Med Surg 2 Final
Nurse Harry is aware that the following is an appropriate nursing diagnosis for a client with renal calculi? a. Ineffective tissue perfusion b. Functional urinary incontinence c. Risk for infection d. Decreased cardiac output
c. Risk for infection
A patient with chronic kidney disease has a GFR of 25 mL/min. What stage is the patient in? a. Stage 2 b. Stage 3 c. Stage 4 d. Stage 5
c. Stage 4
The nurse is alerted to possible anaphylactic shock immediately after a patient has received intramuscular penicillin by the development of: A. Edema and itching at the injection site. B. Sneezing and itching of the nose and eyes. C. A wheal-and-flare reaction at the injection site. D. Chest tightness and production of thick sputum.
A. Edema and itching at the injection site.
Which clinical manifestation would cause the nurse to suspect that the client is diagnosed with systemic lupus erythematosus? A. Joint edema and tenderness B. Red, burning, tearing eyes C. Chest tightness with wheezing on expiration D. Fever and night sweats
A. Joint edema and tenderness
Which of the following terms is used to describe the concentration of urea and other nitrogenous wastes in the blood? a. hematuria b. uremia c. azotemia d. proteinuria
c. azotemia
A nurse is caring for an acutely ill patient. The nurse understands that the most accurate indicator of fluid loss or gain in an acutely ill patient is which of the following? a. edema b. blood pressure c. weight d. pulse rate
c. weight
A patient has an elevated serum ammonia level and is exhibiting mental status changes. The nurse should expect which of the following medical diagnoses? A) Hepatic encephalopathy B) Asterixis C) Cirrhosis D) Portal hypertension
A) Hepatic encephalopathy
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? A) Prothrombin time B) Serum lipase C) Bilirubin D) Calcium
A) Prothrombin time
A patient is being treated for stage 4 advanced hepatic encephalopathy. As their condition improves, which outcome would be the most appropriate in the nursing plan of care for this patient? A) The patient is oriented to person, place, and time. B) The patient exhibits no ecchymotic areas. C) The patient increases oral intake to 2,000 calories per day. D) The patient exhibits increased serum albumin level.
A) The patient is oriented to person, place, and time. B) The patient exhibits no ecchymotic areas.
During the past 6 months, a client diagnosed with acquired immunodeficiency syndrome has had chronic diarrhea and has lost 18 pounds. Additional assessment findings include tented skin turgor, dry mucous membranes, and listleness. Which nursing diagnosis focuses attention on the client's most immediate problem? A. Deficient fluid volume related to diarrhea and abnormal fluid loss B. Imbalanced nutrition: less than body requirements related to nausea and vomiting C. Disturbed thought processes related to central nervous system effects of disease D. Diarrhea related to the disease process and acute infection
A. Deficient fluid volume related to diarrhea and abnormal fluid loss
For Aubrey Anne who has allergies, which client statement indicates that the nurse's teaching about her condition has be successful? A. "I don't need to wear any type of mask when I'm cleaning my house." B. "I should stay in the house when there's a low pollen count outside." C. "I should avoid any types of spray, powders, and perfumes." D. "I can wear any type of clothing that I want to as long as I wash it first."
C. "I should avoid any types of spray, powders, and perfumes."
A patient is diagnosed with an infection caused by the hepatitis A virus. Which of the following statements made by the patient would indicate a need for further teaching? A) "It's important for me to remember to wash my hands after I use the bathroom." B) "I might get liver cancer someday because I have this infection." C) "Before I take any over-the-counter medicines I should call the clinic." D) "I will wash raw fruits and vegetables thoroughly before I eat them."
B) "I might get liver cancer someday because I have this infection."
