NUR 256 Advanced Med Surg Exam 4 Review 2026 |
Latest Update | Questions & Answers | Graded A+
6/17/2024 - 256 Advanced Med Surg Socrative for exam 4 with Enrichment Session
Cancer
1. The nurse should initiate protective precautions for a client who has a
A Red Blood Cell Count (RBC) of 3,900/mm
B Platelet count of 98,000μ/L
C Hemoglobin (Hgb) 8.0 g/dl
D White Blood Cell Count (WBC) 1,100/mm3
They are neutropenic . Whi is going to die the quickest
2. The nurse at a health clinic is screening male clients for testicular cancer. It would be a
priority for the nurse to teach testicular self examination to
A A 17-year-old high school football player
B A 45-year-old who smokes a pack of cigarettes each day
C A 55-year-old with benign prostatic hypertrophy
D A 69-year-old with a family history of testicular cancer
3. The nurse is caring for a client with disseminated intravascular coagulation (DIC) who is
receiving a unit of packed red cells. Thirty minutes after the start of the transfusion, the client
reports chills and flank pain. The nurse should first?
A Flush the intravenous tubing with normal saline
B Assess the client’s vital signs
C Stop the transfusion
D Notify the primary health care provider
When in destress, don’t assess
4. The nurse is discussing cancer prevention and early detection with a community group.
Which comment by one of the group is of highest priority and should receive recommendation
for immediate follow-up?
A “I was out in the sun and got a bad sunburn last week.”
B “I got an upset stomach after I ate the Chinese restaurant two weeks ago.”
C “I have had a mole on my tummy ever since I was born.”
D "I have had a smoker's cough for several years now.”
The inflammation is stopping the cellular relulation.
CAUTION N -Nagging cough
5. What statement indicates that the client understands teaching about neutropenia?
messages.downloaded_by
, “I need to use a soft toothbrush.”
A
“I have to wear a mask at all times.”
B
“My grandchildren may get an infection from me.”
C
“I will call my doctor if I have an increase in temperature.”
D
6. A client’s radiation implant has become dislodged overnight, and the nurse finds it in the
client’s bed. What does the nurse do first?
A Assess the client’s skin for radiation burns.
B Use tongs to put the implant into the radiation container
C Notify the safety officer and move the client to a different room.
D Don gloves and attempt to replace the implant.
Brachytherapy
7. A client is on chemotherapy and has a platelet count of 25,000. Which intervention is most
important to teach this client?
A “Eat a low-bacteria diet.” - neutropenia
B “Take your temperature daily.” neutropenia
C “Use a soft-bristled toothbrush.”
D “Avoid alcohol-based mouthwashes.”
8. A client has small-cell lung cancer. Which laboratory result requires immediate intervention
by the nurse?
A Serum potassium of 5.2 mEq/L
B Serum sodium of 118 mEq/L – sodium seizes the brain
C Hematocrit of 45%
D Blood urea nitrogen (BUN) of 22 mg/dL
• Why
• Risk factors
• Metastasis
• Oncological emergency SIADH
9. A client is receiving high-dose chemotherapy for multiple myeloma. Which intervention is
most important for the nurse to implement to prevent complications during chemotherapy?
A Ensure that the client’s fluid intake is 3000 to 5000 mL/day. – prevent tumor lysis syndrome.
B Monitor telemetry every hour during therapy.
C Apply pressure to all injection sites for 5 minutes.
D Assist the client in all ambulatory activities.
10. The nurse teaches a client with superior vena cava syndrome that improvement is
characterized by which clinical manifestation? (swelling chest up)
A The client’s hands are less swollen.
Other notes from the session Emergency Room Nursing
messages.downloaded_by
Latest Update | Questions & Answers | Graded A+
6/17/2024 - 256 Advanced Med Surg Socrative for exam 4 with Enrichment Session
Cancer
1. The nurse should initiate protective precautions for a client who has a
A Red Blood Cell Count (RBC) of 3,900/mm
B Platelet count of 98,000μ/L
C Hemoglobin (Hgb) 8.0 g/dl
D White Blood Cell Count (WBC) 1,100/mm3
They are neutropenic . Whi is going to die the quickest
2. The nurse at a health clinic is screening male clients for testicular cancer. It would be a
priority for the nurse to teach testicular self examination to
A A 17-year-old high school football player
B A 45-year-old who smokes a pack of cigarettes each day
C A 55-year-old with benign prostatic hypertrophy
D A 69-year-old with a family history of testicular cancer
3. The nurse is caring for a client with disseminated intravascular coagulation (DIC) who is
receiving a unit of packed red cells. Thirty minutes after the start of the transfusion, the client
reports chills and flank pain. The nurse should first?
A Flush the intravenous tubing with normal saline
B Assess the client’s vital signs
C Stop the transfusion
D Notify the primary health care provider
When in destress, don’t assess
4. The nurse is discussing cancer prevention and early detection with a community group.
Which comment by one of the group is of highest priority and should receive recommendation
for immediate follow-up?
A “I was out in the sun and got a bad sunburn last week.”
B “I got an upset stomach after I ate the Chinese restaurant two weeks ago.”
C “I have had a mole on my tummy ever since I was born.”
D "I have had a smoker's cough for several years now.”
The inflammation is stopping the cellular relulation.
CAUTION N -Nagging cough
5. What statement indicates that the client understands teaching about neutropenia?
messages.downloaded_by
, “I need to use a soft toothbrush.”
A
“I have to wear a mask at all times.”
B
“My grandchildren may get an infection from me.”
C
“I will call my doctor if I have an increase in temperature.”
D
6. A client’s radiation implant has become dislodged overnight, and the nurse finds it in the
client’s bed. What does the nurse do first?
A Assess the client’s skin for radiation burns.
B Use tongs to put the implant into the radiation container
C Notify the safety officer and move the client to a different room.
D Don gloves and attempt to replace the implant.
Brachytherapy
7. A client is on chemotherapy and has a platelet count of 25,000. Which intervention is most
important to teach this client?
A “Eat a low-bacteria diet.” - neutropenia
B “Take your temperature daily.” neutropenia
C “Use a soft-bristled toothbrush.”
D “Avoid alcohol-based mouthwashes.”
8. A client has small-cell lung cancer. Which laboratory result requires immediate intervention
by the nurse?
A Serum potassium of 5.2 mEq/L
B Serum sodium of 118 mEq/L – sodium seizes the brain
C Hematocrit of 45%
D Blood urea nitrogen (BUN) of 22 mg/dL
• Why
• Risk factors
• Metastasis
• Oncological emergency SIADH
9. A client is receiving high-dose chemotherapy for multiple myeloma. Which intervention is
most important for the nurse to implement to prevent complications during chemotherapy?
A Ensure that the client’s fluid intake is 3000 to 5000 mL/day. – prevent tumor lysis syndrome.
B Monitor telemetry every hour during therapy.
C Apply pressure to all injection sites for 5 minutes.
D Assist the client in all ambulatory activities.
10. The nurse teaches a client with superior vena cava syndrome that improvement is
characterized by which clinical manifestation? (swelling chest up)
A The client’s hands are less swollen.
Other notes from the session Emergency Room Nursing
messages.downloaded_by
