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NUR 210 (MED/SURG 2 - TEST 2) NCLEX STYLE PRACTICE QUESTIONS WITH ACCURATE ANSWERS

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A 6 year old child with human immunodeficiency virus (HIV) has been admitted to the hospital for pain management. The child asks the nurse if the pain will ever go away. The nurse should make which BEST response to the child? A) "The pain will go away if you lie still and let the medicine work." B) "Try not to think about it. The more you think it hurts, the more it will hurt." C) "I know it must hurt, but if you tell me when it does, I will try to make it hurt a little less." D) "Every time it hurts, press on the call button and I will give you something to make the pain go all away." **Rationale: Review Book pg. 498** correct answer C ("I know it must hurt, but if you tell me when it does, I will try to make it hurt a little less.") A adult male client takes finasteride for benign prostatic hyperplasia. The nurse knows the MOST likely adverse effect of finasteride includes which finding? A) Hypertension B) Decreased libido and impotence C) Depression D) Arthritic joints

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NUR 210 (MED/SURG 2 - TEST 2) NCLEX STYLE PRACTICE
QUESTIONS WITH ACCURATE ANSWERS

A 6 year old child with human immunodeficiency virus (HIV) has been admitted to
the hospital for pain management. The child asks the nurse if the pain will ever go
away. The nurse should make which BEST response to the child?


A) "The pain will go away if you lie still and let the medicine work."
B) "Try not to think about it. The more you think it hurts, the more it will hurt."
C) "I know it must hurt, but if you tell me when it does, I will try to make it hurt a
little less."
D) "Every time it hurts, press on the call button and I will give you something to
make the pain go all away."


**Rationale: Review Book pg. 498** correct answer C


("I know it must hurt, but if you tell me when it does, I will try to make it hurt a
little less.")


A adult male client takes finasteride for benign prostatic hyperplasia. The nurse
knows the MOST likely adverse effect of finasteride includes which finding?


A) Hypertension
B) Decreased libido and impotence
C) Depression
D) Arthritic joints

,**K** correct answer B


(Decreased libido and impotence)


A client admitted to the hospital with a diagnosis of gout has also been diagnosed
with uric acid renal calculi. When planning meals for this client, which diet will the
nurse anticipate?


A) Low-purine diet
B) Low-sodium diet
C) A diet high in calcium
D) A diet low in calcium


**P-5** correct answer A


(Low-purine diet)


A client admitted to the hospital with a diagnosis of inflammatory bowel disease
has also been diagnosed with calcium phosphate renal calculi. When planning
care for this client, which type of medication does the nurse anticipate based on
the data?


A) Antibiotic
B) Allopurinol
C) Nonsteroidal anti-inflammatory drug (NSAID)

,D) Thiazide diuretic


**P-5** correct answer D


(Thiazide diuretic)


A client asks the nurse whether there are any conditions that can exacerbate
systemic lupus erythematosus (SLE). Which response by the nurse is the most
appropriate?


A) "Conditions that cause hypotension often worsen SLE."
B) "GI upset is often associated with SLE exacerbation."
C) "Pregnancy is often associated with a worsening of SLE."
D) "Fever is a known trigger for SLE exacerbation."


**P-8** correct answer C


("Pregnancy is often associated with a worsening of SLE.")


A client diagnosed with AIDS asks the clinic nurse about the risk of opportunistic
infections. Which risk factor increases the client's risk of acquiring opportunistic
infections?


A) Increased age of the client
B) History of tobacco use
C) Decreased T cell or CD4 cell count

, D) Increased number of sexual contacts


**K** correct answer C


(Decreased T cell or CD4 cell count)


A client has a transurethral resection of the prostate (TURP). Twenty-four hours
later, the nurse notices the client's urine is bright red. Which nursing action is
MOST appropriate?


A) Contact the HCP
B) Continue to monitor the client
C) Irrigate the catheter
D) Remove the catheter


**K** correct answer A


(Contact the HCP)


A client has an indwelling urinary catheter in place for two days. The nurse needs
to collect a sterile urine specimen. Which approach describes the CORRECT
technique to obtain a sterile urine specimen from the catheter?


A) Empty the contents of the drainage bag, wait 15 to 30 minutes, and take a
specimen from the drainage bag

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