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Intermediate Med-Surg Final – 100 Q&A | Oncology, Cardiac, Geriatrics, Hematology | 2025/2026 Nursing Exam

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This document provides 100 expertly answered questions tailored for students preparing for the Intermediate Medical-Surgical Nursing Final Exam for the 2025/2026 academic year. It offers thorough coverage of adult and geriatric nursing care, with key emphasis on oncology, hematologic disorders, cardiac emergencies, elder care, and symptom management. Each question includes a clear and clinically relevant answer, making it a valuable resource for critical thinking development and NCLEX-style practice. Key content areas include: Frailty and elder mistreatment, alternative care models for older adults Cancer biology, staging, diagnostics, and treatments (chemotherapy, radiation, palliative and hospice care) Management of chemotherapy side effects (GI, skin, cognitive, hematologic, cardiopulmonary) Hematologic disorders like ITP, TTP, HIT – including diagnostics, treatments, and lab values Cardiovascular topics such as angina, NSTEMI, STEMI, troponin interpretation, and emergency cardiac medications Medication safety protocols and lab monitoring (e.g., corticosteroids, nitroglycerin, ACE inhibitors, beta-blockers) This study guide is ideal for: Nursing students in ADN, BSN, and bridge programs Learners enrolled in Intermediate or Advanced Medical-Surgical Nursing courses Those preparing for NCLEX-RN, ATI, or HESI exams Students in Clinical Pathophysiology or Adult Health rotations Its clinical focus and exam-aligned structure make it a powerful tool for mastering disease management, symptom interpretation, and therapeutic interventions. Keywords: med surg final, nursing exam, geriatric care, frailty, elder abuse, cancer staging, chemotherapy, radiation therapy, myelosuppression, thrombocytopenia, ITP, TTP, HIT, cardiac emergencies, STEMI, NSTEMI, troponin, angina, nitroglycerin, nursing interventions, NCLEX prep, oncology nursing, intermediate medical surgical nursing

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Uploaded on
November 4, 2025
Number of pages
13
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Intermediate Med Surge Final 2025/2026
Exam Questions and Correct Answers |
New Update



Older adults must have 3 or more of these manifestations to be considered

frail: - 🧠 ANSWER ✔✔unintentional weight loss, self reported exhaustion,

weakness, slow walking speed, and/or low level physical activity


risk factors of elder mistreatment: - 🧠 ANSWER ✔✔- physical or cognitive

limitations

- psychiatric disorders

- alcohol misuse

- lack of social support

- living with many others

- inadequate income

, Alternative care for older adults - 🧠 ANSWER ✔✔adult day care, adult day

health centers, home health care, long term care


Adult day care: - 🧠 ANSWER ✔✔provides social and recreational services,

and ADL assistance in supervised setting


Adult day health care - 🧠 ANSWER ✔✔higher level of care; monitoring and

training


home health care: - 🧠 ANSWER ✔✔homebound, acute health needs,

caregiver involvement, need physicians order and require skilled nursing

care for medicare reimbursement.


long term care: - 🧠 ANSWER ✔✔rapid deterioration, caregiver stress or

burnout, alteration or loss in family support system


nutritional assessment of older adults - 🧠 ANSWER ✔✔SCALES..sadness

or mood change, cholesterol (high), albumin (low), loss or gain of weight,

eating problems, shopping or food preparation problems

Two major dysfunctions in the process of cancer development - 🧠

ANSWER ✔✔defective cell proliferation (growth), defective cell

differentiation (specialization)

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