Page 1 of 44
“ PATIENT SURGERY “ TEST BANK NEWEST 2025 ACTUAL EXAM UPDATED 2025 – 2026
SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
A nurse in the oncology clinic is providing preoperative education to a client
just diagnosed with cancer. The client has been scheduled for surgery in 3
days. What action by the nurse is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon.
ANS: A
Clients are often overwhelmed at a sudden diagnosis of cancer and may be more
overwhelmed at the idea of a
major operation so soon. This stress significantly impacts the clients ability to
understand, retain, and recall
information. The nurse should call the client at home the next day to review the
teaching and to answer
questions. The client may or may not be ready to investigate a support group, but
this does not help with
teaching. Giving information in writing is important (if the client can read it), but in
itself will not be enough. Telling the client that surgery will be over soon is giving
false reassurance and does nothing for teaching.
A nurse reads on a hospitalized clients chart that the client is receiving
teletherapy. What action by the nurse
is best?
a. Coordinate continuation of the therapy.
b. Place the client on radiation precautions.
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c. No action by the nurse is needed at this time.
d. Restrict visitors to only adults over age 18.
ANS: A
The client needs to continue with radiation therapy, and the nurse can coordinate
this with the appropriate
department. The client is not radioactive, so radiation precautions and limiting
visitors are not necessary.
A new nurse has been assigned a client who is in the hospital to receive
iodine-131 treatment. Which action
by the nurse is best?
a. Ensure the client is placed in protective isolation.
b. Hand off a pregnant client to another nurse.
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta.
ANS: D
This type of radioisotope is excreted in body fluids and excreta (urine and feces) and
should not be handled
directly. The nurse should read the facilitys policy for handling and disposing of this
type of waste. The other
actions are not warranted.
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 years afterward.
c. This is not normal and Ill let the provider know.
d. Try adding more vitamins B and C to your diet.
ANS: B
Regardless of the cause, radiation-induced fatigue can be debilitating and may last
for months or years after
treatment has ended. Rest and adequate nutrition can affect fatigue, but it is most
important that the client
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.
, Page 3 of 44
ANS: B
The skin overlying the radiation site is extremely sensitive to sunlight after radiation
therapy has been
completed. The nurse should 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 every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort
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 should 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 comfort, but if the client reports that
an IV site is painful, the
nurse needs to assess further.
A client with cancer is admitted to a short-term rehabilitation facility. The
nurse prepares to administer the clients 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.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
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 clients susceptibility to infection during
chemotherapy?
a. Decreased immune function
b. Diminished nutritional stores
, Page 4 of 44
c. Existing cognitive deficits
d. Poor physical reserves
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.
After receiving the hand-off report, which client should the oncology nurse see
first?
a. Client who is afebrile with a heart rate of 108 beats/min
b. Older client on chemotherapy with mental status changes
c. Client who is neutropenic and in protective isolation
d. Client scheduled for radiation therapy today
ANS: B
Older clients often do not exhibit classic signs of infection, and often mental status
changes are the first
observation. Clients on chemotherapy who become neutropenic also often do not
exhibit classic signs of
infection. The nurse should assess the older client first. The other clients can be
seen afterward.
A client has a platelet count of 9800/mm3. 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 facilitys standing policy.
d. Place the client on protective isolation precautions
ANS: B
A client with a platelet count this low is at high risk for serious bleeding episodes. To
prevent injury, the client
should 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. What
medication should the nurse
prepare to administer?
a. Epoetin alfa (Epogen)
“ PATIENT SURGERY “ TEST BANK NEWEST 2025 ACTUAL EXAM UPDATED 2025 – 2026
SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
A nurse in the oncology clinic is providing preoperative education to a client
just diagnosed with cancer. The client has been scheduled for surgery in 3
days. What action by the nurse is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon.
ANS: A
Clients are often overwhelmed at a sudden diagnosis of cancer and may be more
overwhelmed at the idea of a
major operation so soon. This stress significantly impacts the clients ability to
understand, retain, and recall
information. The nurse should call the client at home the next day to review the
teaching and to answer
questions. The client may or may not be ready to investigate a support group, but
this does not help with
teaching. Giving information in writing is important (if the client can read it), but in
itself will not be enough. Telling the client that surgery will be over soon is giving
false reassurance and does nothing for teaching.
A nurse reads on a hospitalized clients chart that the client is receiving
teletherapy. What action by the nurse
is best?
a. Coordinate continuation of the therapy.
b. Place the client on radiation precautions.
, Page 2 of 44
c. No action by the nurse is needed at this time.
d. Restrict visitors to only adults over age 18.
ANS: A
The client needs to continue with radiation therapy, and the nurse can coordinate
this with the appropriate
department. The client is not radioactive, so radiation precautions and limiting
visitors are not necessary.
A new nurse has been assigned a client who is in the hospital to receive
iodine-131 treatment. Which action
by the nurse is best?
a. Ensure the client is placed in protective isolation.
b. Hand off a pregnant client to another nurse.
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta.
ANS: D
This type of radioisotope is excreted in body fluids and excreta (urine and feces) and
should not be handled
directly. The nurse should read the facilitys policy for handling and disposing of this
type of waste. The other
actions are not warranted.
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 years afterward.
c. This is not normal and Ill let the provider know.
d. Try adding more vitamins B and C to your diet.
ANS: B
Regardless of the cause, radiation-induced fatigue can be debilitating and may last
for months or years after
treatment has ended. Rest and adequate nutrition can affect fatigue, but it is most
important that the client
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.
, Page 3 of 44
ANS: B
The skin overlying the radiation site is extremely sensitive to sunlight after radiation
therapy has been
completed. The nurse should 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 every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort
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 should 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 comfort, but if the client reports that
an IV site is painful, the
nurse needs to assess further.
A client with cancer is admitted to a short-term rehabilitation facility. The
nurse prepares to administer the clients 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.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
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 clients susceptibility to infection during
chemotherapy?
a. Decreased immune function
b. Diminished nutritional stores
, Page 4 of 44
c. Existing cognitive deficits
d. Poor physical reserves
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.
After receiving the hand-off report, which client should the oncology nurse see
first?
a. Client who is afebrile with a heart rate of 108 beats/min
b. Older client on chemotherapy with mental status changes
c. Client who is neutropenic and in protective isolation
d. Client scheduled for radiation therapy today
ANS: B
Older clients often do not exhibit classic signs of infection, and often mental status
changes are the first
observation. Clients on chemotherapy who become neutropenic also often do not
exhibit classic signs of
infection. The nurse should assess the older client first. The other clients can be
seen afterward.
A client has a platelet count of 9800/mm3. 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 facilitys standing policy.
d. Place the client on protective isolation precautions
ANS: B
A client with a platelet count this low is at high risk for serious bleeding episodes. To
prevent injury, the client
should 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. What
medication should the nurse
prepare to administer?
a. Epoetin alfa (Epogen)