The nurse identifies which of the following types of jaundice in an adult experiencing a transfusion reaction? A) Nonobstructive B) Hemolytic C) Hepatocellular D) Obstructive
B) Hemolytic
A patient has undergone a liver biopsy. Following the procedure, the nurse should place the patient in which of the following positions? A) Trendelenburg B) On the right side C) High Fowler's D) On the left side
B) On the right side
After the first injection of an immunotherapy program, the nurse notices a large, red wheal on the client's arm, coughing, and expiratory wheezing. Which intervention should the nurse implement first? A. Notifying the health care provider immediately B. Administering I.M. epinephrine per protocol C. Beginning oxygen by way of nasal cannula D. Starting an I.V. line for medication administration
B. Administering I.M. epinephrine per protocol
When caring for the patient with advanced cirrhosis and hepatic encephalopathy, which of the following assessment findings should the nurse report immediately? A) Rapid weight loss B) Constipation C) Change in mental status D) Anorexia
C) Change in mental status
Which of the following is an age-related change of the hepatobiliary system? A) Increased drug clearance capability B) Decreased prevalence of gallstones C) Decreased blood flow D) Liver enlargement
C) Decreased blood flow
A patient diagnosed with hepatitis develops splenomegaly. When reviewing the laboratory report, which of the following results will the nurse anticipate? A) Leukocytosis B) Neutrophilia C) Thrombocytopenia D) Polycythemia
C) Thrombocytopenia
Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is requesting information for allergy symptom control? (Select all that apply.) A. Instructing the client to refrain from using air conditioning or humidifiers in the house B. Instructing the client to use curtains instead of pull shades over windows C. Instructing the client to cover the mattress with a hypoallergenic cover D. Instructing the client to wear a mask when cleaning E. Instructing the client to avoid using sprays, powders, and perfumes F. Instructing the client to change detergents frequently
C. Instructing the client to cover the mattress with a hypoallergenic cover D. Instructing the client to wear a mask when cleaning E. Instructing the client to avoid using sprays, powders, and perfumes
A patient with jaundice is experiencing pruritus. Which of the following nursing interventions should be included in the plan of care for this patient? A) Administer subcutaneous vitamin K. B) Apply pressure for 3-5 minutes following intramuscular injections. C) Educate the patient on the importance of following a low protein diet. D) Keep the patient's fingernails short and smooth.
D) Keep the patient's fingernails short and smooth.
Based on the nurse's understanding of polycythemia vera, they are most concerned about which possible complication? Stroke Syncope Joint pain Unexplained weight loss
Stroke
A nurse is caring for a client who reports a skin change on her arm. Which of the following findings should the nurse report to the provider? a) An asymmetrical papule that is pigmented b) A patch of silvery-white scales with a red epidermal base. c) A collection of irregular dry papules that are black d) An elevated red lesion that arises from a scar.
a) An asymmetrical papule that is pigmented
Which of the following nursing interventions should be incorporated into the plan of care to manage the delayed clotting process in a patient with leukemia? a) Apply prolonged pressure to needle sites or other sources of external bleeding. b) Implement neutropenic precautions. c) Eliminate direct contact with others who are infectious. d) Elevate the head of the bed to 45 degrees.
a) Apply prolonged pressure to needle sites or other sources of external bleeding.
A nurse is providing teaching for a group of clients regarding prevention of skin cancer. Which of the following risk factors should the nurse include in the teaching? a) Light skin pigmentation b) Psoriasis c) History of frostbite d) Immunodeficiency disorder
a) Light skin pigmentation
During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior? a) Progression b) Initiation c) Prolongation d) Promotion
a) Progression
The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse should make which appropriate response? a. "Continue taking the medication; the brown urine occurs and is not harmful." b. "Take magnesium hydroxide with your medication to lighten your urine." c. "Discontinue taking the medication and make an appointment for a urine culture." d. "Decrease your medication to half the dose, because your urine is too concentrated."
a. "Continue taking the medication; the brown urine occurs and is not harmful."
A male patient is scheduled for an EEG. The patient asks about any diet-related prerequisites that he must take. Which of the following diet-related advice should the nurse provide to the patient? a. Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to the test b. Include increased amount of minerals in the diet c. Decrease the amount of minerals in the diet d. Avoid eating food at least 8 hours prior to the test
a. Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to the test
A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate the patient has GERD? Select all that apply: a. Bitter taste in the mouth b. Dry cough c. Melena d. Difficulty swallowing e. Smooth, red tongue f. Murphy's sign
a. Bitter taste in the mouth b. Dry cough d. Difficulty swallowing
Which of the following is inconsistent with a digital rectal examination (DRE)? a. Can reveal a hydrocele b. Enables examiner to assess size, shape, and consistency of prostate gland. c. Recommended for men older than 40 years of age. d. Assists in screening for cancer of prostate gland.
