NSG223NSG 223 FINAL EXAM MEDICAL

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NSG223/NSG 223 FINAL EXAM MEDICAL

SURGICAL NEWEST 2025 ACTUAL EXAM

COMPLETE 100 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+ |HERZING

Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of

breast cancer is confirmed by:

• Breast self-examination
• Mammography
• Fine needle aspiration
• Chest X-ray - ANSWER-C. Fine needle aspiration

A male client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?

• "Keep the stoma dry."
• "Keep the stoma moist." 1 / 4

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C."Keep the stoma uncovered."

• "Have a family member perform stoma care initially until

you get used to the procedure." - ANSWER-B. "Keep the stoma moist."

A female client is receiving chemotherapy to treat breast cancer.Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?

• Serum potassium level of 3.6 mEq/L
• Blood pressure of 120/64 to 130/72 mm Hg
• Dry oral mucous membranes and cracked lips
• Urine output of 400 ml in 8 hours - ANSWER-C. Dry oral

mucous membranes and cracked lips

The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?

• Polyps
• Weight gain
• Hemorrhoids 2 / 4

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• Duodenal ulcers - ANSWER-A. Polyps

For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?

• Inspecting the skin for petechiae once every shift
• Placing the client in strict isolation
• Providing for frequent rest periods
• Administering aspirin if the temperature exceeds 102° F

(38.8°C) - ANSWER-A. Inspecting the skin for petechiae once every shift

A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug. Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action

of antimetabolites interferes with:

• Cell division or mitosis during the M phase of the cell cycle
• Normal cellular processes during the S phase of the cell cycle 3 / 4

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• The chemical structure of deoxyribonucleic acid (DNA) and

chemical binding between DNA molecules (cell cycle- nonspecific)

• One or more stages of ribonucleic acid (RNA) synthesis,

DNA synthesis, or both (cell cycle-nonspecific) - ANSWER-B.Normal cellular processes during the S phase of the cell cycle

A 35-year-old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)?

• Rust-colored sputum
• Red, open sores on the oral mucosa
• Yellow tooth discoloration
• White, cottage cheese-like patches on the tongue -

ANSWER-B. Red, open sores on the oral mucosa

During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis?

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