NUR/NUR 201 MED SURG 2024-2025 EXAM
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
ANSWER-difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - ANSWER-blood pressure - Hytrin can cause orthostatic hypotension
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - ANSWER-when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - ANSWER-pain
from bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - ANSWER-bradycardia and confusion
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - ANSWER-serum acid
phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - ANSWER-Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - ANSWER-wound
contamination
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - ANSWER-Do not allow pregnant women into the pt's room
Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - ANSWER-limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? -
ANSWER-avoid lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - ANSWER--alopecia
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - ANSWER-the best time for the exam is after a shower
, Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - ANSWER-Alpha fetoprotein (AFP) and chorionic
gonadotropin (hCG)
What is the description of phimosis? - ANSWER-inflammation of the prepuce
Which is the description of a varicocele - ANSWER-testicular vein dilation
what is the description for a hydrocele - ANSWER-scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - ANSWER-treatment
of ED is based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure -
ANSWER-an alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - ANSWER-excruciating wavelike,
and radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - ANSWER-acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - ANSWER-
edema, proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - ANSWER-immunologic
basis
Daily fluid intake to prevent a bladder infection should include: - ANSWER-2-3 liters of
water a day
On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - ANSWER-severe, colicky back pain radiating to the
groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - ANSWER-encourage high fluid intake
What are the functions of the kidney? Select all that apply: - ANSWER-a. activates
vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
ANSWER-difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - ANSWER-blood pressure - Hytrin can cause orthostatic hypotension
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - ANSWER-when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - ANSWER-pain
from bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - ANSWER-bradycardia and confusion
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - ANSWER-serum acid
phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - ANSWER-Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - ANSWER-wound
contamination
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - ANSWER-Do not allow pregnant women into the pt's room
Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - ANSWER-limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? -
ANSWER-avoid lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - ANSWER--alopecia
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - ANSWER-the best time for the exam is after a shower
, Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - ANSWER-Alpha fetoprotein (AFP) and chorionic
gonadotropin (hCG)
What is the description of phimosis? - ANSWER-inflammation of the prepuce
Which is the description of a varicocele - ANSWER-testicular vein dilation
what is the description for a hydrocele - ANSWER-scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - ANSWER-treatment
of ED is based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure -
ANSWER-an alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - ANSWER-excruciating wavelike,
and radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - ANSWER-acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - ANSWER-
edema, proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - ANSWER-immunologic
basis
Daily fluid intake to prevent a bladder infection should include: - ANSWER-2-3 liters of
water a day
On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - ANSWER-severe, colicky back pain radiating to the
groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - ANSWER-encourage high fluid intake
What are the functions of the kidney? Select all that apply: - ANSWER-a. activates
vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
