Question 1

What recommendations should a nurse make to a visitor of a patient who has an internal radiation implant? (Select all that apply.)

Accepted Answer

A)  Avoid visitation if you are pregnant. 
B)  Take off all metals, such as your watch and belt. 
C)  Limit your visitation time. 
D)  Wear a protective lead apron. 
E)  Stay at least 6 feet away from bedside. 
A)  Avoid visitation if you are pregnant. 
B)  Take off all metals, such as your watch and belt. 
C)  Limit your visitation time. 
D)  Wear a protective lead apron. 
E)  Stay at least 6 feet away from bedside. A, C, E

Question 2

What is the most common site of cancer in adult women?

Accepted Answer

A)  Breast 
B)  Lung 
C)  Kidney 
D)  Uterus 
A)  Breast 
B)  Lung 
C)  Kidney 
D)  Uterus A

Question 3

What is the most common site of cancer in adult men?

Accepted Answer

A)  Colon 
B)  Lung 
C)  Pancreas 
D)  Prostate 
A)  Colon 
B)  Lung 
C)  Pancreas 
D)  Prostate D

Question 4

Why is adjuvant therapy given to patients with cancer who are free of signs of the disease? (Select all that apply.)

Accepted Answer

A)  Ensures eradication of undetected cells. 
B)  Stabilizes normal cells. 
C)  Diminishes recurrence of breast cancer. 
D)  Reduces the extent of the tumor before surgery or radiation. 
E)  Changes the pH of the system to inhibit cell growth. 
A)  Ensures eradication of undetected cells. 
B)  Stabilizes normal cells. 
C)  Diminishes recurrence of breast cancer. 
D)  Reduces the extent of the tumor before surgery or radiation. 
E)  Changes the pH of the system to inhibit cell growth.

Question 5

What phase is considered the latent period before the period of rapid growth of tumors?

Accepted Answer

A)  Initiation 
B)  Promotion 
C)  Progression 
D)  Metastasis 
A)  Initiation 
B)  Promotion 
C)  Progression 
D)  Metastasis

Question 6

Which is true about both malignant tumors and benign tumors?

Accepted Answer

A)  Both contain cells that closely resemble those in the tissue of origin. 
B)  Both travel quickly to invade and destroy other tissues and organs. 
C)  Both always grow and multiply very rapidly, competing for space and nutrients and causing severe pain. 
D)  Both may press on nearby surrounding tissues, such as nerves and blood vessels, causing pain. 
A)  Both contain cells that closely resemble those in the tissue of origin. 
B)  Both travel quickly to invade and destroy other tissues and organs. 
C)  Both always grow and multiply very rapidly, competing for space and nutrients and causing severe pain. 
D)  Both may press on nearby surrounding tissues, such as nerves and blood vessels, causing pain.

Question 7

Which factors in middle-aged persons promote the formation of malignant cells? (Select all that apply.)

Accepted Answer

A)  Childbearing 
B)  Increasing age 
C)  Hormonal changes 
D)  Heredity 
E)  Diet 
A)  Childbearing 
B)  Increasing age 
C)  Hormonal changes 
D)  Heredity 
E)  Diet

Question 8

What manifestations might be assessed by a nurse when a patient is diagnosed with the oncologic emergency hypercalcemia?

Accepted Answer

A)  Hypertension and bradycardia 
B)  Fatigue, confusion, and weakness 
C)  Laboratory test results of potassium 3.5 mEq/L, sodium 143 mEq/L 
D)  Urine output less than 30 mL/hr 
A)  Hypertension and bradycardia 
B)  Fatigue, confusion, and weakness 
C)  Laboratory test results of potassium 3.5 mEq/L, sodium 143 mEq/L 
D)  Urine output less than 30 mL/hr

Question 9

A diagnosis of breast cancer is first made at stage T1 N0 M0.Which patient problem would be appropriate?

Accepted Answer

A)  "Altered body image, related to threats of anticipated changes." 
B)  "Anxiety, related to outcome of treatments." 
C)  "Potential for infection, related to decreased white blood cell count." 
D)  "Inadequate coping, related to husband's expectations regarding anticipated treatments." 
A)  "Altered body image, related to threats of anticipated changes." 
B)  "Anxiety, related to outcome of treatments." 
C)  "Potential for infection, related to decreased white blood cell count." 
D)  "Inadequate coping, related to husband's expectations regarding anticipated treatments."

Question 10

What is the best menu choice for a patient with nausea who is undergoing radiation treatments every other day?

