Medsurg 2 Exam 1
Medsurg 2: Exam 1 Questions and
Answers 2025
A nurse is caring for a client who is receiving brachytherapy. Which of the following
measures should the nurse include in the client's plan of care?
A. Plan to spend extra time with the client to provide emotional support.
B. Ensure that chemotherapy medications do not extravasate into the client's tissues.
C. Keep the door to the client's room closed.
D. Encourage family members and friends to visit for at least 1hr per day. -Correct
Answer ✔C.
Brachytherapy is a type of radiation therapy during which the radiation source is in
direct contact with the client's tumor. During the therapy, the client emits radiation and is
potentially hazardous to others. The clients should be in a private room with a private
bathroom, and the nurse should keep the door to the client's room closed.
A nurse is planning a presentation for a group of older adults at a community center
about risk factors for cancer. Which of the following factors increases the risk of
developing cancer after age 60?
A. High protein diet
B. Insufficient calcium intake
C. Declining muscle mass
D. Weakened immune responses -Correct Answer ✔D.
After age 60, clients have a higher risk of cancer due to hormonal changes, altered
immune responses, and accumulation of free radicals. Age is a significant factor
because the longer people are exposed to external carcinogenic factors (e.g. tobacco
and alcohol use, environmental pollutants, radiation), the greater their risk of developing
cancer becomes.
A nurse is talking to a group of women at a community center about the current
recommendations for early detection of breast cancer. The nurse should explain which
of the following options?
A. Begin monthly breast self examinations at age 40
B. Have a clinical breast examination each year after age 30
C. Begin annual mammograms at age 40.
D. Have breast magnetic resonance imaging every 5 years after age 50 -Correct
Answer ✔C.
Women should begin performing monthly breast self examinations at 20 years of age.
From 20 - 39 years of age, women should undergo a breast examination by a
Medsurg 2 Exam 1
, Medsurg 2 Exam 1
healthcare provider every 3 years. Women older than 40 years of age should have
annual breast examinations by a healthcare provider and annual mammogram.
A nurse is planning an educational program for a group of young adults about reducing
the risk of cervical cancer. Which of the following interventions should the nurse
include?
A. Get the human papillomavirus (HPV) immunization.
B. Avoid the use of tampons on a routine basis.
C. Avoid drinking alcohol
D. Get a papanicolaou test every year starting at age 30 -Correct Answer ✔A.
HPV is the leading cause of cervical cancer in women. A preventive recommendation is
to receive the HPV immunization between 9-26 years of age.
A nurse is obtaining a client's health history who has cancer of the cervix. Which of the
following manifestations should the nurse expect?
A. Weight gain
B. Oliguria
C. Vaginal bleeding
D. Back pain -Correct Answer ✔C.
The most common manifestation of cancer of the cervix is painless vaginal bleeding
A nurse is teaching a client who has HIV about how the virus is transmitted. Which of
the following statements should the nurse include in the teaching?
A. HIV can be transmitted as soon as a person develops manifestations.
B. HIV can be transmitted to anyone who has had contact with infected blood.
C. HIV is transmitted through the respiratory route via droplets
D. HIV is transmitted only during the active phase of the virus -Correct Answer ✔B.
The concentration of the virus is highest in blood but also has been isolated in other
body fluids including sputum, saliva, cerebrospinal fluid, urine, and semen. Clients who
have HIV are cautioned to practice safe sex, avoid donating blood, and abstain from
sharing needles with others.
A nurse is assessing a 66 year old client during a routine physical examination. This is
the client's first clinic visit, and she does not have her medical records. When the nurse
asks if she has recieved the pneumococcal immunization, the client replies "I'm not
sure, but it's been at least 5 years since I've had any immunizations." Which of the
following responses should the nurse provide?
A. "In case you had the immunization before, we can't give you another one"
B. "You'll need a series of 3 injections"
Medsurg 2 Exam 1
Medsurg 2: Exam 1 Questions and
Answers 2025
A nurse is caring for a client who is receiving brachytherapy. Which of the following
measures should the nurse include in the client's plan of care?
A. Plan to spend extra time with the client to provide emotional support.
B. Ensure that chemotherapy medications do not extravasate into the client's tissues.
C. Keep the door to the client's room closed.
D. Encourage family members and friends to visit for at least 1hr per day. -Correct
Answer ✔C.
Brachytherapy is a type of radiation therapy during which the radiation source is in
direct contact with the client's tumor. During the therapy, the client emits radiation and is
potentially hazardous to others. The clients should be in a private room with a private
bathroom, and the nurse should keep the door to the client's room closed.
A nurse is planning a presentation for a group of older adults at a community center
about risk factors for cancer. Which of the following factors increases the risk of
developing cancer after age 60?
A. High protein diet
B. Insufficient calcium intake
C. Declining muscle mass
D. Weakened immune responses -Correct Answer ✔D.
After age 60, clients have a higher risk of cancer due to hormonal changes, altered
immune responses, and accumulation of free radicals. Age is a significant factor
because the longer people are exposed to external carcinogenic factors (e.g. tobacco
and alcohol use, environmental pollutants, radiation), the greater their risk of developing
cancer becomes.
A nurse is talking to a group of women at a community center about the current
recommendations for early detection of breast cancer. The nurse should explain which
of the following options?
A. Begin monthly breast self examinations at age 40
B. Have a clinical breast examination each year after age 30
C. Begin annual mammograms at age 40.
D. Have breast magnetic resonance imaging every 5 years after age 50 -Correct
Answer ✔C.
Women should begin performing monthly breast self examinations at 20 years of age.
From 20 - 39 years of age, women should undergo a breast examination by a
Medsurg 2 Exam 1
, Medsurg 2 Exam 1
healthcare provider every 3 years. Women older than 40 years of age should have
annual breast examinations by a healthcare provider and annual mammogram.
A nurse is planning an educational program for a group of young adults about reducing
the risk of cervical cancer. Which of the following interventions should the nurse
include?
A. Get the human papillomavirus (HPV) immunization.
B. Avoid the use of tampons on a routine basis.
C. Avoid drinking alcohol
D. Get a papanicolaou test every year starting at age 30 -Correct Answer ✔A.
HPV is the leading cause of cervical cancer in women. A preventive recommendation is
to receive the HPV immunization between 9-26 years of age.
A nurse is obtaining a client's health history who has cancer of the cervix. Which of the
following manifestations should the nurse expect?
A. Weight gain
B. Oliguria
C. Vaginal bleeding
D. Back pain -Correct Answer ✔C.
The most common manifestation of cancer of the cervix is painless vaginal bleeding
A nurse is teaching a client who has HIV about how the virus is transmitted. Which of
the following statements should the nurse include in the teaching?
A. HIV can be transmitted as soon as a person develops manifestations.
B. HIV can be transmitted to anyone who has had contact with infected blood.
C. HIV is transmitted through the respiratory route via droplets
D. HIV is transmitted only during the active phase of the virus -Correct Answer ✔B.
The concentration of the virus is highest in blood but also has been isolated in other
body fluids including sputum, saliva, cerebrospinal fluid, urine, and semen. Clients who
have HIV are cautioned to practice safe sex, avoid donating blood, and abstain from
sharing needles with others.
A nurse is assessing a 66 year old client during a routine physical examination. This is
the client's first clinic visit, and she does not have her medical records. When the nurse
asks if she has recieved the pneumococcal immunization, the client replies "I'm not
sure, but it's been at least 5 years since I've had any immunizations." Which of the
following responses should the nurse provide?
A. "In case you had the immunization before, we can't give you another one"
B. "You'll need a series of 3 injections"
Medsurg 2 Exam 1
