Question 1

Which statement indicates to the nurse that the 50-year-old male recently diagnosed with early stage cancer of the prostate has begun to accept his diagnosis?

Accepted Answer

A)  "Well, I guess this just about cancels any plans for a second honeymoon." 
B)  "I need to call my lawyer in order to update my will." 
C)  "Do you have any current information on prostate cancer?" 
D)  "My children should come home from college to visit." 
A)  "Well, I guess this just about cancels any plans for a second honeymoon." 
B)  "I need to call my lawyer in order to update my will." 
C)  "Do you have any current information on prostate cancer?" 
D)  "My children should come home from college to visit." C

Question 2

The nurse is caring for a terminally ill cancer patient who is receiving palliative care.The patient's wife asks how her husband's pain will be controlled as he nears death.Which is the nurse's best response?

Accepted Answer

A)  "Most of the time we can manage the pain with oral morphine and transdermal pain medication." 
B)  "We will probably have to start an IV to administer morphine to control the intense pain he may be experiencing." 
C)  "Dying patients typically do not have any pain, so this will not be an issue." 
D)  "I will have to check with your husband's physician to see how he wants us to handle pain control." 
A)  "Most of the time we can manage the pain with oral morphine and transdermal pain medication." 
B)  "We will probably have to start an IV to administer morphine to control the intense pain he may be experiencing." 
C)  "Dying patients typically do not have any pain, so this will not be an issue." 
D)  "I will have to check with your husband's physician to see how he wants us to handle pain control." A

Question 3

Which categories are classifications of malignant neoplasms?

Accepted Answer

A)  Carcinomas 
B)  Lymphomas 
C)  Fibromas 
D)  Lipomas 
E)  Sarcomas 
A)  Carcinomas 
B)  Lymphomas 
C)  Fibromas 
D)  Lipomas 
E)  Sarcomas A,B,E

Question 4

The nurse recognizes the staging T3,N2,M2 of the patient's cancer.Which interpretation is correct?

Accepted Answer

A)  Small tumor with fewer than two lymph nodes involved. 
B)  Large tumor that is localized. 
C)  Small tumor with adjacent nodes involved. 
D)  Large tumor with extensive lymph node involvement. 
A)  Small tumor with fewer than two lymph nodes involved. 
B)  Large tumor that is localized. 
C)  Small tumor with adjacent nodes involved. 
D)  Large tumor with extensive lymph node involvement.

Question 5

The nurse is caring for a patient with cancer who is receiving vincristine.Which precaution is most important for the nurse to take?

Accepted Answer

A)  Prevent the patient from getting chilled. 
B)  Administer a stool softener as ordered. 
C)  Offer the patient a soft toothbrush. 
D)  Feed the patient a snack during the infusion. 
A)  Prevent the patient from getting chilled. 
B)  Administer a stool softener as ordered. 
C)  Offer the patient a soft toothbrush. 
D)  Feed the patient a snack during the infusion.

Question 6

The student nurse is teaching a community group about risk factors for colorectal cancer.Based on risk factors,which patient has the highest risk for developing colorectal cancer?

Accepted Answer

A)  50-year-old male who has been exposed to arsenic in the workplace 
B)  45-year-old female with a doctorate degree in psychology who smokes occasionally 
C)  38-year-old female who had her first child 1 year ago 
D)  29-year-old male who has had Crohn disease since the age of 13 
A)  50-year-old male who has been exposed to arsenic in the workplace 
B)  45-year-old female with a doctorate degree in psychology who smokes occasionally 
C)  38-year-old female who had her first child 1 year ago 
D)  29-year-old male who has had Crohn disease since the age of 13

Question 7

The nurse recognizes that smoking is a "promoter" that,although not a carcinogen itself,allows cancer to occur faster in the patients.Which factor is also a promoter of cancer?

Accepted Answer

A)  Obesity 
B)  Occupational hazards 
C)  Cocaine abuse 
D)  Heavy alcohol intake 
A)  Obesity 
B)  Occupational hazards 
C)  Cocaine abuse 
D)  Heavy alcohol intake

Question 8

The nurse is instructing a patient who is on a biologic response modifier (BRM)colony-stimulating drug.The nurse teaches that about which desired action from this medication?

