RN Adult Medical Surgical Exam
Test Bank RN Adult Medical Surgical Exam 3
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A 32-year-old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history should
the nurse obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives. –
A+ TEST BANK 1
, RN Adult Medical Surgical Exam
Correct Answer :Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent
areas of the pelvic peritoneum. A history of infertility is another common finding associated
with endometriosis.
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which
response is the best for the nurse to provide?
"Check it again in one month, and if it is still there schedule an appointment."
"Most lumps are benign, but it is always best to come in for an examination."
"Try not to worry too much about it, because usually, most lumps are benign."
"If you are in your menstrual period it is not a good time to check for lumps."
- Correct Answer :"Most lumps are benign, but it is always best to come in for an
examination."
The nurse advising the client to come in provides the best response because it addresses the
client's anxiety most effectively and encourages prompt and immediate action for a potential
problem.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the
hips. Which recommendation should the nurse make that is most beneficial in protecting the
client's joints?
A+ TEST BANK 2
, RN Adult Medical Surgical Exam
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the hips. –
Correct Answer :Initiate a weight-reduction diet to achieve a healthy body weight.
Achieving a healthy weight is critical to protect the joints of clients with osteoarthritis (OA).
Weight loss for obese clients will take off the excess pressure that weight bearing joints such
as the hips and knees are exposed to and reduce the wear and tear of the joints.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk
for osteoporosis because her mother has the condition. Which information should the nurse
offer?
Osteoporosis is a progressive genetic disease with no effective treatment.
Calcium loss from bones can be slowed by increasing calcium intake and exercise.
Estrogen replacement therapy should be started to prevent the progression osteoporosis.
Low-dose corticosteroid treatment effectively halts the course of osteoporosis. –
Correct Answer :Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
A+ TEST BANK 3
, RN Adult Medical Surgical Exam
Post-menopausal females are at risk for osteoporosis due to the cessation of estrogen
secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should
the nurse identify when planning care for this client?
Muscle weakness.
Urinary frequency.
Abnormal involuntary movements.
A decline in cognitive function.
.–
Correct Answer :Muscle weakness.
Amyotrophic lateral sclerosis (ALS) is characterized by a degeneration of motor neurons in
the brainstem and spinal cord and is manifested by muscle weakness and wasting
The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit
for a client with multiple sclerosis. Which nursing intervention should the nurse implement?
Teach the client techniques of intermittent self-catheterization.
Decrease fluid intake to prevent over distention of the bladder.
A+ TEST BANK 4
Test Bank RN Adult Medical Surgical Exam 3
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A 32-year-old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history should
the nurse obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives. –
A+ TEST BANK 1
, RN Adult Medical Surgical Exam
Correct Answer :Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent
areas of the pelvic peritoneum. A history of infertility is another common finding associated
with endometriosis.
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which
response is the best for the nurse to provide?
"Check it again in one month, and if it is still there schedule an appointment."
"Most lumps are benign, but it is always best to come in for an examination."
"Try not to worry too much about it, because usually, most lumps are benign."
"If you are in your menstrual period it is not a good time to check for lumps."
- Correct Answer :"Most lumps are benign, but it is always best to come in for an
examination."
The nurse advising the client to come in provides the best response because it addresses the
client's anxiety most effectively and encourages prompt and immediate action for a potential
problem.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the
hips. Which recommendation should the nurse make that is most beneficial in protecting the
client's joints?
A+ TEST BANK 2
, RN Adult Medical Surgical Exam
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the hips. –
Correct Answer :Initiate a weight-reduction diet to achieve a healthy body weight.
Achieving a healthy weight is critical to protect the joints of clients with osteoarthritis (OA).
Weight loss for obese clients will take off the excess pressure that weight bearing joints such
as the hips and knees are exposed to and reduce the wear and tear of the joints.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk
for osteoporosis because her mother has the condition. Which information should the nurse
offer?
Osteoporosis is a progressive genetic disease with no effective treatment.
Calcium loss from bones can be slowed by increasing calcium intake and exercise.
Estrogen replacement therapy should be started to prevent the progression osteoporosis.
Low-dose corticosteroid treatment effectively halts the course of osteoporosis. –
Correct Answer :Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
A+ TEST BANK 3
, RN Adult Medical Surgical Exam
Post-menopausal females are at risk for osteoporosis due to the cessation of estrogen
secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should
the nurse identify when planning care for this client?
Muscle weakness.
Urinary frequency.
Abnormal involuntary movements.
A decline in cognitive function.
.–
Correct Answer :Muscle weakness.
Amyotrophic lateral sclerosis (ALS) is characterized by a degeneration of motor neurons in
the brainstem and spinal cord and is manifested by muscle weakness and wasting
The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit
for a client with multiple sclerosis. Which nursing intervention should the nurse implement?
Teach the client techniques of intermittent self-catheterization.
Decrease fluid intake to prevent over distention of the bladder.
A+ TEST BANK 4
