NURS 216 ADV MEDSURG CERTIFICATION
EVALUATION 2026 FULL QUESTIONS AND
SOLUTIONS
◉ A 26-year-old male client with Hodgkin's disease is scheduled to
undergo radiation therapy. The client expresses concern about the
effect of radiation on his ability to have children. What information
should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary
infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy..
Answer: C) Permanent sterility occurs in male clients who receive
radiation.
* Low sperm count and loss of motility are seen in males with
Hodgkin's disease before any therapy. Radiotherapy often results in
permanent aspermia, or sterility (C). (A, B, and D) are inaccurate.
◉ The nurse is preparing discharge instructions for a client who is
going home with a surgical wound on the coccyx that is healing by
,second intention. What is the priority nursing diagnosis that should
guide the discharge instruction plan?
A) Acute pain.
B) Risk for infection.
C) Disturbed body image.
D) Risk for deficient fluid volume..
Answer: B) Risk for infection.
* A wound healing by second intention is an open wound that is at
risk for infection (B). Discomfort should be minimal 2 days after
surgery, and acute pain (A) is not the priority. Risk for deficient fluid
volume (D) requires a significant amount of wound draining, which
is not evident. Although a wound may contribute to a disturbed body
image (C), the client's distress may be minimal because the wound is
not visible to others.
◉ The nurse is preparing an adult client for an upper
gastrointestinal (UGI) series. Which information should the nurse
include in the teaching plan?
A) The xray procedure may last for several hours.
B) A nasogastric tube (NGT) is inserted to instill the barium.
C) Enemas are given to empty the bowel after the procedure.
,D) Nothing by mouth is allowed for 6 to 8 hours before the study..
Answer: D) Nothing by mouth is allowed for 6 to 8 hours before the
study.
* The client should be NPO for at least 6 hours before the UGI (D).
(A) is not typical for this procedure. A NGT is not needed to instill
the barium (B) unless the client is unable to swallow. A laxative, not
enemas (C), is given after the procedure to help expel the barium.
◉ A client is admitted to the hospital with a traumatic brain injury
after his head violently struck a brick wall during a gang fight. Which
finding is most important for the nurse to assess further?
A) A scalp laceration oozing blood.
B) Serosanguineous nasal drainage.
C) Headache rated 10 on a 0-10 scale.
D) Dizziness, nausea and transient confusion..
Answer: B) Serosanguineous nasal drainage.
* Any nasal discharge should be evaluated (B) to determine the
presence of cerebral spinal fluid which indicates a tear in the dura
making the client susceptible to meningitis. The scalp is highly
vascular and results in blood oozing from wounds (A). Pain is
expected and can be treated after further assessment of the
presence of nasal discharge (C). Dizziness, nausea, and transient
, confusion (D) are expected manifestations following a traumatic
brain injury and need ongoing monitoring, but (B) is most
important.
◉ When planning care for a client with right renal calculi, which
nursing diagnosis has the highest priority?
A) Acute pain related to movement of the stone.
B) Impaired urinary elimination related to obstructed flow of urine.
C) Risk for infection related to urinary stasis.
D) Deficient knowledge related to need for prevention of recurrence
of calculi..
Answer: A) Acute pain related to movement of the stone.
* The nursing diagnosis of highest priority is acute pain (A), which if
unresolved can represent pathology affecting renal function.
Impaired urinary elimination (B), risk for infection (C), and
knowledge deficit (D) are components of the plan of care with less
immediacy than management of the etiology of the client's pain.
◉ What instruction should the nurse include in the discharge
teaching for a client who needs to perform self-catheterization
technique at home?
EVALUATION 2026 FULL QUESTIONS AND
SOLUTIONS
◉ A 26-year-old male client with Hodgkin's disease is scheduled to
undergo radiation therapy. The client expresses concern about the
effect of radiation on his ability to have children. What information
should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary
infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy..
Answer: C) Permanent sterility occurs in male clients who receive
radiation.
* Low sperm count and loss of motility are seen in males with
Hodgkin's disease before any therapy. Radiotherapy often results in
permanent aspermia, or sterility (C). (A, B, and D) are inaccurate.
◉ The nurse is preparing discharge instructions for a client who is
going home with a surgical wound on the coccyx that is healing by
,second intention. What is the priority nursing diagnosis that should
guide the discharge instruction plan?
A) Acute pain.
B) Risk for infection.
C) Disturbed body image.
D) Risk for deficient fluid volume..
Answer: B) Risk for infection.
* A wound healing by second intention is an open wound that is at
risk for infection (B). Discomfort should be minimal 2 days after
surgery, and acute pain (A) is not the priority. Risk for deficient fluid
volume (D) requires a significant amount of wound draining, which
is not evident. Although a wound may contribute to a disturbed body
image (C), the client's distress may be minimal because the wound is
not visible to others.
◉ The nurse is preparing an adult client for an upper
gastrointestinal (UGI) series. Which information should the nurse
include in the teaching plan?
A) The xray procedure may last for several hours.
B) A nasogastric tube (NGT) is inserted to instill the barium.
C) Enemas are given to empty the bowel after the procedure.
,D) Nothing by mouth is allowed for 6 to 8 hours before the study..
Answer: D) Nothing by mouth is allowed for 6 to 8 hours before the
study.
* The client should be NPO for at least 6 hours before the UGI (D).
(A) is not typical for this procedure. A NGT is not needed to instill
the barium (B) unless the client is unable to swallow. A laxative, not
enemas (C), is given after the procedure to help expel the barium.
◉ A client is admitted to the hospital with a traumatic brain injury
after his head violently struck a brick wall during a gang fight. Which
finding is most important for the nurse to assess further?
A) A scalp laceration oozing blood.
B) Serosanguineous nasal drainage.
C) Headache rated 10 on a 0-10 scale.
D) Dizziness, nausea and transient confusion..
Answer: B) Serosanguineous nasal drainage.
* Any nasal discharge should be evaluated (B) to determine the
presence of cerebral spinal fluid which indicates a tear in the dura
making the client susceptible to meningitis. The scalp is highly
vascular and results in blood oozing from wounds (A). Pain is
expected and can be treated after further assessment of the
presence of nasal discharge (C). Dizziness, nausea, and transient
, confusion (D) are expected manifestations following a traumatic
brain injury and need ongoing monitoring, but (B) is most
important.
◉ When planning care for a client with right renal calculi, which
nursing diagnosis has the highest priority?
A) Acute pain related to movement of the stone.
B) Impaired urinary elimination related to obstructed flow of urine.
C) Risk for infection related to urinary stasis.
D) Deficient knowledge related to need for prevention of recurrence
of calculi..
Answer: A) Acute pain related to movement of the stone.
* The nursing diagnosis of highest priority is acute pain (A), which if
unresolved can represent pathology affecting renal function.
Impaired urinary elimination (B), risk for infection (C), and
knowledge deficit (D) are components of the plan of care with less
immediacy than management of the etiology of the client's pain.
◉ What instruction should the nurse include in the discharge
teaching for a client who needs to perform self-catheterization
technique at home?