a. Can reveal a hydrocele
You're collecting a patient's medication history that has GERD. Which medication below is NOT typically used to treat GERD? a. Colesevelam "Welchol" b. Omeprazole "Prilosec" c. Metoclopramide "Reglan" d. Ranitidine HCL "Zantac"
a. Colesevelam "Welchol"
The nurse, is assessing a patient's newly creative stoma, observes that the stoma color is now dark purple. The appropriate nursing intervention is to do which of the following? a. Contact the physician b. Remove the urinary stents c. Change the pouching system d. Apply Karaya powder
a. Contact the physician
Which of the following would be included in a teaching plan for a patient diagnosed with a UTI? a. Drink liberal amount of fluids b. Drink coffee or tea to increase diuresis c. Void every 4 to 6 hours d. Use tub baths as opposed to showers
a. Drink liberal amount of fluids
The nurse is reviewing a client's record and notes that the health provider has documented that the client has chronic renal disease. On review of the laboratory results, the nurse most likely would expect to note which finding? a. Elevated creatinine level b. Decreased hemoglobin level c. Decreased red blood cell count d. Increased number of white blood cells in the urine
a. Elevated creatinine level
During a home health visit, you are helping a patient develop a list of foods they should avoid due to GERD. Which items in the patient's pantry should be avoided? a. Hot and spicy pork rinds b. Green beans c. Tomato soup d. Chocolate fondue e. Almonds f. Oranges
a. Hot and spicy pork rinds c. Tomato soup d. Chocolate fondue f. Oranges
A client with a urinary tract infection is receiving ciprofloxacin by the intravenous route. The nurse appropriately administers the medication by performing which action? a. Infusing slowly over 60 minutes b. Infusing in a light protective bag c. Infusing only through a central line d. Infusing rapidly as a direct IV push medication
a. Infusing slowly over 60 minutes
You are caring for a patient with a diagnosis of iron-deficiency anemia. Which clinical manifestations are may you observe when assessing this patient? (select all that apply) a. Oral ulcers b. Brittle nails c. Increased temperature d. Pica
a. Oral ulcers b. Brittle nails d. Pica
The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis. Which finding indicates that the fistula is patent? a. Palpation of a thrill over the fistula b. Presence of a radial pulse in the left wrist c. Visualization of enlarged blood vessels at the fistula site d. Capillary refill less than 3 seconds in the nail beds of the fingers on the left hand
a. Palpation of a thrill over the fistula
A client with acute kidney injury has serum potassium level of 7.0 mEq/L. The nurse should plan which actions as a priority? Select all that apply. a. Place the client on a cardiac monitor b. Notify the health care provider c. Put the client on NPO status except for ice chips d. Review the client's medications to determine if any contain or retain potassium e. Allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration
a. Place the client on a cardiac monitor b. Notify the health care provider d. Review the client's medications to determine if any contain or retain potassium
At the physician's office, a patient with gastroesophageal reflux disease (GERD) complains of a burning sensation in their esophagus. The nurse notes that the patient is experiencing what? a. Pyrosis b. Dyspepsia c. Dysphagia d. Odynophagia
a. Pyrosis
An osmotic diuretic, such as mannitol, is given to the patient with increased intracranial pressure for which of the following therapeutic effects? a. To dehydrate the brain and reduce cerebral edema b. To increase urine output c. To reduce cellular metabolic demands d. To lower uncontrolled fevers
a. To dehydrate the brain and reduce cerebral edema
Which of the following are used to help reduce ICP? a. Using a cervical collar b. Rotating the neck to the far right with neck support c. Keeping the head of the bed flat d. Extreme hip flexion supported by pillows
a. Using a cervical collar
A patient has been diagnosed with a concussion and is preparing to be discharged from the ED. The nurse teaches the family members to contact the physician or return to the ED if the patient demonstrates/ complains of which of the following. Select all that apply. a. Vomiting b. Headache c. Slurred speech d. Sleeps for short periods of time e. Weakness on one side of the body
a. Vomiting c. Slurred speech e. Weakness on one side of the body
Which of the following terms refers to cells that lack normal cellular characteristics and differ in shape and organization with respect to their cells of origin? a) Neoplasia b) Anaplasia c) Dysplasia d) Hyperplasia
b) Anaplasia
Which of the following is true about a malignant tumor? a) Demonstrates cells that are well differentiated. b) Gains access to the blood and lymphatic channels. c) Grows by expansion. d) Is usually slow growing.
b) Gains access to the blood and lymphatic channels.
