MED SURG II EXAM 1, REVIEW PART 2 EXAM QUESTIONS AND
ANSWERS
2. A nurse is teaching a client how to prevent a vaginal infection. Which activity puts the client at risk for
altering the normal pH of her vagina?
a. consuming over four cups of coffee per day
b. having sexual intercourse during the menstrual cycle
c. douching unless instructed to do so by the healthcare provider (HCP)
d. using tampons during the menstrual cycle - CORRECT ANSWER✅✅c. douching unless instructed to do
so by the healthcare provider (HCP)`
3. A client is prescribed oral metronidazole for treatment of bacterial vaginosis. What should the nurse
instruct the client to avoid during treatment and for 24 hours thereafter?
a. douching
b. sexual intercourse
c. hot tub baths
4. alcohol consumption - CORRECT ANSWER✅✅4. alcohol consumption
4. A female client with which condition would be at risk for increased severity of vulvovaginal
candidiasis? Select all that apply.
a. uncontrolled diabetes
b. immunosuppression due to cancer
c. human immunodeficiency virus (HIV infection)
d. hypertension
e. asthma - CORRECT ANSWER✅✅a. uncontrolled diabetes
b. immunosuppression due to cancer
c. human immunodeficiency virus (HIV infection)
,5. A client taking oral contraceptives is placed on a 10-day course of antibiotics for an infection. Which
instruction should the nurse include in the teaching plan?
a. use a barrier method of birth control for the rest of your cycle
b. you should stop taking the oral contraceptives while taking the antibiotic
c. call your healthcare provider for increased hunger or fluid retention
d. take the antibiotics 2 hours after the oral contraceptive - CORRECT ANSWER✅✅a. use a barrier
method of birth control for the rest of your cycle
6. client is asking for information about using an intrauterine device (IUD). Which question when asked
by the nurse would provide pertinent information on whether or not a client is a candidate for an IUD?
a. do you smoke
b. do you have HTN
c. how often do you have sex
d. are you in a monogamous relationship - CORRECT ANSWER✅✅d. are you in a monogamous
relationship
7. A nurse is caring for a hospitalized 22-year-old female client with type 1 diabetes mellitus and toxic
shock syndrome (TSS). Which action should the nurse perform first?
a. administer 5% dextrose in half-normal saline solution at 150ml/hr
b. administer 50mg of meperidine IM every 4 hours as needed for pain
c. teach the client to use pads at night instead of tampons during her menstrual period
d. administer 400mg of ciprofloxacin IV every 12 hours infused over 1 hour - CORRECT ANSWER✅✅a.
administer 5% dextrose in half-normal saline solution at 150ml/hr
25. The client states that she has noticed that her bra fits more snugly at certain times of the month. She
asks the nurse if this is a sign of breast disease. The nurse should base the reply to this client on the
knowledge that:
,a. benign cysts tend to cause the breasts to vary in size
b. it is normal for the breasts to increase in size before menstruation begins
3. a change in breast size warrants further investigation
4. differences in breast size are related to normal growth and development - CORRECT ANSWER✅✅b. it
is normal for the breasts to increase in size before
26. A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's best
response?
a. "Having a mammogram when you are older is less painful."
b. "The incidence of breast cancer increases with age."
c. "We need to consider your family history of breast cancer first."
d. "It will be sufficient if you perform breast examinations monthly." - CORRECT ANSWER✅✅b. "The
incidence of breast cancer increases with age."
39. An adult male client has been unable to void for the past 12 hours. The best method for the nurse to
use when assessing for bladder distention in a male client is to check for
a. a rounded swelling above the pubis
b. dullness in the lower left quadrant.
c. rebound tenderness below the symphysis.
d. urine discharge from the urethral meatus. - CORRECT ANSWER✅✅a. a rounded swelling above the
pubis
40. When emptying the client's bladder during a urinary catheterization, the nurse should allow the
urine to drain from the bladder slowly to prevent:
a. renal failure
b. abdominal cramping
c. possible shock
, d. atrophy of bladder musculature - CORRECT ANSWER✅✅c. possible shock
43. The nurse is providing preoperative instructions to a client who is having a transurethral resection of
the prostate. The nurse should tell the client:
a. "You will have a central venous access inserted just prior to the procedure."
b. "Plan on being in the hospital anywhere from 5 to 7 days following the procedure."
c. "You will be taught care of the incision and suture line prior to your discharge home."
d. "Expect blood in your urine in the first couple of days following the procedure." - CORRECT
ANSWER✅✅d. "Expect blood in your urine in the first couple of days following the procedure."
