Medsurg 2: Exam 1 WITH RATIONALE -LATEST VERSION-98
QUESTIONS AND ANSWERS WITH STUDY GUIDE -
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
A nurse is talking to a group of women at a community center about
the current recommendations for early detection of breast cancer. The
nurse should explain which of the following options?
A. Begin monthly breast self examinations at age 40
B. Have a clinical breast examination each year after age 30
C. Begin annual mammograms at age 40.
D. Have breast magnetic resonance imaging every 5 years after age
50 - CORRECT ANSWER C.
Women should begin performing monthly breast self examinations at
20 years of age. From 20 - 39 years of age, women should undergo a
breast examination by a healthcare provider every 3 years. Women
older than 40 years of age should have annual breast examinations by
a healthcare provider and annual mammogram.
A nurse is planning an educational program for a group of young
adults about reducing the risk of cervical cancer. Which of the
following interventions should the nurse include?
A. Get the human papillomavirus (HPV) immunization.
B. Avoid the use of tampons on a routine basis.
C. Avoid drinking alcohol
D. Get a papanicolaou test every year starting at age 30 - CORRECT
ANSWER A.
HPV is the leading cause of cervical cancer in women. A preventive
recommendation is to receive the HPV immunization between 9-26
years of age.
A nurse is obtaining a client's health history who has cancer of the
cervix. Which of the following manifestations should the nurse
expect?
,A. Weight gain
B. Oliguria
C. Vaginal bleeding
D. Back pain - CORRECT ANSWER C.
The most common manifestation of cancer of the cervix is painless
vaginal bleeding
A nurse is teaching a client who has HIV about how the virus is
transmitted. Which of the following statements should the nurse
include in the teaching?
A. HIV can be transmitted as soon as a person develops
manifestations.
B. HIV can be transmitted to anyone who has had contact with
infected blood.
C. HIV is transmitted through the respiratory route via droplets
D. HIV is transmitted only during the active phase of the virus -
CORRECT ANSWER B.
The concentration of the virus is highest in blood but also has been
isolated in other body fluids including sputum, saliva, cerebrospinal
fluid, urine, and semen. Clients who have HIV are cautioned to
practice safe sex, avoid donating blood, and abstain from sharing
needles with others.
A nurse is assessing a 66 year old client during a routine physical
examination. This is the client's first clinic visit, and she does not
have her medical records. When the nurse asks if she has recieved
the pneumococcal immunization, the client replies "I'm not sure, but
it's been at least 5 years since I've had any immunizations." Which of
the following responses should the nurse provide?
A. "In case you had the immunization before, we can't give you
another one"
B. "You'll need a series of 3 injections"
C. "This immunization is unsafe for people over the age of 65 years
old"
, D. "Let's go ahead and give you this immunization" - CORRECT
ANSWER D.
The CDC recommends this immunization for people who are 65+ and
older. If the client did receive this immunization more than 5years
ago, the nurse should administer another because the client is over
65.
A nurse is planning care for a client who is receiving chemotherapy
and has a protein deficiency. Which of the following interventions
should the nurse include in the plan of care? Select all that apply.
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot veggies.
D. Add honey to hot tea
E. Mix yogurt into fresh fruit - CORRECT ANSWER ACE
Dairy products are good sources of protein.
A nurse is admitting a client who has multiple lyeloma and a WBC of
2,200. Which of the following foods should the nurse prohibit the
family members from bringing the client?
A. Fried chicken from a fast food resturant.
B. A case of canned nutritional supplements
C. A factory sealed box of chocolates
D. A fresh fruit basket - CORRECT ANSWER D.
Raw fruits and vegetables are contraindicated for a client who has
neutropenia, as the skin of these food items might harbor bacteria
that can cause an infection.
A home health nurse is planning care for a client who is receiving
chemotherapy and has neutropenia. Which of the following foods
should the nurse include in the client's plan of care?