A 50 year old patient is an alcoholic. He has been diagnosed with cancer of the pancreas. He underwent surgery for removal of the tumor. Despite the tumor being removed, the doctor informs the patient that he needs to start chemotherapy immediately. Using evidence-based practice which of the following interventions might the nurse expect the doctor to include with the goal of improved quality of life, mood, and longer median survival? a) Angiogenesis b) Palliative care c) Respite care d) Radiation
b) Palliative care
The patient is 45 years old and has a family history of breast cancer. She herself was diagnosed with breast cancer 2 months ago. On a routine visit, the doctor prescribes dexamethasone to be taken over a 3 week period. Which of the following symptoms would prompt the doctor to add dexamethasone to the patient's treatment plan? a) There is frequent bloody discharge from the breast. b) The patient has lost 8 pounds. c) The skin around the breast has become course. d) There is massive swelling in her arm.
b) The patient has lost 8 pounds.
You're providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement? a. "I will take this medication on an empty stomach." b. "I will avoid taking this medication with orange juice." c. "I will wait and take my calcium supplements 2 hours after I take my iron supplement." "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softner as needed."
b. "I will avoid taking this medication with orange juice."
The nurse is caring for a patient following a head injury. The nurse understands that the patient is at risk for posttraumatic seizures. A seizure that is classified as early occurs within which timeline? a. Greater or equal to 7 days after surgery b. 1-7 days of injury c. 24 hours of injury d. 4 hours of injury
b. 1-7 days of injury
A patient is ordered a CT scan of the brain with IV contrast. Prior to the test, the nurse should complete which of the following first? a. Maintain the patient NPO for 6 hours prior to the test b. Assess the patient for medication allergies c. Obtain two large-bore IV lines d. Obtain a blood sample for BUN and creatinine levels
b. Assess the patient for medication allergies
The nurse devises a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance? a. Eat animal protein and dark leafy vegetables each day b. Avoid exposure to others with acute infection c. Practice yoga and meditation to decrease stress and anxiety d. Get 8 hours of sleep at night and take naps during the day
b. Avoid exposure to others with acute infection
The nurse recognizes the most common cause of iron deficiency anemia in adults is which of the following? a. Iron malabsorption b. Bleeding c. Pernicious anemia d. Deficient intake of iron
b. Bleeding
The most common presenting objective symptoms of a UTI in older adults, especially those with dementia, include which of the following? a. Back pain b. Change in cognitive functioning c. Hematuria d. Incontinence
b. Change in cognitive functioning
A nurse in a provider's office is obtaining a history from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply) a. Backache b. Frequent UTIs c. Weight loss d. Hematuria e. Urinary incontinence
b. Frequent UTIs d. Hematuria e. Urinary incontinence
The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the prescribed dwell time for dialysis because of the risk of which complication? a. Peritonitis b. Hyperglycemia c. Hyperphosphatemia d. Disequilibrium syndrome
b. Hyperglycemia
The physician orders a patient with suspected iron-deficiency anemia a blood smear test to assess the quality of the red blood cells. How would the red blood cells appear if the patient had iron- deficiency anemia? a. Hyperchromic and macrocytic b. Hypochromic and microcytic c. Hyperchromic and macrocytic d. Hypochromic and macrocytic
b. Hypochromic and microcytic
Which type of incontinency refers to the involuntary loss of urine due to medications? a. Reflex b. Iatrogenic c. Urge d. Overflow
b. Iatrogenic
The nurse is conducting a community education program on UTIs. The nurse determines that the participants understand the teaching when they identify which of the following as a contributing factor for UTIs in older adults? a. Sporadic use of antimicrobial agents b. Immunocompromise c. Active lifestyle d. Low incidence of chronic illness
b. Immunocompromise
Which finding allows you to identify the patient's anemia as folic acid deficiency rather than B12 deficiency? a. Loss of appetite b. Lack of neuromuscular symptoms c. Red tongue d. Change in nail shape
b. Lack of neuromuscular symptoms
The nurse is conducting a history and assessment related to a patient's incontinence. Which of the following should the nurse include in the assessment before beginning a bladder training program? a. Occupational history b. Medication usage c. Smoking habits d. History of allergies
b. Medication usage
A client with chronic kidney disease returns to the nursing unit following hemodialysis treatment. On assessment, the nurse notes that the client's temperature is 101.2°F. Which nursing action is most appropriate? a. Encourage fluid intake b. Notify the health provider c. Continue to monitor vital signs d. Monitor the site of the shunt for infection
b. Notify the health provider
Which of the following cranial nerves is responsible for muscles that move the eye and lid? a. Trigeminal b. Oculomotor c. Vestibulocochlear d. Facial
b. Oculomotor
Which of the following are age-related changes affecting the male reproductive system? a. Patency increases. b. Plasma testosterone levels decrease c. Testes become soft d. Prostate secretion increases.
