MIS 180 1(SDSU LANCE CAMERON)
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ You are screening participants at a community health fair. Which client
requires further assessment for possible lung cancer based on multiple risk
factors?a) A client with a history of seasonal allergies and no tobacco
exposureb) A client who smoked for 25 years and worked remodeling
homes with asbestosc) A client who runs marathons and eats low-fat,
high-fiber mealsd) A client who quit smoking 8 years ago and has no other
exposures.
Answer: b) A client who smoked for 25 years and worked remodeling
homes with asbestos
◍ A palliative patient with metastatic bone cancer requires increasing doses of
morphine for pain control. How should you explain this need for escalating
dosages?a) Opioid medications lose effectiveness over timeb) The patient's
tolerance has increased, requiring higher doses for effectc) The pain is
psychological, not physicald) The patient's cancer stopped responding to
medication.
Answer: b) The patient's tolerance has increased, requiring higher doses for
effect
◍ Cellular Regulation.
Answer: The process by which cells replicate, proliferate, and grow
◍ What is cancer?.
Answer: Group of more than 200 diseases -characterized by uncontrolled
and unregulated growth of cells
◍ A nurse is teaching about colon cancer risk factors. Which client scenario
, shows the strongest need for preventative screening?a) A patient with
longstanding Crohn's disease and several colon polypsb) A young adult with
IBS but no polypsc) A retired athlete with healthy habitsd) A client whose
only risk is low calcium intake.
Answer: a) A patient with longstanding Crohn's disease and several colon
polyps
◍ A hospice patient with advanced bone cancer now struggles to swallow oral
medications. What is your best action to manage pain control?a) Crush pills
and add them to foodb) Request an alternative route of medication, such as
transdermal or IV analgesiac) Omit pain medicationd) Encourage the patient
to try harder to swallow pills.
Answer: b) Request an alternative route of medication, such as transdermal
or IV analgesia
◍ You are counseling a recently widowed client who reports overwhelming
sadness and apathy several weeks after their spouse's death. Based on
assessment, what stage of grief is the client demonstrating, and how should
you support them?a) Denial; encourage reality testingb) Depression; provide
emotional support and monitor for suicidal ideationc) Bargaining; distract
from thoughtsd) Acceptance; move to goal setting.
Answer: b) Depression; provide emotional support and monitor for suicidal
ideation
◍ Benign tumor characteristics.
Answer: • Well-differentiated (looks like normal cells of that tissue)•
Usually slow to divide• Encapsulated---does not invade surrounding• Does
not spread by metastasis
◍ A visually impaired client is admitted. What environmental adjustment is
most necessary for safety and independent functioning?a) Remove
unnecessary objects and clearly orient the patient to the room layoutb) Place
bright colored objects for visibilityc) Fill out medical forms for the clientd)
Talk loudly to ensure they hear instructions.
Answer: a) Remove unnecessary objects and clearly orient the patient to the
, room layout
◍ A woman with several children from prior marriages and a newborn asks
how her family unit is characterized. What analysis of family type
applies?a) Nuclearb) Blendedc) Extendedd) Single-parent.
Answer: b) Blended
◍ Malignant tumor characteristics.
Answer: * lack of differentiation (anaplasia)* growth is disorganized and
uncontrolled* invade surrounding tissues* can travel to distant sites
(metastases)
◍ A client taking an MAOI for depression presents with a sudden severe
headache and high blood pressure. What nursing priority and action are
indicated?a) Continue medicationb) Monitor and reassurec) Suspect
hypertensive crisis; initiate emergency protocols and hold MAOId)
Administer pain meds and reassess.
Answer: c) Suspect hypertensive crisis; initiate emergency protocols and
hold MAOI
◍ A client in crisis states, "I keep thinking about ending it all with pills." What
is your immediate nursing action?a) Ignore the statementb) Document and
report to provider immediately; initiate suicide precautionsc) Advise talking
to friendsd) Encourage journaling.
Answer: b) Document and report to provider immediately; initiate suicide
precautions
◍ A bipolar client taking lithium develops muscle twitching, confusion, and
diarrhea. What risk should you assess and what is your next action?a)
Seizure risk; continue lithiumb) Lithium toxicity; hold medication, check
serum levels, report findingsc) Depression; increase dosaged) Renal
function; continue monitoring only.
