MEDICAL SURGICAL EXAMS REVISION AND STUDY QUESTIONS (UPDATED VERSION) 1. Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A. Respiratory effort. B. Unsteady gait. C. Intensity of pain. D. Ability to eat. 2. A male client comes into the clinic with a history of penile discharge with painful, burning urination. Which action should the nurse implement? A. Collect a culture of the penile discharge. B. Palpate the inguinal lymph nodes gently. C. Observe for scrotal swelling and redness. D. Express the discharge to determine color. 3. A client with history of atrial fibrillation is admitted to the telemetry unit with sudden onset of shortness of breath. The nurse observes a new irregular heart rhythm and should perform which assessment at this time? A. Check for a pulse deficit. B. Palpate the apical impulse. C. Inspect jugular vein pulse. D. Examine for a carotid bruit. 4. Which client should be further assessed for an ectopic pregnancy? A. A 24-year-old with shoulder and lower abdominal quadrant pain. B. A 33-year-old with intermittent lower abdominal cramping. C. A 20-year-old with fever and right lower abdominal colic. D. A