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NSG233/ NSG 233 Exam 3 (Latest 2026/ 2027)
Medical-Surgical Nursing III | Questions &
Answers | Grade A| (Verified Solutions)
Subject: Medical-Surgical Nursing III (Oncology, Pulmonary, Hepatic,
Critical Care)
Format: Exam Practice Questions and Verified Answers
1. The nurse is conducting a wellness class for a group of African
American clients. When addressing the topic of health
screenings, the nurse informs the group about which
recommendation by the American Cancer Society for early
detection of prostate cancer?
Answer: Digital rectal exam by age 45
Rationale: Due to a higher risk and earlier onset, the American
Cancer Society recommends that African American men begin
discussions about prostate cancer screening, including a digital rectal
exam (DRE) and PSA test, starting at age 45.
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2. The nurse is preparing to administer the cytotoxic agent,
cabazitaxel, to a client with prostate cancer. The drug is to be
given through the client's port and the dosage is ordered at 25
mg/m2. After reconstitution, the resultant solution contains 10
mg/mL of cabazitaxel.What amount would the client receive if
the BSA was 1.65m2._ml
Answer: 4.125 ml rounds to 4
Rationale: Calculation: Dose = 25 mg/m² × 1.65 m² = 41.25 mg.
Volume = 41.25 mg ÷ 10 mg/mL = 4.125 mL. For safety with cytotoxic
drugs, precise measurement is critical, often rounded per protocol.
3. Pt w chest tube for management of pnuemothorax which
observation would require contacting the physician following
assessment?
Answer: Continuous bubbling in water seal compartment
Rationale: Continuous bubbling in the water-seal chamber indicates
an air leak in the system (e.g., disconnection, leak in tubing) or a
persistent bronchopleural fistula. It requires investigation and
notification of the provider.
4. Which of the following interventions would be included in plan
or care for w patient on ventilator with tracheostomy?
Answer: Maintain tracheotomy cuff pressure between 20-25
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Rationale: Proper cuff pressure (typically 20-25 cm H2O) is essential
to ensure adequate ventilation and prevent complications: low
pressure allows aspiration, while high pressure causes tracheal
ischemia and stenosis.
5. Nurse is caring for pt on mechanical vent . Vent alarm goes off
and nurse enters room. Pt does not seem in distress what to do
next?
Answer: Check ventilator to determine cause
Rationale: The nurse's first action is to assess the ventilator and its
alarms to identify the problem (e.g., disconnection, obstruction, low
pressure) while simultaneously observing the patient.
6. Caring for pt after thoracotomy for lung cancer which
assessment finding would prompt nurse to notify HCP?
Answer: Pt is coughing up pink frothy sputum
Rationale: Pink, frothy sputum is a sign of pulmonary edema, which
could indicate post-pneumonectomy pulmonary edema or acute
respiratory distress syndrome (ARDS), both serious post-
thoracotomy complications.
7. Education for pt diagnosed with esophageal varices. Which of
the following does the nurse tell pt to avoid ? SATA
Answer: acidic or irritating drinks; lifting heavy objects; alcohol;
NSG233/ NSG 233 Exam 3 (Latest 2026/ 2027)
Medical-Surgical Nursing III | Questions &
Answers | Grade A| (Verified Solutions)
Subject: Medical-Surgical Nursing III (Oncology, Pulmonary, Hepatic,
Critical Care)
Format: Exam Practice Questions and Verified Answers
1. The nurse is conducting a wellness class for a group of African
American clients. When addressing the topic of health
screenings, the nurse informs the group about which
recommendation by the American Cancer Society for early
detection of prostate cancer?
Answer: Digital rectal exam by age 45
Rationale: Due to a higher risk and earlier onset, the American
Cancer Society recommends that African American men begin
discussions about prostate cancer screening, including a digital rectal
exam (DRE) and PSA test, starting at age 45.
, 2|Page
2. The nurse is preparing to administer the cytotoxic agent,
cabazitaxel, to a client with prostate cancer. The drug is to be
given through the client's port and the dosage is ordered at 25
mg/m2. After reconstitution, the resultant solution contains 10
mg/mL of cabazitaxel.What amount would the client receive if
the BSA was 1.65m2._ml
Answer: 4.125 ml rounds to 4
Rationale: Calculation: Dose = 25 mg/m² × 1.65 m² = 41.25 mg.
Volume = 41.25 mg ÷ 10 mg/mL = 4.125 mL. For safety with cytotoxic
drugs, precise measurement is critical, often rounded per protocol.
3. Pt w chest tube for management of pnuemothorax which
observation would require contacting the physician following
assessment?
Answer: Continuous bubbling in water seal compartment
Rationale: Continuous bubbling in the water-seal chamber indicates
an air leak in the system (e.g., disconnection, leak in tubing) or a
persistent bronchopleural fistula. It requires investigation and
notification of the provider.
4. Which of the following interventions would be included in plan
or care for w patient on ventilator with tracheostomy?
Answer: Maintain tracheotomy cuff pressure between 20-25
, 3|Page
Rationale: Proper cuff pressure (typically 20-25 cm H2O) is essential
to ensure adequate ventilation and prevent complications: low
pressure allows aspiration, while high pressure causes tracheal
ischemia and stenosis.
5. Nurse is caring for pt on mechanical vent . Vent alarm goes off
and nurse enters room. Pt does not seem in distress what to do
next?
Answer: Check ventilator to determine cause
Rationale: The nurse's first action is to assess the ventilator and its
alarms to identify the problem (e.g., disconnection, obstruction, low
pressure) while simultaneously observing the patient.
6. Caring for pt after thoracotomy for lung cancer which
assessment finding would prompt nurse to notify HCP?
Answer: Pt is coughing up pink frothy sputum
Rationale: Pink, frothy sputum is a sign of pulmonary edema, which
could indicate post-pneumonectomy pulmonary edema or acute
respiratory distress syndrome (ARDS), both serious post-
thoracotomy complications.
7. Education for pt diagnosed with esophageal varices. Which of
the following does the nurse tell pt to avoid ? SATA
Answer: acidic or irritating drinks; lifting heavy objects; alcohol;