45. When caring for a client with a history of benign prostatic hypertrophy (BPH), what should the nurse
do? Select all that apply.
a. provide privacy and time for the client to void
b. monitor I&O
c. catheterize the client for postpaid residual urine
d. ask the client if he has urinary retention
e. test the urine for hematuria - CORRECT ANSWER✅✅a. provide privacy and time for the client to void
b. monitor I&O
d. ask the client if he has urinary retention
e. test the urine for hematuria
46. The nurse should specifically assess a client with prostatic hypertrophy for:
a. voiding at less frequent intervals
b. difficulty starting the flow of urine
c. painful urination
d. increased force of the urine stream - CORRECT ANSWER✅✅b. difficulty starting the flow of urine
ANSWERS
2. A nurse is teaching a client how to prevent a vaginal infection. Which activity puts the client at risk for
altering the normal pH of her vagina?
a. consuming over four cups of coffee per day
b. having sexual intercourse during the menstrual cycle
c. douching unless instructed to do so by the healthcare provider (HCP)
d. using tampons during the menstrual cycle - CORRECT ANSWER✅✅c. douching unless instructed to do
so by the healthcare provider (HCP)`
3. A client is prescribed oral metronidazole for treatment of bacterial vaginosis. What should the nurse
instruct the client to avoid during treatment and for 24 hours thereafter?
a. douching
b. sexual intercourse
c. hot tub baths
4. alcohol consumption - CORRECT ANSWER✅✅4. alcohol consumption
4. A female client with which condition would be at risk for increased severity of vulvovaginal
candidiasis? Select all that apply.
a. uncontrolled diabetes
b. immunosuppression due to cancer
c. human immunodeficiency virus (HIV infection)
d. hypertension
e. asthma - CORRECT ANSWER✅✅a. uncontrolled diabetes
b. immunosuppression due to cancer
c. human immunodeficiency virus (HIV infection)
,5. A client taking oral contraceptives is placed on a 10-day course of antibiotics for an infection. Which
instruction should the nurse include in the teaching plan?
a. use a barrier method of birth control for the rest of your cycle
b. you should stop taking the oral contraceptives while taking the antibiotic
c. call your healthcare provider for increased hunger or fluid retention
d. take the antibiotics 2 hours after the oral contraceptive - CORRECT ANSWER✅✅a. use a barrier
method of birth control for the rest of your cycle
6. client is asking for information about using an intrauterine device (IUD). Which question when asked
by the nurse would provide pertinent information on whether or not a client is a candidate for an IUD?
a. do you smoke
b. do you have HTN
c. how often do you have sex
d. are you in a monogamous relationship - CORRECT ANSWER✅✅d. are you in a monogamous
relationship
7. A nurse is caring for a hospitalized 22-year-old female client with type 1 diabetes mellitus and toxic
shock syndrome (TSS). Which action should the nurse perform first?
a. administer 5% dextrose in half-normal saline solution at 150ml/hr
b. administer 50mg of meperidine IM every 4 hours as needed for pain
c. teach the client to use pads at night instead of tampons during her menstrual period
d. administer 400mg of ciprofloxacin IV every 12 hours infused over 1 hour - CORRECT ANSWER✅✅a.
administer 5% dextrose in half-normal saline solution at 150ml/hr
25. The client states that she has noticed that her bra fits more snugly at certain times of the month. She
asks the nurse if this is a sign of breast disease. The nurse should base the reply to this client on the
knowledge that:
,a. benign cysts tend to cause the breasts to vary in size
b. it is normal for the breasts to increase in size before menstruation begins
3. a change in breast size warrants further investigation
4. differences in breast size are related to normal growth and development - CORRECT ANSWER✅✅b. it
is normal for the breasts to increase in size before
26. A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's best
response?
a. "Having a mammogram when you are older is less painful."
b. "The incidence of breast cancer increases with age."
c. "We need to consider your family history of breast cancer first."
d. "It will be sufficient if you perform breast examinations monthly." - CORRECT ANSWER✅✅b. "The
incidence of breast cancer increases with age."
39. An adult male client has been unable to void for the past 12 hours. The best method for the nurse to
use when assessing for bladder distention in a male client is to check for
a. a rounded swelling above the pubis
b. dullness in the lower left quadrant.
c. rebound tenderness below the symphysis.
d. urine discharge from the urethral meatus. - CORRECT ANSWER✅✅a. a rounded swelling above the
pubis
40. When emptying the client's bladder during a urinary catheterization, the nurse should allow the
urine to drain from the bladder slowly to prevent:
a. renal failure
b. abdominal cramping
c. possible shock
, d. atrophy of bladder musculature - CORRECT ANSWER✅✅c. possible shock
43. The nurse is providing preoperative instructions to a client who is having a transurethral resection of
the prostate. The nurse should tell the client:
a. "You will have a central venous access inserted just prior to the procedure."
b. "Plan on being in the hospital anywhere from 5 to 7 days following the procedure."
c. "You will be taught care of the incision and suture line prior to your discharge home."
d. "Expect blood in your urine in the first couple of days following the procedure." - CORRECT
ANSWER✅✅d. "Expect blood in your urine in the first couple of days following the procedure."
45. When caring for a client with a history of benign prostatic hypertrophy (BPH), what should the nurse
do? Select all that apply.
a. provide privacy and time for the client to void
b. monitor I&O
c. catheterize the client for postpaid residual urine
d. ask the client if he has urinary retention
e. test the urine for hematuria - CORRECT ANSWER✅✅a. provide privacy and time for the client to void
b. monitor I&O
d. ask the client if he has urinary retention
e. test the urine for hematuria
46. The nurse should specifically assess a client with prostatic hypertrophy for:
a. voiding at less frequent intervals
b. difficulty starting the flow of urine
c. painful urination
d. increased force of the urine stream - CORRECT ANSWER✅✅b. difficulty starting the flow of urine
