NUR 170 Med Surg EXAM 1
NUR 170 Med Surg Actual Exam 1 Questions and
Answers Already Graded A+ Latest Version 2025
1. The 44-year-old female client calls the clinic and tells the nurse she felt a lump while
performing breast self-examination (BSE). Which question should the nurse ask the client?
1. "Are you taking birth control pills?"
2. "Do you eat a lot of chocolate?"
3. "When was your last period?"
4. "Are you sexually active?"
- Correct Answer :3
. During the menstrual cycle, pregnancy, and menopause, variations in breast tissue occur and
must be distinguished from pathological disease. BSE is best performed on days five (5) to seven
(7) after menses, counting the first day of menses as day one (1).
2. Which problem is priority for the 24-year-old client diagnosed with endometriosis who is
admitted to the gynecological unit?
1. Hemorrhage.
2. Pain.
3. Constipation.
4. Dyspareunia.
- Correct Answer :2.
Pain is the primary complaint of the client;
the pain occurs as a result of ectopic tissue
bleeding into
3. The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral
orchiectomy. Which intervention should have priority in the client's plan of care?
1. Encourage the client to bank his sperm.
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
2. Discuss completing an advance directive.
3. Explain follow-up chemotherapy and radiation.
4. Allow the client to express his feelings regarding having cancer.
4. The nurse is teaching a class on sexually transmitted diseases to high school sophomores.
Which information should be included in the discussion?
1. Oral sex decreases the chance of transmitting a sexual disease.
2. Sexual activity during menses decreases transmission of diseases.
3. Frequent sexual activity is necessary to transmit a sexual disease.
4. Unprotected sex puts the individual at risk for many diseases
. - Correct Answer :4.
According to developmental theories,
adolescents think they are invincible and
nothing will happen to them. This attitude
leads adolescents to participate in high-risk
behaviors without regard to consequences.
5. The nurse has taught Kegel exercises to the client who is para 5, gravida 5. Which information
indicates the exercises have been effective?
1. The client reports no SOB when walking up stairs.
2. The client has no complaints of stress incontinence.
3. The client denies being pregnant at this time.
4. The client has lost 10 lb in the last two (2) months
. - Correct Answer :2
. Kegel exercises are exercises that
strengthen the perineal muscles. Multiple
pregnancies weaken the pelvic muscles,
resulting
in bladder incontinence; a report
of no stress incontinence indicates the
Kegel
exercises are effective.
6. Which diagnostic procedure does the nurse anticipate being ordered for the 27-year-old
female client who is reporting irregular menses and complaining of lower left abdominal pain
during menses?
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
1. Pelvic sonogram.
2. Complete blood count (CBC).
3. Kidney, ureter, bladder (KUB) x-ray.
4. Computed tomography (CT) of abdomen.
- Correct Answer :1.
The pelvic sonogram, which visualizes the ovary using sound waves, is a diagnostic test for an
ovarian cyst, which would be suspected with the client's signs/symptoms.
7. The client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which
laboratory value should the nurse assess prior to administering the chemotherapy?
1. Prostate-specific antigen (PSA).
2. Serum calcium level.
3. Complete blood count (CBC).
4. Alpha-fetoprotein (AFP).
- Correct Answer :3.
The CBC is monitored to determine if the client is at risk for developing an infection or bleeding
as a result of side effects of the chemotherapy medications. The chemotherapy could be held or
decreased based
on these results.
8. Which client should the charge nurse of the day surgery unit assign to a new graduate nurse in
orientation?
1. The client who had an arthroscopy with an AP of 110 and BP of 94/60.
2. The client with open reduction of the ankle who is confused.
3. The client with a total hip replacement who is being transferred to the ICU.
4. The client diagnosed with low back pain who has had a myelogram.
- Correct Answer :4
. A myelogram is a routine diagnostic test. With minimal instruction, an inexperienced nurse
could care for this client.
