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NUR 2502 Exam 1 | All 50 Questions
with Verified Answers | 100%
Guaranteed Pass | Nursing
Fundamentals & NCLEX-RN® Prep
Exam Structure:
Subject: Medical-Surgical Nursing (Genitourinary & Reproductive Health)
Source: NUR 2502 Exam 1
Format: Multiple Choice, Select All That Apply, and Calculation
1. A client with a urinary tract infection has just been diagnosed with
acute kidney injury. The provider ordered lab work to be done. The
nurse expects which of the following abnormal labs to be present in
this client with acute kidney injury?
A. Creatinine = 1.6 mg/dL
B. BUN = 5 mg/dL
C. Calcium = 7.0 mg/dL
D. Potassium = 3.0 mEq/L
Correct Answer: A. Creatinine = 1.6 mg/dL
Rationale:
1. Acute kidney injury (AKI) causes decreased glomerular filtration rate,
leading to accumulation of nitrogenous wastes.
2. Elevated creatinine (normal 0.6-1.2 mg/dL) is a key indicator of AKI.
3. BUN of 5 mg/dL is low (normal 10-20); hypocalcemia and
hypokalemia are not typical of AKI (hyperkalemia is more common).
2. The nurse includes which of the following in self-management
teaching for a client diagnosed with vulvovaginitis?
A. Cleanse the inner labial mucosa with water, not soap
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B. Use feminine sprays
C. Wear tight-fitting clothing for support
D. Wipe from back to front
Correct Answer: A. Cleanse the inner labial mucosa with water, not soap
Rationale:
1. Soap can irritate the vulvar area and worsen symptoms.
2. Feminine sprays and tight clothing can increase irritation and
moisture.
3. Wiping from back to front can introduce bacteria from the anus to the
vagina.
3. The nurse educates a teenage client on the benefits of receiving the
HPV vaccine as protection against which type of cancer?
A. Endometrial cancer
B. Ovarian cancer
C. Uterine cancer
D. Cervical cancer
Correct Answer: D. Cervical cancer
Rationale:
1. Human papillomavirus (HPV) is the primary cause of cervical cancer.
2. The HPV vaccine targets high-risk strains (HPV 16 and 18)
responsible for most cervical cancers.
4. A 40 year old woman has heavy vaginal bleeding. Which of the
following questions is the priority when evaluating the client's chief
complaint?
A. "Are you sexually active, and do you use oral contraceptives?"
Correct Answer: A. "Are you sexually active, and do you use oral
contraceptives?"
Rationale:
1. Heavy vaginal bleeding in a 40-year-old woman requires assessment
of pregnancy status and hormonal influences.
2. Pregnancy must be ruled out first in any woman of childbearing age
with vaginal bleeding.
5. A nurse is providing education to a client diagnosed with urinary
incontinence. Which of the following should be included in the client's
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education?
A. Limit fluids to control the need to urinate
B. Drink caffeine daily
C. Avoid salt intake
D. Maintain an ideal body weight
Correct Answer: D. Maintain an ideal body weight
Rationale:
1. Obesity increases intra-abdominal pressure, worsening stress
incontinence.
2. Fluid restriction can lead to dehydration and concentrated urine,
irritating the bladder.
3. Caffeine is a bladder irritant and should be avoided.
6. A client experiencing secondary syphilis may experience which of
the following signs and symptoms? (Select All That Apply)
A. Diarrhea
B. Generalized rash
C. Headache
D. Low-grade fever
E. Malaise
Correct Answer: B, C, D, E
Rationale:
1. Secondary syphilis is a systemic stage with flu-like symptoms.
2. Generalized rash (often on palms and soles) is classic.
3. Headache, low-grade fever, and malaise are common systemic
manifestations.
7. A nurse is teaching an older adult client who has diabetes about
preventing the long-term complications of nephropathy. Which of the
following instructions should the nurse include?
A. "Have an eye examination once per year."
B. "Examine your feet carefully every day."
C. "Maintain stable blood glucose levels."
D. "Wear compression stockings daily."
Correct Answer: C. "Maintain stable blood glucose levels."
