Examl 1:l NURl 201/l NUR201l (NEWl 2025/l
2026l Update)l Medical-Surgicall Nursingl Il
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Whenl caringl forl al patientl whol isl pancytopenic,l whichl actionl byl unlicensedl assistivel
personnell (UAP)l indicatesl al needl forl thel nursel tol intervene?
a.l Thel UAPl assistsl thel patientl tol usel dentall flossl afterl eating.
b.l Thel UAPl addsl bakingl sodal tol thel patient'sl salinel orall rinses.
c.l Thel UAPl putsl fluoridel toothpastel onl thel patient'sl toothbrush.
d.l Thel UAPl hasl thel patientl rinsel afterl mealsl withl al salinel solution.
Answer:
A
Usel ofl dentall flossl isl avoidedl inl patientsl withl pancytopenial becausel ofl thel riskl forl
infectionl andl bleeding.l Thel otherl actionsl arel appropriatel forl orall carel ofl al
pancytopenicl patient.
QUESTION
Thel nursel supervisesl thel carel ofl al patientl withl al temporaryl radioactivel cervicall
implant.l Whichl actionl byl unlicensedl assistivel personnell (UAP),l ifl observedl byl thel
nurse,l wouldl requirel anl intervention?
a.l Thel UAPl flushesl thel toiletl oncel afterl emptyingl thel patient'sl bedpan.
b.l Thel UAPl standsl byl thel patient'sl bedl forl 30l minutesl talkingl withl thel patient.
c.l Thel UAPl placesl thel patient'sl beddingl inl thel laundryl containerl inl thel hallway.
d.l Thel UAPl givesl thel patientl anl alcohol-containingl mouthwashl tol usel forl orall care.
Answer:
B
Becausel patientsl withl temporaryl implantsl emitl radioactivityl whilel thel implantsl arel inl
place,l exposurel tol thel patientl isl limited.l Laundryl andl urinel andl fecesl dol notl havel anyl
radioactivityl andl dol notl requirel speciall precautions.l Cervicall radiationl willl notl affectl
thel orall mucosa,l andl alcohol-basedl mouthwashl isl notl contraindicated.
,QUESTION
Thel nursel receivesl change-of-shiftl reportl onl thel oncologyl unit.l Whichl patientl shouldl
thel nursel assessl first?l a.l Al 35-yr-oldl patientl whol hasl wetl desquamationl associatedl withl
abdominal
radiation
b.l Al 42-yr-oldl patientl whol isl sobbingl afterl receivingl al newl diagnosisl ofl ovarian
cancer
c.l Al 24-yr-oldl patientl whol receivedl neckl radiationl andl hasl bloodl oozingl froml the
neck
d.l Al 56-yr-oldl patientl whol developedl al newl pericardiall frictionl rubl afterl chest
radiation
Answer:
C
Becausel neckl bleedingl mayl indicatel possiblel carotidl arteryl rupturel inl al patientl whol isl
receivingl radiationl tol thel neck,l thisl patientl shouldl bel seenl first.l Thel diagnosesl andl
clinicall manifestationsl forl thel otherl patientsl arel notl immediatelyl lifel threatening.
QUESTION
Whichl actionl shouldl thel nursel takel whenl caringl forl al patientl whol isl receivingl
chemotherapyl andl reportsl problemsl withl concentration?
a.l Suggestl usel ofl al dailyl plannerl andl encouragel adequatel sleep.
b.l Teachl thel patientl tol restl thel brainl byl avoidingl newl activities.
c.l Teachl thatl "chemo-brain"l isl al short-terml effectl ofl chemotherapy.
d.l Reportl patientl symptomsl immediatelyl tol thel healthl carel provider.
Answer:
A
Usel ofl toolsl tol enhancel memoryl andl concentrationl suchl asl al dailyl plannerl andl
adequatel restl arel helpfull forl patientsl whol developl "chemo-brain"l whilel receivingl
chemotherapy.l Patientsl shouldl bel encouragedl tol exercisel thel brainl throughl newl
activities.l Chemo-brainl mayl bel shortl orl longl term.l Therel isl nol urgentl needl tol reportl
commonl chemotherapyl sidel effectsl tol thel provider.
