NUR 201 EXAM 3 FORTIS/NUR 201 MEDICAL-SURGICAL
NURSING I EXAM 3 NEWEST 2025/2026 COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client in the oncology clinic reports her family is frustrated at her ongoing
fatigue 4 months after radiation therapy for breast
cancer. What response by the nurse is most appropriate?
a. "Are you getting adequate rest and sleep each day?"
b. "It is normal to be fatigued even for months afterward."
c. "This is not normal and I'll let the primary health care provider know."
d. "Try adding more vitamins B and C to your diet. - ANSWER-ANS: B
Radiation-induced fatigue can be debilitating and may last for months after
treatment has ended. Rest and adequate nutrition can
affect fatigue, but it is most important that the client (and family) understands this
is normal.
A client tells the oncology nurse about an upcoming vacation to the beach to
celebrate completing radiation treatments for cancer.
What response by the nurse is most appropriate?
a. "Avoid getting salt water on the radiation site."
b. "Do not expose the radiation area to direct sunlight."
c. "Have a wonderful time and enjoy your vacation!"
d. "Remember you should not drink alcohol for a year." - ANSWER-ANS: B
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The skin overlying the radiation site is extremely sensitive to sunlight after
radiation therapy has been completed. The nurse would
inform the client to avoid sun exposure to this area. This advice continues for 1
year after treatment has been completed. The other
statements are not appropriate
A client is receiving chemotherapy through a peripheral IV line. What action by
the nurse is most important?
a. Assessing the IV site and blood return every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort - ANSWER-ANS: A
Intravenous chemotherapy can cause local tissue destruction if it extravasates into
the surrounding tissues. Peripheral IV lines are more prone to this than centrally
placed lines. The most important intervention is prevention, so the nurse would
check hourly to ensure the IV site is patent, or frequently depending on facility
policy. Education and monitoring for side effects such as nausea are important for
all clients receiving chemotherapy. Warm packs may be helpful for some drugs,
whereas for others ice is more comfortable. would monitor the site and check for
blood return to prevent injury from infiltration or extravasation
client with cancer is admitted to a short-term rehabilitation facility. The nurse
prepares to administer the client's oral
chemotherapy medications. What action by the nurse is most appropriate?
a. Crush the medications if the client cannot swallow them.
b. Give one medication at a time with a full glass of water.
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c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications. -
ANSWER-ANS: D During the administration of oral chemotherapy agents, nurses
must take the same precautions that are used when administering IV
chemotherapy. This includes using personal protective equipment. These
medications cannot be crushed, split, or chewed. Giving one at a time is not
needed
The nurse working with oncology clients understands that which age-related
change increases the older client's susceptibility to
infection during chemotherapy?
a. Decreased immune function
b. Diminished nutritional stores
c. Existing cognitive deficits
d. Poor physical reserves - ANSWER-ANS: A
As people age, there is an age-related decrease in immune function, causing the
older adult to be more susceptible to infection than
other clients. Not all older adults have diminished nutritional stores, cognitive
dysfunction, or poor physical reserves.
The nurse has educated a client on precautions to take with thrombocytopenia.
What statement by the client indicates a need to
review the information?
a. "I will be careful if I need enemas for constipation."
b. "I will use an electric shaver instead of a razor."
c. "I should only eat soft food that is either cool or warm."
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d. "I won't be able to play sports with my grandkids." - ANSWER-ANS: A
The thrombocytopenic client is at high risk for bleeding even from minor trauma.
Due to the risk of injuring rectal and anal tissue,
the client should not use enemas or rectal thermometers. This statement would
indicate the client needs more information. The
other statements are appropriate for the thrombocytopenic client
A client has a platelet count of 9800/mm3 (9800 × 109/L). What action by the
nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective Isolation Precautions. - ANSWER-ANS: B
A client with a platelet count this low is at high risk for serious bleeding episodes.
To prevent injury, the client would be instructed
to call for help prior to getting out of bed. Calf pain, warmth, and redness might
indicate a deep vein thrombosis, not associated
with low platelets. Cultures and isolation relate to low white cell counts
A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL (61
mmol/L). The client is symptomatic but refuses blood
transfusions. What medication does the nurse prepare to administer?
a. Epoetin alfa
b. Filgrastim
c. Mesna
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