Answer: b) Lithium toxicity; hold medication, check serum levels, report
findings
◍ A patient is postictal after a tonic-clonic seizure. What assessment finding is
, expected, and how should you manage their care?a) Confusion and fatigue;
provide airway support and frequent monitoring*b) Hypertension;
administer antihypertensivesc) Rigidity; increase stimulationd) Immediate
full alertness; resume activity.
Answer: a) Confusion and fatigue; provide airway support and frequent
monitoring
◍ A patient presents in status epilepticus. Which medications will you
anticipate administering and why? Select all that apply.a) Diazepam IVb)
Lorazepam IVc) Oral glucosed) Phenytoin IVe) Gabapentin.
Answer: a) Diazepam IVb) Lorazepam IVd) Phenytoin IV
◍ A stroke patient with expressive aphasia is struggling to communicate. What
nursing intervention best supports their communication and autonomy?a)
Provide a communication board with commonly used needs and phrasesb)
Have their family speak for themc) Ignore attempts at speakingd) Speak
louder and more slowly.
Answer: a) Provide a communication board with commonly used needs and
phrases
◍ A client with suspected increased ICP demonstrates hypertension,
bradycardia, and irregular respirations. What syndrome do these symptoms
indicate, and what is your immediate action?a) Spinal shock; maintain
supine positionb) Cushing's triad; notify provider, monitor, prepare to treat
increased ICPc) Neurogenic shock; administer fluidsd) Sepsis; obtain
cultures.
Answer: b) Cushing's triad; notify provider, monitor, prepare to treat
increased ICP
◍ During a meningitis assessment, flexion of the neck causes the knees and
hips to flex. What is the clinical interpretation of this sign?a) Negative
Kernig's; normal findingb) Positive Brudzinski's sign; urgent assessment and
isolation for meningitisc) Deep tendon reflexd) Hyperactive neck
movement.
Answer: b) Positive Brudzinski's sign; urgent assessment and isolation for
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ You are screening participants at a community health fair. Which client
requires further assessment for possible lung cancer based on multiple risk
factors?a) A client with a history of seasonal allergies and no tobacco
exposureb) A client who smoked for 25 years and worked remodeling
homes with asbestosc) A client who runs marathons and eats low-fat,
high-fiber mealsd) A client who quit smoking 8 years ago and has no other
exposures.
Answer: b) A client who smoked for 25 years and worked remodeling
homes with asbestos
◍ A palliative patient with metastatic bone cancer requires increasing doses of
morphine for pain control. How should you explain this need for escalating
dosages?a) Opioid medications lose effectiveness over timeb) The patient's
tolerance has increased, requiring higher doses for effectc) The pain is
psychological, not physicald) The patient's cancer stopped responding to
medication.
Answer: b) The patient's tolerance has increased, requiring higher doses for
effect
◍ Cellular Regulation.
Answer: The process by which cells replicate, proliferate, and grow
◍ What is cancer?.
Answer: Group of more than 200 diseases -characterized by uncontrolled
and unregulated growth of cells
◍ A nurse is teaching about colon cancer risk factors. Which client scenario
, shows the strongest need for preventative screening?a) A patient with
longstanding Crohn's disease and several colon polypsb) A young adult with
IBS but no polypsc) A retired athlete with healthy habitsd) A client whose
only risk is low calcium intake.
Answer: a) A patient with longstanding Crohn's disease and several colon
polyps
◍ A hospice patient with advanced bone cancer now struggles to swallow oral
medications. What is your best action to manage pain control?a) Crush pills
and add them to foodb) Request an alternative route of medication, such as
transdermal or IV analgesiac) Omit pain medicationd) Encourage the patient
to try harder to swallow pills.
Answer: b) Request an alternative route of medication, such as transdermal
or IV analgesia
◍ You are counseling a recently widowed client who reports overwhelming
sadness and apathy several weeks after their spouse's death. Based on
assessment, what stage of grief is the client demonstrating, and how should
you support them?a) Denial; encourage reality testingb) Depression; provide
emotional support and monitor for suicidal ideationc) Bargaining; distract
from thoughtsd) Acceptance; move to goal setting.