9. The client in the long-term care facility has severe osteoarthritis. Which nursing task should
the nurse delegate to the unlicensed assistive personnel (UAP)?
1. Feed the client the breakfast meal.
2. Give the client Maalox, an antacid.
3. Monitor the client's INR results.
4. Assist the client to the shower room.
- Correct Answer :4.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
The UAP could assist the client to ambulate to the shower room and assist with morning care.
10. The primary nurse is applying antiembolism hose to the client who had a total hip
replacement. Which situation warrants immediate intervention by the charge nurse?
1. Two fingers can be placed under the top of the band.
2. The peripheral capillary refill time is less than three (3) seconds.
3. There are wrinkles in the hose behind the knees.
4. The nurse does not place a hose on the foot with a venous ulcer.
- Correct Answer :3.
There should be no wrinkles in the hose after application. Wrinkles could cause constriction in
the area, resulting in clot formation or skin breakdown; therefore, this would warrant immediate
intervention
by the charge nurse.
11. The 54-year-old female client is diagnosed with osteoporosis. Which interventions should the
nurse discuss with the client? Select all that apply.
1. Instruct the client to swim 30 minutes every day.
2. Encourage drinking milk with added vitamin D.
3. Determine if the client smokes cigarettes.
4. Recommend the client not go outside.
5. Teach about safety and fall precautions.
- Correct Answer :2.
Vitamin D helps the body absorb calcium.
3. Smoking interferes with estrogen's protective effects on bones, promoting bone loss.
5. The client is at risk for fractures; therefore, a fall could result in serious complications.
12. The 33-year-old client had a traumatic amputation of the right forearm as a result of a work-
related injury. Which referral by the
rehabilitation nurse is most appropriate?
1. Physical therapist.
2. Occupational therapist.
3. Workers' compensation.
4. State rehabilitation commission
. - Correct Answer :2.
The occupational therapist focuses on
evaluating and improving functional abilities
A+ TEST BANK 4
NUR 170 Med Surg Actual Exam 1 Questions and
Answers Already Graded A+ Latest Version 2025
1. The 44-year-old female client calls the clinic and tells the nurse she felt a lump while
performing breast self-examination (BSE). Which question should the nurse ask the client?
1. "Are you taking birth control pills?"
2. "Do you eat a lot of chocolate?"
3. "When was your last period?"
4. "Are you sexually active?"
- Correct Answer :3
. During the menstrual cycle, pregnancy, and menopause, variations in breast tissue occur and
must be distinguished from pathological disease. BSE is best performed on days five (5) to seven
(7) after menses, counting the first day of menses as day one (1).
2. Which problem is priority for the 24-year-old client diagnosed with endometriosis who is
admitted to the gynecological unit?
1. Hemorrhage.
2. Pain.
3. Constipation.
4. Dyspareunia.
- Correct Answer :2.
Pain is the primary complaint of the client;
the pain occurs as a result of ectopic tissue
bleeding into
3. The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral
orchiectomy. Which intervention should have priority in the client's plan of care?
1. Encourage the client to bank his sperm.
A+ TEST BANK 1
, NUR 170 Med Surg EXAM 1
2. Discuss completing an advance directive.
3. Explain follow-up chemotherapy and radiation.
4. Allow the client to express his feelings regarding having cancer.
4. The nurse is teaching a class on sexually transmitted diseases to high school sophomores.
Which information should be included in the discussion?
1. Oral sex decreases the chance of transmitting a sexual disease.
2. Sexual activity during menses decreases transmission of diseases.
3. Frequent sexual activity is necessary to transmit a sexual disease.
4. Unprotected sex puts the individual at risk for many diseases
. - Correct Answer :4.
According to developmental theories,
adolescents think they are invincible and
nothing will happen to them. This attitude
leads adolescents to participate in high-risk
behaviors without regard to consequences.
5. The nurse has taught Kegel exercises to the client who is para 5, gravida 5. Which information
indicates the exercises have been effective?