b. Plasma testosterone levels decrease
A patient with neurologic infection develops cerebral edema from syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following is an important nursing action for this patient? a. Maintaining adequate hydration b. Restricting fluid intake and hydration c. Hyperoxygenation before and after trach. suctioning d. Administering prescribed antipyretics
b. Restricting fluid intake and hydration
Which of the following instructions regarding future sexual activity should a nurse give a patient with a vasectomy? a. Sexual activity can resume after 3 weeks b. Use a reliable method of contraception until the physician ensures that sperm are no longer present c. Administer a mild analgesic before sexual activity d. Expect some bruising and incisional soreness after every sexual activity for the first 2 days
b. Use a reliable method of contraception until the physician ensures that sperm are no longer present
Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a. Decreased body temperature b. Widened pulse pressure c. Decreased respirations d. Increased pulse
b. Widened pulse pressure
The nurse is teaching a patient about the development of leukemia. What statement should be included in the teaching plan? a) "Acute leukemia develops slowly." b) "In acute leukemia, there are not many undifferentiated cells." c) "Chronic leukemia develops slowly." d) "In chronic leukemia, the majority of leukocytes are mature."
c) "Chronic leukemia develops slowly."
For a patient with Hodgkin disease, who is at risk for an ineffective airway clearance and an impaired gas exchange, the nurse places the patient in the high Fowler's position to do which of the following? a) Decrease the deficits in the blood oxygen level b) Detect compromised ventilation c) Increase the lung expansion d) Anticipate the need for airway management
c) Increase the lung expansion
A nursing instructor is reviewing cancer of the esophagus with nursing students. Which statement by the nursing students indicate accurate knowledge of cancer of the esophagus? a. "It usually occurs in the fourth decade of life." b. "It is seen more frequently in Caucasian Americans than in African Americans." c. "Chronic irritation of the esophagus is a known risk factor." d. "It is three times more common in women in the United States then in men."
c. "Chronic irritation of the esophagus is a known risk factor."
The nurse is providing education to a client prior to her first Papanicolaou (Pap) test. Which of the following statements should the nurse make? a. "You should urinate immediately after the procedure is over." b. "You will not feel any discomfort." c. "You may experience some bleeding after the procedure." d. "You will need to hold your breath during the procedure."
c. "You may experience some bleeding after the procedure."
The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when? a. In the morning when arising b. After exercise c. After a warm bath or shower d. At bedtime
c. After a warm bath or shower
You are providing diet teaching to a patient with low iron levels. Which foods would you encourage the patient to eat regularly? a. Herbal tea, apples, and watermelon b. Sweet potatoes, artichokes, and raspberries c. Egg yolks, beef, and spinach d. Chocolate, cornbread, and cabbage
c. Egg yolks, beef, and spinach
The nurse is providing dietary instructions to a client being treating for a urinary tract infection. He had been prescribed cyclosporin. Which food item should the nurse instruct the client to exclude from the diet? a. Red meats b. Orange juice c. Grapefruit juice d. Green, leafy vegetables
c. Grapefruit juice
The nurse is assessing a client who has undergone a transurethral resection of the prostate (TURP). Which assessment finding requires immediate action by the nurse? a. Passing small blood clots. b. Experiencing urinary frequency after catheter removal. c. Having bright red drainage with multiple blood clots. d. Having the urge to void continuously while the catheter is inserted.
c. Having bright red drainage with multiple blood clots.
