MED SURG Final 09/29/2026
exam
MED SURG Final exam 4 Latest Test Bank
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
The nurse is educating the 45yo female pt about the American Cancer Society (ACS) recommendations for early
detection of cancer. Which information should she include when teaching?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A) Obtain a Pap Smear every year
B) Get an annual fecal occult blood exam
C) Plan a sigmoidoscopy every 5 years
D) Obtain a mammogram every year - Correct Answer :Answer: D
The ACS recommends that 45yo women have an annual mammogram and a Pap smear every 2-3 years. Yearly
fecal occult blood studies and sigmoidoscopy are recommended beginning at age 50
The nurse is planning care for the pt who is on a protocol for bleomycin. Since bleomycin is an antitumor
antibiotic, which intervention should the nurse add to the care plan?
A) Assess hearing acuity
B) Measure urinary output
C) Weigh daily to assess fluid retention
D) monitor for cardiac arrythmias - Correct Answer :Answer: D
Bleomycin is cardiotoxic and can cause cardiac arrythmias; therefore, this would be the highest priority
intervention. Chemotherapies that are ototoxic would warrant a hearing test; urinary output and fluid retention
should be assessed with most chemotherapy drugs and especially for those that are nephrotoxic
The nurse is caring for a pt with cancer who is receiving vincristine. Which precaution is most important for the
nurse to take?
A) Prevent the pr from getting chilled
B) Administer a stool softener as ordered
C) Offer the pt a soft toothbrush
D) Feed the pt a snack during the infusion - Correct Answer :Answer: B
Certain antineoplastic drugs such as vincristine, vinblastine, and paclitaxel cause constipation
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
The nurse is instructing a pt who is on a biologic response modifier (BRM) colony-stimulating drug. The nurse
teaches that about which desired action from this medication?
A) Increased appetite
B) Increased hair growth
C) Enhanced recovery of bone marrow
D) Decreased cholesterol - Correct Answer :Answer: C
BRMs enhance and support the recovery of suppressed bone marrow resulting from radiation and
chemotherapy
The pt on radiation therapy has developed diarrhea.
A) Broccoli
B) Cauliflower
C) Cheese and crackers
D) Apples and pears - Correct Answer :Answer: C
Food low in fiber such as cheese and crackers will help slow diarrhea. Broccoli, cauliflower, apples and pears are
high in fiber that stimulate bowel evacuation
The nurse is constructing a teaching plan about fatigue management for a pt who is taking radiation treatments.
Which information should the nurse include?
A) Prioritize activities and alternate rest with periods of activity
B) Plan to spend at least 4-5 hrs of the day in bed
C) Discontinue pain meds that may cause drowsiness
D) Avoid snacking between meals - Correct Answer :Answer: A
Prioritizing activities is essential to balance energy with expenditure. These pts should not spend long periods of
daytime in bed, and they should increase fluids and plan in-between snacks to keep energy up
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
32yo mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3
days. How should the best prepare for the pts 8yo twins to visit?
A) Instruct the children to visit at the bedside one at a time
B) Inform the family that children cannot visit pts undergoing radiation
C) Put chairs in the hall for a "long-distance" visitation
D) Allow visitation for no longer than 3 minutes without any physical contact - Correct Answer :Answer: C
Children and pregnant people should not visit at the bedside, but a visit from a safe distance or by phone helps
to relieve the boredom of isolation
Which statement indicates to the nurse that the 50yo male recently dx with early-stage cancer of the prostate
has begun to accept his diagnosis?
A) "Well, I guess this just about cancels any plans for a second honeymoon"
B) "I need to call my lawyer and update my will"
C) "Do you have any current information on prostate cancer?"
D) "My children should come home from college to visit" - Correct Answer :Answer: C
Well-adjusted pts should seek information on the disease and caried treatment. Joking is a form of denial.
Gathering family and making final arrangements reflect loss of hope and do not coincide with the prognosis of
early-stage prostate cancer. Humor is a positive coping strategy, but requesting information is a more indicative
of acceptance
Following a visit from his family, the 55 year old male patient with terminal cancer tearfully says, "I am so afraid"
and begins to cry. The nurse's most supportive response is to:
A) "Would you like to have your pain medication now?"
