MDC3 exam 1

A client with polycystic ovary syndrome (PCOS) is undergoing pharmacologically induced ovulation. What is a potential complication of this treatment?

Enlarged multicystic ovaries

A client presents with premenstrual syndrome (PMS) that significantly impacts her daily

functioning. What intervention should the nurse suggest as part of the initial

management plan?

Initiate a regular exercise program and stress reduction techniques

Which of the following clients are at risk of developing genital warts?

Recent diagnosis of human papillomavirus (HPV)

A nurse is caring for a male client who was recently diagnosed with benign prostatic

hypertrophy. The client is to start taking medication. Which of the following medications

should the nurse verify the client is taking?

Anticholinergic

A client with a history of urinary stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). What instructions should the nurse include in the teaching plan?

Instruct the client to strain all urine and inspect for stone fragments

A client with a history of primary glomerular disease is experiencing a decrease in urine

output and an increase in serum creatinine. Which intervention should the nurse

prioritize?

Monitor the client’s fluid and electrolyte balance

nurse is providing care for a client who is a transgender woman who has been on

estrogen therapy. The client presents with redness and swelling to the left lower leg with

accompanying pain. What is the nurse’s best course of action? (Select all that apply.)

Report findings to the healthcare provider promptly And Consider the symptoms as related to the client’s hormone therapy

A client with a known history of benign prostatic hypertrophy (BPH) presents with

difficulty initiating urination and a weak urinary stream. Which of the following diagnostic

tests should the nurse anticipate? (Select all that apply.)

Serum prostate-specific antigen and

Digital rectal examination

A client with a history of type 2 diabetes reports increased urinary frequency, a

decreased force of urine stream, and nocturia. Based on the client’s history and

symptoms, which would be the most appropriate nursing approach?

Perform a focused assessment of the client’s urinary and sexual function

A client with renal cancer is scheduled for a radical nephrectomy. Which should the

nurse include in the preoperative teaching?

Instructions on postoperative ambulation to prevent deep vein thrombosis

A client with erectile dysfunction (ED) is being considered for pharmacologic therapy.

When educating the client on phosphodiesterase type 5 inhibitors (PDE-5 inhibitors),

Avoiding the concurrent use of nitrates due to enhanced side effects

A 32-year-old client is complaining of heavy menstrual periods and prolonged periods.

Which of the following tests should the nurse anticipate being done based on the client’s

symptoms?

Complete blood count (CBC)

During a health history interview, a client mentions experiencing dysuria. Which

question is most appropriate for the nurse to ask to further assess the client’s condition?

Can you describe the characteristics of the pain?

The nurse is caring for a 45-year-old female client who presented to the healthcare

provider’s office with concerns regarding finding a lump during her monthly self-breast

exam. The nurse anticipates which test is needed to confirm a diagnosis of breast

cancer?

Biopsy

An older adult client is being treated for endometrial cancer. Which common symptom

does the nurse expect to find in the client’s record that was reported before the client

was diagnosed?

a. Pelvic pain

b. Vaginal discharge

c. Postmenopausal uterine bleeding

d. Nausea and anorexia

Postmenopausal uterine bleeding

A client presents with a history of recurrent vulvovaginal candidiasis (yeast infections)

that does not respond to standard treatment. Which action should the nurse prioritize to

further evaluate the client’s condition?

Arrange for the client to be assessed for underlying conditions such as diabetes or HIV

A nurse explains contraceptive options with a client. The nurse shares information about

the single rod subdermal implant. Which would the nurse expect to include? (Select all

that apply.)

a. The implant is virtually undetectable by others

b. The contraceptive agent may cause irregular menstruation

c. The implant has a noticeable mark at the insertion site

d. The implant may cause changes in menstrual bleeding

e. It is effective for up to three years

Question 19A nurse is caring for a client diagnosed with polycystic kidney disease (PKD). The nurse

anticipates all of the following interventions or treatments except which of the following?

a. Genetic counseling

b. Blood pressure control

c. Pain management

d.  Blood transfusion

Blood transfusion

A client with chronic pyelonephritis is being educated on the long-term management of

the condition. Which of the following client statements indicates a need for further

teaching?

“If I experience back pain, I can take over-the-counter aspirin to manage it.”

A client on the medical-surgical floor reports increased frequency of urination and the

sensation of incomplete bladder emptying. Which action should the nurse take first?

Perform a bladder scan post-void to assess for residual urine

A 32-year-old woman has heavy vaginal bleeding. Which question is the priority when

evaluating the client’s chief complaint?

Are you feeling weak, dizzy, or lightheaded?

A client with a history of breast cancer is scheduled for a mammogram and expresses

concern about radiation exposure. What is the most appropriate response by the nurse?

Reassure the client that the radiation dose is comparable to natural background exposure

A client with polycystic kidney disease (PKD) reports increasing abdominal pain and

fullness. Which action should the nurse take first?

Assess the client’s abdomen for distention and palpable fat masses

A client is diagnosed with acute bacterial prostatitis. Instructing care for the client, which

nursing interventions are most appropriate? Select all that apply.

All of the above

A woman is anxious about her first pelvic examination. What are the nurse’s immediate

priorities in providing care to this client?

Ensuring client comfort, explaining the procedure, and obtaining informed consent

When teaching clients about the risk factors of cervical cancer, what would the nurse

identify as the most important risk factor?

A. Tobacco use

B. Human papillomavirus (HPV)

C. Late childbearing

D. Postmenopausal bleeding

Human papillomavirus (HPV)

A client with a history of testicular cancer asks about the possibility of fatherhood after

treatment. Which topic should the nurse discuss with the client?

The likelihood of infertility due to chemotherapy and potential options for sperm banking

What principle should guide the nurse’s management of urinary incontinence in older

adults?

