NSG 3800 Exam 4 med surge 2 practice exam 2 with
250 questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 4 Prep 2026-
2027 (NSG 3800 Medical Surgical II Exam 4 Prep)
58. A 42-year-old man has come to the clinic for an annual physical. The nurse
notes in the patients history that his father was treated for breast cancer. What
should the nurse provide to the patient before he
leaves the clinic?
A) A referral for a mammogram
B) Instructions about breast self-examination (BSE)
C) A referral to a surgeon
D) A referral to a support group - ANSWER-b
58. The nurse is teaching breast self-examination (BSE) to a group of women. The
nurse should recommend
that the women perform BSE at what time?
A) At the time of menses
B) At any convenient time, regardless of cycles
C) Weekly
D) Between days 5 and 7 after menses - ANSWER-d
58. A nurse is teaching a group of women about the potential benefits of breast
self-examination (BSE). The
nurse should teach the women that effective BSE is dependent on what factor?
1
,A) Womens knowledge of how their breasts normally look and feel
B) The rapport that exists between the woman and her primary care provider
C) Synchronizing womens routines around BSE with the performance of
mammograms
D) Womens knowledge of the pathophysiology of breast cancer - ANSWER-a
The physical assessment and history of a 29-year-old female patient are indicative
of human papillomavirus (HPV) infection. You would perform patient teaching
related to
a) Gardasil.
b) Antibiotic therapy.
c) Wart removal options.
d) Treatment with antiviral drugs. - ANSWER-c
A client is diagnosed as being in the primary stage of syphilis? Which of the
following would the nurse expect as a finding?
a) Development of gummas
b) Palmar rash
c) Genital chancres
d) Development of central nervous system lesions - ANSWER-c
A client with genital herpes simplex infection asks the nurse, "Will I ever be cured
of this infection?" Which response by the nurse would be most appropriate?
a) "All you need is a dose of penicillin and the infection will be gone."
b) "There is a new vaccine available that prevents the infection from returning."
c) "Once you have the infection, you develop an immunity to it."
2
,d) "There is no cure, but drug therapy helps to reduce symptoms and recurrences."
- ANSWER-d
A client is prescribed didanosine (Videx) as part of his highly active antiretroviral
therapy (HAART). Which instruction would the nurse emphasize with this client?
a) "You should take the drug with an antacid."
b) "It doesn't matter if you take this drug with or without food."
c) "Be sure to take this drug about 1/2 hour before or 2 hours after you eat."
d) "When you take this drug, eat a high-fat meal immediately afterwards." -
ANSWER-c
A group of students are reviewing class material on sexually transmitted infections
in preparation for a test. The students demonstrate understanding of the material
when they identify which of the following as the cause of condylomata?
a) Human papilloma virus
b) Haemophilus ducreyi bacillus
c) Herpes virus
d) Treponema pallidum - ANSWER-a
A patient comes to the free clinic complaining of urethral discharge. On
assessment, the nurse notes that the patient is feverish. During the assessment, the
patient admits to having unprotected sex. The nurse suspects the patient may have
a diagnosis of what?
a) HIV
b) Chlamydia
c) Syphilis
d) Gonorrhea - ANSWER-d
3
, A female client with an anal gonorrheal infection experiences painful bowel
elimination and a purulent rectal discharge. The nurse would expect to find which
of the following once the microorganism disseminates throughout the body?
a) Painful joints
b) Intermenstrual bleeding
c) Sore throat
d) Painful urination - ANSWER-a
A student nurse is doing clinical hours at an OB/GYN clinic. The student is
helping to develop a plan of care for a patient with gonorrhea has presented at the
clinic. The student knows that the care plan for this patient should be include what
in the treatment of gonorrhea?
a) Concurrent treatment for chlamydia
b) Avoidance of the use of tampons
c) Vaginal smears every 6 months
d) Radiation therapy to destroy cancerous cells - ANSWER-a
CH54S. The nurse is assessing a client with epididymitis. The nurse anticipates
which findings on physical examination?
a. fever, diarrhea, groin pain, and ecchymosis
b. Nausea, painful scrotal edema, and ecchymosis
c. fever, nausea, vomiting, and painful scrotal edema
d. diarrhea, groin pain, testicular torsion, and scrotal edema - ANSWER-c
CH54S. The nurse is collecting data from a client. Which symptom described by
the client is characteristic of an early symptom of benign prostatic hyperplasia?
a. nocturia
b. scrotal edema
4
250 questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 4 Prep 2026-
2027 (NSG 3800 Medical Surgical II Exam 4 Prep)
58. A 42-year-old man has come to the clinic for an annual physical. The nurse
notes in the patients history that his father was treated for breast cancer. What
should the nurse provide to the patient before he
leaves the clinic?