Answer: b) Depression; provide emotional support and monitor for suicidal
ideation
◍ Benign tumor characteristics.
Answer: • Well-differentiated (looks like normal cells of that tissue)•
Usually slow to divide• Encapsulated---does not invade surrounding• Does
not spread by metastasis
◍ A visually impaired client is admitted. What environmental adjustment is
most necessary for safety and independent functioning?a) Remove
unnecessary objects and clearly orient the patient to the room layoutb) Place
bright colored objects for visibilityc) Fill out medical forms for the clientd)
Talk loudly to ensure they hear instructions.
Answer: a) Remove unnecessary objects and clearly orient the patient to the
, room layout
◍ A woman with several children from prior marriages and a newborn asks
how her family unit is characterized. What analysis of family type
applies?a) Nuclearb) Blendedc) Extendedd) Single-parent.
Answer: b) Blended
◍ Malignant tumor characteristics.
Answer: * lack of differentiation (anaplasia)* growth is disorganized and
uncontrolled* invade surrounding tissues* can travel to distant sites
(metastases)
◍ A client taking an MAOI for depression presents with a sudden severe
headache and high blood pressure. What nursing priority and action are
indicated?a) Continue medicationb) Monitor and reassurec) Suspect
hypertensive crisis; initiate emergency protocols and hold MAOId)
Administer pain meds and reassess.
Answer: c) Suspect hypertensive crisis; initiate emergency protocols and
hold MAOI
◍ A client in crisis states, "I keep thinking about ending it all with pills." What
is your immediate nursing action?a) Ignore the statementb) Document and
report to provider immediately; initiate suicide precautionsc) Advise talking
to friendsd) Encourage journaling.
Answer: b) Document and report to provider immediately; initiate suicide
precautions
◍ A bipolar client taking lithium develops muscle twitching, confusion, and
diarrhea. What risk should you assess and what is your next action?a)
Seizure risk; continue lithiumb) Lithium toxicity; hold medication, check
serum levels, report findingsc) Depression; increase dosaged) Renal
function; continue monitoring only.
Answer: b) Lithium toxicity; hold medication, check serum levels, report
findings
◍ A patient is postictal after a tonic-clonic seizure. What assessment finding is
, expected, and how should you manage their care?a) Confusion and fatigue;
provide airway support and frequent monitoring*b) Hypertension;
administer antihypertensivesc) Rigidity; increase stimulationd) Immediate
full alertness; resume activity.
Answer: a) Confusion and fatigue; provide airway support and frequent
monitoring
◍ A patient presents in status epilepticus. Which medications will you
anticipate administering and why? Select all that apply.a) Diazepam IVb)
Lorazepam IVc) Oral glucosed) Phenytoin IVe) Gabapentin.
Answer: a) Diazepam IVb) Lorazepam IVd) Phenytoin IV
◍ A stroke patient with expressive aphasia is struggling to communicate. What
nursing intervention best supports their communication and autonomy?a)
Provide a communication board with commonly used needs and phrasesb)
Have their family speak for themc) Ignore attempts at speakingd) Speak
louder and more slowly.
Answer: a) Provide a communication board with commonly used needs and
phrases
◍ A client with suspected increased ICP demonstrates hypertension,
bradycardia, and irregular respirations. What syndrome do these symptoms
indicate, and what is your immediate action?a) Spinal shock; maintain
supine positionb) Cushing's triad; notify provider, monitor, prepare to treat
increased ICPc) Neurogenic shock; administer fluidsd) Sepsis; obtain
cultures.
Answer: b) Cushing's triad; notify provider, monitor, prepare to treat
increased ICP
◍ During a meningitis assessment, flexion of the neck causes the knees and
hips to flex. What is the clinical interpretation of this sign?a) Negative
Kernig's; normal findingb) Positive Brudzinski's sign; urgent assessment and
isolation for meningitisc) Deep tendon reflexd) Hyperactive neck
movement.
Answer: b) Positive Brudzinski's sign; urgent assessment and isolation for