QUESTION
Thel nursel assessesl al patientl withl non-Hodgkin'sl lymphomal whol isl receivingl anl
infusionl ofl rituximabl (Rituxan).l Whichl assessmentl findingl wouldl requirel thel mostl rapidl
actionl byl thel nurse?
a.l Shortnessl ofl breath
,b.l Shiveringl andl chills
c.l Musclel achesl andl pains
d.l Temperaturel ofl 100.2°l Fl (37.9°l C)
Answer:
A
Rituximabl (Rituxan)l isl al monoclonall antibody.l Shortnessl ofl breathl shouldl bel
investigatedl rapidlyl becausel anaphylaxisl isl al possiblel reactionl tol monoclonall antibodyl
administration.l Thel nursel willl needl tol rapidlyl takel actionsl suchl asl stoppingl thel
infusion,l assessingl thel patientl further,l andl notifyingl thel healthl carel provider.l Thel otherl
findingsl willl alsol requirel actionl byl thel nursel butl arel notl indicativel ofl life-threateningl
complications.
QUESTION
Al patientl whol isl beingl treatedl forl stagel IVl lungl cancerl tellsl thel nursel aboutl new-
onsetl backl pain.l Whichl actionl shouldl thel nursel takel first?
a.l Givel thel patientl thel prescribedl PRNl opioid.
b.l Assessl forl sensationl andl strengthl inl thel legs.
c.l Notifyl thel healthl carel providerl aboutl thel symptoms.
d.l Teachl thel patientl howl tol usel relaxationl tol reducel pain.
Answer:
B
Spinall cordl compression,l anl oncologicl emergency,l canl occurl withl invasionl ofl tumorl
intol thel epidurall space.l Thel nursel willl needl tol assessl thel patientl furtherl forl symptomsl
suchl asl decreasedl legl sensationl andl strengthl andl thenl notifyl thel healthl carel provider.l
Administrationl ofl opioidsl orl thel usel ofl relaxationl mayl bel appropriatel butl onlyl afterl
thel nursel hasl assessedl forl possiblel spinall cordl compression.
QUESTION
Thel nursel isl caringl forl al patientl withl left-sidedl lungl cancer.l Whichl findingl wouldl bel
mostl importantl forl thel nursel tol reportl tol thel healthl carel provider?
a.l Hematocritl ofl 32%
b.l Painl withl deepl inspiration
c.l Seruml sodiuml ofl 126l mEq/L
d.l Decreasedl breathl soundsl onl leftl side
Answer:
C
, Thel syndromel ofl inappropriatel antidiureticl hormonel (andl thel resultingl hyponatremia)l isl
anl oncologicl metabolicl emergencyl andl requiresl rapidl treatmentl tol preventl complicationsl
suchl asl seizuresl andl coma.l Thel otherl findingsl alsol requirel interventionl butl arel
commonl inl patientsl withl lungl cancerl andl notl immediatelyl lifel threatening.
QUESTION
Anl olderl adultl patientl whol hasl colorectall cancerl isl receivingl IVl fluidsl atl 175l mL/hrl
inl conjunctionl withl thel prescribedl chemotherapy.l Whichl findingl byl thel nursel isl mostl
importantl tol reportl tol thel healthl carel provider?
a.l Patientl reportsl havingl severel fatigue.
b.l Patientl voidsl everyl hourl duringl thel day.
c.l Patientl takesl onlyl 50%l ofl mealsl andl refusesl snacks.
d.l Patientl hasl cracklesl upl tol thel midlinel posteriorl chest.
Answer:
D
Rapidl fluidl infusionsl mayl causel heartl failure,l especiallyl inl olderl patients.l Thel otherl
findingsl arel commonl inl patientsl whol havel cancerl orl arel receivingl chemotherapy.
QUESTION
Afterl change-of-shiftl reportl onl thel oncologyl unit,l whichl patientl shouldl thel nursel assessl
first?
a.l Patientl whol hasl al plateletl countl ofl 82,000/µLl afterl chemotherapy.
b.l Patientl whol hasl xerostomial afterl receivingl headl andl neckl radiation.
c.l Patientl whol isl neutropenicl andl hasl al temperaturel ofl 100.5°l Fl (38.1°l C).
d.l Patientl whol isl worriedl aboutl gettingl thel prescribedl long-actingl opioidl onl time.
Answer:
C
Feverl isl anl emergencyl inl neutropenicl patientsl becausel ofl thel riskl forl rapidl progressionl
tol severel infectionsl andl sepsis.l Thel otherl patientsl alsol requirel assessmentsl orl
interventionsl butl dol notl needl tol bel assessedl asl urgently.l Patientsl withl thrombocytopenial
dol notl havel spontaneousl bleedingl untill thel plateletsl arel 20,000/µL.l Xerostomial doesl
notl requirel immediatel intervention.l Althoughl breakthroughl painl needsl tol bel addressedl
rapidly,l thel patientl doesl notl appearl tol havel breakthroughl pain.
