NUR 201 Advanced Med-Surg Principles Jersey College Mid-Term Latest Update 2025-2026 Actual Exam 200 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor
Ch 15: Being immunocompromised reduces the clinical manifestations of infections so what is significant and should be reported? - CORRECT ANSWER: temp >100.4 for an hr
CH 15: Colony-stimulating factors (cancer meds) stimulate RBC production by? -
CORRECT ANSWER: - decreasing the need for blood transfusions (erythropoietin)
- or they stimulate neutrophil production to decrease the risk for infection (Neupogen)
Ch 15: For a cancer pt you should do what to help reduce complications related to pain?
- CORRECT ANSWER: provide a PCA
Ch 15: How do you improve oral intake in the setting of nausea in a cancer pt? -
CORRECT ANSWER: - serve cold food because they are less odorous
- encourage oral hygiene
- provide small frequent meals
- make sure pain is managed
Ch 15: How do you prevent dislodgement of the device in intracavity low dose
radiation? - CORRECT ANSWER: - maintain the pt on bed rest
- keep the pt in a private room
- provide low-residue food (bread, cereal, pasta)
- give antidiarrheal agents to prevent bowel movements 1 / 4
- log-roll pt
- insert a foley
Ch 15: How do you reduce the risk for infection in the elderly cancer pt? - CORRECT
ANSWER: - drink plenty of fluids unless contraindicated
- use lotion
- assess for signs of skin breakdown
- change incontinence pads frequently
- void after intercourse
- pneumococcal and influenza vaccines
- cough and deep breathing exercises
- sit up while eating
Ch 15: How do you reduce the risk for infections in a cancer pt? - CORRECT ANSWER:
- implementing neutropenic precautions (WBC <1000/mm3)
- avoid rectal or vaginal procedures
- use electric razors
- avoid using stagnant water
- reduce exposure to sources of infection
Ch 15: How do you treat wet desquamation (associated with severe opioid-resistant
pain and discomfort; resembles a second-degree burn)? - CORRECT ANSWER: -
leaving blisters intact
- notify the HCP
- avoid frequent washing of the area due to increased irritation
- obtain an order for a cream/ointment; use a non-adhesive pad over the area
Ch 15: How does graft versus host disease present in a cancer pt? - CORRECT
ANSWER: - blistering skin rash 2 / 4
- diffuse inflammation to the GI tract with massive diarrhea
- hepatomegaly
Ch 15: Hypercalcemia is a medical EMERGENCY and is marked by? - CORRECT
ANSWER: - progressive change in LOC
- hyporeflexia (muscles are less responsive to stimuli)
- ileus (a painful obstruction of the ileum or other part of the intestine)
- constipation
- polyuria
- polydipsia
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: In case a radioactive devise dislodges you should? - CORRECT ANSWER: keep a lead container in the room
Ch 15: S/S of superior vena cava syndrome are? - CORRECT ANSWER: - increase dyspnea
- facial and neck edema
- jugular vein distention
- visual disturbances
- headache
Ch 15: Tumor markers (ex: CEA, CA 125) are monitored to help determined the effectivenss of what? - CORRECT ANSWER: chemotherapy 3 / 4
Ch 15: What are clinical manifestations of tumor lysis sundrome (condition that occurs when a large number of cancer cells die within a short period, releasing their contents in
to the blood)? - CORRECT ANSWER: - hyperkalemia (>5.5)
- hyperphosphatemia (>4.5)
- hypocalcemia (<9)
- hyperuricemia (>7)
- brady-dysrhythmias (<60)
- wide QRS complexes
- tented T waves
- tetany (muscle cramps, spasms, or tremors)
- seizures
- flank pain
Ch 15: What are common signs of thrombocytopenia? - CORRECT ANSWER: - petechiae
- ecchymosis
Ch 15: What are major complications following a bone marrow transplant until new
marrow engraftment occurs? - CORRECT ANSWER: - sepsis
- bleeding
Ch 15: What are some non-pharmacologic pain management strategies? - CORRECT
ANSWER: - physical modalitities
- mind-body methods
- biologic therapies
- energy based therapies
- / 4