NUR 201 Med Surg Midterm 2025/2026
Study Guide
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - CORRECT ANSWER-when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - CORRECT
ANSWER-pain from bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - CORRECT ANSWER-bradycardia and confusion
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - CORRECT ANSWER-serum
acid phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - CORRECT ANSWER-Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - CORRECT
ANSWER-wound contamination
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
CORRECT ANSWER-difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - CORRECT ANSWER-blood pressure - Hytrin can cause orthostatic
hypotension
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - CORRECT ANSWER-Do not allow pregnant women into the
pt's room
,Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - CORRECT ANSWER-limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? -
CORRECT ANSWER-avoid lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - CORRECT ANSWER--alopecia
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - CORRECT ANSWER-the best time for the exam is after a shower
Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - CORRECT ANSWER-Alpha fetoprotein (AFP)
and chorionic gonadotropin (hCG)
What is the description of phimosis? - CORRECT ANSWER-inflammation of the
prepuce
Which is the description of a varicocele - CORRECT ANSWER-testicular vein dilation
what is the description for a hydrocele - CORRECT ANSWER-scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - CORRECT
ANSWER-treatment of ED is based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure -
CORRECT ANSWER-an alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - CORRECT ANSWER-
excruciating wavelike, and radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - CORRECT ANSWER-
acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - CORRECT
ANSWER-edema, proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - CORRECT ANSWER-
immunologic basis
Daily fluid intake to prevent a bladder infection should include: - CORRECT ANSWER-
2-3 liters of water a day
, On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - CORRECT ANSWER-severe, colicky back pain
radiating to the groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - CORRECT ANSWER-encourage high fluid intake
What are the functions of the kidney? Select all that apply: - CORRECT ANSWER-a.
activates vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
The kidneys receive ______% of the cardiac output? - CORRECT ANSWER-20%
The definition of oliguria is urine output in a 24-hr period of less than: - CORRECT
ANSWER-400ml
A client develops a renal disorder after taking in an antibiotic that has nephrotoxicity as
an adverse effect. The nurse adds to the client's medical record a standardized care
plan for which of the following disorders? - CORRECT ANSWER-Acute renal failure
EKG changes associated with hyperkalemia are: - CORRECT ANSWER-increased
heart rate, widened QRS, tall T waves
The most appropriate snack for the RN to offer the pt with chronic renal failure is: -
CORRECT ANSWER-hard candy (high carb, low protein)
Leading causes of ESRD - CORRECT ANSWER-diabetes and Hypertension
A client is being evaluated for brain death. Which findings are positive indicators of brain
death? - CORRECT ANSWER-pupils are nonreactive & dilated
absence of deep tendon reflexes
dolls eyes absent
Which of the following is a side effect of dilantin? - CORRECT ANSWER-hyperplasia of
the gums (give frequent mouth care)
Why would folic acid be prescribed for a person taking dilantin? - CORRECT ANSWER-
its absorption from foods is inhibited by dilantin
the earliest sign of IICP is: - CORRECT ANSWER-decreased LOC
Study Guide
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - CORRECT ANSWER-when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - CORRECT
ANSWER-pain from bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - CORRECT ANSWER-bradycardia and confusion
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - CORRECT ANSWER-serum
acid phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - CORRECT ANSWER-Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - CORRECT
ANSWER-wound contamination
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
CORRECT ANSWER-difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - CORRECT ANSWER-blood pressure - Hytrin can cause orthostatic
hypotension
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - CORRECT ANSWER-Do not allow pregnant women into the
pt's room
,Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - CORRECT ANSWER-limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? -
CORRECT ANSWER-avoid lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - CORRECT ANSWER--alopecia
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - CORRECT ANSWER-the best time for the exam is after a shower
Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - CORRECT ANSWER-Alpha fetoprotein (AFP)
and chorionic gonadotropin (hCG)
What is the description of phimosis? - CORRECT ANSWER-inflammation of the
prepuce
Which is the description of a varicocele - CORRECT ANSWER-testicular vein dilation
what is the description for a hydrocele - CORRECT ANSWER-scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - CORRECT
ANSWER-treatment of ED is based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure -
CORRECT ANSWER-an alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - CORRECT ANSWER-
excruciating wavelike, and radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - CORRECT ANSWER-
acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - CORRECT
ANSWER-edema, proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - CORRECT ANSWER-
immunologic basis
Daily fluid intake to prevent a bladder infection should include: - CORRECT ANSWER-
2-3 liters of water a day
, On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - CORRECT ANSWER-severe, colicky back pain
radiating to the groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - CORRECT ANSWER-encourage high fluid intake
What are the functions of the kidney? Select all that apply: - CORRECT ANSWER-a.
activates vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
The kidneys receive ______% of the cardiac output? - CORRECT ANSWER-20%
The definition of oliguria is urine output in a 24-hr period of less than: - CORRECT
ANSWER-400ml
A client develops a renal disorder after taking in an antibiotic that has nephrotoxicity as
an adverse effect. The nurse adds to the client's medical record a standardized care
plan for which of the following disorders? - CORRECT ANSWER-Acute renal failure
EKG changes associated with hyperkalemia are: - CORRECT ANSWER-increased
heart rate, widened QRS, tall T waves
The most appropriate snack for the RN to offer the pt with chronic renal failure is: -
CORRECT ANSWER-hard candy (high carb, low protein)
Leading causes of ESRD - CORRECT ANSWER-diabetes and Hypertension
A client is being evaluated for brain death. Which findings are positive indicators of brain
death? - CORRECT ANSWER-pupils are nonreactive & dilated
absence of deep tendon reflexes
dolls eyes absent
Which of the following is a side effect of dilantin? - CORRECT ANSWER-hyperplasia of
the gums (give frequent mouth care)
Why would folic acid be prescribed for a person taking dilantin? - CORRECT ANSWER-
its absorption from foods is inhibited by dilantin
the earliest sign of IICP is: - CORRECT ANSWER-decreased LOC
