MED SURGICAL FINAL PRACTICE EXAM
QUESTIONS CORRECTLY ANSWERED A+
GRADED.
Which of the following components of a thorough cancer pain assessment is most
significant?
a) Intensity
b) Cause
c) Aggravating factors
d) Location
a) Intensity
The nurse teaches the client with chronic cancer pain about optimal pain control.
Which of the following recommendations is most effective for pain control?
a) Get used to some pain and use a little less medication than needed to keep
from being addicted
b) Take prescribed analgesics on an around-the clock schedule to prevent
recurrent pain
c) Take analgesics only when pain returns
d) Take enough analgesics around the clock so that you can sleep 12 to 16 hours a
day to block the pain
b) Take prescribed analgesics on an around-the clock schedule to prevent recurrent
pain
A client informs the nurse that she is using an herbal therapy while receiving
chemotherapy. Which of the following actions should the nurse take?
a) Determine what substances the client is using and make sure that the
,physician is aware of all therapies the client is using
b) Guide the client in the decision-making process to select either Western or
alternative medicine
c) Encourage the client to seek alternative modalities that do not require the
ingestion of substances
d) Recommend that the client stop using the alternative medicines immediately
a) Determine what substances the client is using and make sure that the physician is
aware of all therapies the client is using
A 40-year-old woman is losing most of her hair as a result of chemotherapy. Which
of the following statements best explains chemotherapy-induced alopecia?
a) "The new growth of hair will be gray."
b) "The hair loss is temporary."
c) "New hair growth will always be same texture and color as it was before
chemotherapy"
d) "The client should avoid use of wigs when possible"
b) "The hair loss is temporary."
A 58-year-old man is going to have chemotherapy for lung cancer. He asks the
nurse how the chemotherapeutic drugs will work. The most accurate explanation
the nurse can give is which of the following?
a) "Chemotherapy affects all rapidly dividing cells."
b) "The molecular structure of the DNA is altered."
c) "Cancer cells are susceptible to drug toxins."
,d) "Chemotherapy encourages cancer cells to divide."
a) "Chemotherapy affects all rapidly dividing cells."
When caring for a client with central venous line, which of the following nursing
actions should be implemented in the plan of care for chemotherapy
administration? Select all that apply.
a) Verify patency of the line by the presence of a blood return at regular intervals
b) Inspect the insertion site for swelling, erythema, or drainage
c) Administer a cytotoxic agent to keep the regimen on schedule even if blood
return is not present
d) If unable to aspirate blood, reposition the client and encourage the client to
cough
e) Contact the health care provider about verifying placement if the status is
questionable
a) Verify patency of the line by the presence of a blood return at regular intervals
b) Inspect the insertion site for swelling, erythema, or drainage
d) If unable to aspirate blood, reposition the client and encourage the client to cough
e) Contact the health care provider about verifying placement if the status is
questionable
In setting goals for client with advanced liver cancer who has poor nutrition, the
nurse determines that which of the following is a realistic desired outcome for the
client?
a) Normalize albumin levels
, b) Return to ideal body weight
c) Gain 1 pound every 2 weeks
d) Maintain current weight
d) Maintain current weight
A client with colon cancer had a left hemicolectomy 3 weeks previously. The
client is still having difficulty maintaining an adequate oral intake to meet
metabolic needs for optimal healing. Which of the following nutritional support
methods would the nurse anticipate for the client?
a) Total parenteral nutrition through a central catheter
b) Intravenous infusion of dextrose
c) Nasogastric feeding tube with protein supplement
d) Jejunostomy for high caloric feedings
a) Total parenteral nutrition through a central catheter
Which of the following symptoms is associated with anemia?
a) Decreased salivation
b) Bradycardia
c) Cold intolerance
d) Nausea
c) Cold intolerance
Many oncology clients are at risk for development of a hypercoagulable state and
thrombosis. Laboratory tests to monitor for these complications include:
QUESTIONS CORRECTLY ANSWERED A+
GRADED.
Which of the following components of a thorough cancer pain assessment is most
significant?
a) Intensity
b) Cause
c) Aggravating factors
d) Location
a) Intensity
The nurse teaches the client with chronic cancer pain about optimal pain control.
Which of the following recommendations is most effective for pain control?
a) Get used to some pain and use a little less medication than needed to keep
from being addicted
b) Take prescribed analgesics on an around-the clock schedule to prevent
recurrent pain
c) Take analgesics only when pain returns
d) Take enough analgesics around the clock so that you can sleep 12 to 16 hours a
day to block the pain
b) Take prescribed analgesics on an around-the clock schedule to prevent recurrent
pain
A client informs the nurse that she is using an herbal therapy while receiving
chemotherapy. Which of the following actions should the nurse take?
a) Determine what substances the client is using and make sure that the
,physician is aware of all therapies the client is using
b) Guide the client in the decision-making process to select either Western or
alternative medicine
c) Encourage the client to seek alternative modalities that do not require the
ingestion of substances
d) Recommend that the client stop using the alternative medicines immediately
a) Determine what substances the client is using and make sure that the physician is
aware of all therapies the client is using
A 40-year-old woman is losing most of her hair as a result of chemotherapy. Which
of the following statements best explains chemotherapy-induced alopecia?
a) "The new growth of hair will be gray."
b) "The hair loss is temporary."
c) "New hair growth will always be same texture and color as it was before
chemotherapy"
d) "The client should avoid use of wigs when possible"
b) "The hair loss is temporary."
A 58-year-old man is going to have chemotherapy for lung cancer. He asks the
nurse how the chemotherapeutic drugs will work. The most accurate explanation
the nurse can give is which of the following?
a) "Chemotherapy affects all rapidly dividing cells."
b) "The molecular structure of the DNA is altered."
c) "Cancer cells are susceptible to drug toxins."
,d) "Chemotherapy encourages cancer cells to divide."
a) "Chemotherapy affects all rapidly dividing cells."
When caring for a client with central venous line, which of the following nursing
actions should be implemented in the plan of care for chemotherapy
administration? Select all that apply.
a) Verify patency of the line by the presence of a blood return at regular intervals
b) Inspect the insertion site for swelling, erythema, or drainage
c) Administer a cytotoxic agent to keep the regimen on schedule even if blood
return is not present
d) If unable to aspirate blood, reposition the client and encourage the client to
cough
e) Contact the health care provider about verifying placement if the status is
questionable
a) Verify patency of the line by the presence of a blood return at regular intervals
b) Inspect the insertion site for swelling, erythema, or drainage
d) If unable to aspirate blood, reposition the client and encourage the client to cough
e) Contact the health care provider about verifying placement if the status is
questionable
In setting goals for client with advanced liver cancer who has poor nutrition, the
nurse determines that which of the following is a realistic desired outcome for the
client?
a) Normalize albumin levels
, b) Return to ideal body weight
c) Gain 1 pound every 2 weeks
d) Maintain current weight
d) Maintain current weight
A client with colon cancer had a left hemicolectomy 3 weeks previously. The
client is still having difficulty maintaining an adequate oral intake to meet
metabolic needs for optimal healing. Which of the following nutritional support
methods would the nurse anticipate for the client?
a) Total parenteral nutrition through a central catheter
b) Intravenous infusion of dextrose
c) Nasogastric feeding tube with protein supplement
d) Jejunostomy for high caloric feedings
a) Total parenteral nutrition through a central catheter
Which of the following symptoms is associated with anemia?
a) Decreased salivation
b) Bradycardia
c) Cold intolerance
d) Nausea
c) Cold intolerance
Many oncology clients are at risk for development of a hypercoagulable state and
thrombosis. Laboratory tests to monitor for these complications include:
