MED\ SURG PROCTORED RETAKE
STUDY GUIDE FULLY EXPLAINED
A nurse at a providers office is caring for an older adult client who is having an annual physical exam.
Which of the following findings indicates additional follow-up is needed in regard to the prostate gland?
(Select all that apply.)
A. Prostate specific antigen (PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
D. The client reports urinating once during the night.
E. Smegma is present below the glans of the - ANSWER✔✔✨---A. Prostate specific antigen (PSA) is
7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which
of the following information should the nurse include?
A. "This procedure will determine if you have prostate cancer."
B. "The procedure is contraindicated if you have an allergy to eggs."
C. "Sound waves will be used to create a picture of your prostate."
D. "You should avoid having a bowel movement 1 hr prior to the procedure." - ANSWER✔✔✨---C.
"Sound waves will be used to create a picture of your prostate."
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the
following actions should the nurse include in the plan of care?
A. Initiate contact precautions.
B. Weigh the client weekly.
, C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus.
D. Provide a high-calorie and high-carbohydrate diet. - ANSWER✔✔✨---D. Provide a high-calorie
and high-carbohydrate diet.
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory
findings should the nurse expect?
A. Presence of immunoglobulin G antibodies (IgG)
B. Positive EIA test
C. Aspartate aminotransferase (AST) 35 units/L
D. Alanine aminotransferase (ALT) 15 IU/L - ANSWER✔✔✨---B. Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following
findings as indicators of hepatic encephalopathy? (Select all that apply.)
A. Anorexia
B. Change in orientation
C. Asterixis
D. Ascites
E. Fetor hepaticus - ANSWER✔✔✨---B. Change in orientation
C. Asterixis
E. Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect
to administer to this client? (Select all that apply.)
A. Diuretic
B. Beta-blocking agent
C. Opioid analgesic
D. Lactulose
E. Sedative - ANSWER✔✔✨---A. Diuretic
B. Beta-blocking agent
D. Lactulose
STUDY GUIDE FULLY EXPLAINED
A nurse at a providers office is caring for an older adult client who is having an annual physical exam.
Which of the following findings indicates additional follow-up is needed in regard to the prostate gland?
(Select all that apply.)
A. Prostate specific antigen (PSA) is 7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
D. The client reports urinating once during the night.
E. Smegma is present below the glans of the - ANSWER✔✔✨---A. Prostate specific antigen (PSA) is
7.1 ng/mL.
B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate.
C. The client reports a weak urine stream.
A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which
of the following information should the nurse include?
A. "This procedure will determine if you have prostate cancer."
B. "The procedure is contraindicated if you have an allergy to eggs."
C. "Sound waves will be used to create a picture of your prostate."
D. "You should avoid having a bowel movement 1 hr prior to the procedure." - ANSWER✔✔✨---C.
"Sound waves will be used to create a picture of your prostate."
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the
following actions should the nurse include in the plan of care?
A. Initiate contact precautions.
B. Weigh the client weekly.
, C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus.
D. Provide a high-calorie and high-carbohydrate diet. - ANSWER✔✔✨---D. Provide a high-calorie
and high-carbohydrate diet.
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory
findings should the nurse expect?
A. Presence of immunoglobulin G antibodies (IgG)
B. Positive EIA test
C. Aspartate aminotransferase (AST) 35 units/L
D. Alanine aminotransferase (ALT) 15 IU/L - ANSWER✔✔✨---B. Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following
findings as indicators of hepatic encephalopathy? (Select all that apply.)
A. Anorexia
B. Change in orientation
C. Asterixis
D. Ascites
E. Fetor hepaticus - ANSWER✔✔✨---B. Change in orientation
C. Asterixis
E. Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect
to administer to this client? (Select all that apply.)
A. Diuretic
B. Beta-blocking agent
C. Opioid analgesic
D. Lactulose
E. Sedative - ANSWER✔✔✨---A. Diuretic
B. Beta-blocking agent
D. Lactulose