QUESTION
Thel nursel atl thel clinicl isl interviewingl al 64-yr-oldl womanl whol isl 5l feet,l 3l inchesl talll
andl weighsl 125l lbl (57l kg).l Thel patientl hasl notl seenl al healthl carel providerl forl 20l
2026l Update)l Medical-Surgicall Nursingl Il
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Whenl caringl forl al patientl whol isl pancytopenic,l whichl actionl byl unlicensedl assistivel
personnell (UAP)l indicatesl al needl forl thel nursel tol intervene?
a.l Thel UAPl assistsl thel patientl tol usel dentall flossl afterl eating.
b.l Thel UAPl addsl bakingl sodal tol thel patient'sl salinel orall rinses.
c.l Thel UAPl putsl fluoridel toothpastel onl thel patient'sl toothbrush.
d.l Thel UAPl hasl thel patientl rinsel afterl mealsl withl al salinel solution.
Answer:
A
Usel ofl dentall flossl isl avoidedl inl patientsl withl pancytopenial becausel ofl thel riskl forl
infectionl andl bleeding.l Thel otherl actionsl arel appropriatel forl orall carel ofl al
pancytopenicl patient.
QUESTION
Thel nursel supervisesl thel carel ofl al patientl withl al temporaryl radioactivel cervicall
implant.l Whichl actionl byl unlicensedl assistivel personnell (UAP),l ifl observedl byl thel
nurse,l wouldl requirel anl intervention?
a.l Thel UAPl flushesl thel toiletl oncel afterl emptyingl thel patient'sl bedpan.
b.l Thel UAPl standsl byl thel patient'sl bedl forl 30l minutesl talkingl withl thel patient.
c.l Thel UAPl placesl thel patient'sl beddingl inl thel laundryl containerl inl thel hallway.
d.l Thel UAPl givesl thel patientl anl alcohol-containingl mouthwashl tol usel forl orall care.
Answer:
B
Becausel patientsl withl temporaryl implantsl emitl radioactivityl whilel thel implantsl arel inl
place,l exposurel tol thel patientl isl limited.l Laundryl andl urinel andl fecesl dol notl havel anyl
radioactivityl andl dol notl requirel speciall precautions.l Cervicall radiationl willl notl affectl
thel orall mucosa,l andl alcohol-basedl mouthwashl isl notl contraindicated.
,QUESTION
Thel nursel receivesl change-of-shiftl reportl onl thel oncologyl unit.l Whichl patientl shouldl
thel nursel assessl first?l a.l Al 35-yr-oldl patientl whol hasl wetl desquamationl associatedl withl
abdominal
radiation
b.l Al 42-yr-oldl patientl whol isl sobbingl afterl receivingl al newl diagnosisl ofl ovarian
cancer
c.l Al 24-yr-oldl patientl whol receivedl neckl radiationl andl hasl bloodl oozingl froml the
neck
d.l Al 56-yr-oldl patientl whol developedl al newl pericardiall frictionl rubl afterl chest
radiation
Answer:
C
Becausel neckl bleedingl mayl indicatel possiblel carotidl arteryl rupturel inl al patientl whol isl
receivingl radiationl tol thel neck,l thisl patientl shouldl bel seenl first.l Thel diagnosesl andl
clinicall manifestationsl forl thel otherl patientsl arel notl immediatelyl lifel threatening.
QUESTION
Whichl actionl shouldl thel nursel takel whenl caringl forl al patientl whol isl receivingl
chemotherapyl andl reportsl problemsl withl concentration?
a.l Suggestl usel ofl al dailyl plannerl andl encouragel adequatel sleep.
b.l Teachl thel patientl tol restl thel brainl byl avoidingl newl activities.
c.l Teachl thatl "chemo-brain"l isl al short-terml effectl ofl chemotherapy.
d.l Reportl patientl symptomsl immediatelyl tol thel healthl carel provider.
Answer:
A
Usel ofl toolsl tol enhancel memoryl andl concentrationl suchl asl al dailyl plannerl andl
adequatel restl arel helpfull forl patientsl whol developl "chemo-brain"l whilel receivingl
chemotherapy.l Patientsl shouldl bel encouragedl tol exercisel thel brainl throughl newl
activities.l Chemo-brainl mayl bel shortl orl longl term.l Therel isl nol urgentl needl tol reportl
commonl chemotherapyl sidel effectsl tol thel provider.
QUESTION
Thel nursel assessesl al patientl withl non-Hodgkin'sl lymphomal whol isl receivingl anl
infusionl ofl rituximabl (Rituxan).l Whichl assessmentl findingl wouldl requirel thel mostl rapidl
actionl byl thel nurse?
a.l Shortnessl ofl breath
,b.l Shiveringl andl chills
c.l Musclel achesl andl pains
d.l Temperaturel ofl 100.2°l Fl (37.9°l C)
Answer:
A
Rituximabl (Rituxan)l isl al monoclonall antibody.l Shortnessl ofl breathl shouldl bel
investigatedl rapidlyl becausel anaphylaxisl isl al possiblel reactionl tol monoclonall antibodyl
administration.l Thel nursel willl needl tol rapidlyl takel actionsl suchl asl stoppingl thel
infusion,l assessingl thel patientl further,l andl notifyingl thel healthl carel provider.l Thel otherl
findingsl willl alsol requirel actionl byl thel nursel butl arel notl indicativel ofl life-threateningl
complications.
