NSG 3500 – Adult Health Nursing / Medical-Surgical Nursing –
Unit 5 EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
The nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse should
anticipate a prescription for which of the following tests? (select all that apply)
A. Serum alpha-fetoprotein
B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Gastrointestinal x-ray with contrast
D. Small bowel capsule endoscopy (M2A)
E. Colonoscopy - answer>>C D
A nurse is caring for a client who has a urinary tract infection (UTI). Which of the following is the priority
intervention for the nurse?
A. Offer a warm sitz bath
B. Recommend drinking cranberry juice
C. Encourage increased fluids
D. Administer an antibiotic - answer>>D.
A nurse is preparing educational material to present to a female client who has frequent urinary tract infections.
Which of the following should the nurse include? (select all that apply)
A. Avoid sitting in a wet bathing suit
B. Wipe the perineal area back to front following elimination
C. Empty the bladder when there is an urge to void
D. Wear synthetic fabric underwear
E. Take a shower daily - answer>>A C E
A nurse is reviewing urinalysis results for four clients. Which of the following urinalysis results indicates a urinary
tract infection?
,A. Positive hyaline casts
B. Positive leukocyte esterase
C. Positive ketones
D. Positive for crystals - answer>>B.
A nurse is completing the admission assessment of a client who has renal calculi. Which of the following findings
should the nurse expect?
A. Bradycardia
B. Diaphoresis
C. Nocturia
D. Bradypnea - answer>>B.
A nurse is reviewing discharge instructions with a client who had spontaneous passage of calcium phosphate renal
calculus. Which of the following instructions should the nurse include in the teaching? (select all that apply)
A. Limit intake of food high in animal protein
B. Reduce sodium intake
C. Strain urine for 48 hrs
D. Report burning with urination to the provider
E. Increase fluid intake to 3L/day - answer>>A B D E
A nurse is teaching a client who is scheduled for extracorporeal shockwave lithotripsy (ESWL). Which of the
following statements by the client indicates understanding of the teaching?
A. "I will be fully awake during the procedure"
B. "Lithotripsy will reduce my chances of having stones in the future"
C. "I will report any bruising that occurs to my doctor"
D. "Straining my urine following the procedure is important" - answer>>D.
A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the
following assessment findings is the priority for the nurse to report to the provider?
,A. Flank pain that radiates to the lower abdomen
B. Client report of nausea
C. Absent urine output for 1 hr
D. Serum WBC 15,000/mm3 - answer>>C.
A nurse is completing discharge instruction with a client who has spontaneously passed a calcium oxalate calculus.
To decrease the chance of recurrence, the nurse should instruct the client to avoid which of the following foods?
(select all that apply)
A. Red meat
B. Black tea
C. Cheese
D. Whole grains
E. Spinach - answer>>B E
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should
the nurse expect? (select all that apply)
A. Projectile vomiting
B. Dry mucous membranes
C. Currant jelly stools
D. Sausage-shaped abdominal mass
E. Constant hunger - answer>>A B E
A nurse is caring for an infant who has just returned from PACU following cleft lip and palate repair. Which of the
following actions should the nurse take?
A. Remove the packing in the mouth
B. Place the infant in an upright position
C. Offer a pacifier with sucrose
D. Assess the mouth with a tongue blade - answer>>B.
, A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the
nurse include in the teaching? (select all that apply)
A. Offer frequent feedings
B. Thicken formula with rice cereal
C. Use a bottle with a one-way valve
D. Position baby upright after feeding
E. Use a wide-based nipple for feeding - answer>>A B D
A nurse is caring for a client who has hgb 7.5 g/dL and Hct 21.5%. Which of the following actions should the nurse
include in the plan of care? (select all that apply)
A. Provide assistance with ambulation
B. Monitor oxygen saturation
C. Weigh the client weekly
D. Obtain stool specimen for occult blood
E. Schedule daily rest period - answer>>A B D E
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following information
should the nurse include in the teaching?
A. Stools will be dark red
B. Take with a glass of milk if gastrointestinal distress occurs
C. Foods high in Vit C will promote absorption
D. Take for 14 days - answer>>C.
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach cancer. Which of the
following information should the nurse include in the teaching? (select all that apply)
A. "You will need a monthly injection of Vit B12 for the rest of your life"
B. "Using the nasal spray form of Vit B12 on a daily basis can be an option"
C. "An oral supplement of Vit B12 taken on a daily basis can be an option"
D. "You should increase your intake of animal protein, legumes and dairy products to increase Vit B12 in your diet"
Unit 5 EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
The nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse should
anticipate a prescription for which of the following tests? (select all that apply)
A. Serum alpha-fetoprotein
B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Gastrointestinal x-ray with contrast
D. Small bowel capsule endoscopy (M2A)
E. Colonoscopy - answer>>C D
A nurse is caring for a client who has a urinary tract infection (UTI). Which of the following is the priority
intervention for the nurse?
