med surg content mastery practice
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1. A nurse is planning care for a client who is ACE
receiving chemotherapy and has a protein de-
ficiency. Which of the following interventions
should the nurse include in the plan of care?
(Select all that apply.)
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot vegetables
D. Add honey to hot tea
E. MIX yogurt into fresh fruit
2. A nurse is providing teaching to a client who A
has cervical cancer and is scheduled to re- remain on bedrest with limited
ceive brachytherapy in an ambulatory care clin- movement while the radioactive im-
ic. Which of the following statements by the plant is in place to prevent dislodge-
client indicates an understanding of the teach- ment
ing?
A. "I need to lie still in bed during my brachyther-
apy treatment."
B. "I will have an implant placed once a month
during my brachytherapy treatment."
C. "I must stay at least 3 feet away from others
between brachytherapy treatments.
D. "I should expect some blood in my urine after
each brachytherapy treatment."
3. A nurse is providing postoperative discharge B
teaching to a client following a panhysterecto- a panhysterectomy includes the re-
my for uterine cancer. Which of the following moval of the uterus and the ovaries,
pieces of information should the nurse include which might cause, manifestations
in the teaching? of menopause (e.g. hot flashes,
A. "You will need to continue to use some form night sweats, and vaginal dryness).
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of birth control for 6 months.
B. "You might experience manifestations of
menopause."
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected
outcome of this surgery.
4. A charge nurse is observing a newly licensed C
nurse provide care for a client who is receiving A nurse should never borrow a
internal radiation therapy for the treatment of dosimeter film badge from another
cervical cancer. For which of the following ac- staff member. Nurses who are caring
tions by the newly licensed nurse should the for the client should each have a per-
charge nurse intervene? sonal badge and wear it while in the
A. Leaving soiled linens in a container in the client's room. The badge measures
client's room i the radiation exposure that the nurse
B. Instructing visitors to remain 2 m (6 feet) is receiving, and each film badge will
away from the client indicate the nurse's cumulative radi-
C. Borrowing a dosimeter film badge from an- ation exposure.
other nurse before entering the client's room
D. Removing an extra IV pole from the client's
room to be used for another client
5. A nurse is providing preoperative teaching for C
a client with colorectal cancer who is scheduled The client should consume a full or
to undergo colostomy placement with a per- clear liquid diet for 24 to 48 hours
ineal wound. Which of the following statements before the surgery to decrease bulk.
by the client indicates an understanding of the The client should consume a low
teaching? residue diet for several days prior to
A. "Not having any more rectal pain will be a surgery to decrease peristalsis.
relief."
B. "I will need to sit on a rubber donut when I
am in the chair"
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med surg content mastery practice
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C. "I can have only liquids for 2 days before the
surgery."
D. "The colostomy will start working about 7
days after the surgery."
6. A nurse is caring for a client who will receive D
brachytherapy to treat uterine cancer. The nurse Brachytherapy is a type of radiation
should ensure the client understands that she therapy during which the radiation
will receive which of the following interven- source, either an implant or via in-
tions? fusion, is in direct contact with the
A. Chemotherapy via a central venous access client's tumor continuously for a spe-
device cific duration.
B. Radiation to the tumor from an external
source
C. Precise delivery of high-dose radiation after
tumor imaging
D. Radioactive infusions or insertions into or
near the tumor
7. A nurse is providing teaching to a client who D
has cancer and is undergoing external radiation Washing the areas being radiated
treatment. Which of the following statements with the hand is gentler than using
by the client indicates an understanding of the a washcloth.
teaching?
A. "I should use petroleum-based lotions on the
areas being radiated."
B. "I will dry the areas being radiated by rubbing
in a circular pattern."
C. "I will apply sunscreen to the areas being
radiated when I spend time in the sun."
D. "I should use my hand, instead of a wash-
cloth, to wash the areas being radiated."
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med surg content mastery practice
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8. A nurse on an oncology unit is providing dis- ACE
charge teaching to an adolescent female client Clients who are postoperative from
who received a bone marrow transplant for bone marrow transplants are im-
leukemia. Which of the following pieces of infor- munosuppressed and should con-
mation should the nurse include in the teach- tinually monitor for manifestations
ing? (Select all that apply.) of infection. A temperature that is
A. "Take your temperature twice each day." greater than 38°C (100°F) should
B. "You may return to school if you feel strong be reported immediately to the
enough." provider. The client should wear
C. "It is important to wear shoes always." shoes to prevent injury and decrease
D. "Clean your toothbrush weekly with isopropyl the risk of infection. The use of tam-
alcohol." pons is discouraged because they
E. "Avoid using tampons." can disrupt the mucosal layer of the
vagina and may support the growth
of bacteria if left in place for too long.
9. A nurse is providing teaching to a client who has B
stomatitis due to chemotherapy and radiation This client statement indicates a
therapy. Which of the following statements by need for further teaching. The nurse
the client indicates a need for further teaching? should instruct the client who has
A. "I will use a soft toothbrush or foam swab for stomatitis to avoid the use of lemon
oral care." glycerin swabs because they cause
B. "I will use lemon and glycerin swabs after drying and irritation of the mucous
meals." membranes.
C. "I will remove my dentures except while eat-
ing."
D. "I will rinse my mouth frequently with hydro-
gen peroxide solution."
10. A nurse is planning an in-service training ses- D
sion for a group of nurses regarding the role of Pepsin is an enzyme secreted by
enzymes in digestion. Which of the following en- the gastric mucosa that breaks
ATI med surg content mastery practice Exam Bank 2025/ 2026