MED SURG II TEST PAPER UPDATED EXAM QUESTIONS
AND ANSWERS RATED A+
✔✔The nurse is discussing kidney transplants with clients at a dialysis center. Which
population is less likely to participate in organ donation?
1. Caucasian.
2. African American.
3. Asian.
4. Hispanic. - ✔✔2 Many in the African American culture believe the body must be kept
intact after death, and organ donation is rare among African Americans. This is also
why a client of African American descent will be on a transplant waiting list longer than
people of other races. This is because of tissue-typing compatibility. Remember, this
does not apply to all African-Americans; every client is an individual.
✔✔The client receiving dialysis is complaining of being dizzy and light-headed. Which
action should the nurse implement first?
1. Place the client in the Trendelenburg position.
2. Turn off the dialysis machine immediately.
3. Bolus the client with 500 mL of normal saline.
4. Notify the health-care provider as soon as possible. - ✔✔1 -The nurse should place
the client's chair with the head lower than the body, which will shunt blood to the brain;
this is the Trendelenburg position.
✔✔The nurse caring for a client diagnosed with CKD writes a client problem of
"noncompliance with dietary restrictions." Which intervention should be included in the
plan of care?
1. Teach the client the proper diet to eat while undergoing dialysis.
2. Refer the client and significant other to the dietitian.
3. Explain the importance of eating the proper foods.
4. Determine the reason for the client not adhering to the diet - ✔✔4 -Noncompliance is
a choice the client has a right to make, but the nurse should determine the reason for
the noncompliance and then take appropriate actions based on the client's rationale
✔✔The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment
data warrant immediate intervention by the nurse?
1. Inability to auscultate a bruit over the fistula.
2. The client's abdomen is soft, is nontender, and has bowel sounds. 3. The dialysate
being removed from the client's abdomen is clear. 4. The dialysate instilled was 1,500
mL and removed was 1,500 mL. - ✔✔4 -Because the client is in ESRD, fluid must be
removed from the body, so the output should be more than the amount instilled. These
assessment data require intervention by the nurse.
✔✔The client receiving hemodialysis is being discharged home from the dialysis center.
Which instruction should the nurse teach the client? 1. Notify the HCP if oral
temperature is 102˚F or greater.
, 2. Apply ice to the access site if it starts bleeding at home.
3. Keep fingernails short and try not to scratch the skin.
4. Encourage significant other to make decisions for the client - ✔✔3 -Uremic frost,
which results when the skin attempts to take over the function of the kidneys, causes
itching, which can lead to scratching possibly resulting in a break in the skin.
✔✔The nurse empted 2,000 mL from the drainage bag of a continuous irrigation of a
client who had a transurethral resection of the prostate (TURP). The amount of irrigation
in the bag hanging was 3,000 mL at the beginning of the shift. There was 1,800 mL left
in the bag eight (8) hours later. What is the correct urine output at the end of the eight
(8) hours? _________ - ✔✔800 ml
✔✔The nurse observes red urine and several large clots in the tubing of the normal
saline continuous irrigation catheter for the client who is one (1) day postoperative
TURP. Which intervention should the nurse implement?
1. Remove the indwelling catheter. 2. Titrate the NS irrigation to run faster.
3. Administer protamine sulfate IVP. 4. Administer vitamin K slowly. - ✔✔2 -Increasing
the irrigation fluid will flush out the clots and blood.
✔✔Which data support to the nurse the client's diagnosis of acute bacterial prostatitis?
1. Terminal dribbling.
2. Urinary frequency.
3. Stress incontinence.
4. Sudden fever and chills. - ✔✔4 -Clients with acute bacterial prostatitis will frequently
experience a sudden onset of fever and chills. Clients with chronic prostatitis have
milder symptoms.
✔✔Which intervention should the nurse include when preparing a teaching plan for the
client with chronic prostatitis?
1. Sit in a warm sitz bath for 10 to 20 minutes several times daily.
2. Sit in the chair with the feet elevated for two (2) hours daily.
3. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily.
4. Stop broad-spectrum antibiotics as soon as the symptoms subside. - ✔✔1 -The client
should sit in a warm sitz bath for 10 to 20 minutes several times each day to provide
comfort and assist with healing.
✔✔Which nursing diagnosis is priority for the client who has undergone a TURP?
1. Potential for sexual dysfunction. 2. Potential for an altered body image.
3. Potential for chronic infection.
4. Potential for hemorrhage. - ✔✔4
✔✔Which statement indicates discharge teaching has been effective for the client who
is postoperative TURP?
1. "I will call the surgeon if I experience any difficulty urinating." 2. "I will take my Proscar
daily, the same as before my surgery."
