1|Page
ADVANCED MED-SURG PRINCIPLES JERSEY
COLLEGE MID-TERM; ACTUAL EXAM WITH
VERIFIED ANSWERS 2025
Ch 42: What do you obtain if the pt presents with confusion, restlessness, and
irritability in the setting of a facture? - correct-answer-ABGs (arterial blood gases)
Ch 42: What would you encourage after a wrist fracture? - correct-answer-ROM
(range of motion) to the fingers and shoulder of fracture wrist
Ch 42: Avascular necrosis may follow joint dislocations if? - correct-answer-- the
bone injury impairs perfusion
- leads to unresolved ischemia
Ch 42: What do you use to manage phantom limb pain? - correct-answer-opiods
(this is actual pain that is felt after an amputation)
Ch 42: How do you treat tissue injury? - correct-answer-- with rest
- ice
,2|Page
- compression
- elevation during the first 72 hrs to limit inflammation and promote healing
Ch 42: What does Buck's traction do for a fracture? - correct-answer-- helps
decrease pain
- helps decrease muscle spasms
- immobilizes the fracture
Ch 15: Tumor markers (ex: CEA, CA 125) are monitored to help determined the
effectivenss of what? - correct-answer-chemotherapy
Ch 15: With cancer what would you educate a pt to avoid/do? - correct-answer--
carcinogens (smoking)
- limit alcohol
- limit caloric intake
- increasing activity level
- use sunscreen with a min of SPF 15
- limit sun exposure
- use condoms
,3|Page
Ch 15: When should you screen for cancer? - correct-answer-- annual
mammogram starting at age 40
- colonoscopy at age 50, then every 10 yrs
- annual fecal occult blood test at age 50
- prostate specific antigen at age 50
- pap test evey 3 yrs
Ch 15: Why is staging of a tumor done? - correct-answer-to communicate the size
of the tumor, if lymph nodes are involved, and if there is merastasis
Ch 15: What can extravasation of a vesicant (the leakage of certain drugs called
vesicants out of a vein into the tissue around it) result in? - correct-answer-tissue
necrosis so never use the hand or wrist and prevent extravastion by confirming
patency of IV device
Ch 15: What is used in cancer pts to decrease nausea and vomiting? - correct-
answer-- seratonin receptor blockers (ondansetron, granisetron)
- dopaminergic receptor blockers (metoclopramide, prochlorperazine)
- bland foos
- small, fequent meals
, 4|Page
Ch 15: In a cancer pt what does mylosuppression (induced by chemo) result in? -
correct-answer-- pancytopneia
- increasing risk for infection
- increasing risk for bleeding
- increasing risk for fatigue
Ch 15: What can some chemotherapy agents induce? - correct-answer-
hemorrhagic cystitis (bleeding from the bladder mucosa) which could lead to a
lifetreatening hemorrhage so proect the bladder with IV hydration and diuresis
Ch 15: Why would you suspect an increased risk for extravasation in a cancer pt? -
correct-answer-if resistance is met while flushing IV, blood return is absent, or
there is burning pain/swelling to the site
Ch 15: What should an RN do following an extravasation? - correct-answer-a
neurovascular assessment of the affected extremity should be performed
Ch 15: How does graft versus host disease present in a cancer pt? - correct-
answer-- blistering skin rash
- diffuse inflammation to the GI tract with massive diarrhea
- hepatomegaly
ADVANCED MED-SURG PRINCIPLES JERSEY
COLLEGE MID-TERM; ACTUAL EXAM WITH
VERIFIED ANSWERS 2025
Ch 42: What do you obtain if the pt presents with confusion, restlessness, and
irritability in the setting of a facture? - correct-answer-ABGs (arterial blood gases)
Ch 42: What would you encourage after a wrist fracture? - correct-answer-ROM
(range of motion) to the fingers and shoulder of fracture wrist
Ch 42: Avascular necrosis may follow joint dislocations if? - correct-answer-- the
bone injury impairs perfusion
- leads to unresolved ischemia
Ch 42: What do you use to manage phantom limb pain? - correct-answer-opiods
(this is actual pain that is felt after an amputation)
Ch 42: How do you treat tissue injury? - correct-answer-- with rest
- ice
,2|Page
- compression
- elevation during the first 72 hrs to limit inflammation and promote healing
Ch 42: What does Buck's traction do for a fracture? - correct-answer-- helps
decrease pain
- helps decrease muscle spasms
- immobilizes the fracture
Ch 15: Tumor markers (ex: CEA, CA 125) are monitored to help determined the
effectivenss of what? - correct-answer-chemotherapy
Ch 15: With cancer what would you educate a pt to avoid/do? - correct-answer--
carcinogens (smoking)
- limit alcohol
- limit caloric intake
- increasing activity level
- use sunscreen with a min of SPF 15
- limit sun exposure
- use condoms
,3|Page
Ch 15: When should you screen for cancer? - correct-answer-- annual
mammogram starting at age 40
- colonoscopy at age 50, then every 10 yrs
- annual fecal occult blood test at age 50
- prostate specific antigen at age 50
- pap test evey 3 yrs
Ch 15: Why is staging of a tumor done? - correct-answer-to communicate the size
of the tumor, if lymph nodes are involved, and if there is merastasis
Ch 15: What can extravasation of a vesicant (the leakage of certain drugs called
vesicants out of a vein into the tissue around it) result in? - correct-answer-tissue
necrosis so never use the hand or wrist and prevent extravastion by confirming
patency of IV device
Ch 15: What is used in cancer pts to decrease nausea and vomiting? - correct-
answer-- seratonin receptor blockers (ondansetron, granisetron)
- dopaminergic receptor blockers (metoclopramide, prochlorperazine)
- bland foos
- small, fequent meals
, 4|Page
Ch 15: In a cancer pt what does mylosuppression (induced by chemo) result in? -
correct-answer-- pancytopneia
- increasing risk for infection
- increasing risk for bleeding
- increasing risk for fatigue
Ch 15: What can some chemotherapy agents induce? - correct-answer-
hemorrhagic cystitis (bleeding from the bladder mucosa) which could lead to a
lifetreatening hemorrhage so proect the bladder with IV hydration and diuresis
Ch 15: Why would you suspect an increased risk for extravasation in a cancer pt? -
correct-answer-if resistance is met while flushing IV, blood return is absent, or
there is burning pain/swelling to the site
Ch 15: What should an RN do following an extravasation? - correct-answer-a
neurovascular assessment of the affected extremity should be performed
Ch 15: How does graft versus host disease present in a cancer pt? - correct-
answer-- blistering skin rash
- diffuse inflammation to the GI tract with massive diarrhea
- hepatomegaly
