PRACTICE SET SOLUTION QUESTIONS WITH
FULL ANSWERS
◉ The nurse is providing discharge instructions to a pt who has
undergone a left orchiectomy for testicular cancer. Which statement
indicates that the pt understands his post-operative care? Answer: I
should continue to perform testicular self-exams every month on my
remaining testicle
◉ A male with sickle cell anemia, who has been hospitalized for
another health problem. He tells the nurse he has had an erection for
over 4 hours. What action should the nurse do first? Answer: Notify
the pts. physician
◉ Which (STI) should the nurse include in a pt's teaching plan about
the risk for cervical cancer? Answer: Human papillomavirus
◉ What is the main nursing diagnosis for a pt with asymptomatic
syphilis? Answer: knowledge deficit
◉ The nurse is caring for a pt with multiple injuries after a motor
vehicle collision. The nurse learns that the pt has secondary syphilis.
,What precaution should the nurse implement? Answer: gloves
should be worn during contact with pt.'s skin
◉ During an (initial) outbreak of genital herpes simplex for a female
client, what should be the nurse's main focus in planning care?
Answer: comfort
◉ A 24-year-old pt diagnosed with a (HPV) is angry at her ex-
boyfriend and says she is not going to tell him that he is infected.
What response is best? Answer: even though you are still angry, he
should know so he can take precautions to prevent spreading the
infection
◉ A pt who is admitted to the coronary care unit with a (MI) begins
to develop increased pulmonary congestion, an increase in HR from
80 to 102 beats per minute, and cold, clammy skin. What action
should be implemented? Answer: notify pts dr.
◉ A pt who returns to the unit after having a percutaneous
transluminal coronary angioplasty (PTCA) c/o acute chest pain.
What action should the nurse do next? Answer: give a nitroglycerin
tablet
◉ A pt with a hx of HTN, MI, and CHF is admitted to the surgical ICU
after coronary artery bypass surgery graft (CABG). The nurse
, determines the Pt's serum potassium level is 4.5 mEq/L. What
action should the nurse implement? Answer: document the finding
◉ Which condition is r/t oversecretion of renin? Answer: HTN
◉ What info should be included in a teaching plan about the onset of
menopause? Answer: A. smoking
B. oophorectomy with hysterectomy
C. early menarche
E. genetic influence
F. chemotherapy exposure
◉ A Korean-American pt, who speaks very little English, is being
discharged following surgery. Which nurse should be assigned to
provide the discharge instructions for the pt? Answer: RN case
manager for the unit with a year of experience
◉ A pt with hyperesthesia on the oncology unit is using a
transcutaneous electrical nerve stimulation (TENS) unit for chronic
pain. Which should the nurse implement instead of delegating to a
(PN)? Answer: evaluate the pts ability to adjust the voltage on the
machine to control the pain