Accepted Answer

A)  Increased appetite 
B)  Increased hair growth 
C)  Enhanced recovery of bone marrow 
D)  Decreased cholesterol 
A)  Increased appetite 
B)  Increased hair growth 
C)  Enhanced recovery of bone marrow 
D)  Decreased cholesterol

Question 9

The nurse is advising a young college student who wants a tan before spring break.Which method is safest for the student to use?

Accepted Answer

A)  Take advantage of morning sun while using sunscreen with an SPF of 30. 
B)  Use a spray-on tanning solution. 
C)  Use a sun lamp for a maximum of 20 minutes a day. 
D)  Use a tanning salon for no more than 10 minutes per visit. 
A)  Take advantage of morning sun while using sunscreen with an SPF of 30. 
B)  Use a spray-on tanning solution. 
C)  Use a sun lamp for a maximum of 20 minutes a day. 
D)  Use a tanning salon for no more than 10 minutes per visit.

Question 10

The nurse assesses a man who is scheduled for a prostate-specific antigen (PSA)test.The nurse understands that which situation could delay the test?

Accepted Answer

A)  The patient reports he ate shellfish 48 hours previously. 
B)  The patient reports that he has a history of an enlarged prostate. 
C)  The patient reports having a recent urinary tract infection (UTI). 
D)  The patient's temperature is 99.0° F. 
A)  The patient reports he ate shellfish 48 hours previously. 
B)  The patient reports that he has a history of an enlarged prostate. 
C)  The patient reports having a recent urinary tract infection (UTI). 
D)  The patient's temperature is 99.0° F.

Question 11

The nurse is outlining a diet that would be helpful in the prevention of cancer.Which instructions should the nurse include?

Accepted Answer

A)  Eliminate all red meat. 
B)  Use margarine instead of butter. 
C)  Avoid foods with vitamin B complex. 
D)  Eat a variety of citrus fruits. 
A)  Eliminate all red meat. 
B)  Use margarine instead of butter. 
C)  Avoid foods with vitamin B complex. 
D)  Eat a variety of citrus fruits.

Question 12

Which viruses are responsible for specific cancers?

Accepted Answer

A)  Liver cancer from hepatitis B virus 
B)  Burkitt lymphoma from Epstein-Barr virus 
C)  Cervical cancer from human papillomavirus 
D)  Lung cancer from measles virus 
E)  Kaposi sarcoma from human immunodeficiency virus 
A)  Liver cancer from hepatitis B virus 
B)  Burkitt lymphoma from Epstein-Barr virus 
C)  Cervical cancer from human papillomavirus 
D)  Lung cancer from measles virus 
E)  Kaposi sarcoma from human immunodeficiency virus

Question 13

The nurse explains that metastasis from the original site to a new site can occur in a variety of ways.Which mechanisms do malignant cells use to metastasize?

Accepted Answer

A)  Traveling through tissues. 
B)  "Transplantation" via surgical instruments during surgery. 
C)  Entering a body cavity and attaching to an organ. 
D)  Traveling through the lymphatic system. 
E)  "Relocation" from contaminated gloves during surgery. 
A)  Traveling through tissues. 
B)  "Transplantation" via surgical instruments during surgery. 
C)  Entering a body cavity and attaching to an organ. 
D)  Traveling through the lymphatic system. 
E)  "Relocation" from contaminated gloves during surgery.

Question 14

The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate cancer.The nurse should educate the patient about which expected side effect?

Accepted Answer

A)  Blurred vision 
B)  Gynecomastia 
C)  Enlarged gonads 
D)  Acne 
A)  Blurred vision 
B)  Gynecomastia 
C)  Enlarged gonads 
D)  Acne

Question 15

The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks.To which factor is this patient's rapid weight loss most likely related?

Accepted Answer

A)  Disinterest in eating food in general 
B)  Changes in the nutritional content of the patient's diet 
C)  The malignancy's high nutritional demand 
D)  A self-imposed rigid diet regimen 
A)  Disinterest in eating food in general 
B)  Changes in the nutritional content of the patient's diet 
C)  The malignancy's high nutritional demand 
D)  A self-imposed rigid diet regimen

Question 16

The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growth spreading.Which explanation best allays the patient's anxiety?

Accepted Answer

A)  "Benign growths arrest their growth on their own." 
B)  "Benign growths never interfere with normal structures or functions." 
C)  "Benign growths are easily controlled with radiation." 
D)  "Benign growths are surrounded by fibrous tissue that prevents spread." 
A)  "Benign growths arrest their growth on their own." 
B)  "Benign growths never interfere with normal structures or functions." 
C)  "Benign growths are easily controlled with radiation." 
D)  "Benign growths are surrounded by fibrous tissue that prevents spread."

