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NURS 368 – Final Exam Guide 2025/2026 | 120+ Verified Questions & Answers | Cancer, Chemotherapy, Endocrine, Diabetes, Acid-Base, Respiratory & Cardiac Care

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This final exam resource for NURS 368 includes over 120 thoroughly verified NCLEX-style questions and answers, updated for the 2025/2026 academic year. It focuses on critical nursing topics such as cancer pathophysiology, chemotherapy complications, radiation safety, endocrine disorders (e.g., Addison’s, Cushing’s, thyroid dysfunction), diabetes management (DKA vs HHS), acid-base imbalances, arterial blood gases (ABGs), respiratory failure, oxygen delivery systems, and cardiac monitoring (e.g., telemetry, dysrhythmias). Includes lab value interpretation and prioritization strategies. Perfect for students in BSN, RN, ADN, and Practical Nursing (PN) programs enrolled in Medical-Surgical Nursing, Endocrine & Oncology, Critical Care, and NCLEX Preparation courses. Keywords: chemotherapy complications, diabetes management, acid-base imbalance, ABG interpretation, Addison's disease, thyroid dysfunction, respiratory failure, oxygen therapy, cardiac telemetry, dysrhythmias, NCLEX questions, endocrine nursing, oncology nursing, prioritization, NURS 368

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NURS368 Final Exam 2025/2026 Exam
Questions and Answers 100%
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Surfactant replacement therapy is used in the medical management of:




A: Bronchopulmonary dysplasia (BPD)

B: Patent ductus arteriosus (PDA)

C: Respiratory distress syndrome (RDS)


D: Necrotizing enterocolitis (NEC) - 🧠 ANSWER ✔✔C: Respiratory distress

syndrome (RDS)

Which intervention is the most important to prevent necrotizing enterocolitis?




A: Exclusive human milk feeding

B: Surfactant

,C: Oxygen


D: Ventilator support - 🧠 ANSWER ✔✔A: Exclusive human milk feeding


Which type of IUGR has better developmental outcomes?




A: Asymmetric


B: Symmetric - 🧠 ANSWER ✔✔A: Asymmetric




Weight is the only abnormal measurement

A macrosomic infant is born after a difficult forceps-assisted delivery. After

stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6

ounces). The nurse's most appropriate action is to:




a. Leave the infant in the room with the mother.

b. Take the infant immediately to the nursery.

c. Perform a gestational age assessment to determine whether the infant is large for

gestational age.




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,d. Monitor blood glucose levels frequently and observe closely for signs of

hypoglycemia. - 🧠 ANSWER ✔✔d. Monitor blood glucose levels frequently and

observe closely for signs of hypoglycemia.




(This infant is macrosomic (more than 4000 g) and is at high risk for

hypoglycemia. Blood glucose levels should be monitored frequently, and the infant

should be observed closely for signs of hypoglycemia. Observation may occur in

the nursery or in the mother's room, depending on the condition of the fetus.

Regardless of gestational age, this infant is macrosomic.)

Infants of mothers with diabetes (IDMs) are at higher risk for developing:




a. Anemia.

b. Hyponatremia.

c. Respiratory distress syndrome.


d. Sepsis. - 🧠 ANSWER ✔✔c. Respiratory distress syndrome.




COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, (IDMs are at risk for macrosomia, birth injury, perinatal asphyxia, respiratory

distress syndrome, hypoglycemia, hypocalcemia, hypomagnesemia,

cardiomyopathy, hyperbilirubinemia, and polycythemia. They are not at risk for

anemia, hyponatremia, or sepsis.)

An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg. The

infant appears chubby with a flushed complexion and is very tremulous. The

tremors are most likely the result of:




a. Birth injury.

b. Hypocalcemia.

c. Hypoglycemia


d. Seizures. - 🧠 ANSWER ✔✔c. Hypoglycemia




(Hypoglycemia is common in the macrosomic infant. Signs of hypoglycemia

include jitteriness, apnea, tachypnea, and cyanosis.)

When assessing the preterm infant the nurse understands that compared with the

term infant, the preterm infant has:




COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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