AND ANSWERS RATED A+
✔✔The nurse is discussing kidney transplants with clients at a dialysis center. Which
population is less likely to participate in organ donation?
1. Caucasian.
2. African American.
3. Asian.
4. Hispanic. - ✔✔2 Many in the African American culture believe the body must be kept
intact after death, and organ donation is rare among African Americans. This is also
why a client of African American descent will be on a transplant waiting list longer than
people of other races. This is because of tissue-typing compatibility. Remember, this
does not apply to all African-Americans; every client is an individual.
✔✔The client receiving dialysis is complaining of being dizzy and light-headed. Which
action should the nurse implement first?
1. Place the client in the Trendelenburg position.
2. Turn off the dialysis machine immediately.
3. Bolus the client with 500 mL of normal saline.
4. Notify the health-care provider as soon as possible. - ✔✔1 -The nurse should place
the client's chair with the head lower than the body, which will shunt blood to the brain;
this is the Trendelenburg position.
✔✔The nurse caring for a client diagnosed with CKD writes a client problem of
"noncompliance with dietary restrictions." Which intervention should be included in the
plan of care?
1. Teach the client the proper diet to eat while undergoing dialysis.
2. Refer the client and significant other to the dietitian.
3. Explain the importance of eating the proper foods.
4. Determine the reason for the client not adhering to the diet - ✔✔4 -Noncompliance is
a choice the client has a right to make, but the nurse should determine the reason for
the noncompliance and then take appropriate actions based on the client's rationale
✔✔The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment
data warrant immediate intervention by the nurse?
1. Inability to auscultate a bruit over the fistula.
2. The client's abdomen is soft, is nontender, and has bowel sounds. 3. The dialysate
being removed from the client's abdomen is clear. 4. The dialysate instilled was 1,500
mL and removed was 1,500 mL. - ✔✔4 -Because the client is in ESRD, fluid must be
removed from the body, so the output should be more than the amount instilled. These
assessment data require intervention by the nurse.
✔✔The client receiving hemodialysis is being discharged home from the dialysis center.
Which instruction should the nurse teach the client? 1. Notify the HCP if oral
temperature is 102˚F or greater.
, 2. Apply ice to the access site if it starts bleeding at home.
3. Keep fingernails short and try not to scratch the skin.
4. Encourage significant other to make decisions for the client - ✔✔3 -Uremic frost,
which results when the skin attempts to take over the function of the kidneys, causes
itching, which can lead to scratching possibly resulting in a break in the skin.
✔✔The nurse empted 2,000 mL from the drainage bag of a continuous irrigation of a
client who had a transurethral resection of the prostate (TURP). The amount of irrigation
in the bag hanging was 3,000 mL at the beginning of the shift. There was 1,800 mL left
in the bag eight (8) hours later. What is the correct urine output at the end of the eight
(8) hours? _________ - ✔✔800 ml
✔✔The nurse observes red urine and several large clots in the tubing of the normal
saline continuous irrigation catheter for the client who is one (1) day postoperative
TURP. Which intervention should the nurse implement?
1. Remove the indwelling catheter. 2. Titrate the NS irrigation to run faster.
3. Administer protamine sulfate IVP. 4. Administer vitamin K slowly. - ✔✔2 -Increasing
the irrigation fluid will flush out the clots and blood.
✔✔Which data support to the nurse the client's diagnosis of acute bacterial prostatitis?
1. Terminal dribbling.
2. Urinary frequency.
3. Stress incontinence.
4. Sudden fever and chills. - ✔✔4 -Clients with acute bacterial prostatitis will frequently
experience a sudden onset of fever and chills. Clients with chronic prostatitis have
milder symptoms.
✔✔Which intervention should the nurse include when preparing a teaching plan for the
client with chronic prostatitis?
1. Sit in a warm sitz bath for 10 to 20 minutes several times daily.
2. Sit in the chair with the feet elevated for two (2) hours daily.
3. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily.
4. Stop broad-spectrum antibiotics as soon as the symptoms subside. - ✔✔1 -The client
should sit in a warm sitz bath for 10 to 20 minutes several times each day to provide
comfort and assist with healing.
✔✔Which nursing diagnosis is priority for the client who has undergone a TURP?
1. Potential for sexual dysfunction. 2. Potential for an altered body image.
3. Potential for chronic infection.
4. Potential for hemorrhage. - ✔✔4
✔✔Which statement indicates discharge teaching has been effective for the client who
is postoperative TURP?
1. "I will call the surgeon if I experience any difficulty urinating." 2. "I will take my Proscar
daily, the same as before my surgery."