Question 17

The nurse is educating the 40-year-old female patient about the American Cancer Society (ACS)recommendations for early detection of cancer.Which information should she include when teaching?

Accepted Answer

A)  Obtain a Pap smear every year. 
B)  Get an annual fecal occult blood examination. 
C)  Plan a sigmoidoscopy every 5 years. 
D)  Obtain a mammogram every year. 
A)  Obtain a Pap smear every year. 
B)  Get an annual fecal occult blood examination. 
C)  Plan a sigmoidoscopy every 5 years. 
D)  Obtain a mammogram every year.

Question 18

The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died.Which intervention is most appropriate?

Accepted Answer

A)  Medicate the patient with the prescribed sedative. 
B)  Encourage a family member to talk to the patient calmly. 
C)  Stimulate and reorient the patient. 
D)  Suggest the family to leave the patient for a while. 
A)  Medicate the patient with the prescribed sedative. 
B)  Encourage a family member to talk to the patient calmly. 
C)  Stimulate and reorient the patient. 
D)  Suggest the family to leave the patient for a while.

Question 19

A 32-year-old mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days.How should the nurse best prepare for the patient's 8-year-old twins to visit?

Accepted Answer

A)  Instruct the children to visit at the bedside one at a time. 
B)  Inform family that children cannot visit patients undergoing radiation. 
C)  Put chairs in the hall for "long-distance" visitation. 
D)  Allow visitation for no longer than 3 minutes without any physical contact. 
A)  Instruct the children to visit at the bedside one at a time. 
B)  Inform family that children cannot visit patients undergoing radiation. 
C)  Put chairs in the hall for "long-distance" visitation. 
D)  Allow visitation for no longer than 3 minutes without any physical contact.

Question 20

Which description(s)is/are characteristic of a malignant neoplasm?

Accepted Answer

A)  Very small nuclei 
B)  Disorganization 
C)  Altered DNA 
D)  Invasion of nearby organs 
E)  Travel through body fluid 
A)  Very small nuclei 
B)  Disorganization 
C)  Altered DNA 
D)  Invasion of nearby organs 
E)  Travel through body fluid

Exam 8: Care of Patients with Cancer

Which statement indicates to the nurse that the 50-year-old male recently diagnosed with early stage cancer of the prostate has begun to accept his diagnosis?

The nurse is caring for a terminally ill cancer patient who is receiving palliative care.The patient's wife asks how her husband's pain will be controlled as he nears death.Which is the nurse's best response?

Which categories are classifications of malignant neoplasms?

The nurse recognizes the staging T3,N2,M2 of the patient's cancer.Which interpretation is correct?

The nurse is caring for a patient with cancer who is receiving vincristine.Which precaution is most important for the nurse to take?

The student nurse is teaching a community group about risk factors for colorectal cancer.Based on risk factors,which patient has the highest risk for developing colorectal cancer?

The nurse recognizes that smoking is a "promoter" that,although not a carcinogen itself,allows cancer to occur faster in the patients.Which factor is also a promoter of cancer?

The nurse is instructing a patient who is on a biologic response modifier (BRM)colony-stimulating drug.The nurse teaches that about which desired action from this medication?

The nurse is advising a young college student who wants a tan before spring break.Which method is safest for the student to use?

The nurse assesses a man who is scheduled for a prostate-specific antigen (PSA)test.The nurse understands that which situation could delay the test?

The nurse is outlining a diet that would be helpful in the prevention of cancer.Which instructions should the nurse include?

Which viruses are responsible for specific cancers?

The nurse explains that metastasis from the original site to a new site can occur in a variety of ways.Which mechanisms do malignant cells use to metastasize?

The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate cancer.The nurse should educate the patient about which expected side effect?

The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks.To which factor is this patient's rapid weight loss most likely related?

The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growth spreading.Which explanation best allays the patient's anxiety?

The nurse is educating the 40-year-old female patient about the American Cancer Society (ACS)recommendations for early detection of cancer.Which information should she include when teaching?

The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died.Which intervention is most appropriate?

A 32-year-old mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days.How should the nurse best prepare for the patient's 8-year-old twins to visit?

Which description(s)is/are characteristic of a malignant neoplasm?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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