MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
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Immune Thrombocytopenic Purpura (ITP) - CORRECT ANSWERS Autoimmune
production of IgG against platelet antigens
ITP clinical manifestations - CORRECT ANSWERS - sudden onset of easy bruising,
purpura, and petechiae
- epistaxis
- platelet count less than 20,000
- prolonged bleeding time
ITP medical management - CORRECT ANSWERS Immunosuppressives (high dose) and
IVIG
Splenectomy—curative
ITP nursing management - CORRECT ANSWERS · Teach on proper steroid use, and
symptoms of bleeding
aplastic anemia medical management - CORRECT ANSWERS o PRBC and platelet
transfusions
o Prophylactic ABX
o Stem cell transplant for cure
aplastic anemia nursing management - CORRECT ANSWERS o assess for symptoms
related to pancytopenia
o Give ABX, blood products
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
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Febrile transfusion reaction - CORRECT ANSWERS 30 minutes to 6 hours after infusion
ends; most common; increase in temp by 1.8 degrees F
Hemolytic transfusion reaction - CORRECT ANSWERS Occurs with incompatible blood
transfusion,
Clinical Manifestations—fever, chills, N/V, chest pain, dyspnea, hypotension, flank pain,
hematuria, oliguria, bleeding, anxiety
allergic transfusion reaction - CORRECT ANSWERS o Sensitivity reaction to plasma
protein in donor blood
o Clinical Manifestations
§ Mild: hives, itching, rash, wheezing
§ Severe: anaphylaxis
circulatory overload reaction - CORRECT ANSWERS Blood product administered faster
than circulation can accommodate
Manifestations: cough, dyspnea, pulmonary congestion distended neck veins, etc.
Bacterial contamination reaction - CORRECT ANSWERS o Air bubbles in blood
bag=bacteria
o Clinical Manifestations—fever, chills, and hypotension
tx for bacterial contamination reaction - CORRECT ANSWERS STOP TRANSFUSION, let
physician know, maintain IV line with NS, broad spectrum antibiotic, send blood and tubing to
blood bank
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
tx circulatory overload reaction - CORRECT ANSWERS o Treatment—let provider know,
slow infusion, give diuretic IVP, high fowlers
o Prevention—many times, providers will order diuretics to be given between units
Allergic transfusion reaction tx - CORRECT ANSWERS § Mild: let provider know, IV
diphenhydramine, slow transfusion
§ Severe: STOP TRANSFUSION, let physician know, Epi and steroid IV, send blood and tubing to
blood bank
Hemolytic transfusion reaction tx - CORRECT ANSWERS o STOP TRANSFUSION, hang
new bag of NS at 30 ml/hr, let physician know, send blood and tubing to blood bank, get CBC,
blood cultures, type and screen and UA
Febrile transfusion reaction tx - CORRECT ANSWERS fever reducer...most likely
acetaminophen
doxorubicin adverse effects - CORRECT ANSWERS worst vesicant, myelosuppression,
N/V, CARDIOTOXICITY (HF)
doxorubicin action - CORRECT ANSWERS Interfere with DNA replication and RNA
transcription of cancer cells
Doxorubicin Nursing Considerations - CORRECT ANSWERS S/s of anaphylaxis, monitor
CBC, assess cardiac function, give antiemetics 30 min before treatment
, MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
Doxorubicin patient teaching - CORRECT ANSWERS Report bleeding, avoid
anticoagulants, report SOB, edema, or irregular heartbeat, discuss hair loss, avoid interaction
bodily fluids for 5 days after treatment,
chemo safety - CORRECT ANSWERS wear gloves at all times, use luer-lok always, prime
tubing with diluent not medication
work below eye level, do not crush oral
all bodily fluids are radioactive
CML - CORRECT ANSWERS chronic myeloid leukemia
CML phases - CORRECT ANSWERS o Chronic (early): asymptomatic or vague symptoms
o Accelerated: decreased appetite, fever
o Acute (blast): blast cell proliferation and infiltration into tissues, organs
§ Splenomegaly, bone damage, myelosuppression
CML population - CORRECT ANSWERS Usually young adults. Starts slow, becomes more
rapid, and then gets very aggressive
CML cure - CORRECT ANSWERS BM transplant
allogenic bone marrow transplant - CORRECT ANSWERS uses healthy bone marrow
