BKAT MED-SURG 2026 FINAL EXAM SCRIPT
COMPLETE QUESTIONS AND SOLUTIONS
◉ A nurse is reinforcing a postoperative discharge teaching with a
client following a pan hysterectomy for uterine cancer. Which of the
following pieces of information should the nurse provide? Answer:
you might experience manifestations of menopause.
rationale: the nurse should inform the client that the following a
panhysterrectomy, pregnancy is not possible, and birth control is no
longer required.
◉ A nurse is caring for a client who has breast cancer and is
receiving combination of chemotherapy medications. The client
expresses confusion about the therapy. Which of the following
explanations should the nurse provide? Answer: The chemotherapy
medications act at different stages of cell division so more tumor
cells are destroyed.
rationale: combining agents, medication therapy is more effective in
stopping or slowing the growth of cancerous cells by interfering
with their ability to multiply.
◉ A nurse is reinforcing teaching with a client who has cancer and is
undergoing external radiation treatment. Which of the following
statements by the client indicate an understanding of the teaching?
,Answer: " I should use my hand instead of a washcloth to wash the
areas of being radiated."
rationale: It is gentler to wash the areas being radiated with the
hand instead of the washcloth.
◉ A nurse is talking with a group of woman at a community center
about the current recommendations for early detection of breast
cancer. The nurse should recommend which of the following
strategies? Answer: begin annual mammograms at age 40
◉ A nurse is collecting data from a client who has cancer and is
receiving chemotherapy by peripheral IV infusion. The client reports
pain at the insertion site, and the nurse notes fluid leaking around
the catheter. Which of the following actions should the nurse take
first? Answer: stop the infusion.
◉ A nurse is admitting a client who has multiple myeloma and a
white blood cell count of 2,200/mm^3. Which of the following foods
should the nurse prohibit the family members from bringing to a
clietn? Answer: Fresh fruit basket
rationale: raw fruits and veggies are contraindicated for a client who
has neutropenia, as the skin might harbor bacteria that can cause an
infection. The nurse should prohibit these foods from entering the
client's room.
, ◉ A nurse on an oncology unit is reinforcing discharge teaching with
an adolescent client who received a bone marrow transplant for
leukemia. Which of the following pieces of information should the
nurse include? Answer: - You should take your temperature at least
once a day.
-Examine your feet every day
rationale: clients who are postoperative following bone marrow
transplants are immunosuppressed and should continually monitor
for manifestations of infection.
◉ A nurse is contributing to the plan of care for a client who is
receiving chemotherapy and has protein deficiency. Which of the
following interventions should the nurse include inn the plan of
care? Answer: - mix powdered skim milk into milk.
-add a slice of cheese to hot vegetables
-mix yogurt into fresh fruit.
rationale: diary products are good source of protein.
◉ A nurse is caring for a postoperative client whose surgeon
informed him of a metastasizing malignant neoplasm in the colon.
Which of the following statements indicates that the client
understands this information? Answer: I have cancer of the colon
that has begun to spread
rationale: a neoplasm is a continued growth of nonessential cells,
and the term "malignant" means that these cells are cancerous.
COMPLETE QUESTIONS AND SOLUTIONS
◉ A nurse is reinforcing a postoperative discharge teaching with a
client following a pan hysterectomy for uterine cancer. Which of the
following pieces of information should the nurse provide? Answer:
you might experience manifestations of menopause.
rationale: the nurse should inform the client that the following a
panhysterrectomy, pregnancy is not possible, and birth control is no
longer required.
◉ A nurse is caring for a client who has breast cancer and is
receiving combination of chemotherapy medications. The client
expresses confusion about the therapy. Which of the following
explanations should the nurse provide? Answer: The chemotherapy
medications act at different stages of cell division so more tumor
cells are destroyed.
rationale: combining agents, medication therapy is more effective in
stopping or slowing the growth of cancerous cells by interfering
with their ability to multiply.
◉ A nurse is reinforcing teaching with a client who has cancer and is
undergoing external radiation treatment. Which of the following
statements by the client indicate an understanding of the teaching?
,Answer: " I should use my hand instead of a washcloth to wash the
areas of being radiated."
rationale: It is gentler to wash the areas being radiated with the
hand instead of the washcloth.
◉ A nurse is talking with a group of woman at a community center
about the current recommendations for early detection of breast
cancer. The nurse should recommend which of the following
strategies? Answer: begin annual mammograms at age 40
◉ A nurse is collecting data from a client who has cancer and is
receiving chemotherapy by peripheral IV infusion. The client reports
pain at the insertion site, and the nurse notes fluid leaking around
the catheter. Which of the following actions should the nurse take
first? Answer: stop the infusion.
◉ A nurse is admitting a client who has multiple myeloma and a
white blood cell count of 2,200/mm^3. Which of the following foods
should the nurse prohibit the family members from bringing to a
clietn? Answer: Fresh fruit basket
rationale: raw fruits and veggies are contraindicated for a client who
has neutropenia, as the skin might harbor bacteria that can cause an
infection. The nurse should prohibit these foods from entering the
client's room.
, ◉ A nurse on an oncology unit is reinforcing discharge teaching with
an adolescent client who received a bone marrow transplant for
leukemia. Which of the following pieces of information should the
nurse include? Answer: - You should take your temperature at least
once a day.
-Examine your feet every day
rationale: clients who are postoperative following bone marrow
transplants are immunosuppressed and should continually monitor
for manifestations of infection.
◉ A nurse is contributing to the plan of care for a client who is
receiving chemotherapy and has protein deficiency. Which of the
following interventions should the nurse include inn the plan of
care? Answer: - mix powdered skim milk into milk.
-add a slice of cheese to hot vegetables
-mix yogurt into fresh fruit.
rationale: diary products are good source of protein.
◉ A nurse is caring for a postoperative client whose surgeon
informed him of a metastasizing malignant neoplasm in the colon.
Which of the following statements indicates that the client
understands this information? Answer: I have cancer of the colon
that has begun to spread
rationale: a neoplasm is a continued growth of nonessential cells,
and the term "malignant" means that these cells are cancerous.
