CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 4 | CORRECTLY ANSWERED A+ |
GALEN | 2025/2026 GUIDE
Heart Transplant rejection
- Correct Answer - SOB, fatigue, new bradycardia, atrial fib, decreased
activity tolerance, weight gain, edema, hypotension
Reverse isolation
- Correct Answer - Precaution used for individuals who are immune-
compromised to protect THEM from harmful organisms that may be
brought in from outside. Transplant patients are placed on this (along
with others). Everyone who enters room wears gown, gloves & mask. All
equipment entering room needs to be disinfected.
precautions with HIV/AIDs patients
- Correct Answer - standard precautions
Cancer Screening - Colorectal
- Correct Answer - Colonoscopy - 50 years old every 10 years
,colorectal cancer signs and symptoms
- Correct Answer - Pain in the abdomen, blood in stool, change in bowel
habits, constipation, narrow stools, or passing excessive amounts of
gas, anemia or fatigue, abdominal discomfort or weight loss
Family history
breast cancer signs and symptoms
- Correct Answer - Breast discomfort, inverted nipple, lumps, or nipple
discharge, redness, or swollen lymph nodes
Genetic Breast Cancer risks
- Correct Answer - BRACA gene mutation (All women have BRCA1 and
BRCA2 genes, but only some women have mutations in those genes.)
Nulliparity, Jewish, non-breast feeding, 1st child over age of 30, obese
Family history
cervical cancer signs and symptoms
- Correct Answer - Pain in the pelvis, during sexual intercourse,
abnormal menstruation, heavy menstruation, irregular menstruation, or
spotting, abnormal vaginal bleeding or abnormal vaginal discharge,
fatigue, nausea, or weight loss-Family history-HPV Vaccine - Approved
ages 9 - 26. Pap Smear - 21 to 29 years Pap every three years
prostate cancer signs and symptoms
, - Correct Answer - Burning or pain during urination, difficulty urinating, or
trouble starting and stopping while urinating, More frequent urges to
urinate at night, Loss of bladder control, -Decreased flow or velocity of
urine stream, Blood in urine (hematuria), blood in semen.-Family history-
Yearly physical, stool for occult blood, prostate exam (DRE), PSA levels
testicular cancer signs and symptoms
- Correct Answer - Pain in the lower back, fatigue, painless testicular
lump, swelling of scrotum, swollen lymph nodes, or weight loss.
Risk: cryptorchidism (undescended testis), family history, HIV, identical
twins, brothers
Family history
Testicular Exam - monthly. (after shower)
lung cancer signs and symptoms
- Correct Answer - Pain in the chest or rib, cough: can be persistent, dry,
with phlegm, severe, or with blood (rust colored), frequent respiratory
infections (pleural effusion, pneumonia, bronchitis), shortness of breath,
or wheezing, fatigue or loss of appetite, fever, chest pressure,
hoarseness, swollen lymph nodes, weakness, or weight loss
bladder cancer signs and symptoms
- Correct Answer - most associated with smoking, Pain can occur during
urination, dark urine, frequent urination, or blood in urine