NURS 4431 EXAM II STUDY GUIDE cardiac system,
musculoskeletal system, renal system, neurologic,
gastrointestinal, and reproductive systems
A charge nurse is observing a nurse insert an indwelling urinary catheter
into a female client. For which of the following actions by the nurse
should the charge nurse intervene?
A. The nurse separates the client's labia with her dominant hand.
B. The nurse coats the indwelling urinary catheter with lubricant.
C. The nurse provides perineal care prior to inserting the urinary
catheter.
D. The nurse applies the sterile drape prior to inserting the urinary
catheter. Ans✓✓✓A. The nurse separates the client's labia with her
dominant hand.
A client who has Type 2 diabetes mellitus asks the nurse, "Why did I
develop diabetes?" Which of the following responses should the nurse
make?
A. "Your body is destroying the cells that secrete insulin."
B. "Your body has insulin resistance and decreased insulin secretion."
C. "An infection in your pancreas destroyed the cells that make insulin."
D. "Your kidneys are not able to reabsorb water which leads to Type 2
diabetes mellitus." Ans✓✓✓B. "Your body has insulin resistance and
decreased insulin secretion."
,A nurse administers desmopressin to a client who has a diagnosis of
diabetes insipidus. The nurse recognizes that which the following
laboratory findings indicate a therapeutic effect of the medication?
A. Serum sodium 146 mEq/L
B. Blood glucose 80 mg/dL
C. Urine specific gravity 1.015
D. Blood urea nitrogen (BUN) 15 mg/dL Ans✓✓✓C. Urine specific
gravity 1.015
A nurse in a cardiac care unit is caring for a client with acute right-sided
heart failure. Which of the following findings should the nurse expect?
A. Decreased brain natriuretic peptide (BNP).
B. Elevated central venous pressure (CVP).
C. Increased pulmonary artery wedge pressure (PAWP).
D. Decreased specific gravity Ans✓✓✓B. Elevated central venous
pressure (CVP).
A nurse in a clinic is caring for a female client who was exposed to
gonorrhea. Which of the following actions should the nurse take?
A. Instruct the client about preventing reinfection by using a diaphragm.
B. Tell the client to expect some joint pain.
C. Obtain information about the client's recent sexual experiences.
,D. Collect a urine specimen from the client. Ans✓✓✓C. Obtain
information about the client's recent sexual experiences.
A nurse in a clinic is reviewing the laboratory values of a client who has
primary hypothyroidism. The nurse should anticipate an elevation of
which of the following laboratory values?
A. Thyroid stimulating hormone (TSH)
B. Free T4
C. Serum T4
D. Serum T3 Ans✓✓✓A. Thyroid stimulating hormone (TSH)
A nurse in a community clinic is counseling a client who received a
positive test result for chlamydia. Which of the following statements
should the nurse provide?
A. "This infection is treated with one dose of azithromycin."
B. "If your sexual partner has no symptoms, no medication is needed."
C. "You have to avoid sexual relations for 3 days."
D. "You need to return in 6 months for retesting." Ans✓✓✓A. "This
infection is treated with one dose of azithromycin."
A nurse in a coronary care unit is admitting a client who has had CPR
following a cardiac arrest. The client is receiving lidocaine IV at 2
mg/min. When the client asks the nurse why he is receiving that
, medication, the nurse should explain that it has which of the following
actions?
A. Prevents dysrhythmias
B. Slows intestinal motility
C. Dissolves blood clots
D. Relieves pain Ans✓✓✓A. Prevents dysrhythmias
A nurse in a provider's clinic is caring for a client who reports erectile
dysfunction and requests a prescription for sildenafil. Which of the
following medications currently prescribed for the client is a
contraindication to taking sildenafil?
A. Isosorbide
B. Phenytoin
C. Metronidazole
D. Prednisone Ans✓✓✓A. Isosorbide
A nurse in a provider's office is planning care for a client who has a new
diagnosis of polycystic ovarian syndrome. The nurse should plan to
monitor which of the following laboratory values?