QUESTION
Al patientl whol isl beingl treatedl forl stagel IVl lungl cancerl tellsl thel nursel aboutl new-
onsetl backl pain.l Whichl actionl shouldl thel nursel takel first?
a.l Givel thel patientl thel prescribedl PRNl opioid.
b.l Assessl forl sensationl andl strengthl inl thel legs.
c.l Notifyl thel healthl carel providerl aboutl thel symptoms.
d.l Teachl thel patientl howl tol usel relaxationl tol reducel pain.
Answer:
B
Spinall cordl compression,l anl oncologicl emergency,l canl occurl withl invasionl ofl tumorl
intol thel epidurall space.l Thel nursel willl needl tol assessl thel patientl furtherl forl symptomsl
suchl asl decreasedl legl sensationl andl strengthl andl thenl notifyl thel healthl carel provider.l
Administrationl ofl opioidsl orl thel usel ofl relaxationl mayl bel appropriatel butl onlyl afterl
thel nursel hasl assessedl forl possiblel spinall cordl compression.
QUESTION
Thel nursel isl caringl forl al patientl withl left-sidedl lungl cancer.l Whichl findingl wouldl bel
mostl importantl forl thel nursel tol reportl tol thel healthl carel provider?
a.l Hematocritl ofl 32%
b.l Painl withl deepl inspiration
c.l Seruml sodiuml ofl 126l mEq/L
d.l Decreasedl breathl soundsl onl leftl side
Answer:
C
, Thel syndromel ofl inappropriatel antidiureticl hormonel (andl thel resultingl hyponatremia)l isl
anl oncologicl metabolicl emergencyl andl requiresl rapidl treatmentl tol preventl complicationsl
suchl asl seizuresl andl coma.l Thel otherl findingsl alsol requirel interventionl butl arel
commonl inl patientsl withl lungl cancerl andl notl immediatelyl lifel threatening.
QUESTION
Anl olderl adultl patientl whol hasl colorectall cancerl isl receivingl IVl fluidsl atl 175l mL/hrl
inl conjunctionl withl thel prescribedl chemotherapy.l Whichl findingl byl thel nursel isl mostl
importantl tol reportl tol thel healthl carel provider?
a.l Patientl reportsl havingl severel fatigue.
b.l Patientl voidsl everyl hourl duringl thel day.
c.l Patientl takesl onlyl 50%l ofl mealsl andl refusesl snacks.
d.l Patientl hasl cracklesl upl tol thel midlinel posteriorl chest.
Answer:
D
Rapidl fluidl infusionsl mayl causel heartl failure,l especiallyl inl olderl patients.l Thel otherl
findingsl arel commonl inl patientsl whol havel cancerl orl arel receivingl chemotherapy.
QUESTION
Afterl change-of-shiftl reportl onl thel oncologyl unit,l whichl patientl shouldl thel nursel assessl
first?
a.l Patientl whol hasl al plateletl countl ofl 82,000/µLl afterl chemotherapy.
b.l Patientl whol hasl xerostomial afterl receivingl headl andl neckl radiation.
c.l Patientl whol isl neutropenicl andl hasl al temperaturel ofl 100.5°l Fl (38.1°l C).
d.l Patientl whol isl worriedl aboutl gettingl thel prescribedl long-actingl opioidl onl time.
Answer:
C
Feverl isl anl emergencyl inl neutropenicl patientsl becausel ofl thel riskl forl rapidl progressionl
tol severel infectionsl andl sepsis.l Thel otherl patientsl alsol requirel assessmentsl orl
interventionsl butl dol notl needl tol bel assessedl asl urgently.l Patientsl withl thrombocytopenial
dol notl havel spontaneousl bleedingl untill thel plateletsl arel 20,000/µL.l Xerostomial doesl
notl requirel immediatel intervention.l Althoughl breakthroughl painl needsl tol bel addressedl
rapidly,l thel patientl doesl notl appearl tol havel breakthroughl pain.
QUESTION
Thel nursel atl thel clinicl isl interviewingl al 64-yr-oldl womanl whol isl 5l feet,l 3l inchesl talll
andl weighsl 125l lbl (57l kg).l Thel patientl hasl notl seenl al healthl carel providerl forl 20l