The nurse is assisting a client with limited mobility into position for examination of his prostate gland. How does the nurse best assist the client? a. Assist the client to bend over the examination table. b. Hold the client up as he bends over the bedside table. c. Help the client lie down in a side-lying fetal position. d. Assist the client to lie in a prone position.
c. Help the client lie down in a side-lying fetal position.
In addition to altered red blood cells (RBCs), which laboratory finding does the nurse expect for the patient with sickle cell disease? a. Leukocytosis b. Hypouricemia c. Hyperbilirubinemia d. Hypercholesteremia
c. Hyperbilirubinemia
A patient is newly diagnosed with polycystic kidney disease. What statement indicates that the patient needs better understanding about the disease? a. I may experience flank pain and headaches b. The disease is hereditary and is caused by a genetic mutation c. I should monitor my blood pressure weekly d. The disease is more common in Caucasians
c. I should monitor my blood pressure weekly
A client in the clinical unit who is allergic to shellfish unknowingly ate a dish brought by a friend that had shellfish as an ingredient. The client quickly develops anaphylaxis. The nurse would focus on which of the following first until additional help arrives? a. Preparing a dose of epinephrine (Adrenalin) b. Preparing a dose of a corticosteroid c. Maintaining a patent airway d. Telling the client to obtain a Medic-Alert bracelet
c. Maintaining a patent airway
Which of the following laboratory values supports a diagnosis of pyelonephritis? a. Myoglobinuria b. Ketonuria c. Pyuria d. Low white blood cell (WBC) count
c. Pyuria
After a meal a patient reports a feeling of "food coming back up" in the back of their throat as well as a bitter taste in their mouth? Which of the following is an appropriate nursing intervention? a. Keep the patient NPO. b. Instruct the patient to avoid dairy. c. Raise the patient to the Semi-Fowler's position. d. Perform oral suction.
c. Raise the patient to the Semi-Fowler's position.
A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse you would? a. Notify the physician b. Tell the patient to stop taking the medication c. Reassure the patient this is a normal side effect of iron supplementation d. Instruct the patient to take a smaller dose of the medication
c. Reassure the patient this is a normal side effect of iron supplementation
After providing education to a patient with GERD. You ask the patient to list 4 things they can do to prevent or alleviate signs and symptoms of GERD. Which statement is INCORRECT? a. "It is best to try to consume small meals throughout the day than eat 3 large ones." b. "I'm disappointed that I will have to limit my intake of peppermint and spearmint because I love eating those types of hard candies." c. "It is important I avoid eating right before bedtime." d. "I will try to lie down after eating a meal to help decrease pressure on the lower esophageal sphincter."
d. "I will try to lie down after eating a meal to help decrease pressure on the lower esophageal sphincter."
