NSG 170 FINAL EXAM ACTUAL EXAM QUESTIONS AND ANSWERS RATED 100% CORRECT NEWEST UPDATE 2025

The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.) A. Annual mammogram B. Magnetic resonance imaging (MRI) C. Breast ultrasound D. Breast self-awareness E. Clinical breast examination - Correct Ans-A. Annual mammogram D. Breast self-awareness E. Clinical breast examination A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the nurse prepare to administer? A. Epoetin alfa (Epogen) B. Filgrastim (Neupogen) C. Mesna (Mesnex) D. Oprelvekin (Neumega) - Correct Ans-A. Epoetin alfa (Epogen) A client receiving chemotherapy has a white blood cell count of 1000/mm3. What actions by the nurse are most appropriate? (Select all that apply.) A. Assess all mucous membranes every 4 to 8 hours. B. Do not allow the client to eat meat or poultry. C. Listen to lung sounds and monitor for cough. D. Monitor the venous access device appearance with vital signs. E. Take and record vital signs every 4 to 8 hours. - Correct Ans-A. Assess all mucous membranes every 4 to 8 hours. C. Listen to lung sounds and monitor for cough. D. Monitor the venous access device appearance with vital signs. E. Take and record vital signs every 4 to 8 hours. After receiving the hand-off report, which client should the oncology nurse see first? A. Client who is afebrile with a heart rate of 108 beats/min B. Older client on chemotherapy with mental status changes C. Client who is neutropenic and in protective isolation D. Client scheduled for radiation therapy today - Correct Ans-B. Older client on chemotherapy with mental status changes A cancer patient's susceptibility to the syndrome of inappropriate antidiuretic hormone (SIADH) can be suspected with which of the following laboratory results? A. Serum potassium of 5.2 mmol/L B. Serum sodium of 120 mmol/L C. Blood urea nitrogen (BUN) of 10 mg/dL D. Hematocrit of 40% - Correct Ans-B. Serum sodium of 120 mmol/L Which statement about carcinogenesis is accurate? A. An initiated cell will always become clinical cancer. B. Cancer becomes a health problem once it is 1 cm in size. C. Normal hormones and proteins do not promote cancer growth. D. Tumor cells need to develop their own blood supply. - Correct Ans-D. Tumor cells need to develop their own blood supply. A pregnant woman has come to the emergency department with complaints of nasal congestion and epistaxis. What is the correct interpretation of these symptoms by the practitioner? A. These conditions are abnormal. Refer the patient to an ear, nose, and throat specialist. B. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone. C. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal limits. D. Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds. - Correct Ans-D. Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds. A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. What is the nurse's best answer? A. "You should have felt the baby move by now." B. "Within the next month, you should start to feel fluttering sensations." C. "The baby is moving; however, you can't feel it yet." D. "Some babies are quiet, and you don't feel them move." - Correct Ans-B. "Within the next month, you should start to feel fluttering sensations." Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply) A. Human chorionic gonadotropin (hCG) B. Insulin C. Estrogen D. Progesterone E. Testosterone - Correct Ans-A. Human chorionic gonadotropin (hCG) C. Estrogen D. Progesterone During a routine prenatal visit in the third trimester, a woman reports she is dizzy and lightheaded when she is lying on her back. The most appropriate nursing action would be to: A. Order an EKG. B. Report this abnormal finding immediately to her care provider. C. Teach the woman to avoid lying on her back and to rise slowly because of supine hypotension. D. Order a nonstress test to assess fetal well-being. - Correct Ans-C. Teach the woman to avoid lying on her back and to rise slowly because of supine hypotension. The nurse is educating a primigravida patient during her first prenatal clinic appointment about follow-up prenatal care. How often will follow-up prenatal clinic visits be scheduled if the patient has a low-risk pregnancy and develops no complications? - Correct Ans-Every 4 weeks until 28 weeks., Every 2 weeks after 28 completed weeks until 36 weeks gestation. Which suggestion is appropriate for the pregnant client who is experiencing heartburn? A. Drink plenty of fluids at bedtime. B. Eat only three meals a day so the stomach is empty between meals. C. Drink coffee or orange juice immediately on arising in the morning. D. Use Tums or Alkamints to obtain relief, as directed by the health care provider. - Correct Ans-D. Use Tums or Alkamints to obtain relief, as directed by the health care provider. During a centering pregnancy group meeting, the nurse teaches patients that the fetal period is best described as one of: A. Development of basic organ systems B. Resistance of organs to damage from external agents C. Maturation of organ systems D. Development of placental oxygen-carbon dioxide exchange - Correct Ans-C. Maturation of organ systems The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing metastatic colon cancer. The nurse is aware that this patient is at risk for tumor lysis syndrome (TLS) and will monitor the patient closely for which abnormality associated with this oncologic emergency?