ADVANCED MED SURG REVIEW NUR 265
EXAM 1 2026 MOCK EXAM REVIEW GUIDE
◉ chemo precautions. Answer: -double flush toilet
-chem-safe PPE
-spill clean up per agency protocal
◉ External Radiation "teletherapy". Answer: -external source (client
will not emit radiation)
◉ External radiation side effects. Answer: -radiation dermatitis
(mild soap and water with lotion)
-bone marrow suppression
-xerostomia (excessive thirst)
-oral candidiasis/thrush
◉ Brachytherapy. Answer: -internal radiation
-specifically to the tumor
-client is radioactive
-waste products are radioactive
-no pregnant women or children allowed
-private room and private bathroom
,-wear lead apron and dosimeter when providing care
-visitiors can stay for no longer than 30min per day, and 6 feet from
patient
◉ Complication: Sepsis. Answer: -rapidly sets in
-cancer causes immunocomprimised state
-low grade fever (less then 99F); is often only symptom before full
septic shock starts
◉ Complication: DIC. Answer: -can occur with sepsis
-during sepsis---massive clotting and massive bleeding
◉ complication: sepsis and DIC tx. Answer: early intervention with
IV antibiotics at the first sign of infection (low grade fever) saves
LIVES
◉ Complication: spinal chord compression. Answer: tumor presses
on and compresses the spinal chord, or vertebrae collapse due to
bone loss associated with bone cancer
◉ Complication: spinal chord compression hallmark sign. Answer:
back pain*
-will progress to neuromuscular weakness
-loss of sensation
, -burning pain
-paralysis
◉ Complication: spinal chord compression TX. Answer: high dose
corticosteroids, radiation, and spinal stabilization surgery (if caused
by bone cancer)
◉ Complication: Hypercalcemia. Answer: certain cancers release
PTH stimulating bones to release calcium, elevating serum calcium
levels
◉ Complication: hypercalcemia Early symptoms. Answer: -skeletal
pain
-kidney stones
-altered cognition
◉ Complication: hypercalcemia late symptoms. Answer: -ECG
changes
-Dehydration
-severe muscle weakness
-loss of deep tendon reflexes
◉ Complication: Hypercalcemia Tx. Answer: -treat with Normal
saline IV
EXAM 1 2026 MOCK EXAM REVIEW GUIDE
◉ chemo precautions. Answer: -double flush toilet
-chem-safe PPE
-spill clean up per agency protocal
◉ External Radiation "teletherapy". Answer: -external source (client
will not emit radiation)
◉ External radiation side effects. Answer: -radiation dermatitis
(mild soap and water with lotion)
-bone marrow suppression
-xerostomia (excessive thirst)
-oral candidiasis/thrush
◉ Brachytherapy. Answer: -internal radiation
-specifically to the tumor
-client is radioactive
-waste products are radioactive
-no pregnant women or children allowed
-private room and private bathroom
,-wear lead apron and dosimeter when providing care
-visitiors can stay for no longer than 30min per day, and 6 feet from
patient
◉ Complication: Sepsis. Answer: -rapidly sets in
-cancer causes immunocomprimised state
-low grade fever (less then 99F); is often only symptom before full
septic shock starts
◉ Complication: DIC. Answer: -can occur with sepsis
-during sepsis---massive clotting and massive bleeding
◉ complication: sepsis and DIC tx. Answer: early intervention with
IV antibiotics at the first sign of infection (low grade fever) saves
LIVES
◉ Complication: spinal chord compression. Answer: tumor presses
on and compresses the spinal chord, or vertebrae collapse due to
bone loss associated with bone cancer
◉ Complication: spinal chord compression hallmark sign. Answer:
back pain*
-will progress to neuromuscular weakness
-loss of sensation
, -burning pain
-paralysis
◉ Complication: spinal chord compression TX. Answer: high dose
corticosteroids, radiation, and spinal stabilization surgery (if caused
by bone cancer)
◉ Complication: Hypercalcemia. Answer: certain cancers release
PTH stimulating bones to release calcium, elevating serum calcium
levels
◉ Complication: hypercalcemia Early symptoms. Answer: -skeletal
pain
-kidney stones
-altered cognition
◉ Complication: hypercalcemia late symptoms. Answer: -ECG
changes
-Dehydration
-severe muscle weakness
-loss of deep tendon reflexes
◉ Complication: Hypercalcemia Tx. Answer: -treat with Normal
saline IV
