NURS 422 Exam 5 Questions With Complete Solutions
1. A nurse in the oncology clinic is providing preoperative
education to a client just diagnosed with cancer. The client has
been scheduled for surgery in 3 days. What action by the nurse
is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon. Correct
Answer a
1. A student nurse is learning about human immune deficiency
virus (HIV) infection. Which statements about HIV infection are
correct? (Select all that apply.)
a. CD4+ cells begin to create new HIV virus particles.
b. Antibodies produced are incomplete and do not function well.
c. Macrophages stop functioning properly.
d. Opportunistic infections and cancer are leading causes of
death. e. People with stage 1 HIV disease are not infectious to
others. Correct Answer a,b,c,d
1. The nurse is administering finasteride (Proscar) and
doxazosin (Cardura) to a 67-year-old client with benign prostatic
hyperplasia. What precautions are related to the side effects of
these medications? (Select all that
a Assessing for blood pressure changes when lying, sitting, and
arising from the bed
b Immediately reporting any change in the alanine
aminotransferase laboratory test
,c Teaching the client about the possibility of increased libido
with these medications
d Taking the clients pulse rate for a minute in anticipation of
bradycardia
e Asking the client to report any weakness, light-headedness, or
dizziness Correct Answer a,b,e
1. The nurse is assessing a client with a diagnosis of pre-renal
acute kidney injury (AKI). Which condition would the nurse
expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones Correct Answer b
1. The nurse is caring for a client diagnosed with human
immune deficiency virus. The clients CD4+ cell count is
399/mm3. What action by the nurse is best?
a. Counsel the client on safer sex practices/abstinence.
b. Encourage the client to abstain from alcohol.
c. Facilitate genetic testing for CD4+ CCR5/CXCR4 co-
receptors.
d. Help the client plan high-protein/iron meals. Correct Answer
a
1. The nurse is caring for five clients on the medical-surgical
unit. Which clients would the nurse consider to be at risk for
post-renal acute kidney injury (AKI)? (Select all that apply.)
a. Man with prostate cancer
b. Woman with blood clots in the urinary tract
c. Client with ureterolithiasis
,d. Firefighter with severe burns
e. Young woman with lupus Correct Answer a,b,c
1. The nurse is conducting a history on a male client to
determine the severity of symptoms associated with prostate
enlargement. Which finding is cause for prompt action by the
nurse?
a Cloudy urine
b Urinary hesitancy
c Post-void dribbling
d Weak urinary stream Correct Answer a
1. The nurse is taking a history of a 68-year-old woman. What
assessment findings would indicate a high risk for the
development of breast cancer? (Select all that apply.)
a. Age greater than 65 years
b. Increased breast density
c. Osteoporosis
d. Multiparity
e. Genetic factors Correct Answer a,b,e
1. The student nurse caring for clients who have cancer
understands that the general consequences of cancer include
which client problems? (Select all that apply.)
a. Clotting abnormalities from thrombocythemia
b. Increased risk of infection from white blood cell deficits
c. Nutritional deficits such as early satiety and cachexia
d. Potential for reduced gas exchange
e. Various motor and sensory deficits Correct Answer b,c,d,e
, 10. A 34-year-old client comes to the clinic with concerns about
an enlarged left testicle and heaviness in his lower abdomen.
Which diagnostic test would the nurse expect to be ordered to
confirm testicular cancer?
a Alpha-fetoprotein (AFP)
b Prostate-specific antigen (PSA)
c Prostate acid phosphatase (PAP)
d C-reactive protein (CRP) Correct Answer a
10. A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facilitys standing policy.
d. Place the client on protective isolation precautions. Correct
Answer b
10. A client has a primary selective immunoglobulin A
deficiency. The nurse should prepare the client for self-
management by teaching what principle of medical
management?
a. Infusions will be scheduled every 3 to 4 weeks.
b. Treatment is aimed at treating specific infections.
c. Unfortunately, there is no effective treatment.
d. You will need many immunoglobulin A infusions. Correct
Answer b
10. The charge nurse of the medical-surgical unit is making staff
assignments. Which staff member should be assigned to a client
with chronic kidney disease who is exhibiting a low-grade fever
and a pericardial friction rub?