A. Soft boiled eggs
B. Brie cheese made of unpasturized milk
QUESTIONS AND ANSWERS WITH STUDY GUIDE -
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
A nurse is talking to a group of women at a community center about
the current recommendations for early detection of breast cancer. The
nurse should explain which of the following options?
A. Begin monthly breast self examinations at age 40
B. Have a clinical breast examination each year after age 30
C. Begin annual mammograms at age 40.
D. Have breast magnetic resonance imaging every 5 years after age
50 - CORRECT ANSWER C.
Women should begin performing monthly breast self examinations at
20 years of age. From 20 - 39 years of age, women should undergo a
breast examination by a healthcare provider every 3 years. Women
older than 40 years of age should have annual breast examinations by
a healthcare provider and annual mammogram.
A nurse is planning an educational program for a group of young
adults about reducing the risk of cervical cancer. Which of the
following interventions should the nurse include?
A. Get the human papillomavirus (HPV) immunization.
B. Avoid the use of tampons on a routine basis.
C. Avoid drinking alcohol
D. Get a papanicolaou test every year starting at age 30 - CORRECT
ANSWER A.
HPV is the leading cause of cervical cancer in women. A preventive
recommendation is to receive the HPV immunization between 9-26
years of age.
A nurse is obtaining a client's health history who has cancer of the
cervix. Which of the following manifestations should the nurse
expect?
,A. Weight gain
B. Oliguria
C. Vaginal bleeding
D. Back pain - CORRECT ANSWER C.
The most common manifestation of cancer of the cervix is painless
vaginal bleeding
A nurse is teaching a client who has HIV about how the virus is
transmitted. Which of the following statements should the nurse
include in the teaching?
A. HIV can be transmitted as soon as a person develops
manifestations.
B. HIV can be transmitted to anyone who has had contact with
infected blood.
C. HIV is transmitted through the respiratory route via droplets
D. HIV is transmitted only during the active phase of the virus -
CORRECT ANSWER B.
The concentration of the virus is highest in blood but also has been
isolated in other body fluids including sputum, saliva, cerebrospinal
fluid, urine, and semen. Clients who have HIV are cautioned to
practice safe sex, avoid donating blood, and abstain from sharing
needles with others.
A nurse is assessing a 66 year old client during a routine physical
examination. This is the client's first clinic visit, and she does not
have her medical records. When the nurse asks if she has recieved
the pneumococcal immunization, the client replies "I'm not sure, but
it's been at least 5 years since I've had any immunizations." Which of
the following responses should the nurse provide?
A. "In case you had the immunization before, we can't give you
another one"
B. "You'll need a series of 3 injections"
C. "This immunization is unsafe for people over the age of 65 years
old"
, D. "Let's go ahead and give you this immunization" - CORRECT
ANSWER D.
The CDC recommends this immunization for people who are 65+ and
older. If the client did receive this immunization more than 5years
ago, the nurse should administer another because the client is over
65.
A nurse is planning care for a client who is receiving chemotherapy
and has a protein deficiency. Which of the following interventions
should the nurse include in the plan of care? Select all that apply.
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot veggies.
D. Add honey to hot tea
E. Mix yogurt into fresh fruit - CORRECT ANSWER ACE
Dairy products are good sources of protein.
A nurse is admitting a client who has multiple lyeloma and a WBC of
2,200. Which of the following foods should the nurse prohibit the
family members from bringing the client?
A. Fried chicken from a fast food resturant.
B. A case of canned nutritional supplements
C. A factory sealed box of chocolates
D. A fresh fruit basket - CORRECT ANSWER D.
Raw fruits and vegetables are contraindicated for a client who has
neutropenia, as the skin of these food items might harbor bacteria
that can cause an infection.
A home health nurse is planning care for a client who is receiving
chemotherapy and has neutropenia. Which of the following foods
should the nurse include in the client's plan of care?
A. Soft boiled eggs
B. Brie cheese made of unpasturized milk
