med surg 1 Exam 2026 Questions and
Answers
A 35-year-old woman comes to the local health center with a large mass in her
right breast. She has felt the lump for about a year, but was afraid to come to the
clinic because she was sure it was cancer. What is the most appropriate nursing
diagnosis for this patient
Ineffective denial related to reluctance to seek care
Ineffective individual coping related to reluctance to seek care
Self-esteem disturbance related to late diagnosis
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,Altered family process related to inability to obtain treatment - Correct answer-
Ineffective individual coping related to reluctance to seek care
A 52-year-old female patient is receiving care on the oncology unit for breast
cancer that has metastasized to her lungs and liver. When addressing the patient's
pain in her plan of nursing care, the nurse should consider what characteristic of
cancer pain?
Cancer pain is often related to the stress of the patient knowing she has cancer and
requires relatively low doses of pain medications along with a high dose of anti-
anxiety medications.
Cancer pain is always chronic and challenging to treat, so distraction is often the
best intervention.
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,Cancer pain is often misreported by patients because of confusion related to their
disease process.
Cancer pain can be acute or chronic and it typically requires comparatively high
doses of pain medications. - Correct answer-Cancer pain can be acute or chronic
and it typically requires comparatively high doses of pain medications.
A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago.
The patient asks "why does it still feel like my leg is attached, and why does it still
hurt?" The nurse explains neuropathic pain in terms that are accessible to the
patient. The nurse should describe what pathophysiologic process?
Psychosocial dependence on pain medications
The abnormal reorganization of the nervous system
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, Age-related deterioration of the central nervous system
The proliferation of nociceptors during times of stress - Correct answer-The
abnormal reorganization of the nervous system
A 77-year-old man's coronary artery bypass graft has been successful and
discharge planning is underway. When planning the patient's subsequent care, the
nurse should know that the postoperative phase of perioperative nursing ends at
what time?
When the family becomes partly responsible for the patient's care
When a follow-up evaluation in the clinical or home setting is done
When the patient is fully recovered from all effects of the surgery
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Answers
A 35-year-old woman comes to the local health center with a large mass in her
right breast. She has felt the lump for about a year, but was afraid to come to the
clinic because she was sure it was cancer. What is the most appropriate nursing
diagnosis for this patient
Ineffective denial related to reluctance to seek care
Ineffective individual coping related to reluctance to seek care
Self-esteem disturbance related to late diagnosis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Altered family process related to inability to obtain treatment - Correct answer-
Ineffective individual coping related to reluctance to seek care
A 52-year-old female patient is receiving care on the oncology unit for breast
cancer that has metastasized to her lungs and liver. When addressing the patient's
pain in her plan of nursing care, the nurse should consider what characteristic of
cancer pain?
Cancer pain is often related to the stress of the patient knowing she has cancer and
requires relatively low doses of pain medications along with a high dose of anti-
anxiety medications.
Cancer pain is always chronic and challenging to treat, so distraction is often the
best intervention.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Cancer pain is often misreported by patients because of confusion related to their
disease process.
Cancer pain can be acute or chronic and it typically requires comparatively high
doses of pain medications. - Correct answer-Cancer pain can be acute or chronic
and it typically requires comparatively high doses of pain medications.
A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago.
The patient asks "why does it still feel like my leg is attached, and why does it still
hurt?" The nurse explains neuropathic pain in terms that are accessible to the
patient. The nurse should describe what pathophysiologic process?
Psychosocial dependence on pain medications
The abnormal reorganization of the nervous system
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Age-related deterioration of the central nervous system
The proliferation of nociceptors during times of stress - Correct answer-The
abnormal reorganization of the nervous system
A 77-year-old man's coronary artery bypass graft has been successful and
discharge planning is underway. When planning the patient's subsequent care, the
nurse should know that the postoperative phase of perioperative nursing ends at
what time?
When the family becomes partly responsible for the patient's care
When a follow-up evaluation in the clinical or home setting is done
When the patient is fully recovered from all effects of the surgery
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
