Med/ Surg Proctored retake study guide
A nurse at a providers office is caring for an older adult client who is having an annual
physical exam. Which of the following findings indicates additional follow-up is needed
in regard to the prostate gland? (Select all that apply.)
A. Prostate specific antigen (PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
D. The client reports urinating once during the night.
E. Smegma is present below the glans of the penis. - ANS-A. Prostate specific antigen
(PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
A nurse is providing information to a client who is scheduled for a transrectal ultrasound
(TRUS). Which of the following information should the nurse include? A. "This
procedure will determine if you have prostate cancer."
B. "The procedure is contraindicated if you have an allergy to eggs." C. "Sound
waves will be used to create a picture of your prostate." D. "You should avoid having
a bowel movement 1 hr prior to the procedure." - ANS-C. "Sound waves will be used
to create a picture of your prostate."
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites.
Which of the following actions should the nurse include in the plan of care? A. Initiate
contact precautions.
B. Weigh the client weekly.
C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus.
D. Provide a high-calorie and high-carbohydrate diet. - ANS-D. Provide a high-calorie
and high-carbohydrate diet.
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the
following laboratory findings should the nurse expect?
A. Presence of immunoglobulin G antibodies (IgG)
B. Positive EIA test
C. Aspartate aminotransferase (AST) 35 units/L
D. Alanine aminotransferase (ALT) 15 IU/L - ANS-B. Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify
which of the following findings as indicators of hepatic encephalopathy? (Select all that
, apply.)
A. Anorexia
B. Change in orientation
C. Asterixis
D. Ascites
E. Fetor hepaticus - ANS-B. Change in orientation
C. Asterixis
E. Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following medications can
the nurse expect to administer to this client? (Select all that apply.) A. Diuretic
B. Beta-blocking agent
C. Opioid analgesic
D. Lactulose
E. Sedative - ANS-A. Diuretic
B. Beta-blocking agent
D. Lactulose
A nurse is teaching a client who has hepatitis B about home care. Which of the following
instructions should the nurse include in the teaching? (Select all that apply.) A. Limit
physical activity.
B. Avoid alcohol.
C. Take acetaminophen for comfort.
D. Wear a mask when in public places.
E. Eat small frequent meals. - ANS-A. Limit physical activity.
B. Avoid alcohol.
E. Eat small frequent meals.
A nurse is reviewing the health record of a client who is to undergo total joint
arthroplasty. The nurse should recognize which of the following findings as a
contraindication to this procedure?
A. Age 78 years
B. History of cancer
C. Previous joint replacement
D. Bronchitis 2 weeks ago - ANS-D. Bronchitis 2 weeks ago
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty.
Which of the following actions by the nurse is appropriate?
A. Check continuous passive motion device settings.
A nurse at a providers office is caring for an older adult client who is having an annual
physical exam. Which of the following findings indicates additional follow-up is needed
in regard to the prostate gland? (Select all that apply.)
A. Prostate specific antigen (PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
D. The client reports urinating once during the night.
E. Smegma is present below the glans of the penis. - ANS-A. Prostate specific antigen
(PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
A nurse is providing information to a client who is scheduled for a transrectal ultrasound
(TRUS). Which of the following information should the nurse include? A. "This
procedure will determine if you have prostate cancer."
B. "The procedure is contraindicated if you have an allergy to eggs." C. "Sound
waves will be used to create a picture of your prostate." D. "You should avoid having
a bowel movement 1 hr prior to the procedure." - ANS-C. "Sound waves will be used
to create a picture of your prostate."
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites.
Which of the following actions should the nurse include in the plan of care? A. Initiate
contact precautions.
B. Weigh the client weekly.
C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus.
D. Provide a high-calorie and high-carbohydrate diet. - ANS-D. Provide a high-calorie
and high-carbohydrate diet.
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the
following laboratory findings should the nurse expect?
A. Presence of immunoglobulin G antibodies (IgG)
B. Positive EIA test
C. Aspartate aminotransferase (AST) 35 units/L
D. Alanine aminotransferase (ALT) 15 IU/L - ANS-B. Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify
which of the following findings as indicators of hepatic encephalopathy? (Select all that
, apply.)
A. Anorexia
B. Change in orientation
C. Asterixis
D. Ascites
E. Fetor hepaticus - ANS-B. Change in orientation
C. Asterixis
E. Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following medications can
the nurse expect to administer to this client? (Select all that apply.) A. Diuretic
B. Beta-blocking agent
C. Opioid analgesic
D. Lactulose
E. Sedative - ANS-A. Diuretic
B. Beta-blocking agent
D. Lactulose
A nurse is teaching a client who has hepatitis B about home care. Which of the following
instructions should the nurse include in the teaching? (Select all that apply.) A. Limit
physical activity.
B. Avoid alcohol.
C. Take acetaminophen for comfort.
D. Wear a mask when in public places.
E. Eat small frequent meals. - ANS-A. Limit physical activity.
B. Avoid alcohol.
E. Eat small frequent meals.
A nurse is reviewing the health record of a client who is to undergo total joint
arthroplasty. The nurse should recognize which of the following findings as a
contraindication to this procedure?
A. Age 78 years
B. History of cancer
C. Previous joint replacement
D. Bronchitis 2 weeks ago - ANS-D. Bronchitis 2 weeks ago
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty.
Which of the following actions by the nurse is appropriate?
A. Check continuous passive motion device settings.