1. The client reports no SOB when walking up stairs.
2. The client has no complaints of stress incontinence.
3. The client denies being pregnant at this time.
4. The client has lost 10 lb in the last two (2) months
. - Correct Answer :2
. Kegel exercises are exercises that
strengthen the perineal muscles. Multiple
pregnancies weaken the pelvic muscles,
resulting
in bladder incontinence; a report
of no stress incontinence indicates the
Kegel
exercises are effective.
6. Which diagnostic procedure does the nurse anticipate being ordered for the 27-year-old
female client who is reporting irregular menses and complaining of lower left abdominal pain
during menses?
A+ TEST BANK 2
, NUR 170 Med Surg EXAM 1
1. Pelvic sonogram.
2. Complete blood count (CBC).
3. Kidney, ureter, bladder (KUB) x-ray.
4. Computed tomography (CT) of abdomen.
- Correct Answer :1.
The pelvic sonogram, which visualizes the ovary using sound waves, is a diagnostic test for an
ovarian cyst, which would be suspected with the client's signs/symptoms.
7. The client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which
laboratory value should the nurse assess prior to administering the chemotherapy?
1. Prostate-specific antigen (PSA).
2. Serum calcium level.
3. Complete blood count (CBC).
4. Alpha-fetoprotein (AFP).
- Correct Answer :3.
The CBC is monitored to determine if the client is at risk for developing an infection or bleeding
as a result of side effects of the chemotherapy medications. The chemotherapy could be held or
decreased based
on these results.
8. Which client should the charge nurse of the day surgery unit assign to a new graduate nurse in
orientation?
1. The client who had an arthroscopy with an AP of 110 and BP of 94/60.
2. The client with open reduction of the ankle who is confused.
3. The client with a total hip replacement who is being transferred to the ICU.
4. The client diagnosed with low back pain who has had a myelogram.
- Correct Answer :4
. A myelogram is a routine diagnostic test. With minimal instruction, an inexperienced nurse
could care for this client.
9. The client in the long-term care facility has severe osteoarthritis. Which nursing task should
the nurse delegate to the unlicensed assistive personnel (UAP)?
1. Feed the client the breakfast meal.
2. Give the client Maalox, an antacid.
3. Monitor the client's INR results.
4. Assist the client to the shower room.
- Correct Answer :4.
A+ TEST BANK 3
, NUR 170 Med Surg EXAM 1
The UAP could assist the client to ambulate to the shower room and assist with morning care.
10. The primary nurse is applying antiembolism hose to the client who had a total hip
replacement. Which situation warrants immediate intervention by the charge nurse?
1. Two fingers can be placed under the top of the band.
2. The peripheral capillary refill time is less than three (3) seconds.
3. There are wrinkles in the hose behind the knees.
4. The nurse does not place a hose on the foot with a venous ulcer.
- Correct Answer :3.
There should be no wrinkles in the hose after application. Wrinkles could cause constriction in
the area, resulting in clot formation or skin breakdown; therefore, this would warrant immediate
intervention
by the charge nurse.
11. The 54-year-old female client is diagnosed with osteoporosis. Which interventions should the
nurse discuss with the client? Select all that apply.
1. Instruct the client to swim 30 minutes every day.
2. Encourage drinking milk with added vitamin D.
3. Determine if the client smokes cigarettes.
4. Recommend the client not go outside.
5. Teach about safety and fall precautions.
- Correct Answer :2.
Vitamin D helps the body absorb calcium.
3. Smoking interferes with estrogen's protective effects on bones, promoting bone loss.
5. The client is at risk for fractures; therefore, a fall could result in serious complications.
12. The 33-year-old client had a traumatic amputation of the right forearm as a result of a work-
related injury. Which referral by the
rehabilitation nurse is most appropriate?
1. Physical therapist.
2. Occupational therapist.
3. Workers' compensation.
4. State rehabilitation commission
. - Correct Answer :2.
The occupational therapist focuses on
evaluating and improving functional abilities
A+ TEST BANK 4
