NSG 320 ADULT HEALTH NURSING FINAL
EXAM 2025-2026 PREP QUESTIONS AND
ANSWERS GRADED A+
A patient who is scheduled for a right breast biopsy asks the nurse the difference
between a benign tumor and a malignant tumor. Which answer by the nurse is
correct?
"Malignant tumors may spread to other tissues or organs"
A nurse is caring for a patient who smokes 2 packs/day. To reduce the patient's risk
of lung cancer, which action by the nurse is the best?
Discuss the risks associated with cigarettes during every patient encounter
The nurse should include which food choice when providing dietary teaching for a
patient scheduled to receive external beam radiation for abdominal cancer?
Roasted chicken
,A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0
asks the nurse what the letters and numbers mean. Which response by the nurse is
most appropriate?
"the cancer involves only the cervix"
During the teaching session for a patient who has a new diagnosis of acute
leukemia the patient is restless and is looking away, never making eye contact.
After teaching about the complications associated with chemotherapy, the patient
asks the nurse to repeat all of the information. Based on this assessment, which
nursing diagnosis is most appropriate for the patient?
Risk for ineffective health maintenance related to anxiety about new leukemia
A hospitalized patient who has received chemotherapy for leukemia develops
neutropenia. Which observation by the nurse would indicate a need for further
teaching
The patients visitors bring in some fresh peaches from home
The nurse receives change-of-shift report on the oncology unit. Which patient
should the nurse assess first?
24-year-old patient who received neck radiation and has blood oozing from the
neck
,An older adult patient who has colorectal cancer is receiving IV fluids at
175mL/hour in conjunction with the prescribed chemotherapy. Which finding by
the nurse is most important to report to the health care provider?
Patient has audible crackles in the midline posterior chest
A patient with an open leg wound has a white blood cell (WBC) count of
13,500/uL and a band count of 11%. Which action should the nurse take first?
Obtain wound cultures
During assessment of the patient's skin, the nurse observes a similar pattern of
small, raised lesions on the left and right upper back areas. Which term should the
nurse use to document these lesions?
Symmetric
The nurse prepares to obtain a culture from a patient who has a possible fungal
infection on the foot. Which items should the nurse gather for this procedure?
Cotton-tipped applicators
A dark-skinned patient has been admitted to the hospital with chronic heart failure.
How would the nurse best assess this patient for cyanosis?
, check the lips and oral mucous membranes
When examining an older patient in the home, the home health nurse notices
irregular patterns of bruising at different stages of healing on the patient's body.
Which action should the nurse take first?
talk with the patient alone and ask about what caused the bruising
The nurse assess a circular, flat, reddened lesion about 5 cm in diameter on a
middle-aged patient's ankle. How should the nurse determine if the lesion is related
to intradermal bleeding
Press firmly on the lesion
Which integumentary assessment data from an older patient admitted with
bacterial pneumonia is of most concern for the nurse?
Reports a history of allergic rashes
When taking the health history of an older adult, the nurse discovers that the
patient has worked in the landscaping business for 40 years. The nurse will plan to
teach the patient about how to self-assess for which clinical manifestations?
actinic keratosis and erythema
EXAM 2025-2026 PREP QUESTIONS AND
ANSWERS GRADED A+
A patient who is scheduled for a right breast biopsy asks the nurse the difference
between a benign tumor and a malignant tumor. Which answer by the nurse is
correct?
"Malignant tumors may spread to other tissues or organs"
A nurse is caring for a patient who smokes 2 packs/day. To reduce the patient's risk
of lung cancer, which action by the nurse is the best?
Discuss the risks associated with cigarettes during every patient encounter
The nurse should include which food choice when providing dietary teaching for a
patient scheduled to receive external beam radiation for abdominal cancer?
Roasted chicken
,A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0
asks the nurse what the letters and numbers mean. Which response by the nurse is
most appropriate?
"the cancer involves only the cervix"
During the teaching session for a patient who has a new diagnosis of acute
leukemia the patient is restless and is looking away, never making eye contact.
After teaching about the complications associated with chemotherapy, the patient
asks the nurse to repeat all of the information. Based on this assessment, which
nursing diagnosis is most appropriate for the patient?
Risk for ineffective health maintenance related to anxiety about new leukemia
A hospitalized patient who has received chemotherapy for leukemia develops
neutropenia. Which observation by the nurse would indicate a need for further
teaching
The patients visitors bring in some fresh peaches from home
The nurse receives change-of-shift report on the oncology unit. Which patient
should the nurse assess first?
24-year-old patient who received neck radiation and has blood oozing from the
neck
,An older adult patient who has colorectal cancer is receiving IV fluids at
175mL/hour in conjunction with the prescribed chemotherapy. Which finding by
the nurse is most important to report to the health care provider?
Patient has audible crackles in the midline posterior chest
A patient with an open leg wound has a white blood cell (WBC) count of
13,500/uL and a band count of 11%. Which action should the nurse take first?
Obtain wound cultures
During assessment of the patient's skin, the nurse observes a similar pattern of
small, raised lesions on the left and right upper back areas. Which term should the
nurse use to document these lesions?
Symmetric
The nurse prepares to obtain a culture from a patient who has a possible fungal
infection on the foot. Which items should the nurse gather for this procedure?
Cotton-tipped applicators
A dark-skinned patient has been admitted to the hospital with chronic heart failure.
How would the nurse best assess this patient for cyanosis?
, check the lips and oral mucous membranes
When examining an older patient in the home, the home health nurse notices
irregular patterns of bruising at different stages of healing on the patient's body.
Which action should the nurse take first?
talk with the patient alone and ask about what caused the bruising
The nurse assess a circular, flat, reddened lesion about 5 cm in diameter on a
middle-aged patient's ankle. How should the nurse determine if the lesion is related
to intradermal bleeding
Press firmly on the lesion
Which integumentary assessment data from an older patient admitted with
bacterial pneumonia is of most concern for the nurse?
Reports a history of allergic rashes
When taking the health history of an older adult, the nurse discovers that the
patient has worked in the landscaping business for 40 years. The nurse will plan to
teach the patient about how to self-assess for which clinical manifestations?
actinic keratosis and erythema
