Question

What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?

Answer 1

Correct Answers:

Urinary retention

Rationale :

🔷 Urinary retention refers to the inability to completely empty the bladder, common in BPH.

🔷 It results from enlarged prostate compressing the urethra, impeding urine flow.

🔷 Clients often feel incomplete bladder emptying or have post-void residuals.

🔷 It increases the risk for UTIs and overflow incontinence.

🔷 May require catheterization or surgical intervention depending on severity.

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Answer 2

Correct Answers:

Socio-cultural dimension

Rationale :

💠 The socio-cultural dimension involves family, social roles, relationships, and cultural background.

💠 Seeking peer support reflects a need for shared experiences and community.

💠 Nurses must recognize the role of social context in health behaviors.

💠 Cultural sensitivity promotes better health communication and trust.

💠 Group support can empower patients and families to manage chronic illness.

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Answer 3

Correct Answers:

A marked increased output of dilute urine

Rationale :

🟢 Furosemide is a loop diuretic that promotes rapid diuresis and electrolyte loss.

🟢 It leads to increased output of clear, dilute urine as it inhibits sodium reabsorption.

🟢 Useful in reducing pitting edema caused by fluid overload.

🟢 Nurses should monitor for signs of dehydration and hypokalemia.

🟢 Daily weight and strict I&O are key to tracking effectiveness.

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Answer 4

Correct Answers:

The treatment has been effective, but you must continue to complete the regimen of antibiotic.

Rationale :

🔶 Even if symptoms resolve, early discontinuation of antibiotics increases risk of resistance.

🔶 Completing the full course ensures eradication of infection-causing bacteria.

🔶 Incomplete treatment may lead to relapse or recurrence.

🔶 Patient education should reinforce adherence to prescribed therapy.

🔶 UTI pathogens can become resistant if treatment is stopped prematurely.

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Answer 5

Correct Answers:

Primary

Rationale :

🟡 Primary prevention focuses on promoting health and preventing disease before occurrence.

🟡 Educating adolescents about exercise and lifestyle prevents future conditions like obesity or hypertension.

🟡 Other examples include immunizations, smoking cessation, and safety promotion.

🟡 It is the first level of health promotion in public health models.

🟡 Aims to keep populations healthy and illness-free.

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Answer 6

Correct Answers:

Record and have a clear conversation with the client about their wishes regarding Cardio-Pulmonary Resuscitation.

Rationale :

🔵 Nurses must ensure informed consent and documentation for DNR orders.

🔵 Clients must express resuscitation preferences clearly and in writing.

🔵 Oral reports or assumptions are not legally valid.

🔵 Clarification avoids confusion during surgical emergencies.

🔵 Respect for autonomy and ethical standards requires honoring advance directives.

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Answer 7

Correct Answers:

The client is prohibited from driving a car home.

Rationale :

🔴 After sedation or anesthesia, cognitive and motor skills remain impaired for hours.

🔴 Clients must be accompanied home and should not operate machinery.

🔴 Driving after sedation is a legal and safety liability.

🔴 Post-op discharge instructions should include transportation planning.

🔴 Failure to comply puts the client and public at risk of injury.

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Answer 8

Correct Answers:

Does the nurse practice act and healthcare facility policy permit this delegation?

Rationale :

🟣 Delegation decisions must comply with state nurse practice acts and facility policy.

🟣 Medication administration is usually restricted to licensed personnel.

🟣 Even if UAP is trained, legal boundaries must be respected.

🟣 Nurses retain accountability for any delegated task.

🟣 Safe delegation requires both competency and legal authorization.

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Answer 9

Correct Answers:

Cloudy urine.
Suprapubic pain.
Temperature of 38.2 C (100.7 F).
Constant urge to urinate.

Rationale :

➤ Indicates bacterial growth and pyuria, typical of UTIs.

➤ Common in lower urinary tract infections due to bladder irritation.

➤ Fever signals infection, especially after catheter use.