A) A referral for a mammogram
B) Instructions about breast self-examination (BSE)
C) A referral to a surgeon
D) A referral to a support group - ANSWER-b
58. The nurse is teaching breast self-examination (BSE) to a group of women. The
nurse should recommend
that the women perform BSE at what time?
A) At the time of menses
B) At any convenient time, regardless of cycles
C) Weekly
D) Between days 5 and 7 after menses - ANSWER-d
58. A nurse is teaching a group of women about the potential benefits of breast
self-examination (BSE). The
nurse should teach the women that effective BSE is dependent on what factor?
1
,A) Womens knowledge of how their breasts normally look and feel
B) The rapport that exists between the woman and her primary care provider
C) Synchronizing womens routines around BSE with the performance of
mammograms
D) Womens knowledge of the pathophysiology of breast cancer - ANSWER-a
The physical assessment and history of a 29-year-old female patient are indicative
of human papillomavirus (HPV) infection. You would perform patient teaching
related to
a) Gardasil.
b) Antibiotic therapy.
c) Wart removal options.
d) Treatment with antiviral drugs. - ANSWER-c
A client is diagnosed as being in the primary stage of syphilis? Which of the
following would the nurse expect as a finding?
a) Development of gummas
b) Palmar rash
c) Genital chancres
d) Development of central nervous system lesions - ANSWER-c
A client with genital herpes simplex infection asks the nurse, "Will I ever be cured
of this infection?" Which response by the nurse would be most appropriate?
a) "All you need is a dose of penicillin and the infection will be gone."
b) "There is a new vaccine available that prevents the infection from returning."
c) "Once you have the infection, you develop an immunity to it."
2
,d) "There is no cure, but drug therapy helps to reduce symptoms and recurrences."
- ANSWER-d
A client is prescribed didanosine (Videx) as part of his highly active antiretroviral
therapy (HAART). Which instruction would the nurse emphasize with this client?
a) "You should take the drug with an antacid."
b) "It doesn't matter if you take this drug with or without food."
c) "Be sure to take this drug about 1/2 hour before or 2 hours after you eat."
d) "When you take this drug, eat a high-fat meal immediately afterwards." -
ANSWER-c
A group of students are reviewing class material on sexually transmitted infections
in preparation for a test. The students demonstrate understanding of the material
when they identify which of the following as the cause of condylomata?
a) Human papilloma virus
b) Haemophilus ducreyi bacillus
c) Herpes virus
d) Treponema pallidum - ANSWER-a
A patient comes to the free clinic complaining of urethral discharge. On
assessment, the nurse notes that the patient is feverish. During the assessment, the
patient admits to having unprotected sex. The nurse suspects the patient may have
a diagnosis of what?
a) HIV
b) Chlamydia
c) Syphilis
d) Gonorrhea - ANSWER-d
3
, A female client with an anal gonorrheal infection experiences painful bowel
elimination and a purulent rectal discharge. The nurse would expect to find which
of the following once the microorganism disseminates throughout the body?
a) Painful joints
b) Intermenstrual bleeding
c) Sore throat
d) Painful urination - ANSWER-a
A student nurse is doing clinical hours at an OB/GYN clinic. The student is
helping to develop a plan of care for a patient with gonorrhea has presented at the
clinic. The student knows that the care plan for this patient should be include what
in the treatment of gonorrhea?
a) Concurrent treatment for chlamydia
b) Avoidance of the use of tampons
c) Vaginal smears every 6 months
d) Radiation therapy to destroy cancerous cells - ANSWER-a
CH54S. The nurse is assessing a client with epididymitis. The nurse anticipates
which findings on physical examination?
a. fever, diarrhea, groin pain, and ecchymosis
b. Nausea, painful scrotal edema, and ecchymosis
c. fever, nausea, vomiting, and painful scrotal edema
d. diarrhea, groin pain, testicular torsion, and scrotal edema - ANSWER-c
CH54S. The nurse is collecting data from a client. Which symptom described by
the client is characteristic of an early symptom of benign prostatic hyperplasia?
a. nocturia
b. scrotal edema
4
