MEDSURG FINAL EXAM PRACTICE TESTS 2023 WITH CORRECT ANSWERS

MEDSURG FINAL EXAM PRACTICE TESTS 2023 WITH
CORRECT ANSWERS
MEDSURG FINAL EXAM
PRACTICE TESTS 2023 WITH
CORRECT ANSWERS
The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon this
diagnosis, the nurse will expect to find which of the following as the "classic triad" of presenting
symptoms occurring in patients with renal cancer?
A. Fever, chills, flank pain
B. Hematuria, flank pain, palpable mass
C. Hematuria, proteinuria, palpable mass
D. Flank pain, palpable abdominal mass, and proteinuria
B. Hematuria, flank pain, palpable mass
Which of the following nursing interventions is appropriate in providing care for an adult
patient with newly diagnosed adult onset polycystic kidney disease (PKD)?
A. Help the patient cope with the rapid progression of the disease.
B. Suggest genetic counseling resources for the children of the patient.
C. Expect the patient to have polyuria and poor concentration ability of the kidneys.
D. Implement appropriate measures for the patient's deafness and blindness in addition to
the renal problems.
B. Suggest genetic counseling resources for the children of the patient.
An elderly male patient visits his primary care provider because of burning on urination and
production of urine that he describes as "foul smelling." The health care provider should assess
the patient for which of the following factors that may dispose him to urinary tract infections
(UTIs)?
A. High-purine diet
B. Sedentary lifestyle
C. Benign prostatic hyperplasia (BPH)
D. Recent use of broad-spectrum antibiotics
C. Benign prostatic hyperplasia (BPH)
The nurse is providing care for a patient who has been admitted to the hospital for the treatment
of nephrotic syndrome. Which of the following is a priority nursing assessment in the care of this
patient?
A. Assessment of pain and level of consciousness
B. Assessment of serum calcium and phosphorus levels

, MEDSURG FINAL EXAM PRACTICE TESTS 2023 WITH
CORRECT ANSWERS
C. Blood pressure and assessment for orthostatic hypotension
D. Daily weights and measurement of the patient's abdominal girth
D. Daily weights and measurement of the patient's abdominal girth
Which of the following nursing diagnoses is a priority in the care of a patient with renal calculi?
A. Acute pain
B. Deficient fluid volume
C. Risk for constipation
D. Risk for powerlessness
A. Acute pain
Eight months after the delivery of her first child, a 31-year-old woman has sought care because
of occasional incontinence that she experiences when sneezing or laughing. Which of the
following measures should the nurse first recommend in an attempt to resolve the woman's
incontinence?
A. Kegel exercises
B. Use of adult incontinence pads
C. Intermittent self-catheterization
D. Dietary changes including fluid restriction
A. Kegel exercise
The nurse preparing to administer a dose of PhosLo to a patient with chronic kidney disease
would interpret that this medication should have a beneficial effect on which of the following
laboratory values of the patient?
A. Sodium
B. Potassium
C. Magnesium
D. Phosphorus
D. Phosphorus
When caring for a patient during the oliguric phase of acute kidney injury, which of the
following would be an appropriate nursing intervention?
A. Weigh patient three times weekly.
B. Increase dietary sodium and potassium.
C. Provide a low-protein, high-carbohydrate diet.
D. Restrict fluids according to previous daily loss.
D. Restrict fluids according to previous daily loss.
Which of the following statements by the nurse regarding continuous ambulatory peritoneal
dialysis (CAPD) would be of highest priority when teaching a patient new to this procedure?
A. "It is essential that you maintain aseptic technique to prevent peritonitis."
B. "You will be allowed a more liberal protein diet once you complete CAPD."
C. "It is important for you to maintain a daily written record of blood pressure and weight."