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ACC LEVEL 2 - RNSG 1443 EXAM 4
QUESTIONS WITH VERIFIED
SOLUTIONS
The nurse is assessing the colostomy of a client who
has had an abdominal perineal resection for a bowel tumor. Which assessment
finding indicates that the colostomy is beginning to function?
1. The passage of flatus
2. Absent bowel sounds
3. The client's ability to tolerate food
4. Bloody drainage from the colostomy - correct-answer - 520. 1
Rationale: Following abdominal perineal resection, the nurse would expect the
colostomy to begin to function within 72 hours after surgery, although it may take
up to 5 days.
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The nurse is assessing the perineal wound in a client who has returned from the
operating room following an abdominal perineal resection and notes
serosanguineous drainage from the wound. Which nursing intervention is most
appropriate?
1. Clamp the surgical drain.
2. Change the dressing as prescribed.
3. Notify the health care provider (HCP).
4. Remove and replace the perineal packing. - correct-answer - 519. 2
Rationale: Immediately after surgery, profuse serosanguineous drainage from the
perineal wound is expected. Therefore, the nurse should change the dressing as
prescribed.
The nurse is reviewing the history of a client with bladder cancer. The nurse
expects to note documentation of which most common sign or symptom of this
type of cancer?
1. Dysuria
2. Hematuria
3. Urgency on urination
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4. Frequency of urination - correct-answer - 521. 2
Rationale: The most common sign in clients with cancer ofthe bladder is
hematuria. The client also may experience irritative voiding symptoms such as
frequency, urgency, and dysuria, and these symptoms often are associated with
carcinoma in situ.
A client complains of fever, perineal pain, and urinary urgency, frequency, and
dysuria. To assess whether the client's problem is related to bacterial prostatitis,
the nurse reviews the results of the prostate examination for which characteristic
of this disorder?
1. Soft and swollen prostate gland
2. Swollen, and boggy prostate gland
3. Tender and edematous prostate gland
4. Tender, indurated prostate gland that is warm to
the touch - correct-answer - 714. 4
Rationale: The client with bacterial prostatitis has a swollen and tender prostate
gland that is also warm to the touch, firm, and indurated.
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The nurse is collecting data from a client. Which
symptom described by the client is characteristic of an early symptom of benign
prostatic hyperplasia?
1. Nocturia
2. Scrotal edema
3. Occasional constipation
4. Decreased force in the stream of urine - correct-answer - 715. 4
Rationale: Decreased force in the stream of urine is an early symptom of benign
prostatic hyperplasia. The stream later becomes weak and dribbling.
A client is admitted to the hospital with a diagnosis
of benign prostatic hyperplasia, and a transurethral
resection of the prostate is performed. Four hours
after surgery, the nurse takes the client's vital signs and empties the urinary
drainage bag. Which assessment finding indicates the need to notify the health
care provider (HCP)?
1. Red, bloody urine
ACC LEVEL 2 - RNSG 1443 EXAM 4
QUESTIONS WITH VERIFIED
SOLUTIONS
The nurse is assessing the colostomy of a client who
has had an abdominal perineal resection for a bowel tumor. Which assessment
finding indicates that the colostomy is beginning to function?
1. The passage of flatus
2. Absent bowel sounds
3. The client's ability to tolerate food
4. Bloody drainage from the colostomy - correct-answer - 520. 1
Rationale: Following abdominal perineal resection, the nurse would expect the
colostomy to begin to function within 72 hours after surgery, although it may take
up to 5 days.
,2|Page
The nurse is assessing the perineal wound in a client who has returned from the
operating room following an abdominal perineal resection and notes
serosanguineous drainage from the wound. Which nursing intervention is most
appropriate?
1. Clamp the surgical drain.
2. Change the dressing as prescribed.
3. Notify the health care provider (HCP).
4. Remove and replace the perineal packing. - correct-answer - 519. 2
Rationale: Immediately after surgery, profuse serosanguineous drainage from the
perineal wound is expected. Therefore, the nurse should change the dressing as
prescribed.
The nurse is reviewing the history of a client with bladder cancer. The nurse
expects to note documentation of which most common sign or symptom of this
type of cancer?
1. Dysuria
2. Hematuria
3. Urgency on urination
,3|Page
4. Frequency of urination - correct-answer - 521. 2
Rationale: The most common sign in clients with cancer ofthe bladder is
hematuria. The client also may experience irritative voiding symptoms such as
frequency, urgency, and dysuria, and these symptoms often are associated with
carcinoma in situ.
A client complains of fever, perineal pain, and urinary urgency, frequency, and
dysuria. To assess whether the client's problem is related to bacterial prostatitis,
the nurse reviews the results of the prostate examination for which characteristic
of this disorder?
1. Soft and swollen prostate gland
2. Swollen, and boggy prostate gland
3. Tender and edematous prostate gland
4. Tender, indurated prostate gland that is warm to
the touch - correct-answer - 714. 4
Rationale: The client with bacterial prostatitis has a swollen and tender prostate
gland that is also warm to the touch, firm, and indurated.
, 4|Page
The nurse is collecting data from a client. Which
symptom described by the client is characteristic of an early symptom of benign
prostatic hyperplasia?
1. Nocturia
2. Scrotal edema
3. Occasional constipation
4. Decreased force in the stream of urine - correct-answer - 715. 4
Rationale: Decreased force in the stream of urine is an early symptom of benign
prostatic hyperplasia. The stream later becomes weak and dribbling.
A client is admitted to the hospital with a diagnosis
of benign prostatic hyperplasia, and a transurethral
resection of the prostate is performed. Four hours
after surgery, the nurse takes the client's vital signs and empties the urinary
drainage bag. Which assessment finding indicates the need to notify the health
care provider (HCP)?
1. Red, bloody urine