Accepted Answer

A)  Bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, one apple, and 8 oz of orange juice 
B)  Broiled chicken with rice, vanilla yogurt, one-quarter cup of spinach, one-half ripe banana, and 8 oz of grape juice 
C)  Spanish rice, one-half cup of mixed green salad, one-half cup of canned peaches, and 8 oz of Coke 
D)  Spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, and 8 oz of whole milk 
A)  Bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, one apple, and 8 oz of orange juice 
B)  Broiled chicken with rice, vanilla yogurt, one-quarter cup of spinach, one-half ripe banana, and 8 oz of grape juice 
C)  Spanish rice, one-half cup of mixed green salad, one-half cup of canned peaches, and 8 oz of Coke 
D)  Spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, and 8 oz of whole milk

Question 11

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.Which comment demonstrates an understanding of the treatments and prognosis?

Accepted Answer

A)  "Why did you bring me this shampoo? You guys took all my hair, so I don't have anything to wash or fix." 
B)  "Why don't my friends from school come to visit? Did you tell them to stay away?" 
C)  "My spring dance is only 3 weeks away.Do you think I could find a wig to cover my head where the hair fell out from the chemo?" 
D)  "Well, this looks like the end of the problem for me, thank goodness! I won't have to bother that doctor again until I graduate in a couple of years because all my shots must be up to date now." 
A)  "Why did you bring me this shampoo? You guys took all my hair, so I don't have anything to wash or fix." 
B)  "Why don't my friends from school come to visit? Did you tell them to stay away?" 
C)  "My spring dance is only 3 weeks away.Do you think I could find a wig to cover my head where the hair fell out from the chemo?" 
D)  "Well, this looks like the end of the problem for me, thank goodness! I won't have to bother that doctor again until I graduate in a couple of years because all my shots must be up to date now."

Question 12

Which symptom reported by a patient taking doxorubicin (Adriamycin)should be considered a priority for intervention?

Accepted Answer

A)  Nausea 
B)  Visual disturbances 
C)  Headache and dizziness 
D)  Rapid heartbeat 
A)  Nausea 
B)  Visual disturbances 
C)  Headache and dizziness 
D)  Rapid heartbeat

Question 13

What action should a nurse implement if an intravenous vesicant cancer drug has extravasated? (Select all that apply.)

Accepted Answer

A)  Place a warm compress on the area. 
B)  Chill the area with an ice pack. 
C)  Raise the patient's arm above the level of the heart. 
D)  Stop the infusion. 
E)  Notify the charge nurse. 
A)  Place a warm compress on the area. 
B)  Chill the area with an ice pack. 
C)  Raise the patient's arm above the level of the heart. 
D)  Stop the infusion. 
E)  Notify the charge nurse.

Question 14

A nurse explains that drugs such as cannabinoids or Benadryl are frequently ordered for patients with cancer who are taking chemotherapy.What do these types of drugs accomplish?

Accepted Answer

A)  Promote amnesia to dampen the fear. 
B)  Maintain fluid retention to prevent dehydration. 
C)  Control nausea, vomiting, and taste disorders caused by the therapy. 
D)  Control bouts of diarrhea or uncomfortable constipation. 
A)  Promote amnesia to dampen the fear. 
B)  Maintain fluid retention to prevent dehydration. 
C)  Control nausea, vomiting, and taste disorders caused by the therapy. 
D)  Control bouts of diarrhea or uncomfortable constipation.

Question 15

A patient is scheduled for a chemotherapy treatment in approximately 30 minutes.Breakfast trays have arrived and are being served on the unit.What is the nurse's best intervention?

Accepted Answer

A)  Encourage the patient to eat all his breakfast to keep up his strength to fight the cancer.Remind the patient that breakfast is about one third of his daily intake. 
B)  Listen attentively to any concerns that the patient expresses regarding the treatment.Offer to hold his tray until after the treatment. 
C)  Offer to call the family to come and be present after the treatment.Encourage the patient to drink at least all of the orange juice and coffee. 
D)  Suggest that the patient request a dose of strong analgesic instead of eating because this treatment is very painful. 
A)  Encourage the patient to eat all his breakfast to keep up his strength to fight the cancer.Remind the patient that breakfast is about one third of his daily intake. 
B)  Listen attentively to any concerns that the patient expresses regarding the treatment.Offer to hold his tray until after the treatment. 
C)  Offer to call the family to come and be present after the treatment.Encourage the patient to drink at least all of the orange juice and coffee. 
D)  Suggest that the patient request a dose of strong analgesic instead of eating because this treatment is very painful.

