DEPARTMENT OF NURSING| MED- SURG ASSESSMENT
END OF SEMESTER SUPPLEMENTARY EXAMINATION-2026 FINAL
SPRING EXAM
QUESTIONS AND ANSWERS| PASS GUARANTEED | GRADE A+
HIGHER TIER EXAM PAPER 1
The nurse is assessing a client's laboratory values following administration of chemotherapy.
Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
a. Serum PTT of 10 seconds.
b. Serum calcium of 5 mg/dL.
c. Oxygen saturation of 90%.
d. Hemoglobin of 10 g/dL
B - Tumor lysis syndrome (TLS) results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5, which is low, is an indicator of possible tumor
lysis syndrome.
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia
(tic douloureux)?
a. Tinnitus, vertigo, and hearing difficulties.
b. Sudden, stabbing, severe pain over the lip and chin.
c. Facial weakness and paralysis.
d. Difficulty in chewing, talking, and swallowing.
B - Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve (5th cranial). Women are
, more often afflicted with this condition and generally occurs in clients over the age of 50 years
old.
Which discharge instruction is most important for a client after a kidney transplant?
a. Weigh weekly.
b. Report symptoms of secondary Candidiasis.
c. Use daily reminders to take immunosuppressants.
d. Stop cigarette smoking.
C - After a renal transplantation, acute rejection is a high risk for several months. The organ
recipient will have to take immunosuppressive therapy for the rest of their lives, such as
corticosteroids and azathioprine, to prevent organ transplant rejection. Discharge instructions
include measures such as daily reminders to ensure the client takes these medications regularly
to prevent organ rejection from occurring.
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for
development of coronary heart disease (CHD). Which information should the nurse include?
a. Limit dietary selection of cholesterol to 300 mg per day.
b. Increase intake of soluble fiber to 10 to 25 grams per day.
c. Decrease plant stanols and sterols to less than 2 grams/day.
d. Ensure saturated fat is less than 30% of total caloric intake.
B - To reduce risk factors associated with coronary heart disease, the daily intake of soluble fiber
should be increased to between 10 and 25 grams per day. According to the American Heart
Association, soluble fibers helps reduce LDL cholesterol levels.
END OF SEMESTER SUPPLEMENTARY EXAMINATION-2026 FINAL
SPRING EXAM
QUESTIONS AND ANSWERS| PASS GUARANTEED | GRADE A+
HIGHER TIER EXAM PAPER 1
The nurse is assessing a client's laboratory values following administration of chemotherapy.
Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
a. Serum PTT of 10 seconds.
b. Serum calcium of 5 mg/dL.
c. Oxygen saturation of 90%.
d. Hemoglobin of 10 g/dL
B - Tumor lysis syndrome (TLS) results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5, which is low, is an indicator of possible tumor
lysis syndrome.
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia
(tic douloureux)?
a. Tinnitus, vertigo, and hearing difficulties.
b. Sudden, stabbing, severe pain over the lip and chin.
c. Facial weakness and paralysis.
d. Difficulty in chewing, talking, and swallowing.
B - Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve (5th cranial). Women are
, more often afflicted with this condition and generally occurs in clients over the age of 50 years
old.
Which discharge instruction is most important for a client after a kidney transplant?
a. Weigh weekly.
b. Report symptoms of secondary Candidiasis.
c. Use daily reminders to take immunosuppressants.
d. Stop cigarette smoking.
C - After a renal transplantation, acute rejection is a high risk for several months. The organ
recipient will have to take immunosuppressive therapy for the rest of their lives, such as
corticosteroids and azathioprine, to prevent organ transplant rejection. Discharge instructions
include measures such as daily reminders to ensure the client takes these medications regularly
to prevent organ rejection from occurring.
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for
development of coronary heart disease (CHD). Which information should the nurse include?
a. Limit dietary selection of cholesterol to 300 mg per day.
b. Increase intake of soluble fiber to 10 to 25 grams per day.
c. Decrease plant stanols and sterols to less than 2 grams/day.
d. Ensure saturated fat is less than 30% of total caloric intake.
B - To reduce risk factors associated with coronary heart disease, the daily intake of soluble fiber
should be increased to between 10 and 25 grams per day. According to the American Heart
Association, soluble fibers helps reduce LDL cholesterol levels.
