1
NURS 480 Medical-Surgical FINAL EXAM
NURS 480 Medical-Surgical FINALE EXAM
WEST COAST UNIVERSITY PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH DETAILED
RATIONALES GRADED A+ GUARANTEED PASS
ACE
A client with osteoarthritis requests information from the nurse about what type of exercise
regimen would be most beneficial for him. The nurse should communicate which
information?
A) Low impact exercise, walking, swimming and water aerobics.
B) Repetitive strength-building exercises with weights or resistance bands.
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NURS 480 Medical-Surgical FINAL EXAM
C) Circuit training alternating with frequent rest periods.
D) High-impact aerobic exercise.
Correct Answer(s): A
* Low impact exercises such as walking or swimming (A), that do not cause further harm to
damaged joints, are most beneficial to clients with osteoarthritis. Strength-building
exercises, circuit training, and high-impact aerobics (B, C and D) may cause too much stress
on the joint areas and subsequently increase inflammation and damage.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
(SIADH). This condition is most often related to which predisposing condition?
A) Small cell lung cancer.
B) Active tuberculosis infection.
C) Hodgkin's lymphoma.
D) Tricyclic antidepressant therapy.
Correct Answer(s): A
* Cancer is the most common cause of the syndrome of inappropriate antidiuretic hormone
(SIADH), with small cell lung cancer (A) being the most common cancer that increases ADH,
which causes dilutional hyponatremia and fluid retention. (B, C, and D) are also possible
causes, but secondary to CNS trauma or disease.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? (Select all that apply.)
A) Only marijuana cigarettes affect sperm count.
B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
E) Sperm specimens should be collected in 2 subsequent days.
Correct Answer(s): B, C, D
* Use of tobacco, alcohol, and marijuana may affect sperm counts (B). Sperm counts vary
from day to day and are dependent on emotional and physical status and sexual activity, so
a single analysis may be inconclusive (C). A minimum of two analyses should be performed
several weeks apart to assess male fertility, not (E). (A and D) contain inaccurate
information.
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NURS 480 Medical-Surgical FINAL EXAM
Which finding should the nurse identify as an indication of carbon monoxide poisoning in a
client who experienced a burn injury during a house fire?
A) Pulse oximetry reading of 80%.
B) Expiratory stridor and nasal flaring.
C) Cherry red color to the mucous membranes.
D) Presence of carbonaceous particles in sputum.
Correct Answer(s): C
The saturation of hemoglobin molecules with carbon monoxide and the subsequent
vasodilation induce a cherry red color of the mucous membranes (C) in a client who
experienced a burn injury during a house fire. Super heated air or smoke inhalation damage
the lining of the airways which causes swelling, decreased oxygenation (A), and an
expiratory stridor (B). Mouth breathing during the fire allows the inhalation of soot that is
seen as particles in the client's sputum (D).
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the infection
to other areas of the client's urinary tract?
A) Wear a condom when having sexual intercourse.
B) Avoid consuming alcohol and caffeinated beverages.
C) Empty the bladder completely with each voiding.
D) Have intercourse or masturbate at least twice a week.
Correct Answer(s): D
* The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining the
prostate regularly through intercourse or masturbation (D) decreases the number of
microorganisms present and reduces the risk for further infection from stored contaminated
fluids. (A, B, and C) do not reduce the risk of spreading the infection internally.
The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
A) I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle.
B) I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle.
C) I should always use a condom because I am at increased risk for acquiring a sexually
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NURS 480 Medical-Surgical FINAL EXAM
transmitted disease.
D) I should make sure my sons know how to perform TSE because they are at increased risk
for this type of cancer.
Correct Answer(s): A
* Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus
on the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer (A). Although an athletic
support (B) protects the testicle from trauma, it does not address the client's understanding
of self-care. The client's risk of STD is not related to a history of testicular cancer, but to
direct exposure (C). Although the client's sons should learn TSE (D), the client should
continue TSE himself.
The nurse is assessing a client with a chest tube that is attached to suction and a closed
drainage system. Which finding is most important for the nurse to further assess?
A) Upper chest subcutaneous emphysema.
B) Tidaling (fluctuation) of fluid in the water-seal chamber.
C) Constant air bubbling in the suction-control chamber.
D) Pain rated 8 (0-10) at the insertion site.
Correct Answer(s): A
* Subcutaneous emphysema (A) is a complication and indicates air is leaking beneath the
skin. Tidaling in the water-seal chamber and constant bubbling with suction in the suction-
control chamber (B and C) are expected findings that indicate the closed drainage system is
working. Pain at the insertion site is an expected finding (D) and the prescribed analgesia
should be given to assist the client to breathe deeply and facilitate lung expansion.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. What is the best response for the nurse to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very difficult.
Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences and gain
NURS 480 Medical-Surgical FINAL EXAM
NURS 480 Medical-Surgical FINALE EXAM
WEST COAST UNIVERSITY PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH DETAILED
RATIONALES GRADED A+ GUARANTEED PASS
ACE
A client with osteoarthritis requests information from the nurse about what type of exercise
regimen would be most beneficial for him. The nurse should communicate which
information?
A) Low impact exercise, walking, swimming and water aerobics.
B) Repetitive strength-building exercises with weights or resistance bands.
, 2
NURS 480 Medical-Surgical FINAL EXAM
C) Circuit training alternating with frequent rest periods.
D) High-impact aerobic exercise.
Correct Answer(s): A
* Low impact exercises such as walking or swimming (A), that do not cause further harm to
damaged joints, are most beneficial to clients with osteoarthritis. Strength-building
exercises, circuit training, and high-impact aerobics (B, C and D) may cause too much stress
on the joint areas and subsequently increase inflammation and damage.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
(SIADH). This condition is most often related to which predisposing condition?
A) Small cell lung cancer.
B) Active tuberculosis infection.
C) Hodgkin's lymphoma.
D) Tricyclic antidepressant therapy.
Correct Answer(s): A
* Cancer is the most common cause of the syndrome of inappropriate antidiuretic hormone
(SIADH), with small cell lung cancer (A) being the most common cancer that increases ADH,
which causes dilutional hyponatremia and fluid retention. (B, C, and D) are also possible
causes, but secondary to CNS trauma or disease.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? (Select all that apply.)
A) Only marijuana cigarettes affect sperm count.
B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
E) Sperm specimens should be collected in 2 subsequent days.
Correct Answer(s): B, C, D
* Use of tobacco, alcohol, and marijuana may affect sperm counts (B). Sperm counts vary
from day to day and are dependent on emotional and physical status and sexual activity, so
a single analysis may be inconclusive (C). A minimum of two analyses should be performed
several weeks apart to assess male fertility, not (E). (A and D) contain inaccurate
information.
, 3
NURS 480 Medical-Surgical FINAL EXAM
Which finding should the nurse identify as an indication of carbon monoxide poisoning in a
client who experienced a burn injury during a house fire?
A) Pulse oximetry reading of 80%.
B) Expiratory stridor and nasal flaring.
C) Cherry red color to the mucous membranes.
D) Presence of carbonaceous particles in sputum.
Correct Answer(s): C
The saturation of hemoglobin molecules with carbon monoxide and the subsequent
vasodilation induce a cherry red color of the mucous membranes (C) in a client who
experienced a burn injury during a house fire. Super heated air or smoke inhalation damage
the lining of the airways which causes swelling, decreased oxygenation (A), and an
expiratory stridor (B). Mouth breathing during the fire allows the inhalation of soot that is
seen as particles in the client's sputum (D).
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the infection
to other areas of the client's urinary tract?
A) Wear a condom when having sexual intercourse.
B) Avoid consuming alcohol and caffeinated beverages.
C) Empty the bladder completely with each voiding.
D) Have intercourse or masturbate at least twice a week.
Correct Answer(s): D
* The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining the
prostate regularly through intercourse or masturbation (D) decreases the number of
microorganisms present and reduces the risk for further infection from stored contaminated
fluids. (A, B, and C) do not reduce the risk of spreading the infection internally.
The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
A) I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle.
B) I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle.
C) I should always use a condom because I am at increased risk for acquiring a sexually
, 4
NURS 480 Medical-Surgical FINAL EXAM
transmitted disease.
D) I should make sure my sons know how to perform TSE because they are at increased risk
for this type of cancer.
Correct Answer(s): A
* Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus
on the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer (A). Although an athletic
support (B) protects the testicle from trauma, it does not address the client's understanding
of self-care. The client's risk of STD is not related to a history of testicular cancer, but to
direct exposure (C). Although the client's sons should learn TSE (D), the client should
continue TSE himself.
The nurse is assessing a client with a chest tube that is attached to suction and a closed
drainage system. Which finding is most important for the nurse to further assess?
A) Upper chest subcutaneous emphysema.
B) Tidaling (fluctuation) of fluid in the water-seal chamber.
C) Constant air bubbling in the suction-control chamber.
D) Pain rated 8 (0-10) at the insertion site.
Correct Answer(s): A
* Subcutaneous emphysema (A) is a complication and indicates air is leaking beneath the
skin. Tidaling in the water-seal chamber and constant bubbling with suction in the suction-
control chamber (B and C) are expected findings that indicate the closed drainage system is
working. Pain at the insertion site is an expected finding (D) and the prescribed analgesia
should be given to assist the client to breathe deeply and facilitate lung expansion.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. What is the best response for the nurse to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very difficult.
Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences and gain