A. BUN
B. Glucose
C. Liver function
musculoskeletal system, renal system, neurologic,
gastrointestinal, and reproductive systems
A charge nurse is observing a nurse insert an indwelling urinary catheter
into a female client. For which of the following actions by the nurse
should the charge nurse intervene?
A. The nurse separates the client's labia with her dominant hand.
B. The nurse coats the indwelling urinary catheter with lubricant.
C. The nurse provides perineal care prior to inserting the urinary
catheter.
D. The nurse applies the sterile drape prior to inserting the urinary
catheter. Ans✓✓✓A. The nurse separates the client's labia with her
dominant hand.
A client who has Type 2 diabetes mellitus asks the nurse, "Why did I
develop diabetes?" Which of the following responses should the nurse
make?
A. "Your body is destroying the cells that secrete insulin."
B. "Your body has insulin resistance and decreased insulin secretion."
C. "An infection in your pancreas destroyed the cells that make insulin."
D. "Your kidneys are not able to reabsorb water which leads to Type 2
diabetes mellitus." Ans✓✓✓B. "Your body has insulin resistance and
decreased insulin secretion."
,A nurse administers desmopressin to a client who has a diagnosis of
diabetes insipidus. The nurse recognizes that which the following
laboratory findings indicate a therapeutic effect of the medication?
A. Serum sodium 146 mEq/L
B. Blood glucose 80 mg/dL
C. Urine specific gravity 1.015
D. Blood urea nitrogen (BUN) 15 mg/dL Ans✓✓✓C. Urine specific
gravity 1.015
A nurse in a cardiac care unit is caring for a client with acute right-sided
heart failure. Which of the following findings should the nurse expect?
A. Decreased brain natriuretic peptide (BNP).
B. Elevated central venous pressure (CVP).
C. Increased pulmonary artery wedge pressure (PAWP).
D. Decreased specific gravity Ans✓✓✓B. Elevated central venous
pressure (CVP).
A nurse in a clinic is caring for a female client who was exposed to
gonorrhea. Which of the following actions should the nurse take?
A. Instruct the client about preventing reinfection by using a diaphragm.
B. Tell the client to expect some joint pain.
C. Obtain information about the client's recent sexual experiences.
,D. Collect a urine specimen from the client. Ans✓✓✓C. Obtain
information about the client's recent sexual experiences.
A nurse in a clinic is reviewing the laboratory values of a client who has
primary hypothyroidism. The nurse should anticipate an elevation of
which of the following laboratory values?
A. Thyroid stimulating hormone (TSH)
B. Free T4
C. Serum T4
D. Serum T3 Ans✓✓✓A. Thyroid stimulating hormone (TSH)
A nurse in a community clinic is counseling a client who received a
positive test result for chlamydia. Which of the following statements
should the nurse provide?
A. "This infection is treated with one dose of azithromycin."
B. "If your sexual partner has no symptoms, no medication is needed."
C. "You have to avoid sexual relations for 3 days."
D. "You need to return in 6 months for retesting." Ans✓✓✓A. "This
infection is treated with one dose of azithromycin."
A nurse in a coronary care unit is admitting a client who has had CPR
following a cardiac arrest. The client is receiving lidocaine IV at 2
mg/min. When the client asks the nurse why he is receiving that
, medication, the nurse should explain that it has which of the following
actions?
A. Prevents dysrhythmias
B. Slows intestinal motility
C. Dissolves blood clots
D. Relieves pain Ans✓✓✓A. Prevents dysrhythmias
A nurse in a provider's clinic is caring for a client who reports erectile
dysfunction and requests a prescription for sildenafil. Which of the
following medications currently prescribed for the client is a
contraindication to taking sildenafil?
A. Isosorbide
B. Phenytoin
C. Metronidazole
D. Prednisone Ans✓✓✓A. Isosorbide
A nurse in a provider's office is planning care for a client who has a new
diagnosis of polycystic ovarian syndrome. The nurse should plan to
monitor which of the following laboratory values?
A. BUN
B. Glucose
C. Liver function