Which of the following patients is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall? a. A 60 year-old Asian American man b. A 17-year old Caucasian man c. A 35-year old African American man d. A 56-year old African American man
d. A 56-year old African American man
Which of the following terms refers to the inability to recognize objects through a particular sensory system? a. Aphasia b. Ataxia c. Dementia d. Agnosia
d. Agnosia
Which of the following does not play a role in the development of GERD? a. Hiatal hernia b. Pregnancy c. Use of antihistamines or calcium channel blockers d. All of the above do play a role in the development of GERD
d. All of the above do play a role in the development of GERD
The nurse teaches the patient with GERD which of the following measures to manage his disease? a. Minimize intake of caffeine, beer, milk, and foods containing peppermint and spearmint. b. Elevate the foot of the bed on 6- to 8-inch blocks c. Eat a low-carbohydrate diet d. Avoid eating or drinking 2 hours before bedtime
d. Avoid eating or drinking 2 hours before bedtime
The nurse is performing an assessment on a client who has been diagnosed with an allergy to latex. In determining the client's risk factors, the nurse should question the client about an allergy to which of the following? a. Eggs b. Milk c. Yogurt d. Bananas
d. Bananas
The nurse is collecting data from a client who has a history of benign prostatic hyperplasia. To determine whether the client currently is experiencing this condition, the nurse should ask the client about the presence of which early symptom? a. Nocturia b. Urinary retention c. Urge incontinence d. Decreased force in the stream of urine
d. Decreased force in the stream of urine
What test is done to assess for damage to the esophageal mucosa in a GERD patient? a. MRI or CT b. EKG c. Colonoscopy d. Endoscopy or barium swallow
d. Endoscopy or barium swallow
Nurse Grace is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? a. Rashes on the palms of the hands and soles of the feet b. Cauliflower-like warts on the penis c. Painful red papules on the shaft of the penis d. Foul-smelling discharge from the penis
d. Foul-smelling discharge from the penis
Which of the following is a component of the patient teaching that helps the nurse assist a patient following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? a. Undertake pelvic floor retraining exercises. b. Avoid sexual intercourse for at least 2 years. c. Avoid strenuous exercises, especially lifting. d. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.
d. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.
A client newly diagnosed with chronic kidney disease recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse should assess the client during dialysis for which associated manifestations? a. Hypertension, tachycardia, and fever b. Hypotension, bradycardia, and hypothermia c. Restlessness, irritability, and generalized weakness d. Headache, deteriorating level of consciousness, and twitching
d. Headache, deteriorating level of consciousness, and twitching
A week after kidney transplantation, a client develops a temperature of 101°F, the blood pressure is elevated, and there is tenderness over the transplanted kidney. The serum creatinine is rising and the urine output is decreased. The x-ray indicates that the transplanted kidney is enlarged. Based on these assessment findings, the nurse anticipates what treatment? a. Antibiotic therapy b. Peritoneal dialysis c. Removal of the transplanted kidney d. Increased immunosuppression therapy
d. Increased immunosuppression therapy
The nurse is performing an assessment on a client who has returned from the dialysis unit following hemodialysis. The client is complaining of headache and nausea and is extremely restless. Which is the priority nursing action? a. Monitor the client b. Elevate the head of the bed c. Assess the fistula site and dressing d. Notify the health care provider
d. Notify the health care provider
Which of the following should be included in the teaching plan of a patient prescribed Viagra? a. It will result in erection formation b. It should not be taken immediately before intercourse c. It will restore sex drive d. Only one tablet per day of the prescribed dose should be taken
d. Only one tablet per day of the prescribed dose should be taken
If an indwelling catheter is necessary, which of the following nursing interventions should be implemented to prevent infection? a. Using sterile technique to disconnect the catheter from tubing to obtain urine specimens b. Using clean technique during insertion c. Placing the catheter bag on the patient's abdomen when moving the patient d. Performing meticulous perineal care daily with soap and water
d. Performing meticulous perineal care daily with soap and water
Which of the following is associated with buildup of fibrous plaques in the sheath of the corpus cavernosum causing curvature of the penis when it is erect? a. Bowen's disease b. Phimosis c. Priapism d. Peyronie's disease
d. Peyronie's disease
Oxybutynin chloride is prescribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication? a. Pallor b. Drowsiness c. Bradycardia d. Restlessness
d. Restlessness
The nurse is conducting a community education program on urinary incontinence. The nurse determines that the participants understand the teaching when they identify which of the following as risk factors for urinary incontinence? a. Cesarean delivery b. Body mass index (BMI) of 22 c. Swimming d. Sedatives
d. Sedatives
Which of the following should be included as part of the home care instructions of patient with epididymitis and orchitis? a. Resume sexual activity b. Undertake lifting exercises c. Apply ice to area after scrotal swelling subsides d. Take prescribed antibiotics
d. Take prescribed antibiotics
The nurse is teaching a patient with recurrent urinary tract infections (UTIs) ways to decrease her risk for additional UTIs. The nurse includes which of the following? a. Increase intake of coffee, tea, and colas b. Take tub baths instead of showers c. Void every 5 hours during the day d. Void immediately after sexual intercourse
d. Void immediately after sexual intercourse