Rationale:
NUR 2502 Exam 1 | All 50 Questions
with Verified Answers | 100%
Guaranteed Pass | Nursing
Fundamentals & NCLEX-RN® Prep
Exam Structure:
Subject: Medical-Surgical Nursing (Genitourinary & Reproductive Health)
Source: NUR 2502 Exam 1
Format: Multiple Choice, Select All That Apply, and Calculation
1. A client with a urinary tract infection has just been diagnosed with
acute kidney injury. The provider ordered lab work to be done. The
nurse expects which of the following abnormal labs to be present in
this client with acute kidney injury?
A. Creatinine = 1.6 mg/dL
B. BUN = 5 mg/dL
C. Calcium = 7.0 mg/dL
D. Potassium = 3.0 mEq/L
Correct Answer: A. Creatinine = 1.6 mg/dL
Rationale:
1. Acute kidney injury (AKI) causes decreased glomerular filtration rate,
leading to accumulation of nitrogenous wastes.
2. Elevated creatinine (normal 0.6-1.2 mg/dL) is a key indicator of AKI.
3. BUN of 5 mg/dL is low (normal 10-20); hypocalcemia and
hypokalemia are not typical of AKI (hyperkalemia is more common).
2. The nurse includes which of the following in self-management
teaching for a client diagnosed with vulvovaginitis?
A. Cleanse the inner labial mucosa with water, not soap
, 2|Page
B. Use feminine sprays
C. Wear tight-fitting clothing for support
D. Wipe from back to front
Correct Answer: A. Cleanse the inner labial mucosa with water, not soap
Rationale:
1. Soap can irritate the vulvar area and worsen symptoms.
2. Feminine sprays and tight clothing can increase irritation and
moisture.
3. Wiping from back to front can introduce bacteria from the anus to the
vagina.
3. The nurse educates a teenage client on the benefits of receiving the
HPV vaccine as protection against which type of cancer?
A. Endometrial cancer
B. Ovarian cancer
C. Uterine cancer
D. Cervical cancer
Correct Answer: D. Cervical cancer
Rationale:
1. Human papillomavirus (HPV) is the primary cause of cervical cancer.
2. The HPV vaccine targets high-risk strains (HPV 16 and 18)
responsible for most cervical cancers.
4. A 40 year old woman has heavy vaginal bleeding. Which of the
following questions is the priority when evaluating the client's chief
complaint?
A. "Are you sexually active, and do you use oral contraceptives?"
Correct Answer: A. "Are you sexually active, and do you use oral
contraceptives?"
Rationale:
1. Heavy vaginal bleeding in a 40-year-old woman requires assessment
of pregnancy status and hormonal influences.
2. Pregnancy must be ruled out first in any woman of childbearing age
with vaginal bleeding.
5. A nurse is providing education to a client diagnosed with urinary
incontinence. Which of the following should be included in the client's
, 3|Page
education?
A. Limit fluids to control the need to urinate
B. Drink caffeine daily
C. Avoid salt intake
D. Maintain an ideal body weight
Correct Answer: D. Maintain an ideal body weight
Rationale:
1. Obesity increases intra-abdominal pressure, worsening stress
incontinence.
2. Fluid restriction can lead to dehydration and concentrated urine,
irritating the bladder.
3. Caffeine is a bladder irritant and should be avoided.
6. A client experiencing secondary syphilis may experience which of
the following signs and symptoms? (Select All That Apply)
A. Diarrhea
B. Generalized rash
C. Headache
D. Low-grade fever
E. Malaise
Correct Answer: B, C, D, E
Rationale:
1. Secondary syphilis is a systemic stage with flu-like symptoms.
2. Generalized rash (often on palms and soles) is classic.
3. Headache, low-grade fever, and malaise are common systemic
manifestations.
7. A nurse is teaching an older adult client who has diabetes about
preventing the long-term complications of nephropathy. Which of the
following instructions should the nurse include?
A. "Have an eye examination once per year."
B. "Examine your feet carefully every day."
C. "Maintain stable blood glucose levels."
D. "Wear compression stockings daily."
Correct Answer: C. "Maintain stable blood glucose levels."
Rationale:
