MED SURG FINAL EXAM QUESTIONS AND
ANSWERS NEWLY MODIFIED !!!
A client at high risk for breast cancer is scheduled for an incisional biopsy in
theoutpatient surgery department. When the nurse is providing preoperative
education, the client asks why an incisional biopsy is being done instead of just
removing the mass. What would be the nurse'sbest response?
A. "An incisional biopsy is performed because it's known to be less painful
and more accurate than other forms of testing."
B. "An incisional biopsy is performed to confirm a diagnosis and so that
special studies can be done that will help determine the best treatment."
C. "An incisional biopsy is performed to assess the potential for recovery
from a mastectomy."
D. "An incisional biopsy is performed on clients who are younger than the
age of 40and who are otherwise healthy. -- ANSWER--B.
"An incisional biopsy is performed to confirm a diagnosis and so that special
studies can be done that will help determine the best treatment."
A patient with a large stomach tumor that is attached to the liver is scheduled to
have a debulking procedure. The nurse explains that the expected outcome of
this surgery is A. relief of pain by cutting sensory nerves in the stomach.
B. control of the tumor growth by removal of malignant tissue.
C. decrease in tumor size to improve the effects of other therapy.
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,D. promotion of better nutrition by relieving the pressure in the stomach. --
ANSWER--C. decrease in tumor size to improve the effects of other therapy
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated
with induction therapy on the oncology unit. What nursing action should be
prioritized in the patients care plan?
A)
Protective isolation and vigilant use of standard precautions
B)
Provision of a high-calorie, low-texture diet and appropriate oral hygiene
C)
Including the family in planning the patients activities of daily living
D)
Monitoring and treating the patients pain -- ANSWER--A)
Protective isolation and vigilant use of standard precautions
A public health nurse is teaching a health promotion workshop that focuses on
vision and eye health. What should this nurse cite as the most common cause(s)
of blindness and visual impairment among adults over the age of 40? Select all
that apply.
A. Diabetic retinopathy
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,B. Trauma
C. Macular degeneration
D. Cytomegalovirus
E. Glaucoma
-- ANSWER--A. Diabetic retinopathy
C. Macular degeneration
E. Glaucoma
While being prepared for a biopsy of a lump in the right breast, the patient asks
the nurse about the difference between a benign tumor and a malignant tumor.
Which answer by the nurse is correct?
A. Benign tumors do not cause damage to other tissues.
B. Benign tumors are likely to recur in the same location.
C. Malignant tumors may spread to other tissues or organs.
D. Malignant cells reproduce more rapidly than normal cells -- ANSWER--
C.
Malignant tumors may spread to other tissues or organs.
A patient with metastatic cancer of the colon experiences severe vomiting
following each administration of chemotherapy. An important nursing
intervention for the patient is to A. teach about the importance of nutrition
during treatment.
B. have the patient eat large meals when nausea is not present.
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, C. offer dry crackers and carbonated fluids during chemotherapy.
D. administer prescribed antiemetics 1 hour before the treatments. --
ANSWER--D.
administer prescribed antiemetics 1 hour before the treatments.
The nurse is caring for a client who is to receive IV daunorubicin, a
chemotherapeutic agent. The nurse starts the infusion and checks the insertion
site as per protocol. During the most recent check, the nurse observes that the
IV has infiltrated so the nurse stops the infusion.
What is the nurse's priority concern with this infiltration?
A. Extravasation of the medication
B. Discomfort to the client
C. Blanching at the site
D. Hypersensitivity reaction to the medication -- ANSWER--A.
Extravasation of the medication
A hospitalized patient who has received chemotherapy for leukemia develops
neutropenia. Which observation by the RN caring for the patient indicates that
the nurse should take action? A.
The patient ambulates several times a day in the room. B.
The patients visitors bring in some fresh peaches from home. C.
The patient cleans with a warm washcloth after having a stool. D.
The patient uses soap and shampoo to shower every other day. -- ANSWER--B.
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ANSWERS NEWLY MODIFIED !!!
A client at high risk for breast cancer is scheduled for an incisional biopsy in
theoutpatient surgery department. When the nurse is providing preoperative
education, the client asks why an incisional biopsy is being done instead of just
removing the mass. What would be the nurse'sbest response?
A. "An incisional biopsy is performed because it's known to be less painful
and more accurate than other forms of testing."
B. "An incisional biopsy is performed to confirm a diagnosis and so that
special studies can be done that will help determine the best treatment."
C. "An incisional biopsy is performed to assess the potential for recovery
from a mastectomy."
D. "An incisional biopsy is performed on clients who are younger than the
age of 40and who are otherwise healthy. -- ANSWER--B.
"An incisional biopsy is performed to confirm a diagnosis and so that special
studies can be done that will help determine the best treatment."
A patient with a large stomach tumor that is attached to the liver is scheduled to
have a debulking procedure. The nurse explains that the expected outcome of
this surgery is A. relief of pain by cutting sensory nerves in the stomach.
B. control of the tumor growth by removal of malignant tissue.
C. decrease in tumor size to improve the effects of other therapy.
Page 1 of 46
,D. promotion of better nutrition by relieving the pressure in the stomach. --
ANSWER--C. decrease in tumor size to improve the effects of other therapy
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated
with induction therapy on the oncology unit. What nursing action should be
prioritized in the patients care plan?
A)
Protective isolation and vigilant use of standard precautions
B)
Provision of a high-calorie, low-texture diet and appropriate oral hygiene
C)
Including the family in planning the patients activities of daily living
D)
Monitoring and treating the patients pain -- ANSWER--A)
Protective isolation and vigilant use of standard precautions
A public health nurse is teaching a health promotion workshop that focuses on
vision and eye health. What should this nurse cite as the most common cause(s)
of blindness and visual impairment among adults over the age of 40? Select all
that apply.
A. Diabetic retinopathy
Page 2 of 46
,B. Trauma
C. Macular degeneration
D. Cytomegalovirus
E. Glaucoma
-- ANSWER--A. Diabetic retinopathy
C. Macular degeneration
E. Glaucoma
While being prepared for a biopsy of a lump in the right breast, the patient asks
the nurse about the difference between a benign tumor and a malignant tumor.
Which answer by the nurse is correct?
A. Benign tumors do not cause damage to other tissues.
B. Benign tumors are likely to recur in the same location.
C. Malignant tumors may spread to other tissues or organs.
D. Malignant cells reproduce more rapidly than normal cells -- ANSWER--
C.
Malignant tumors may spread to other tissues or organs.
A patient with metastatic cancer of the colon experiences severe vomiting
following each administration of chemotherapy. An important nursing
intervention for the patient is to A. teach about the importance of nutrition
during treatment.
B. have the patient eat large meals when nausea is not present.
Page 3 of 46
, C. offer dry crackers and carbonated fluids during chemotherapy.
D. administer prescribed antiemetics 1 hour before the treatments. --
ANSWER--D.
administer prescribed antiemetics 1 hour before the treatments.
The nurse is caring for a client who is to receive IV daunorubicin, a
chemotherapeutic agent. The nurse starts the infusion and checks the insertion
site as per protocol. During the most recent check, the nurse observes that the
IV has infiltrated so the nurse stops the infusion.
What is the nurse's priority concern with this infiltration?
A. Extravasation of the medication
B. Discomfort to the client
C. Blanching at the site
D. Hypersensitivity reaction to the medication -- ANSWER--A.
Extravasation of the medication
A hospitalized patient who has received chemotherapy for leukemia develops
neutropenia. Which observation by the RN caring for the patient indicates that
the nurse should take action? A.
The patient ambulates several times a day in the room. B.
The patients visitors bring in some fresh peaches from home. C.
The patient cleans with a warm washcloth after having a stool. D.
The patient uses soap and shampoo to shower every other day. -- ANSWER--B.
Page 4 of 46
