NRSG 3420 FINAL EXAM
(NORTHEASTERN) LATEST 2026/ 2027
TEST BANK| NRSG 3420 NURSING CARE
OF ADULTS 2 FINAL EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
1. A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply.
A. Electroconvulsive therapy
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
Correct response: B, C, D, E
Rationale: Cancer is frequently treated with a combination of therapies using
standardized protocols. The basic methods used to treat cancer are surgery, radiation
,therapy, hyperthermia, and chemotherapy. Electroconvulsive therapy is a method of
treatment for mental distress or illness .
2. During an annual examination, an older client tells the nurse, "I don't
understand why I need to have so many cancer screening tests now. I feel just
fine!" Based on knowledge of neoplastic disease and the aging immune system,
what teaching should the nurse include in the client's plan of care? Select all that
apply.
A. Nutritional intake to support a competent immune response plays an important role
in reducing the incidence of cancer.
B. Tumor cells may possess special blocking factors that coat tumor cells and prevent
their destruction by killer T lymphocytes.
C. The immune system is integrated with other psychophysiological processes and is
regulated by the brain.
D. Education about the importance of adhering to a recommended vaccine schedule
should be initiated to boost immune system function.
E. The increase in occurrence of autoimmune diseases with aging strongly suggests a
predisposition toward various types of cancer.
Correct response: A, B, E
Rationale: Large tumors can release antigens into the blood, and these antigens
combine with circulating antibodies and prevent them from attacking the tumor cells.
Tumor cells may possess special blocking factors that coat tumor cells and prevent their
destruction by killer T lymphocytes. The incidence of autoimmune diseases also
increases with age, possibly from a decreased ability of antibodies to differentiate
between self and nonself. Nutritional intake supports a competent immune response .
,3. For a cancerous tumor, a client must undergo modified radical mastectomy,
which includes axillary node removal and immediate reconstruction. The nurse
explains to the client that the axillary nodes will be removed to:
A. Provide prognostic information.
B. Prevent metastasis.
C. Facilitate postoperative recovery.
D. Facilitate breast reconstruction.
Correct response: A
Rationale: Lymph node dissection provides prognostic information by helping to
determine if chemotherapy is indicated. Although removal of lymph nodes may assist in
prevention of metastasis, lymph node dissection isn't a guarantee that metastasis won't
occur. This procedure doesn't affect breast reconstruction and may actually make
postoperative recovery more difficult .
4. A nurse is teaching a client about the functions of the larynx. What should the
nurse include in the teaching? Select all that apply.
A. Preventing infection
B. Acting as a passageway for the respiratory tract
C. Facilitating coughing
D. Protecting the lower airway from foreign objects
E. Producing sound
Correct response: C
Rationale: The larynx facilitates coughing, acts as a passageway for air, protects the
lower airway, and produces sound. Preventing infection is not a primary function of the
larynx .
, 5. A nurse is caring for a client with laryngeal cancer. Which risk factors should the
nurse include in the teaching? Select all that apply.
A. Region of country lived in
B. Tobacco
C. Industrial pollutants
D. Age
E. Alcohol
Correct response: B, C, D, E
Rationale: Carcinogens such as tobacco, alcohol, and industrial pollutants are
associated with laryngeal cancer. Age is also a factor, with a higher incidence among
those 65 years of age or older. Region of country lived in is not associated with
laryngeal cancer as a specific risk factor .
6. A patient with chronic heart failure has an ejection fraction of 35%. Which
medication should the nurse anticipate administering to improve cardiac
contractility?
A. Digoxin
B. Furosemide
C. Metoprolol
D. Lisinopril
Correct response: A
Rationale: Digoxin increases the force of myocardial contraction, which helps improve
cardiac output in patients with low ejection fraction .
(NORTHEASTERN) LATEST 2026/ 2027
TEST BANK| NRSG 3420 NURSING CARE
OF ADULTS 2 FINAL EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
1. A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply.
A. Electroconvulsive therapy
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
Correct response: B, C, D, E
Rationale: Cancer is frequently treated with a combination of therapies using
standardized protocols. The basic methods used to treat cancer are surgery, radiation
,therapy, hyperthermia, and chemotherapy. Electroconvulsive therapy is a method of
treatment for mental distress or illness .
2. During an annual examination, an older client tells the nurse, "I don't
understand why I need to have so many cancer screening tests now. I feel just
fine!" Based on knowledge of neoplastic disease and the aging immune system,
what teaching should the nurse include in the client's plan of care? Select all that
apply.
A. Nutritional intake to support a competent immune response plays an important role
in reducing the incidence of cancer.
B. Tumor cells may possess special blocking factors that coat tumor cells and prevent
their destruction by killer T lymphocytes.
C. The immune system is integrated with other psychophysiological processes and is
regulated by the brain.
D. Education about the importance of adhering to a recommended vaccine schedule
should be initiated to boost immune system function.
E. The increase in occurrence of autoimmune diseases with aging strongly suggests a
predisposition toward various types of cancer.
Correct response: A, B, E
Rationale: Large tumors can release antigens into the blood, and these antigens
combine with circulating antibodies and prevent them from attacking the tumor cells.
Tumor cells may possess special blocking factors that coat tumor cells and prevent their
destruction by killer T lymphocytes. The incidence of autoimmune diseases also
increases with age, possibly from a decreased ability of antibodies to differentiate
between self and nonself. Nutritional intake supports a competent immune response .
,3. For a cancerous tumor, a client must undergo modified radical mastectomy,
which includes axillary node removal and immediate reconstruction. The nurse
explains to the client that the axillary nodes will be removed to:
A. Provide prognostic information.
B. Prevent metastasis.
C. Facilitate postoperative recovery.
D. Facilitate breast reconstruction.
Correct response: A
Rationale: Lymph node dissection provides prognostic information by helping to
determine if chemotherapy is indicated. Although removal of lymph nodes may assist in
prevention of metastasis, lymph node dissection isn't a guarantee that metastasis won't
occur. This procedure doesn't affect breast reconstruction and may actually make
postoperative recovery more difficult .
4. A nurse is teaching a client about the functions of the larynx. What should the
nurse include in the teaching? Select all that apply.
A. Preventing infection
B. Acting as a passageway for the respiratory tract
C. Facilitating coughing
D. Protecting the lower airway from foreign objects
E. Producing sound
Correct response: C
Rationale: The larynx facilitates coughing, acts as a passageway for air, protects the
lower airway, and produces sound. Preventing infection is not a primary function of the
larynx .
, 5. A nurse is caring for a client with laryngeal cancer. Which risk factors should the
nurse include in the teaching? Select all that apply.
A. Region of country lived in
B. Tobacco
C. Industrial pollutants
D. Age
E. Alcohol
Correct response: B, C, D, E
Rationale: Carcinogens such as tobacco, alcohol, and industrial pollutants are
associated with laryngeal cancer. Age is also a factor, with a higher incidence among
those 65 years of age or older. Region of country lived in is not associated with
laryngeal cancer as a specific risk factor .
6. A patient with chronic heart failure has an ejection fraction of 35%. Which
medication should the nurse anticipate administering to improve cardiac
contractility?
A. Digoxin
B. Furosemide
C. Metoprolol
D. Lisinopril
Correct response: A
Rationale: Digoxin increases the force of myocardial contraction, which helps improve
cardiac output in patients with low ejection fraction .