1. A nurse in the oncology clinic is providing preoperative
education to a client just diagnosed with cancer. The client has
been scheduled for surgery in 3 days. What action by the nurse
is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon. Correct
Answer a
1. A student nurse is learning about human immune deficiency
virus (HIV) infection. Which statements about HIV infection are
correct? (Select all that apply.)
a. CD4+ cells begin to create new HIV virus particles.
b. Antibodies produced are incomplete and do not function well.
c. Macrophages stop functioning properly.
d. Opportunistic infections and cancer are leading causes of
death. e. People with stage 1 HIV disease are not infectious to
others. Correct Answer a,b,c,d
1. The nurse is administering finasteride (Proscar) and
doxazosin (Cardura) to a 67-year-old client with benign prostatic
hyperplasia. What precautions are related to the side effects of
these medications? (Select all that
a Assessing for blood pressure changes when lying, sitting, and
arising from the bed
b Immediately reporting any change in the alanine
aminotransferase laboratory test
,c Teaching the client about the possibility of increased libido
with these medications
d Taking the clients pulse rate for a minute in anticipation of
bradycardia
e Asking the client to report any weakness, light-headedness, or
dizziness Correct Answer a,b,e
1. The nurse is assessing a client with a diagnosis of pre-renal
acute kidney injury (AKI). Which condition would the nurse
expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones Correct Answer b
1. The nurse is caring for a client diagnosed with human
immune deficiency virus. The clients CD4+ cell count is
399/mm3. What action by the nurse is best?
a. Counsel the client on safer sex practices/abstinence.
b. Encourage the client to abstain from alcohol.
c. Facilitate genetic testing for CD4+ CCR5/CXCR4 co-
receptors.
d. Help the client plan high-protein/iron meals. Correct Answer
a
1. The nurse is caring for five clients on the medical-surgical
unit. Which clients would the nurse consider to be at risk for
post-renal acute kidney injury (AKI)? (Select all that apply.)
a. Man with prostate cancer
b. Woman with blood clots in the urinary tract
c. Client with ureterolithiasis
,d. Firefighter with severe burns
e. Young woman with lupus Correct Answer a,b,c
1. The nurse is conducting a history on a male client to
determine the severity of symptoms associated with prostate
enlargement. Which finding is cause for prompt action by the
nurse?
a Cloudy urine
b Urinary hesitancy
c Post-void dribbling
d Weak urinary stream Correct Answer a
1. The nurse is taking a history of a 68-year-old woman. What
assessment findings would indicate a high risk for the
development of breast cancer? (Select all that apply.)
a. Age greater than 65 years
b. Increased breast density
c. Osteoporosis
d. Multiparity
e. Genetic factors Correct Answer a,b,e
1. The student nurse caring for clients who have cancer
understands that the general consequences of cancer include
which client problems? (Select all that apply.)
a. Clotting abnormalities from thrombocythemia
b. Increased risk of infection from white blood cell deficits
c. Nutritional deficits such as early satiety and cachexia
d. Potential for reduced gas exchange
e. Various motor and sensory deficits Correct Answer b,c,d,e
, 10. A 34-year-old client comes to the clinic with concerns about
an enlarged left testicle and heaviness in his lower abdomen.
Which diagnostic test would the nurse expect to be ordered to
confirm testicular cancer?
a Alpha-fetoprotein (AFP)
b Prostate-specific antigen (PSA)
c Prostate acid phosphatase (PAP)
d C-reactive protein (CRP) Correct Answer a
10. A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facilitys standing policy.
d. Place the client on protective isolation precautions. Correct
Answer b
10. A client has a primary selective immunoglobulin A
deficiency. The nurse should prepare the client for self-
management by teaching what principle of medical
management?
a. Infusions will be scheduled every 3 to 4 weeks.
b. Treatment is aimed at treating specific infections.
c. Unfortunately, there is no effective treatment.
d. You will need many immunoglobulin A infusions. Correct
Answer b
10. The charge nurse of the medical-surgical unit is making staff
assignments. Which staff member should be assigned to a client
with chronic kidney disease who is exhibiting a low-grade fever
and a pericardial friction rub?