➤ Sign of irritated bladder lining and residual infection.

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Answer 10

Correct Answers:

The urine may be brown or black.

Rationale :

🟤 Levodopa (used in Parkinson's disease) causes melanin-like pigment in urine, making it brown or black.

🟤 This is a harmless but expected effect.

🟤 Patients should be informed to prevent alarm.

🟤 Color changes occur due to dopamine metabolism in the kidneys.

🟤 Nurses should teach clients to report only foul odor or blood.

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Ivy Tech Medical Surgical NRSG 102 Exam

No.

1 :
What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?

2 :
A mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes this as an example of which human dimension?

3 :
A patient has developed pitting edema in her lower legs and feet. The nurse is knowledgeable about this condition. After the patient’s physician prescribes furosemide and the patient begins this new medication, what should the nurse anticipate?

5 :
A summer camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?

6 :
A client, scheduled for open-heart surgery, expresses a desire not to be resuscitated if they pass away during the procedure. What is the nurse’s subsequent course of action?

7 :
A registered nurse in an outpatient surgical center is providing a client with essential information about discharge planning for home. What details should the registered nurse include about transportation?

8 :
A registered nurse is contemplating delegating the task of administering medications to an Unlicensed Assistant Personnel (UAP). What is the primary question that the registered nurse must ask themselves before proceeding?

9 :
A nurse is evaluating a hospitalized client who had an indwelling catheter removed four days ago. Which assessment findings suggest that this client has developed a Urinary Tract Infection (UTI)? Select all that apply.

10 :
A nurse is examining the urine output of a client with Parkinson’s disease who is on the medication Levodopa. Which of the following is a common observation for a client on this medication?

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Ivy Tech Medical Surgical NRSG 102 Exam

No.

1 : What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?

2 : A mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes this as an example of which human dimension?

3 : A patient has developed pitting edema in her lower legs and feet. The nurse is knowledgeable about this condition. After the patient’s physician prescribes furosemide and the patient begins this new medication, what should the nurse anticipate?

5 : A summer camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?

6 : A client, scheduled for open-heart surgery, expresses a desire not to be resuscitated if they pass away during the procedure. What is the nurse’s subsequent course of action?

7 : A registered nurse in an outpatient surgical center is providing a client with essential information about discharge planning for home. What details should the registered nurse include about transportation?

8 : A registered nurse is contemplating delegating the task of administering medications to an Unlicensed Assistant Personnel (UAP). What is the primary question that the registered nurse must ask themselves before proceeding?

9 : A nurse is evaluating a hospitalized client who had an indwelling catheter removed four days ago. Which assessment findings suggest that this client has developed a Urinary Tract Infection (UTI)? Select all that apply.

10 : A nurse is examining the urine output of a client with Parkinson’s disease who is on the medication Levodopa. Which of the following is a common observation for a client on this medication?

1 :
What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?

2 :
A mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes this as an example of which human dimension?

3 :
A patient has developed pitting edema in her lower legs and feet. The nurse is knowledgeable about this condition. After the patient’s physician prescribes furosemide and the patient begins this new medication, what should the nurse anticipate?

5 :
A summer camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?

6 :
A client, scheduled for open-heart surgery, expresses a desire not to be resuscitated if they pass away during the procedure. What is the nurse’s subsequent course of action?

7 :
A registered nurse in an outpatient surgical center is providing a client with essential information about discharge planning for home. What details should the registered nurse include about transportation?

8 :
A registered nurse is contemplating delegating the task of administering medications to an Unlicensed Assistant Personnel (UAP). What is the primary question that the registered nurse must ask themselves before proceeding?

9 :
A nurse is evaluating a hospitalized client who had an indwelling catheter removed four days ago. Which assessment findings suggest that this client has developed a Urinary Tract Infection (UTI)? Select all that apply.

10 :
A nurse is examining the urine output of a client with Parkinson’s disease who is on the medication Levodopa. Which of the following is a common observation for a client on this medication?