cells from a compatible donor, often a sibling
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
Immune Thrombocytopenic Purpura (ITP) - CORRECT ANSWERS Autoimmune
production of IgG against platelet antigens
ITP clinical manifestations - CORRECT ANSWERS - sudden onset of easy bruising,
purpura, and petechiae
- epistaxis
- platelet count less than 20,000
- prolonged bleeding time
ITP medical management - CORRECT ANSWERS Immunosuppressives (high dose) and
IVIG
Splenectomy—curative
ITP nursing management - CORRECT ANSWERS · Teach on proper steroid use, and
symptoms of bleeding
aplastic anemia medical management - CORRECT ANSWERS o PRBC and platelet
transfusions
o Prophylactic ABX
o Stem cell transplant for cure
aplastic anemia nursing management - CORRECT ANSWERS o assess for symptoms
related to pancytopenia
o Give ABX, blood products
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
Febrile transfusion reaction - CORRECT ANSWERS 30 minutes to 6 hours after infusion
ends; most common; increase in temp by 1.8 degrees F
Hemolytic transfusion reaction - CORRECT ANSWERS Occurs with incompatible blood
transfusion,
Clinical Manifestations—fever, chills, N/V, chest pain, dyspnea, hypotension, flank pain,
hematuria, oliguria, bleeding, anxiety
allergic transfusion reaction - CORRECT ANSWERS o Sensitivity reaction to plasma
protein in donor blood
o Clinical Manifestations
§ Mild: hives, itching, rash, wheezing
§ Severe: anaphylaxis
circulatory overload reaction - CORRECT ANSWERS Blood product administered faster
than circulation can accommodate
Manifestations: cough, dyspnea, pulmonary congestion distended neck veins, etc.
Bacterial contamination reaction - CORRECT ANSWERS o Air bubbles in blood
bag=bacteria
o Clinical Manifestations—fever, chills, and hypotension
tx for bacterial contamination reaction - CORRECT ANSWERS STOP TRANSFUSION, let
physician know, maintain IV line with NS, broad spectrum antibiotic, send blood and tubing to
blood bank
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
tx circulatory overload reaction - CORRECT ANSWERS o Treatment—let provider know,
slow infusion, give diuretic IVP, high fowlers
o Prevention—many times, providers will order diuretics to be given between units
Allergic transfusion reaction tx - CORRECT ANSWERS § Mild: let provider know, IV
diphenhydramine, slow transfusion
§ Severe: STOP TRANSFUSION, let physician know, Epi and steroid IV, send blood and tubing to
blood bank
Hemolytic transfusion reaction tx - CORRECT ANSWERS o STOP TRANSFUSION, hang
new bag of NS at 30 ml/hr, let physician know, send blood and tubing to blood bank, get CBC,
blood cultures, type and screen and UA
Febrile transfusion reaction tx - CORRECT ANSWERS fever reducer...most likely
acetaminophen
doxorubicin adverse effects - CORRECT ANSWERS worst vesicant, myelosuppression,
N/V, CARDIOTOXICITY (HF)
doxorubicin action - CORRECT ANSWERS Interfere with DNA replication and RNA
transcription of cancer cells
Doxorubicin Nursing Considerations - CORRECT ANSWERS S/s of anaphylaxis, monitor
CBC, assess cardiac function, give antiemetics 30 min before treatment
, MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED TO SCORE A+ FOR
SUCCESS
Doxorubicin patient teaching - CORRECT ANSWERS Report bleeding, avoid
anticoagulants, report SOB, edema, or irregular heartbeat, discuss hair loss, avoid interaction
bodily fluids for 5 days after treatment,
chemo safety - CORRECT ANSWERS wear gloves at all times, use luer-lok always, prime
tubing with diluent not medication
work below eye level, do not crush oral
all bodily fluids are radioactive
CML - CORRECT ANSWERS chronic myeloid leukemia
CML phases - CORRECT ANSWERS o Chronic (early): asymptomatic or vague symptoms
o Accelerated: decreased appetite, fever
o Acute (blast): blast cell proliferation and infiltration into tissues, organs
§ Splenomegaly, bone damage, myelosuppression
CML population - CORRECT ANSWERS Usually young adults. Starts slow, becomes more
rapid, and then gets very aggressive
CML cure - CORRECT ANSWERS BM transplant
allogenic bone marrow transplant - CORRECT ANSWERS uses healthy bone marrow
cells from a compatible donor, often a sibling