Question 16

List the tumors in order based on the following tissue of origin: 
1, fat; 
2, fibrous; 
3, smooth muscle; 
4, glands; 
5, bone.______ 
(Place the events in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A)  Sarcoma 
B)  Lipoma 
C)  Leiomyoma 
D)  Fibroma 
E)  Carcinoma 
A)  Sarcoma 
B)  Lipoma 
C)  Leiomyoma 
D)  Fibroma 
E)  Carcinoma

Question 17

A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M1 (0-1, presence of metastasis).He has an as needed order of 4 mg of morphine intramuscularly every 4 hours.He requests another pain injection approximately 3.5 hours after the last one.What is the most appropriate nursing action?

Accepted Answer

A)  Inform the patient that this narcotic may be given only every 4 hours to prevent addiction. 
B)  Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection. 
C)  Give the morphine and evaluate the results of pain relief.Arrange for the physician to evaluate for breakthrough pain. 
D)  Ask the family to assist in helping the patient accept waiting longer to receive an addicting medication such as morphine. 
A)  Inform the patient that this narcotic may be given only every 4 hours to prevent addiction. 
B)  Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection. 
C)  Give the morphine and evaluate the results of pain relief.Arrange for the physician to evaluate for breakthrough pain. 
D)  Ask the family to assist in helping the patient accept waiting longer to receive an addicting medication such as morphine.

Question 18

A nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS)can be recalled by the acronym CAUTION.What should the nurse change to point out that the A in the acronym represents?

Accepted Answer

A)  A sore that will not heal 
B)  Alopecia 
C)  Abscess 
D)  Anorexia 
A)  A sore that will not heal 
B)  Alopecia 
C)  Abscess 
D)  Anorexia

Question 19

What is the cause of cell death when a patient receives radiation as a treatment for cancer?

Accepted Answer

A)  Separation of the cell from normal cells 
B)  Damage of the cell membrane 
C)  Alteration of the DNA of the cell 
D)  Reduction of cell nutrition 
A)  Separation of the cell from normal cells 
B)  Damage of the cell membrane 
C)  Alteration of the DNA of the cell 
D)  Reduction of cell nutrition

Question 20

Which statement by a patient should lead the nurse to conclude that the precolonoscopy instruction provided has been effective?

Accepted Answer

A)  "I know that the lighted tube he will use will help the doctor look at my tumor, and he might take a small piece of tissue to look at in the lab." 
B)  "I know that the light on the tube will help cure my cancer." 
C)  "I know the colonoscopy is very painful and embarrassing, and I hope no one sees me in that position." 
D)  "My daughter is coming in to see me today.I am glad to be looking forward to something pleasant." 
A)  "I know that the lighted tube he will use will help the doctor look at my tumor, and he might take a small piece of tissue to look at in the lab." 
B)  "I know that the light on the tube will help cure my cancer." 
C)  "I know the colonoscopy is very painful and embarrassing, and I hope no one sees me in that position." 
D)  "My daughter is coming in to see me today.I am glad to be looking forward to something pleasant."

Exam 7: The Patient With Cancer

What recommendations should a nurse make to a visitor of a patient who has an internal radiation implant? (Select all that apply.)

What is the most common site of cancer in adult women?

What is the most common site of cancer in adult men?

Why is adjuvant therapy given to patients with cancer who are free of signs of the disease? (Select all that apply.)

What phase is considered the latent period before the period of rapid growth of tumors?

Which is true about both malignant tumors and benign tumors?

Which factors in middle-aged persons promote the formation of malignant cells? (Select all that apply.)

What manifestations might be assessed by a nurse when a patient is diagnosed with the oncologic emergency hypercalcemia?

A diagnosis of breast cancer is first made at stage T1 N0 M0.Which patient problem would be appropriate?

What is the best menu choice for a patient with nausea who is undergoing radiation treatments every other day?

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.Which comment demonstrates an understanding of the treatments and prognosis?

Which symptom reported by a patient taking doxorubicin (Adriamycin)should be considered a priority for intervention?

What action should a nurse implement if an intravenous vesicant cancer drug has extravasated? (Select all that apply.)

A nurse explains that drugs such as cannabinoids or Benadryl are frequently ordered for patients with cancer who are taking chemotherapy.What do these types of drugs accomplish?

A patient is scheduled for a chemotherapy treatment in approximately 30 minutes.Breakfast trays have arrived and are being served on the unit.What is the nurse's best intervention?

List the tumors in order based on the following tissue of origin: 1, fat; 2, fibrous; 3, smooth muscle; 4, glands; 5, bone.______ (Place the events in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

A nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS)can be recalled by the acronym CAUTION.What should the nurse change to point out that the A in the acronym represents?

What is the cause of cell death when a patient receives radiation as a treatment for cancer?

Which statement by a patient should lead the nurse to conclude that the precolonoscopy instruction provided has been effective?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders