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Nur 201/NUR201 Medical-Surgical Nursing I Exam 3 Guide (2024/2025) – Accurate Questions & Verified Answers for an A+

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Nur 201/NUR201 Medical-Surgical Nursing I Exam 3 Guide (2024/2025) – Accurate Questions & Verified Answers for an A+












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NUR 201 Exam 3

Terms in this set (139)


The nurse is teaching a ANS: A Clients who have pernicious anemia have a
client who has pernicious Vitamin B12 deficiency and need to consume foods high
anemia about necessary in Vitamin B12, such as animal and plant proteins, citrus
dietary changes. Which fruits, green leafy vegetables, and dairy products.
statement by the client While carbohydrates and fats can
indicates provide sources of energy, they do not supply the
understanding about those necessary nutrient to improve anemia
changes?
a. "I'll increase animal

proteins like fish and
meat."
b. "I'll work on increasing
my fats and
carbohydrates."
c. "I'll avoid eating green leafy
vegetables.
d. "I'll limit my intake of citrus
fruits."
A nurse is caring for a client ANS: C Providing hope is an essential nursing function
who is about to receive a during treatment for any disease process, but especially
bone marrow transplant. during the recovery period after bone marrow
To best help the client transplantation, which can take up to 3 weeks. The nurse can
help the client look
cope with the long ahead to the recovery period and identify things to hope
recovery for during this time. Visitors are important to clients, but
period, what action by the
nurse is best? may pose an infection risk. Telling the client that the
a. Arrange a visitation recovery period must be endured does not
schedule among friends acknowledge his or her feelings.
and family. Diversionary activities are important, but not as important as
instilling hope
b. Explain that this process
is difficult but must be
endured.
c. Help the client find
things to hope for each
day of recovery.
d. Provide plenty of
diversionary activities for
this time

,A client has received a bone ANS: C, D, E The client waiting for engraftment after
marrow bone marrow transplant has no white cells to protect
transplant and is waiting for him or her against infection. The client is on
engraftment.
protective
What action(s) by the nurse
precautions and visitors are taught hand hygiene. No
are most appropriate?
(Select all that apply.) fresh flowers or plants are allowed due to the
a. Not allowing any standing water in the vase or container that may
visitors until harbor
engraftment organisms; clients are also told not to work with
b. Limiting the protein in the houseplants in the home. Limiting protein is not a
client's diet
c. Placing the client in
healthy option and will not promote engraftment.
protective
precautions
d. Teaching visitors
appropriate hand
hygiene
e. Telling visitors not to bring
live flowers or plants
. The nurse learning about ANS: B During the S phase, the cell must double its DNA
cellular content through DNA synthesis. Actual division, or
regulation understands that mitosis, occurs during the M phase. Growing extra
which process occurs during membrane occurs in the G1 phase. During the G0
the S phase of the cell phase, the cell is working but is not involved in any
cycle?
reproductive activity
a. Actual division (mitosis)

b. Doubling of DNA

c. Growing extra membrane

d. No reproductive activity

A nurse is learning the ANS: C Benign tumors are basically normal cells
difference between normal growing in the wrong place or at the wrong time.
cells and benign tumor Benign cells grow through hyperplasia, not invasion.
cells. What information Benign tumor cells retain contact inhibition.
does this include? Anaplasia is a characteristic of cancer cells.
a. Benign tumors grow
through invasion of other
tissue.
b. Benign tumors have lost
their cellular regulation
from contact inhibition.
c. Growing in the wrong

,place or time is typical of
benign tumors.
d. The loss of characteristics
of the parent cells is
called anaplasia.
A nurse learns that which of ANS: B The single biggest risk factor for developing
the following is the single cancer is advancing age. As one ages, immunity
biggest risk factor for decreases and exposures increase. Tobacco use is the
developing cancer? single most
a. Exposure to tobacco
preventable cause of cancer. Exposure to chemicals and
b. Advancing age
oncoviruses cause fewer cancers
c. Occupational chemicals

d. Oncovirus infection

Which statement about ANS: D Tumors need to develop their own blood supply
carcinogenesis is accurate? through a process called angiogenesis. An initiated cell
a. An initiated cell will needs a promoter to continue its malignant path.
always become clinical Normal hormones and proteins in the body can act as
cancer. promoters. A 1-cm tumor is a detectable size, but
b. Cancer becomes a other events have to occur for it to become a health
health problem once it is problem
1 cm in size.
c. Normal hormones and
proteins do not promote
cancer growth.
d. Tumor cells need to develop
their own
blood supply

, The nurse caring for ANS: A Bloodborne metastasis is the most common way
oncology clients knows for cancer to metastasize. Direct invasion and lymphatic
that which form of metastasis spread are other methods. Bone marrow is not a
is the most common? medium in which cancer spreads, although cancer can
a. Bloodborne occur in the bone marrow.
b. Direct invasion

c. Lymphatic spread

d. Via bone marrow

A nurse has taught a ANS: C To decrease the risk of developing cancer, one
client about dietary should cut down on the consumption of red meats and
changes that can reduce animal fat. The other statements are correct.
the chances of developing
cancer. What statement by
the client
indicates the nurse needs to
provide additional
teaching?
a. "Foods high in vitamin A
and vitamin C are
important."
b. "I'll have to cut down on
the amount of bacon I
eat."
c. "I'm so glad I don't have
to give up my juicy
steaks."
d. "Vegetables, fruit, and
high-fiber grains are
important."
A client is in the oncology ANS: D TIS stands for carcinoma in situ; N0 stands for
clinic for a first visit since no regional lymph node metastasis; and M0 stands for
being diagnosed with no distant metastasis
cancer.
The nurse reads in the
client's chart that the
cancer classification is
TISN0M0. What does the
nurse conclude about this
client's cancer?

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