Urinary incontinence is not a consistent or normal consequence of aging

A client diagnosed with herpes simplex virus type 2 (HSV-2) expresses concern about

infecting their sexual partner. What should the nurse emphasize in teaching?

The importance of using barrier methods during sexual activity, even when lesions are not present

A nurse is caring for a 35-year-old female client who has been diagnosed with uterine

leiomyomas. What chief complaint can be expected to be documented in the client’s

presenting chief complaint?

A. Urinary changes

B. Heavy vaginal bleeding

C. Intermittent pain

D. Feelings of vaginal pressure

Heavy vaginal bleeding

The nurse who is leading a wellness workshop has been asked about actions to reduce

the risk of bladder cancer. What factor below should be most directly addressed as a

major risk factor for bladder cancer?

A. Smoking cessation

B. Reduction of alcohol intake

C. Maintenance of daily fluid intake in women and students

D. Vitamin B supplementation

Smoking cessation

A client with polycystic ovary syndrome (PCOS) is undergoing pharmacologically induced

ovulation. What is a potential complication of this treatment?

Enlarged multicystic ovaries

A client with a varicocele reports dull, aching pain in the scrotum that worsens with

physical excretion. What is the best nursing action to manage the client’s symptoms?

Perform scrotal elevation and wear supportive underwear to reduce discomfort

A nurse is caring for a client recently diagnosed with acute kidney injury. Which of the

following are possible causes of acute kidney injury due to perfusion issues?

A. Lupus

B. Bladder cancer

C. Kidney stones

D. Dehydration

Dehydration

A client is prescribed 1.5 g of ceftriaxone IV every 24 hours for an infection. The medication available is ceftriaxone 500 mg in 10 mL. How many milliliters should the

nurse administer per dose? (Round to the nearest whole number.)

Correct Answer:

30ML

A client with a recent history of urinary catheterization is reporting fever and chills. What

are the nurse’s priority actions? (Select all that apply.)

Administer antipyretics to manage the fever.Obtain a urine sample for culture and sensitivity.and Start prescribed intravenous antibiotics.

A client with pelvic inflammatory disease (PID) is being discharged after receiving

treatment with intravenous antibiotics. What is the most important instruction for the

nurse to include in the discharge teaching?

The client should abstain from sexual activity until treatment is completed and partners

are treated.

Question 39

A client in the emergency department with a history of renal calculi arrives with severe

flank pain radiating to the groin. What is the nurse’s priority action to address the

client’s source of discomfort?

Administer prescribed analgesics and prepare the client for diagnostic imaging

Question 40

A nurse is caring for a client diagnosed with stage 5 chronic kidney disease. Which of the

following is a treatment option for a client with end-stage kidney disease?

A. Nonsteroidal anti-inflammatory drugs (NSAIDs)

B. Phosphate binders

C. Potassium-sparing diuretics

D. Antacids containing magnesiuM

Phosphate binders

A nurse is preparing to assess a client who has disclosed they are transgender. Which

approach should the nurse take to ensure the assessment is conducted respectfully and

inclusively?

Use gender-neutral language and inquire about the client’s preferred name and

pronouns

A client who is breastfeeding reports unilateral breast inflammation and is concerned

about breast cancer due to her mother’s recent diagnosis. What is the most appropriate

initial nursing action?

Educate the client on the signs of mastitis and recommend a clinical evaluation

A client is scheduled for a prostate-specific antigen (PSA) test. The nurse should advise

the client to avoid which activity before the test to prevent falsely elevated PSA levels?

A. Consumption of caffeine on the day of the test

B. Drinking water on the morning of the test

C. Sexual activity 24 hours before the test

D. Vigorous exercise 48 hours prior to the test

Sexual activity 24 hours before the test

The nurse includes which of the following in self-management teaching for a client

diagnosed with vulvovaginitis? (Select all that apply.)

A. Cleanse the vulval mucosa with soap

B. Administer a douche once per week

C. Wear tight-fitting clothes

D. Wipe from front to back after urinating

E. Use fragrance-free detergent

Wipe from front to back after urinating And Use fragrance-free detergent

A client with nephrotic syndrome reports increased swelling and weight gain. Which

nursing action is most appropriate to address the client’s concerns?

Assess the client’s dietary compliance and review intake/output records

A client with trichomoniasis is being treated with metronidazole. What does the nurse

include in the medication education?

Abstain from sexual activity for 7 to 10 days after treatment completion

A nurse is caring for an emotionally upset client after being diagnosed with endometrial

cancer several weeks ago. What is the nurse’s best action?

Help the client adapt by using a calm, accepting approach

A client with a recent urinary tract infection has just been diagnosed with chronic kidney

failure. The provider ordered lab work to be done. The nurse expects which of the

following abnormal labs to be present?

A. Blood urea nitrogen (BUN) = 5 mg/dL

B. Calcium = 10 mg/dL

C. Potassium = 7 mEq/L

D. Phosphorus = 4 mg/dL

Potassium = 7 mEq/L

A client with a urinary tract infection has just been diagnosed with acute kidney injury.

The physician ordered lab work to be done. The nurse expects which of the following

abnormal labs to be present in this client with acute kidney injury?

A. Potassium = 5.7 and Phosphorus = 5.3

B. Arterial HCO₃ = 34

C. Creatinine = 0.9, BUN = 12

D. Magnesium = 2.2, Calcium = 12

Potassium = 5.7 and Phosphorus = 5.3

A client is ordered 0.5 g of metronidazole PO every 8 hours for an infection. The

medication available is metronidazole 250 mg/tablet.

How many tablets should the nurse administer per dose?

a. 1

b. 1.5

c. 2

d. 3

2