NR325 EXAM 2 MEDICAL-SURGICAL NURSING
COMPLETE EXAM QUESTIONS WITH 100% VERIFIED
ANSWERS
Question 1
The nurse is reviewing laboratory test results for a client with leukemia
who is receiving chemotherapy. The platelet count is 20,000 mm3.
Based on this finding, what action should the nurse prepare to
implement?
A) Remove fresh flowers from the client's room
B) Remove the rectal thermometer from the client's room
C) Instruct family members to wear a mask when entering the client's
room
D) Call the dietary department for a low-bacteria diet
Correct Answer: B) Remove the rectal thermometer from the client's
room
Explanation: A platelet count of 20,000 indicates severe
thrombocytopenia and high bleeding risk. Rectal temperatures could
cause trauma to delicate rectal membranes and lead to bleeding. The
other options relate to infection risk (low white blood cell count), not
bleeding risk.
Question 2
A client with benign prostatic hyperplasia (BPH) is scheduled for
,transrectal ultrasound and PSA testing. The client asks why these tests
are needed. What is the nurse's best response?
A) To help predict the course of BPH
B) To help rule out the possibility of cancer
C) To identify the likelihood of developing urinary obstruction
D) To determine if intermittent self-catheterization is needed
Correct Answer: B) To help rule out the possibility of cancer
Explanation: Transrectal ultrasound and PSA testing are screening tools
for prostate cancer. While BPH is benign, these tests help differentiate
BPH from prostate cancer, which can present with similar urinary
symptoms.
Question 3
A client returns from transurethral resection of the prostate (TURP) with
a three-way Foley catheter for continuous bladder irrigation. What
urine color does the nurse expect during the immediate postoperative
period?
A) Pale pink urine
B) Dark pink urine
C) Tea-colored urine
D) Bright red blood with small clots
Correct Answer: A) Pale pink urine
Explanation: If bladder irrigation is infusing at a sufficient rate, the
urinary drainage should be pale pink. Dark pink urine indicates the
irrigation rate needs to be increased. Bright red bleeding with clots
could indicate a complication requiring provider notification.
,Question 4
The nurse is planning teaching for a client diagnosed with chlamydia.
What information should be included?
A) Alter perineal pH by using a spermicide with a condom
B) Keep follow-up appointments for repeat cultures
C) Discontinue antibiotics after 3 weeks of uninterrupted administration
D) Identify sexual partners from the past 6 months for treatment
Correct Answer: B) Keep follow-up appointments for repeat cultures
Explanation: Follow-up cultures are typically done 2-3 months after
treatment to evaluate effectiveness. All sexual partners from the past
30-60 days should be notified, examined, and treated. Antibiotics
should be completed as prescribed.
Question 5
A female client with a history of syphilis infection is being assessed for
reinfection. What characteristic would the nurse expect to observe on
the labia?
A) Painless and indurated lesion
B) Cauliflower-like appearance
C) Erythematous and papular eruptions
D) One or more vesicles that rupture
Correct Answer: A) Painless and indurated lesion
Explanation: The characteristic lesion of syphilis is a painless, indurated
chancre. Genital warts have a cauliflower-like appearance. Scabies
presents with erythematous papular eruptions. Genital herpes presents
with vesicles that rupture.
, Question 6
A client tests positive for gonorrhea. What medication does the nurse
anticipate will be prescribed?
A) Acyclovir
B) Ceftriaxone
C) Metronidazole
D) Penicillin G benzathine
Correct Answer: B) Ceftriaxone
Explanation: Treatment for gonorrhea consists of antibiotic therapy,
usually ceftriaxone or azithromycin. Acyclovir treats genital herpes.
Metronidazole treats trichomoniasis. Penicillin G benzathine treats
syphilis.
Question 7
A client returns from TURP with continuous bladder irrigation. Five
hours post-surgery, the nurse observes bright red urinary drainage with
clots. What is the priority action?
A) Review hemoglobin and hematocrit as ordered
B) Take vital signs and notify the surgeon immediately
C) Release traction on the three-way catheter
D) Remind the client not to pull on the catheter
Correct Answer: B) Take vital signs and notify the surgeon immediately
Explanation: Bright red urinary drainage with clots may indicate arterial
bleeding. The nurse should take vital signs and notify the surgeon
immediately. Traction on the catheter should not be released as it
provides pressure to prevent bleeding.
