NSG 223 | NSG223 FINAL EXAM STUDY GUIDE
| MEDICAL-SURGICAL NURSING II FINAL
EXAM STUDY GUIDE GRADED A+ | HERZING |
LATEST 2025/2026
Palliative care
- Correct Answer - cancer treatments that do not cure the patient but will
prolong life and *improve quality of life* by slowing cancer growth. *"i
hope that this treatment will make me feel better.
Cyclophosphamide
- Correct Answer - hold dose for low plt count (< 150-400 x 10^3) or
*hold dose if patient is vomiting.
Tamoxifen patient education
- Correct Answer - contact hcp asap for s/s of thromboembolic event
(dvt, *abnormal menstrual bleeding*, sob, etc.).
Doxorubicin adverse effect
- Correct Answer - *report any ekg changes* - cardiotoxic drug.
Vincristine patient education - Correct Answer - report s/s neurotoxicity
(paraesthesia, muscular weakness, loss of reflexes) or *severe
constipation* may occur (*increase fluid and fiber intake*).
CBC normal - Correct Answer - rbc 3.61-5.81 x 10^6
*wbc 4.5-11.1 x 10^3*
,Hgb 11.7-17.3
Hct 36-52%
Plt 150-400 x 10^3
Vincristine adverse effects
- Correct Answer - neurotoxicity (numbness in extremities/paresthesias).
Interferon alfa-2b adverse effects
- Correct Answer - flu-like symptoms.
Cardiotoxic antineoplastic
- Correct Answer - paclitaxel
Labs that indicate increased risk for infection
- Correct Answer - *wbc 1.4 x 10^3*
*neutrophils 30%*
Plt 170 x 10^3
Flutamide side effects
- Correct Answer - gynecomastia.
Methotrexate patient with bruises
- Correct Answer - check patients most recent cbc/*plt count*.
Infection control measures/neutropenia
- Correct Answer - restrict fresh flowers.
Preparing patients for chemotherapy
, - Correct Answer - administer antiemetic prior to administration of
antineoplastic drugs.
Patient with flank pain and decreased urine output
- Correct Answer - abnormal bun/creatinine (elevated):
*bun 26; creatinine 1.81*.
(n = bun 8-21; creatinine 0.51-1.21).
Cisplatin adverse effects to report - Correct Answer - tinnitus (ototoxic).
Carmustine patient education - Correct Answer - report any sob asap.
Myelosuppression patient education - Correct Answer - avoid receiving
live vaccines.
Methotrexate adverse effects - Correct Answer - powerful
immunosuppression, arachnoiditis, myelosuppression, pneumocystitis
pneumonia, sjs (rash), epidermal necrolysis.
Drug for mi patients pain - Correct Answer - morphine. (mona).
Propranolol patient education - Correct Answer - abrupt discontinuation
can result in severe htn.
Nitro-glycerine patient education - Correct Answer - take one tablet at
the first indication of chest pain.
Reteplase moa - Correct Answer - dissolves clot that caused mi.
| MEDICAL-SURGICAL NURSING II FINAL
EXAM STUDY GUIDE GRADED A+ | HERZING |
LATEST 2025/2026
Palliative care
- Correct Answer - cancer treatments that do not cure the patient but will
prolong life and *improve quality of life* by slowing cancer growth. *"i
hope that this treatment will make me feel better.
Cyclophosphamide
- Correct Answer - hold dose for low plt count (< 150-400 x 10^3) or
*hold dose if patient is vomiting.
Tamoxifen patient education
- Correct Answer - contact hcp asap for s/s of thromboembolic event
(dvt, *abnormal menstrual bleeding*, sob, etc.).
Doxorubicin adverse effect
- Correct Answer - *report any ekg changes* - cardiotoxic drug.
Vincristine patient education - Correct Answer - report s/s neurotoxicity
(paraesthesia, muscular weakness, loss of reflexes) or *severe
constipation* may occur (*increase fluid and fiber intake*).
CBC normal - Correct Answer - rbc 3.61-5.81 x 10^6
*wbc 4.5-11.1 x 10^3*
,Hgb 11.7-17.3
Hct 36-52%
Plt 150-400 x 10^3
Vincristine adverse effects
- Correct Answer - neurotoxicity (numbness in extremities/paresthesias).
Interferon alfa-2b adverse effects
- Correct Answer - flu-like symptoms.
Cardiotoxic antineoplastic
- Correct Answer - paclitaxel
Labs that indicate increased risk for infection
- Correct Answer - *wbc 1.4 x 10^3*
*neutrophils 30%*
Plt 170 x 10^3
Flutamide side effects
- Correct Answer - gynecomastia.
Methotrexate patient with bruises
- Correct Answer - check patients most recent cbc/*plt count*.
Infection control measures/neutropenia
- Correct Answer - restrict fresh flowers.
Preparing patients for chemotherapy
, - Correct Answer - administer antiemetic prior to administration of
antineoplastic drugs.
Patient with flank pain and decreased urine output
- Correct Answer - abnormal bun/creatinine (elevated):
*bun 26; creatinine 1.81*.
(n = bun 8-21; creatinine 0.51-1.21).
Cisplatin adverse effects to report - Correct Answer - tinnitus (ototoxic).
Carmustine patient education - Correct Answer - report any sob asap.
Myelosuppression patient education - Correct Answer - avoid receiving
live vaccines.
Methotrexate adverse effects - Correct Answer - powerful
immunosuppression, arachnoiditis, myelosuppression, pneumocystitis
pneumonia, sjs (rash), epidermal necrolysis.
Drug for mi patients pain - Correct Answer - morphine. (mona).
Propranolol patient education - Correct Answer - abrupt discontinuation
can result in severe htn.
Nitro-glycerine patient education - Correct Answer - take one tablet at
the first indication of chest pain.
Reteplase moa - Correct Answer - dissolves clot that caused mi.
