BKAT MED-SURG EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ A hospice nurse is reinforcing teaching about palliative care to the
partner of a client who has end stage liver cancer. Which of the
following statements by the partner indicates an understanding of
teaching? Answer: I will continue to talk to him, even when he's
sleeping.
rationale: hearing is thought to be the last sense lost in the dying
process's therefore the partner should continue to communicate
with the client.
◉ A charge nurse is observing a newly licensed nurse provide care
for a client. The client is receiving internal radiation therapy for the
treatment of cervical cancer. Which of the following actions by the
newly licensed nurse should prompt the charge nurse to intervene?
Answer: Borrowing a dosimeter film badge from another nurse
before entering the client's room.
rationale: a nurse should never borrow a dosimeter film badge from
another staff member. Nurses who are caring for the client should
each have persona badge. the badge must be worn any time the
nurse is in the client's room to measure the radiation exposure that
the nurse is receiving. Each film badge will indicate the nurse's
cumulative radiation exposure.
,◉ A client who has stage 2 breast cancer asks the nurse about sites
of metastasis for this cancer. Which of the following responses
should the nurse make? Answer: breast cancer tends to metastasize
to the bones.
rationale: common sites of breast cancer metastasis are the bones,
lungs, brain and liver.
◉ A nurse is caring for a client who is receiving brachytherapy.
Which of the following measures should the nurse contribute to the
client's plan of care? Answer: Keep the door to the client's room
closed.
rationale: brachytherapy is a type of radiation therapy in which the
radiation source is in direct contact with the client's tumor. During
the therapy, the client emits radiation and is potentially hazardous
to others. The client should be in a private room with a privatize
bathroom, and the nurse should keep the door to the client's room
closed.
◉ A nurse is assisting with planning of care for a client who is
postoperative following a radical mastectomy. Which of the
following interventions should the nurse include in the plan?
Answer: begin exercises with the client one day after the procedure.
rationale: the nurse should plan to begin exercises that do not stress
the incision on the first postoperative day to promote lymphatic
return and mobility.
, ◉ A nurse is caring for a client who has lung cancer that has
metastasized. Which of the following findings indicates the client is
developing superior vena cava syndrome? Answer: facial edema
rationale: superior vena cava syndrome is medical emergency
resulting from a partial occlusion of the superior vena cava, leading
to decreased blood flow through vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's
upper chest, such as advance lung and breast cancers and
lymphoma. The earliest manifestations of superior vena cava
syndrome are facial and upper extremity edema. Death can result if
the compression is not corrected.
◉ A nurse is reinforcing teaching with a client about how to perform
a breast self examination. The nurse should identify which of the
following findings as an indication of breast cancer? Answer: A
nontender, hard lump that is palpated in a breast.
rationale: cancerous tumors are typically hard, fixed, irregular in
shape, and nontender to palpation. The nurse should instruct the
client to notify the provider promptly if she palpates a hard,
nontender lump.
◉ A nurse is reinforcing discharge teaching with a client who is
postoperative following a right mastectomy for breast cancer. The
client will be going home with 2 Jackson Pratt drains. Which of the
following pieces if information should the nurse include in the
teaching? Answer: avoid wearing deodorant until the drains are
removed and incision heals.
WITH ANSWERS GRADED A+
◉ A hospice nurse is reinforcing teaching about palliative care to the
partner of a client who has end stage liver cancer. Which of the
following statements by the partner indicates an understanding of
teaching? Answer: I will continue to talk to him, even when he's
sleeping.
rationale: hearing is thought to be the last sense lost in the dying
process's therefore the partner should continue to communicate
with the client.
◉ A charge nurse is observing a newly licensed nurse provide care
for a client. The client is receiving internal radiation therapy for the
treatment of cervical cancer. Which of the following actions by the
newly licensed nurse should prompt the charge nurse to intervene?
Answer: Borrowing a dosimeter film badge from another nurse
before entering the client's room.
rationale: a nurse should never borrow a dosimeter film badge from
another staff member. Nurses who are caring for the client should
each have persona badge. the badge must be worn any time the
nurse is in the client's room to measure the radiation exposure that
the nurse is receiving. Each film badge will indicate the nurse's
cumulative radiation exposure.
,◉ A client who has stage 2 breast cancer asks the nurse about sites
of metastasis for this cancer. Which of the following responses
should the nurse make? Answer: breast cancer tends to metastasize
to the bones.
rationale: common sites of breast cancer metastasis are the bones,
lungs, brain and liver.
◉ A nurse is caring for a client who is receiving brachytherapy.
Which of the following measures should the nurse contribute to the
client's plan of care? Answer: Keep the door to the client's room
closed.
rationale: brachytherapy is a type of radiation therapy in which the
radiation source is in direct contact with the client's tumor. During
the therapy, the client emits radiation and is potentially hazardous
to others. The client should be in a private room with a privatize
bathroom, and the nurse should keep the door to the client's room
closed.
◉ A nurse is assisting with planning of care for a client who is
postoperative following a radical mastectomy. Which of the
following interventions should the nurse include in the plan?
Answer: begin exercises with the client one day after the procedure.
rationale: the nurse should plan to begin exercises that do not stress
the incision on the first postoperative day to promote lymphatic
return and mobility.
, ◉ A nurse is caring for a client who has lung cancer that has
metastasized. Which of the following findings indicates the client is
developing superior vena cava syndrome? Answer: facial edema
rationale: superior vena cava syndrome is medical emergency
resulting from a partial occlusion of the superior vena cava, leading
to decreased blood flow through vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's
upper chest, such as advance lung and breast cancers and
lymphoma. The earliest manifestations of superior vena cava
syndrome are facial and upper extremity edema. Death can result if
the compression is not corrected.
◉ A nurse is reinforcing teaching with a client about how to perform
a breast self examination. The nurse should identify which of the
following findings as an indication of breast cancer? Answer: A
nontender, hard lump that is palpated in a breast.
rationale: cancerous tumors are typically hard, fixed, irregular in
shape, and nontender to palpation. The nurse should instruct the
client to notify the provider promptly if she palpates a hard,
nontender lump.
◉ A nurse is reinforcing discharge teaching with a client who is
postoperative following a right mastectomy for breast cancer. The
client will be going home with 2 Jackson Pratt drains. Which of the
following pieces if information should the nurse include in the
teaching? Answer: avoid wearing deodorant until the drains are
removed and incision heals.
