NUR 201 MEDICAL-SURGICAL NURSING I EXAM 3

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NUR 201 MEDICAL-SURGICAL NURSING I EXAM 3

NEWEST 2025 ACTUAL EXAM COMPLETE 100

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?

• Call the client at home the next day to review teaching.
• Give the client information about a cancer support group.
• Provide all the preoperative instructions in writing.
• Reassure the client that surgery will be over soon. -

ANSWER-ANS: A Clients are often overwhelmed at a sudden

diagnosis of cancer and may be more overwhelmed at the idea of a major operation so soon. This stress significantly impacts the client's ability to understand, retain, and recall information.The nurse would call the client at home the next day to review the teaching and to answer questions. The client may or may not be ready to investigate a support group, but this does not help with teaching. Giving information in writing is important (if the client can read it), but in itself will not be enough. Telling the 1 / 4

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client that surgery will be over soon is giving false reassurance and does nothing for teaching

A nurse is caring for a client admitted for Non-Hodgkin's lymphoma and chemotherapy. The client reports nausea, flank pain, and muscle cramps. What action by the nurse is most important?

• Request an order for serum electrolytes and uric acid.
• Increase the client's IV infusion rate.
• Instruct assistive personnel to strain all urine.

d. Administer an IV antiemetic. - ANSWER-ANS: A This

client's reports are consistent with tumor lysis syndrome, for which he or she is at risk due to the diagnosis. Early symptoms of TLS stem from electrolyte imbalances and can include lethargy, nausea, vomiting, anorexia, flank pain, muscle weakness, cramps, seizures, and altered mental status. The nurse would notify the primary health care provider and request an order for serum electrolytes. Hydration is important in both preventing and managing this syndrome, but the nurse would not just increase the IV rate. Assistive personnel may need to strain the client's urine and the client may need an antiemetic, but first the nurse would assess the situation further by obtaining pertinent lab tests.

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A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?

• Ensure the client is placed in protective isolation.
• Have pregnant visitors stay 6 feet from the client
• No special action is necessary to care for this client.
• Read the policy on handling radioactive excreta. - ANSWER-

ANS: D This type of radioisotope is excreted in body fluids and

excreta (urine and feces) and would not be handled directly. The nurse would read the facility's policy for handling and disposing of this type of waste. The other actions are not warranted.

A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?

• "Are you getting adequate rest and sleep each day?"
• "It is normal to be fatigued even for months afterward."
• "This is not normal and I'll let the primary health care

provider know."

• "Try adding more vitamins B and C to your diet. - ANSWER-

ANS: B

Radiation-induced fatigue can be debilitating and may last for months after treatment has ended. Rest and adequate nutrition can 3 / 4

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affect fatigue, but it is most important that the client (and family) understands this is normal.

A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer.What response by the nurse is most appropriate?

• "Avoid getting salt water on the radiation site."
• "Do not expose the radiation area to direct sunlight."
• "Have a wonderful time and enjoy your vacation!"
• "Remember you should not drink alcohol for a year." -

ANSWER-ANS: B

The skin overlying the radiation site is extremely sensitive to sunlight after radiation therapy has been completed. The nurse would inform the client to avoid sun exposure to this area. This advice continues for 1 year after treatment has been completed. The other statements are not appropriate

A client is receiving chemotherapy through a peripheral IV line.What action by the nurse is most important?

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