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Herzing NSG 223 Med Surg II Exam 2 2025–2026
Medical-Surgical Nursing, Oncology & Palliative
Care
Study Guide, Practice Questions & Exam Review
The nurse is comparing patients who have a normal prostate cancer risk based on
prostate-specific antigen (PSA) levels. Which patient would the nurse expect to be
normal?
A 48-year-old man with a PSA level of 4 to 10 mg/mL
A 45-year-old man with a PSA level > 10 ng/mL
A 73-year-old man with a PSA level of 5 mg/mL
A 50-year-old man with a PSA level of 3.9 mg/mL - SOLUTION=A 73-year-old
man with a PSA level of 5 mg/mL
The primary health-care provider is talking with the nursing student about the
causes of bladder stones. Which symptoms does the nurse expect to be related to
bladder stones? Select all that apply.
Blood in the urine
Mineral Deposits
Obstructed urine flow
Stretching of bladder muscles
Decreased bladder contraction - SOLUTION=Blood in the urine
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Mineral deposits
Obstructed urine flow
Which stage of testicular cancer invades blood vessels that supply the testicles?
T1
T2
T3
T4 - SOLUTION=T4
A nurse is caring for the family of a patient receiving palliative care.
Which points should the nurse remember while consoling the family of
the patient? Select all that apply.
Refrain from informing the family that the patient is in the final stage of
life.
Encourage the family members to talk with the patient over the phone, if
they are unable to make it to the health-care unit.
Evaluate the family's understanding of the patient's diagnosis and end-
of-life care.
Refrain from involving the family in the daily activities of the patient.
Suggest the family bring in the patient's favorite music, quilts, and
family pictures. - ANSWER-Encourage the family members to talk with
the patient over the phone, if they are unable to make it to the health-
care unit.
Evaluate the family's understanding of the patient's diagnosis and end-
of-life care.
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Suggest the family bring in the patient's favorite music, quilts, and
family pictures.
Which is true regarding physical and psychological changes in the early
stage of death?
The patient may experience a decrease in body temperature and blood
pressure.
The patient may not experience hunger or thirst as the body slows down.
The patient may experience congestion in the airways that can cause
respirations to sound loud and wet.
The patient may experience a change in skin color as the circulation
diminishes. - ANSWER-The patient may not experience hunger or thirst
as the body slows down.
A nurse is caring for a patient who is receiving palliative care after
having an unsuccessful hernia surgery. What immediate course of action
should the nurse take to manage hyperactive delirium in the patient?
The nurse should request that the primary health-care provider prescribe
anticholinergic medications.
The nurse should request that the primary health-care provider prescribe
benzodiazepines.
The nurse should elevate the head of the bed and administer opiates after
getting approval from the primary health-care provider.
The nurse should perform a sternal rub on the patient after consulting
with the nursing supervisor. - ANSWER-The nurse should request that
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the primary health-care provider prescribe benzodiazepines.
What is a nurse's best self-care action when feeling a sense of loss at the
thought of the impending death of a patient in palliative care?
Inform the family members of the patient that he or she is in the last
stage of life.
Encourage the family to bring in the patient's favorite music and
personal items.
Invite family to care for the patient as they feel comfortable.
Practice mind/body therapies like yoga, meditation, and/or prayer. -
ANSWER-Practice mind/body therapies like yoga, meditation, and/or
prayer.
Which is true regarding aspects of a well-managed death of a patient in
the end stages of life? Select all that apply.
It includes clear communication about decisions made only by the
primary health-care provider.
It includes adequate preparation for death for both the patient and loved
ones.
It includes appropriate pain and symptom management.
It includes avoiding a prolonged dying process.
It includes reminding the patient about all the bad things that he or she
Herzing NSG 223 Med Surg II Exam 2 2025–2026
Medical-Surgical Nursing, Oncology & Palliative
Care
Study Guide, Practice Questions & Exam Review
The nurse is comparing patients who have a normal prostate cancer risk based on
prostate-specific antigen (PSA) levels. Which patient would the nurse expect to be
normal?
A 48-year-old man with a PSA level of 4 to 10 mg/mL
A 45-year-old man with a PSA level > 10 ng/mL
A 73-year-old man with a PSA level of 5 mg/mL
A 50-year-old man with a PSA level of 3.9 mg/mL - SOLUTION=A 73-year-old
man with a PSA level of 5 mg/mL
The primary health-care provider is talking with the nursing student about the
causes of bladder stones. Which symptoms does the nurse expect to be related to
bladder stones? Select all that apply.
Blood in the urine
Mineral Deposits
Obstructed urine flow
Stretching of bladder muscles
Decreased bladder contraction - SOLUTION=Blood in the urine
,2|Page
Mineral deposits
Obstructed urine flow
Which stage of testicular cancer invades blood vessels that supply the testicles?
T1
T2
T3
T4 - SOLUTION=T4
A nurse is caring for the family of a patient receiving palliative care.
Which points should the nurse remember while consoling the family of
the patient? Select all that apply.
Refrain from informing the family that the patient is in the final stage of
life.
Encourage the family members to talk with the patient over the phone, if
they are unable to make it to the health-care unit.
Evaluate the family's understanding of the patient's diagnosis and end-
of-life care.
Refrain from involving the family in the daily activities of the patient.
Suggest the family bring in the patient's favorite music, quilts, and
family pictures. - ANSWER-Encourage the family members to talk with
the patient over the phone, if they are unable to make it to the health-
care unit.
Evaluate the family's understanding of the patient's diagnosis and end-
of-life care.
,3|Page
Suggest the family bring in the patient's favorite music, quilts, and
family pictures.
Which is true regarding physical and psychological changes in the early
stage of death?
The patient may experience a decrease in body temperature and blood
pressure.
The patient may not experience hunger or thirst as the body slows down.
The patient may experience congestion in the airways that can cause
respirations to sound loud and wet.
The patient may experience a change in skin color as the circulation
diminishes. - ANSWER-The patient may not experience hunger or thirst
as the body slows down.
A nurse is caring for a patient who is receiving palliative care after
having an unsuccessful hernia surgery. What immediate course of action
should the nurse take to manage hyperactive delirium in the patient?
The nurse should request that the primary health-care provider prescribe
anticholinergic medications.
The nurse should request that the primary health-care provider prescribe
benzodiazepines.
The nurse should elevate the head of the bed and administer opiates after
getting approval from the primary health-care provider.
The nurse should perform a sternal rub on the patient after consulting
with the nursing supervisor. - ANSWER-The nurse should request that
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the primary health-care provider prescribe benzodiazepines.
What is a nurse's best self-care action when feeling a sense of loss at the
thought of the impending death of a patient in palliative care?
Inform the family members of the patient that he or she is in the last
stage of life.
Encourage the family to bring in the patient's favorite music and
personal items.
Invite family to care for the patient as they feel comfortable.
Practice mind/body therapies like yoga, meditation, and/or prayer. -
ANSWER-Practice mind/body therapies like yoga, meditation, and/or
prayer.
Which is true regarding aspects of a well-managed death of a patient in
the end stages of life? Select all that apply.
It includes clear communication about decisions made only by the
primary health-care provider.
It includes adequate preparation for death for both the patient and loved
ones.
It includes appropriate pain and symptom management.
It includes avoiding a prolonged dying process.
It includes reminding the patient about all the bad things that he or she
