for sub-acute needs, and hospice (D)
is only for end-of-life care .
Surgical Nursing I (2026) | Galen College of
Nursing | Actual 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: While referrals to community services,
oncology, and support groups are important, the priority
is assessing psychosocial support systems and home
resources through a social worker. This ensures safety
and appropriate planning for home care needs .
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, which
is the case manager's role. Education (A) is the nurse's
role, and patients cannot pick up oxygen at a retail
pharmacy .
Q3. A patient with a new spinal cord injury requires long-
term rehabilitation services. Which referral is most
appropriate?
A) Home health nurse
B) Skilled nursing facility
C) Rehabilitation facility
D) Hospice care
Correct Answer: C) Rehabilitation facility
Rationale: A patient with a new spinal cord injury
benefits from intensive rehab services for mobility and
function. Home health (A) may be appropriate later,
skilled nursing (B) is for sub-acute needs, and hospice (D)
is only for end-of-life care .