COMPLETE EXAM QUESTIONS WITH 100% VERIFIED
ANSWERS
Question 1
The nurse is reviewing laboratory test results for a client with leukemia
who is receiving chemotherapy. The platelet count is 20,000 mm3.
Based on this finding, what action should the nurse prepare to
implement?
A) Remove fresh flowers from the client's room
B) Remove the rectal thermometer from the client's room
C) Instruct family members to wear a mask when entering the client's
room
D) Call the dietary department for a low-bacteria diet
Correct Answer: B) Remove the rectal thermometer from the client's
room
Explanation: A platelet count of 20,000 indicates severe
thrombocytopenia and high bleeding risk. Rectal temperatures could
cause trauma to delicate rectal membranes and lead to bleeding. The
other options relate to infection risk (low white blood cell count), not
bleeding risk.
Question 2
A client with benign prostatic hyperplasia (BPH) is scheduled for
,transrectal ultrasound and PSA testing. The client asks why these tests
are needed. What is the nurse's best response?
A) To help predict the course of BPH
B) To help rule out the possibility of cancer
C) To identify the likelihood of developing urinary obstruction
D) To determine if intermittent self-catheterization is needed
Correct Answer: B) To help rule out the possibility of cancer
Explanation: Transrectal ultrasound and PSA testing are screening tools
for prostate cancer. While BPH is benign, these tests help differentiate
BPH from prostate cancer, which can present with similar urinary
symptoms.
Question 3
A client returns from transurethral resection of the prostate (TURP) with
a three-way Foley catheter for continuous bladder irrigation. What
urine color does the nurse expect during the immediate postoperative
period?
A) Pale pink urine
B) Dark pink urine
C) Tea-colored urine
D) Bright red blood with small clots
Correct Answer: A) Pale pink urine
Explanation: If bladder irrigation is infusing at a sufficient rate, the
urinary drainage should be pale pink. Dark pink urine indicates the
irrigation rate needs to be increased. Bright red bleeding with clots
could indicate a complication requiring provider notification.
,Question 4
The nurse is planning teaching for a client diagnosed with chlamydia.
What information should be included?
A) Alter perineal pH by using a spermicide with a condom
B) Keep follow-up appointments for repeat cultures
C) Discontinue antibiotics after 3 weeks of uninterrupted administration
D) Identify sexual partners from the past 6 months for treatment
Correct Answer: B) Keep follow-up appointments for repeat cultures
Explanation: Follow-up cultures are typically done 2-3 months after
treatment to evaluate effectiveness. All sexual partners from the past
30-60 days should be notified, examined, and treated. Antibiotics
should be completed as prescribed.
Question 5
A female client with a history of syphilis infection is being assessed for
reinfection. What characteristic would the nurse expect to observe on
the labia?
A) Painless and indurated lesion
B) Cauliflower-like appearance
C) Erythematous and papular eruptions
D) One or more vesicles that rupture
Correct Answer: A) Painless and indurated lesion
Explanation: The characteristic lesion of syphilis is a painless, indurated
chancre. Genital warts have a cauliflower-like appearance. Scabies
presents with erythematous papular eruptions. Genital herpes presents
with vesicles that rupture.
, Question 6
A client tests positive for gonorrhea. What medication does the nurse
anticipate will be prescribed?
A) Acyclovir
B) Ceftriaxone
C) Metronidazole
D) Penicillin G benzathine
Correct Answer: B) Ceftriaxone
Explanation: Treatment for gonorrhea consists of antibiotic therapy,
usually ceftriaxone or azithromycin. Acyclovir treats genital herpes.
Metronidazole treats trichomoniasis. Penicillin G benzathine treats
syphilis.
Question 7
A client returns from TURP with continuous bladder irrigation. Five
hours post-surgery, the nurse observes bright red urinary drainage with
clots. What is the priority action?
A) Review hemoglobin and hematocrit as ordered
B) Take vital signs and notify the surgeon immediately
C) Release traction on the three-way catheter
D) Remind the client not to pull on the catheter
Correct Answer: B) Take vital signs and notify the surgeon immediately
Explanation: Bright red urinary drainage with clots may indicate arterial
bleeding. The nurse should take vital signs and notify the surgeon
immediately. Traction on the catheter should not be released as it
provides pressure to prevent bleeding.
