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 student nurse is teaching a community group about risk factors for colorectal cancer. Based on risk factors,
which pt has the highest risk for developing colorectal cancer?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A) 50 yo make who had been exposed to arsenic in the workplace
B) 45yo female with a doctorate in phycology and smokes occasionally
C) 38 yo female who had her first child 1 year ago
D) 29yo male who has had Chron disease since the age of 13 –
Correct Answer :Answer: D
Inflammatory diseases of the colon increase the risk of colorectal cancer
Which statement indicates that the pt understands teaching about diagnostic examinations for cancer?
A) "I will have less scarring if my surgeon uses an incision to biopsy my breast"
B) "My CEA level will be low if my pancreatic cancer returns"
C) The doctor will monitor my ovarian cancer remission with the CA-125 test"
D) My colonoscopy results were great, so I won't need another one for 5 years" –
Correct Answer :Answer: C
The CA-125 test is one of the tests the physician will monitor to detect the presence of ovarian cancer or
recurrence of ovarian cancer after therapy. Fine-needle biopsy causes the least amount of scarring during
biopsy. The pts CEA level will rise if pancreatic cancer is present. Recommendations suggest colonoscopy every
10 years if the exam is negative and there is no family history
The nurse is caring for a terminally ill cancer pt who is receiving palliative cafe. The pts wife asks how her
husband's pain will be controlled when he is nears death. Which is the nurse's best response?
A) "Most of the time we can manage the pain with oral morphine and transdermal pain medication"
B) "We will probably start an IV to administer morphine to control the intense pain he may be experiencing"
C) " Dying pts typically do not have any pain, so this will not be an issue"
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
D) "I will have to check with your husband's physician to see how he wants us to handle pain control"
- Correct Answer :Answer: A
Oral and transdermal pain control methods are most often used for the terminally ill patient near death. An IV
typically started on a pt that is near death who is receiving palliative care. Dying patients do experience pain. The
plan of care should be in place for the pts receiving palliative care, so the physician would not be contacted for
pain medication orders
Which description(s) is/are characteristics of a malignant neoplasm? (SATA)
A) Very small nuclei
B) Disorganization
C) Altered DNA
D) Invasion o nearby organs
E) Travel through body fluids –
Correct Answer :Answer: B,C,D,E
Malignant neoplasms have large rather small nuclei. Disorganization, altered DNA, invasion of nearby organs,
and the ability to travel through body fluids are all characteristics of malignancies
Which categories are classifications of malignant neoplasms? (SATA)
A) Carcinomas
B) Lymphomas
C) Fibromas
D) Lipomas
E) Sarcomas - Correct Answer :Answer: A,B,E
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
The categories of malignancy are sarcomas, carcinomas, leukemias, and lymphomas. Fibromas and lipomas are
benign
The nurse explains that metastasis from the original site to a new site in a variety of ways. Which mechanisms so
malignant cells use to metastasize? (SATA)
A) Travelling through tissues
B) "Transplantation" via surgical instruments during surgery
C) Entering a body cavity and attaching to an organ
D) Travelling through the lymphatic system
E) "Relocation" from contaminated gloves during surgery –
Correct Answer :Answer: B,C,D,E
Travelling through the blood rather than tissues is a common mechanism for metastasis
Which viruses are responsible for specific cancers? (SATA)
A) Liver cancer from Hep B
B) Burkitt lymphoma from Epstein-Barr virus
C) Cervical cancer from human papillomavirus
D) Lung Cancer from Measels virus
E) Kaposi sarcoma from the human immunodeficiency virus - Correct Answer :Answer: A,B,C,E
Hep B can cause liver cancer, Epstein-Barr can lead to Burkitt lymphoma, HPV can cause cervical cancer, and HIV
can lead to Kaposi sarcoma. Measels do not cause lung cancer
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 student nurse is teaching a community group about risk factors for colorectal cancer. Based on risk factors,
which pt has the highest risk for developing colorectal cancer?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A) 50 yo make who had been exposed to arsenic in the workplace
B) 45yo female with a doctorate in phycology and smokes occasionally
C) 38 yo female who had her first child 1 year ago
D) 29yo male who has had Chron disease since the age of 13 –
Correct Answer :Answer: D
Inflammatory diseases of the colon increase the risk of colorectal cancer
Which statement indicates that the pt understands teaching about diagnostic examinations for cancer?
A) "I will have less scarring if my surgeon uses an incision to biopsy my breast"
B) "My CEA level will be low if my pancreatic cancer returns"
C) The doctor will monitor my ovarian cancer remission with the CA-125 test"
D) My colonoscopy results were great, so I won't need another one for 5 years" –
Correct Answer :Answer: C
The CA-125 test is one of the tests the physician will monitor to detect the presence of ovarian cancer or
recurrence of ovarian cancer after therapy. Fine-needle biopsy causes the least amount of scarring during
biopsy. The pts CEA level will rise if pancreatic cancer is present. Recommendations suggest colonoscopy every
10 years if the exam is negative and there is no family history
The nurse is caring for a terminally ill cancer pt who is receiving palliative cafe. The pts wife asks how her
husband's pain will be controlled when he is nears death. Which is the nurse's best response?
A) "Most of the time we can manage the pain with oral morphine and transdermal pain medication"
B) "We will probably start an IV to administer morphine to control the intense pain he may be experiencing"
C) " Dying pts typically do not have any pain, so this will not be an issue"
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
D) "I will have to check with your husband's physician to see how he wants us to handle pain control"
- Correct Answer :Answer: A
Oral and transdermal pain control methods are most often used for the terminally ill patient near death. An IV
typically started on a pt that is near death who is receiving palliative care. Dying patients do experience pain. The
plan of care should be in place for the pts receiving palliative care, so the physician would not be contacted for
pain medication orders
Which description(s) is/are characteristics of a malignant neoplasm? (SATA)
A) Very small nuclei
B) Disorganization
C) Altered DNA
D) Invasion o nearby organs
E) Travel through body fluids –
Correct Answer :Answer: B,C,D,E
Malignant neoplasms have large rather small nuclei. Disorganization, altered DNA, invasion of nearby organs,
and the ability to travel through body fluids are all characteristics of malignancies
Which categories are classifications of malignant neoplasms? (SATA)
A) Carcinomas
B) Lymphomas
C) Fibromas
D) Lipomas
E) Sarcomas - Correct Answer :Answer: A,B,E
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
The categories of malignancy are sarcomas, carcinomas, leukemias, and lymphomas. Fibromas and lipomas are
benign
The nurse explains that metastasis from the original site to a new site in a variety of ways. Which mechanisms so
malignant cells use to metastasize? (SATA)
A) Travelling through tissues
B) "Transplantation" via surgical instruments during surgery
C) Entering a body cavity and attaching to an organ
D) Travelling through the lymphatic system
E) "Relocation" from contaminated gloves during surgery –
Correct Answer :Answer: B,C,D,E
Travelling through the blood rather than tissues is a common mechanism for metastasis
Which viruses are responsible for specific cancers? (SATA)
A) Liver cancer from Hep B
B) Burkitt lymphoma from Epstein-Barr virus
C) Cervical cancer from human papillomavirus
D) Lung Cancer from Measels virus
E) Kaposi sarcoma from the human immunodeficiency virus - Correct Answer :Answer: A,B,C,E
Hep B can cause liver cancer, Epstein-Barr can lead to Burkitt lymphoma, HPV can cause cervical cancer, and HIV
can lead to Kaposi sarcoma. Measels do not cause lung cancer
JOYCEWWALES 4