A. Offer a warm sitz bath
B. Recommend drinking cranberry juice
C. Encourage increased fluids
D. Administer an antibiotic - answer>>D.
A nurse is preparing educational material to present to a female client who has frequent urinary tract infections.
Which of the following should the nurse include? (select all that apply)
A. Avoid sitting in a wet bathing suit
B. Wipe the perineal area back to front following elimination
C. Empty the bladder when there is an urge to void
D. Wear synthetic fabric underwear
E. Take a shower daily - answer>>A C E
A nurse is reviewing urinalysis results for four clients. Which of the following urinalysis results indicates a urinary
tract infection?
,A. Positive hyaline casts
B. Positive leukocyte esterase
C. Positive ketones
D. Positive for crystals - answer>>B.
A nurse is completing the admission assessment of a client who has renal calculi. Which of the following findings
should the nurse expect?
A. Bradycardia
B. Diaphoresis
C. Nocturia
D. Bradypnea - answer>>B.
A nurse is reviewing discharge instructions with a client who had spontaneous passage of calcium phosphate renal
calculus. Which of the following instructions should the nurse include in the teaching? (select all that apply)
A. Limit intake of food high in animal protein
B. Reduce sodium intake
C. Strain urine for 48 hrs
D. Report burning with urination to the provider
E. Increase fluid intake to 3L/day - answer>>A B D E
A nurse is teaching a client who is scheduled for extracorporeal shockwave lithotripsy (ESWL). Which of the
following statements by the client indicates understanding of the teaching?
A. "I will be fully awake during the procedure"
B. "Lithotripsy will reduce my chances of having stones in the future"
C. "I will report any bruising that occurs to my doctor"
D. "Straining my urine following the procedure is important" - answer>>D.
A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the
following assessment findings is the priority for the nurse to report to the provider?
,A. Flank pain that radiates to the lower abdomen
B. Client report of nausea
C. Absent urine output for 1 hr
D. Serum WBC 15,000/mm3 - answer>>C.
A nurse is completing discharge instruction with a client who has spontaneously passed a calcium oxalate calculus.
To decrease the chance of recurrence, the nurse should instruct the client to avoid which of the following foods?
(select all that apply)
A. Red meat
B. Black tea
C. Cheese
D. Whole grains
E. Spinach - answer>>B E
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should
the nurse expect? (select all that apply)
A. Projectile vomiting
B. Dry mucous membranes
C. Currant jelly stools
D. Sausage-shaped abdominal mass
E. Constant hunger - answer>>A B E
A nurse is caring for an infant who has just returned from PACU following cleft lip and palate repair. Which of the
following actions should the nurse take?
A. Remove the packing in the mouth
B. Place the infant in an upright position
C. Offer a pacifier with sucrose
D. Assess the mouth with a tongue blade - answer>>B.
, A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the
nurse include in the teaching? (select all that apply)
A. Offer frequent feedings
B. Thicken formula with rice cereal
C. Use a bottle with a one-way valve
D. Position baby upright after feeding
E. Use a wide-based nipple for feeding - answer>>A B D
A nurse is caring for a client who has hgb 7.5 g/dL and Hct 21.5%. Which of the following actions should the nurse
include in the plan of care? (select all that apply)
A. Provide assistance with ambulation
B. Monitor oxygen saturation
C. Weigh the client weekly
D. Obtain stool specimen for occult blood
E. Schedule daily rest period - answer>>A B D E
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following information
should the nurse include in the teaching?
A. Stools will be dark red
B. Take with a glass of milk if gastrointestinal distress occurs
C. Foods high in Vit C will promote absorption
D. Take for 14 days - answer>>C.
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach cancer. Which of the
following information should the nurse include in the teaching? (select all that apply)
A. "You will need a monthly injection of Vit B12 for the rest of your life"
B. "Using the nasal spray form of Vit B12 on a daily basis can be an option"
C. "An oral supplement of Vit B12 taken on a daily basis can be an option"
D. "You should increase your intake of animal protein, legumes and dairy products to increase Vit B12 in your diet"