B) "Let's talk about what you are afraid of"
C) " Would you like for me to call the hospital Chaplin"
JOYCEWWALES 4
exam
MED SURG Final exam 4 Latest Test Bank
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
The nurse is educating the 45yo female pt about the American Cancer Society (ACS) recommendations for early
detection of cancer. Which information should she include when teaching?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A) Obtain a Pap Smear every year
B) Get an annual fecal occult blood exam
C) Plan a sigmoidoscopy every 5 years
D) Obtain a mammogram every year - Correct Answer :Answer: D
The ACS recommends that 45yo women have an annual mammogram and a Pap smear every 2-3 years. Yearly
fecal occult blood studies and sigmoidoscopy are recommended beginning at age 50
The nurse is planning care for the pt who is on a protocol for bleomycin. Since bleomycin is an antitumor
antibiotic, which intervention should the nurse add to the care plan?
A) Assess hearing acuity
B) Measure urinary output
C) Weigh daily to assess fluid retention
D) monitor for cardiac arrythmias - Correct Answer :Answer: D
Bleomycin is cardiotoxic and can cause cardiac arrythmias; therefore, this would be the highest priority
intervention. Chemotherapies that are ototoxic would warrant a hearing test; urinary output and fluid retention
should be assessed with most chemotherapy drugs and especially for those that are nephrotoxic
The nurse is caring for a pt with cancer who is receiving vincristine. Which precaution is most important for the
nurse to take?
A) Prevent the pr from getting chilled
B) Administer a stool softener as ordered
C) Offer the pt a soft toothbrush
D) Feed the pt a snack during the infusion - Correct Answer :Answer: B
Certain antineoplastic drugs such as vincristine, vinblastine, and paclitaxel cause constipation
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
The nurse is instructing a pt who is on a biologic response modifier (BRM) colony-stimulating drug. The nurse
teaches that about which desired action from this medication?
A) Increased appetite
B) Increased hair growth
C) Enhanced recovery of bone marrow
D) Decreased cholesterol - Correct Answer :Answer: C
BRMs enhance and support the recovery of suppressed bone marrow resulting from radiation and
chemotherapy
The pt on radiation therapy has developed diarrhea.
A) Broccoli
B) Cauliflower
C) Cheese and crackers
D) Apples and pears - Correct Answer :Answer: C
Food low in fiber such as cheese and crackers will help slow diarrhea. Broccoli, cauliflower, apples and pears are
high in fiber that stimulate bowel evacuation
The nurse is constructing a teaching plan about fatigue management for a pt who is taking radiation treatments.
Which information should the nurse include?
A) Prioritize activities and alternate rest with periods of activity
B) Plan to spend at least 4-5 hrs of the day in bed
C) Discontinue pain meds that may cause drowsiness
D) Avoid snacking between meals - Correct Answer :Answer: A
Prioritizing activities is essential to balance energy with expenditure. These pts should not spend long periods of
daytime in bed, and they should increase fluids and plan in-between snacks to keep energy up
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
32yo mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3
days. How should the best prepare for the pts 8yo twins to visit?
A) Instruct the children to visit at the bedside one at a time
B) Inform the family that children cannot visit pts undergoing radiation
C) Put chairs in the hall for a "long-distance" visitation
D) Allow visitation for no longer than 3 minutes without any physical contact - Correct Answer :Answer: C
Children and pregnant people should not visit at the bedside, but a visit from a safe distance or by phone helps
to relieve the boredom of isolation
Which statement indicates to the nurse that the 50yo male recently dx with early-stage cancer of the prostate
has begun to accept his diagnosis?
A) "Well, I guess this just about cancels any plans for a second honeymoon"
B) "I need to call my lawyer and update my will"
C) "Do you have any current information on prostate cancer?"
D) "My children should come home from college to visit" - Correct Answer :Answer: C
Well-adjusted pts should seek information on the disease and caried treatment. Joking is a form of denial.
Gathering family and making final arrangements reflect loss of hope and do not coincide with the prognosis of
early-stage prostate cancer. Humor is a positive coping strategy, but requesting information is a more indicative
of acceptance
Following a visit from his family, the 55 year old male patient with terminal cancer tearfully says, "I am so afraid"
and begins to cry. The nurse's most supportive response is to:
A) "Would you like to have your pain medication now?"
B) "Let's talk about what you are afraid of"
C) " Would you like for me to call the hospital Chaplin"
JOYCEWWALES 4
