NSG 170 FINAL EXAM/ACTUAL EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
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 - 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) - 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. - 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 - 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% - ANS ✔✔B. Serum sodium of 120 mmol/L
QUESTIONS WITH COMPLETE
SOLUTIONS
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 - 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) - 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. - 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 - 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% - ANS ✔✔B. Serum sodium of 120 mmol/L
