FINAL MEDSURG EXAM 2024 QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS
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Med surg 1
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Med Surg 1
FINAL MEDSURG EXAM 2024 QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS FINAL MEDSURG EXAM 2024 QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS FINAL MEDSURG EXAM 2024 QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS
FINAL MEDSURG EXAM 2024 QUESTIONS
AND GOLDEN TIPS ANSWERS 100%
VERIFIED ANSWERS GRADED
1. A patient is to have chemotherapy provided to target the G1 phase of th
cell cycle. Which medications should the nurse expect to be prescribed for
this patient?: cisplatin, prednisone, nitrogen mustard
2. A patient is diagnosed with hyperplasia of lung tissue. The nurse realize
that this patient's first course of treatment will most likely include::
identification and removal of the irritant causing the hyperplasia
3. A patient diagnosed with breast cancer is receiving 5-Fluorouracil (5-
FU). Based on the knowledge of this medication, and anticipated adverse
effects or side effects, what action should the nurse perform?: Test stool for
occult blood
4. 4. A patient is receiving vincristine (Oncovin) for cancer treatment.
Which assessment finding should indicate to the nurse that the patient is
experiencing a toxic reaction?: pain and motor weakness
5. The theory of cellular mutation suggests that there are agents that
cause mutations in cellular DNA that transforms cells into cancer cells.
These agents are called carcinogens and it is believed that the carcinogenic
process has three stages: initiation, promotion, and progression. The
initiation stage involves permanent damage in the cellular DNA as a result
of exposure to a carcinogen that was not repaired or had a defective repair.
Promotion may last for years and includes conditions, such as smoking or
alcohol use, that act repeatedly on the already affected cells. In the
progression stage further inherited changes acquired during the cell
replication develop into a cancer. Replication is not a stage in the mutation
theory of cancer.: smoking impacts the promotion phase
,6. A patient is beginning radiation therapy as part of cancer treatment.
What should the nurse teach the patient about the care of the radiation
site?: if needed use electric razor for shaving, clean radiation site with soap and
water
7. 7. A patient will be receiving busulfan (Myleran) as treatment for
leukemia. Which intervention should the nurse include in the plan of care
for this patient?: assess for infection
8. Septic shock from cancer: high fever, peripheral edema, hypotension
9. A patient with a known drug allergy to Tetracycline is experiencing
stomatitis from chemotherapy used to treat colon cancer. Wha
combination mouthwashes for oropharyngeal pain control should the
nurse suggest the healthcare provider prescribe for this patient?
stomafate suspension, xyloxylin suspension
10. The nurse is explaining the different types of chemotherapy to a patien
recently diagnosed with cancer. Which statement would be incorrect fo
the nurse to tell the patient?: antitumor antibiotics disrupt RNA replication and
DNA transcription
Antitumor antibiotics disrupt DNA replication and RNA transcription, not the other
way around. This is the statement that would be incorrect for the nurse to tell the
patient. Hormones and hormone antagonists are one class of chemotherapeutic
agents. The main hormones used in cancer therapy are the corticosteroids, which
are phase specific. Mitotic inhibitors are drugs that act to prevent cell division during
the M phase. Alkylating agents basically act on preformed nucleic acids by creating
defects in tumor DNA.
11. After a liver biopsy, a patient is diagnosed with anaplasia of liver cells.
What would be indicated for this patient's care?: monitor for the development o
cancer
Anaplasia is the regression of a cell to an immature or undifferentiated cell type.
Anaplastic cell division is no longer under DNA control.
, .
12. A college student is diagnosed with Epstein-Barr virus. The student has a
history of smoking and recreational cocaine use and works for a floo
refinishing company part-time. Which factors increase this student's risk
for developing cancer?: occupation, viral infection, smoking, drug use
13. At the completion of a dietary history the nurse is concerned that a patien
is at risk for developing cancer. Which food habit does the patient have
that causes the nurse to have this concern?: eats red meat 5x week, prefers
fried fish over baked, drinks 6 cups coffee, orders deli sandwich everyday
14. The family of a patient with terminal metastatic cancer asks the nurse fo
guidelines regarding when to call for help when the patient is discharged
to home. What guidelines should the nurse instruct this family tha
indicates the patient needs medical intervention?: difficulty breathing, onse
of bleeding, extreme hunger
15. A patient with neck cancer is scheduled for a diagnostic test to determine
the success of treatment. For what test should the nurse expect to prepare
this patient?: MRI
16. newly diagnosed cancer: body image
17. A patient asks the nurse how his cancer developed. Which statemen
should the nurse avoid in responding to this patient?: theory of cellula
mutation suggests that carcinogens cause mutations in cellular RNA
its in DNA not RNA
18. Superior vena cava syndrome: small cell lung cancer and breast cancer
19 A male patient's prostate-specific antigen level was 2 ng/mL. However, th
patient was diagnosed with prostate cancer. What additional laboratory tes
was done to determine this diagnosis?: acid phosphatase
, 20. The nurse is reviewing the results of diagnostic testing on a patient
suspected of having cancer. Which diagnostic findings should the nurse
identify as being consistent with the presence of a malignancy?: high levels
of tumor markers, positive biopsy results
21. A patient is scheduled to receive a course of external radiation therapy
for cancer treatment. What should the nurse instruct the patient about this
therapy?: wash with plain water and no soap
22. A patient is scheduled for a nephrectomy for renal cancer. What should
the nurse recognize is the goal for this surgery?: removal of kidney
23. the nurse is explaining the characteristics of malignant cells to a group
of patients. Which patient statement indicates a good understanding of the
information: work of malignant cells is simpler than that of normal cells
24. brachytherapy: wear monitoring device to measure whole body exposure
25. After cytologic examination a patient is diagnosed with a tumor tha
is staged as TIS , N1a , M0. What does this staging classification indicate
to the nurse about the patient's tumor?: tumor is in situ, it has not
metastasized, no lymph nodes are involved
26. The nurse is planning care for an older patient who exhibits low blood
pressure. What should the nurse include in this plan that addresses age
related vascular changes?: assess skin for inflammation, encourage frequen
position changes, monitor effects of medication, monitor lower extremity edema
27. While assessing a patient's lymph nodes, the nurse suspects that th
patient has a malignancy. What did the nurse assess to make this clinica
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