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NUR 201 MEDICAL-SURGICAL NURSING I EXAM 4 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
Nurse is monitoring pt who is at risk for spinal cord compression
related to tumor growth. Which pt statement is most likely to
suggest an early manifestation
A. Last night my back really hurt, and i had trouble sleeping
B. My leg has been giving out when i try to stand
C. My bowels are just not moving like they usually do
D. When i try to pass urin, i have difficulty starting the stream -
answer-a. Last night my back really hurt, and i had trouble
sleeping
Nurse is caring for an older woman with hepatic cancer. Uap
informs the nurse that the pt loc is diminished compared with
earlier in the shift. Prioritize the steps of assessment and
intervention r/t this pt change of mental status
A. Take vs, pulse, rr, bp, temp
B. Check responsiveness and loc
C. Obtain bg and given glucose per protocol
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D. Check electrolyte values
E. Check ammonia level
F. Check pulse ox reading and administer oxygen as needed -
answer-b, f, a, c, d, e
For pt with osteogenic sarcoma, which lab value is most
concerning
A. Sodium 135
B. Calcium 13
C. Potassium 4.9
D. Hematocrit 40% - answer-b. Calcium 13
Which cancer pt could be placed together as roommates. Select
all
A. Pt who has very low neutrophil count
B. Pt who underwent debulking of a tumor to relieve pressure
C. Pt who just underwent a bone marrow transplantation
D. Pt who had a laminectomy for spinal cord compression
E. Pt who is undergoing brachytherapy for prostate cancer
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F. Pt with terminal cancer who is receiving end of life care -
answer-b. Pt who underwent debulking of a tumor to relieve
pressure
D. Pt who had a laminectomy for spinal cord compression
Athletic young man was recently diagnosed with ewing sarcoma.
He has pain, low grade fever and anemia. The surgeon
recommends amputation of the r lower leg for an operable tumor.
The pt tells the nurse that he is leaving the hospital to go on a
long hiking trip. What is the priority nursing concept to consider at
this time
A. Pain
B. Cellular regulation
C. Coping
D. Adherence - answer-c. Coping
After chemo, a pt is being closely monitored for tumor lysis
syndrome. Which lab result requires particular attention
A. Platelet count
B. Electrolyte level
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C. Hemoglobin level
D. Hematocrit level - answer-b. Electrolyte level
People at risk are the target population for cancer screening
programs. According to the latest screening recommendations for
the american cancer society. Which of these asymptomatic
patients need extra encouragement to participate in cancer
screening. Select all
A. 21 yr old white american woman who is sexually inactive, for a
pap test
B. 30 yr old asian american woman for an annual mammogram
C. 45 yr old african american man to talk with health care provider
about prostate cancer
D. 50 yr old white american man, for a fecal occult blood test
E. 50 yr old white american woman for colonoscopy
F. 70 yr old asian american woman who had a total hysterectomy
15 yrs ago (not for cancer) for a pap test - answer-a. 21 yr old
white american woman who is sexually inactive, for a pap test
C. 45 yr old african american man to talk with health care provider
about prostate cancer
NUR 201 MEDICAL-SURGICAL NURSING I EXAM 4 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
Nurse is monitoring pt who is at risk for spinal cord compression
related to tumor growth. Which pt statement is most likely to
suggest an early manifestation
A. Last night my back really hurt, and i had trouble sleeping
B. My leg has been giving out when i try to stand
C. My bowels are just not moving like they usually do
D. When i try to pass urin, i have difficulty starting the stream -
answer-a. Last night my back really hurt, and i had trouble
sleeping
Nurse is caring for an older woman with hepatic cancer. Uap
informs the nurse that the pt loc is diminished compared with
earlier in the shift. Prioritize the steps of assessment and
intervention r/t this pt change of mental status
A. Take vs, pulse, rr, bp, temp
B. Check responsiveness and loc
C. Obtain bg and given glucose per protocol
,2|Page
D. Check electrolyte values
E. Check ammonia level
F. Check pulse ox reading and administer oxygen as needed -
answer-b, f, a, c, d, e
For pt with osteogenic sarcoma, which lab value is most
concerning
A. Sodium 135
B. Calcium 13
C. Potassium 4.9
D. Hematocrit 40% - answer-b. Calcium 13
Which cancer pt could be placed together as roommates. Select
all
A. Pt who has very low neutrophil count
B. Pt who underwent debulking of a tumor to relieve pressure
C. Pt who just underwent a bone marrow transplantation
D. Pt who had a laminectomy for spinal cord compression
E. Pt who is undergoing brachytherapy for prostate cancer
,3|Page
F. Pt with terminal cancer who is receiving end of life care -
answer-b. Pt who underwent debulking of a tumor to relieve
pressure
D. Pt who had a laminectomy for spinal cord compression
Athletic young man was recently diagnosed with ewing sarcoma.
He has pain, low grade fever and anemia. The surgeon
recommends amputation of the r lower leg for an operable tumor.
The pt tells the nurse that he is leaving the hospital to go on a
long hiking trip. What is the priority nursing concept to consider at
this time
A. Pain
B. Cellular regulation
C. Coping
D. Adherence - answer-c. Coping
After chemo, a pt is being closely monitored for tumor lysis
syndrome. Which lab result requires particular attention
A. Platelet count
B. Electrolyte level
, 4|Page
C. Hemoglobin level
D. Hematocrit level - answer-b. Electrolyte level
People at risk are the target population for cancer screening
programs. According to the latest screening recommendations for
the american cancer society. Which of these asymptomatic
patients need extra encouragement to participate in cancer
screening. Select all
A. 21 yr old white american woman who is sexually inactive, for a
pap test
B. 30 yr old asian american woman for an annual mammogram
C. 45 yr old african american man to talk with health care provider
about prostate cancer
D. 50 yr old white american man, for a fecal occult blood test
E. 50 yr old white american woman for colonoscopy
F. 70 yr old asian american woman who had a total hysterectomy
15 yrs ago (not for cancer) for a pap test - answer-a. 21 yr old
white american woman who is sexually inactive, for a pap test
C. 45 yr old african american man to talk with health care provider
about prostate cancer
