Page 1 of 233
NURS 341 med surg final STUDY GUIDE EXAM
LATEST 2026-2027 ALL 550 QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Question: A 58-yr-old male patient who is diagnosed with nephrotic syndrome has ascites and
4+ leg
edema. Which patient problem is present based on these findings?
a. Activity intolerance
b. Excess fluid volume
c. Disturbed body image
d. Altered nutrition: less than required - CORRECT ANSWER✔✔ANS: B
Edema and ascites are evidence of the excess fluid volume. There are no data provided to
support the other problems.
DIF: Cognitive Level: Apply (application) REF: 1043
TOP: Nursing Process: Analysis MSC: NCLEX: Physiological Integrity
1
SUCCESS!
,Page 2 of 233
Question: A 76-yr-old with benign prostatic hyperplasia (BPH) is agitated and confused, with a
markedly distended bladder. Which intervention prescribed by the health care provider should
the nurse implement first?
a. Insert a urinary retention catheter.
b. Draw blood for a serum creatinine level.
c. Schedule an intravenous pyelogram (IVP).
d. Administer lorazepam (Ativan) 0.5 mg PO. - CORRECT ANSWER✔✔ANS: A
The patient's history and clinical manifestations are consistent with acute urinary retention,
and the priority action is to relieve the retention by catheterization. The BUN and creatinine
measurements can be obtained after the catheter is inserted. The patient's agitation may
resolve after the bladder distention is corrected, and sedative drugs should be used cautiously
in older patients. The IVP may be used as a diagnostic test but does not need to be done
urgently.
DIF: Cognitive Level: Analyze (analysis) REF: 1060
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2
SUCCESS!
,Page 3 of 233
Question: Which nursing action is of highest priority for a patient with renal calculi who is
being
admitted to the hospital with gross hematuria and severe colicky left flank pain?
a. Administer prescribed analgesics.
b. Monitor temperature every 4 hours.
c. Encourage increased oral fluid intake.
d. Give antiemetics as needed for nausea. - CORRECT ANSWER✔✔ANS: A
Although all of the nursing actions may be used for patients with renal lithiasis, the patient's
presentation indicates that management of pain is the highest priority action. If the patient has
urinary obstruction, increasing oral fluids may increase the symptoms. There is no evidence of
infection or nausea.
DIF: Cognitive Level: Analyze (analysis) REF: 1049
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3
SUCCESS!
, Page 4 of 233
Question: The nurse is caring for a patient who has had an ileal conduit for several years.
Which nursing
action could be delegated to unlicensed assistive personnel (UAP)?
a. Change the ostomy appliance.
b. Choose the appropriate ostomy bag.
c. Monitor the appearance of the stoma.
d. Assess for possible urinary tract infection (UTI). - CORRECT ANSWER✔✔ANS: A
Changing the ostomy appliance for a stable patient could be done by UAP. Assessments of the
site, choosing the appropriate ostomy bag, and assessing for UTI symptoms require more
education and scope of practice and should be done by the registered nurse (RN).
DIF: Cognitive Level: Apply (application) REF: 1059
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
Question: Which assessment finding is most important to report to the health care provider
regarding a
4
SUCCESS!
NURS 341 med surg final STUDY GUIDE EXAM
LATEST 2026-2027 ALL 550 QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Question: A 58-yr-old male patient who is diagnosed with nephrotic syndrome has ascites and
4+ leg
edema. Which patient problem is present based on these findings?
a. Activity intolerance
b. Excess fluid volume
c. Disturbed body image
d. Altered nutrition: less than required - CORRECT ANSWER✔✔ANS: B
Edema and ascites are evidence of the excess fluid volume. There are no data provided to
support the other problems.
DIF: Cognitive Level: Apply (application) REF: 1043
TOP: Nursing Process: Analysis MSC: NCLEX: Physiological Integrity
1
SUCCESS!
,Page 2 of 233
Question: A 76-yr-old with benign prostatic hyperplasia (BPH) is agitated and confused, with a
markedly distended bladder. Which intervention prescribed by the health care provider should
the nurse implement first?
a. Insert a urinary retention catheter.
b. Draw blood for a serum creatinine level.
c. Schedule an intravenous pyelogram (IVP).
d. Administer lorazepam (Ativan) 0.5 mg PO. - CORRECT ANSWER✔✔ANS: A
The patient's history and clinical manifestations are consistent with acute urinary retention,
and the priority action is to relieve the retention by catheterization. The BUN and creatinine
measurements can be obtained after the catheter is inserted. The patient's agitation may
resolve after the bladder distention is corrected, and sedative drugs should be used cautiously
in older patients. The IVP may be used as a diagnostic test but does not need to be done
urgently.
DIF: Cognitive Level: Analyze (analysis) REF: 1060
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2
SUCCESS!
,Page 3 of 233
Question: Which nursing action is of highest priority for a patient with renal calculi who is
being
admitted to the hospital with gross hematuria and severe colicky left flank pain?
a. Administer prescribed analgesics.
b. Monitor temperature every 4 hours.
c. Encourage increased oral fluid intake.
d. Give antiemetics as needed for nausea. - CORRECT ANSWER✔✔ANS: A
Although all of the nursing actions may be used for patients with renal lithiasis, the patient's
presentation indicates that management of pain is the highest priority action. If the patient has
urinary obstruction, increasing oral fluids may increase the symptoms. There is no evidence of
infection or nausea.
DIF: Cognitive Level: Analyze (analysis) REF: 1049
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3
SUCCESS!
, Page 4 of 233
Question: The nurse is caring for a patient who has had an ileal conduit for several years.
Which nursing
action could be delegated to unlicensed assistive personnel (UAP)?
a. Change the ostomy appliance.
b. Choose the appropriate ostomy bag.
c. Monitor the appearance of the stoma.
d. Assess for possible urinary tract infection (UTI). - CORRECT ANSWER✔✔ANS: A
Changing the ostomy appliance for a stable patient could be done by UAP. Assessments of the
site, choosing the appropriate ostomy bag, and assessing for UTI symptoms require more
education and scope of practice and should be done by the registered nurse (RN).
DIF: Cognitive Level: Apply (application) REF: 1059
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
Question: Which assessment finding is most important to report to the health care provider
regarding a
4
SUCCESS!
