Question 1

The nurse explains that drugs such as cannabinoids,Benadryl,and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy to help:

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 2

The nurse assesses the patient taking doxorubicin (Adriamycin)very carefully when the patient complains of:

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 3

The nurse assesses beginning acceptance of the diagnosis of cancer when the patient:

Accepted Answer

A)  Begins to act in a cheerful manner. 
B)  Inquires about support groups. 
C)  Cries over loss of health. 
D)  Actively interacts with his or her family. 
A)  Begins to act in a cheerful manner. 
B)  Inquires about support groups. 
C)  Cries over loss of health. 
D)  Actively interacts with his or her family.

Question 4

The nurse cautions that the most common site of cancer in adult men is the:

Accepted Answer

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

Question 5

The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:

Accepted Answer

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

Question 6

While bathing a patient with cancer,the nurse assessed several large new bruises on the patient's upper arms and thighs.An understanding of the possible causes and the correct nurse's actions for these findings are that:

Accepted Answer

A)  The patient must have fallen last night walking to the bathroom. Teach the patient to use the call bell when assistance is needed. 
B)  The patient may have disseminated intravascular coagulation. The size, shape, location, color, and tenderness must be reported and recorded fully. 
C)  An intravascular fluid overload is occurring because of the chemotherapy. Place the patient on strict input/output (I/O) status and limit fluids. 
D)  The patient must have had a drug-induced seizure, which caused arm and leg thrashing and the bruises. Report and record the findings, and pad the side rails. 
A)  The patient must have fallen last night walking to the bathroom. Teach the patient to use the call bell when assistance is needed. 
B)  The patient may have disseminated intravascular coagulation. The size, shape, location, color, and tenderness must be reported and recorded fully. 
C)  An intravascular fluid overload is occurring because of the chemotherapy. Place the patient on strict input/output (I/O) status and limit fluids. 
D)  The patient must have had a drug-induced seizure, which caused arm and leg thrashing and the bruises. Report and record the findings, and pad the side rails.

Question 7

A patient is close to death with terminal liver cancer with widespread metastases and calls the nursing staff to his room every 5 minutes.The interventions that will be most supportive and in the best interest of the patient are to:

Accepted Answer

A)  Encourage and insist that the family request a transfer to hospice care, because the general hospital does not have enough staff members to keep responding to the patient's end-stage frequent calling and requests for minor help. 
B)  Use fixed interval and cocktail medication administration. Frequently evaluate for breakthrough pain and anxieties. Answer the call bell quickly on the intercom or in person. 
C)  Tell the family that as of this afternoon, all the patient's questions, comments, and expressed fears of dying and financial worries will be referred to the social worker, physician, or clergy. Otherwise, one of them can come in and sit beside the bed. 
D)  Plan to limit strictly the time spent with the patient, because the nurse cannot do much that could be beneficial at this point. 
A)  Encourage and insist that the family request a transfer to hospice care, because the general hospital does not have enough staff members to keep responding to the patient's end-stage frequent calling and requests for minor help. 
B)  Use fixed interval and cocktail medication administration. Frequently evaluate for breakthrough pain and anxieties. Answer the call bell quickly on the intercom or in person. 
C)  Tell the family that as of this afternoon, all the patient's questions, comments, and expressed fears of dying and financial worries will be referred to the social worker, physician, or clergy. Otherwise, one of them can come in and sit beside the bed. 
D)  Plan to limit strictly the time spent with the patient, because the nurse cannot do much that could be beneficial at this point.

Question 8

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

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 9

The nurse reminds a visitor to a patient who has an internal radiation implant to:

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.

Question 10

When the nurse sees that an intravenous (IV)vesicant cancer drug has extravasated,the nurse should:

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 11

The nurse cautions a group of middle-aged persons that conditions that promote the formation of malignant cells are:

Accepted Answer

A)  Childbearing 
B)  Increasing age 
C)  Hormonal changes 
D)  Chronic irritation of tissue 
E)  Diet 
A)  Childbearing 
B)  Increasing age 
C)  Hormonal changes 
D)  Chronic irritation of tissue 
E)  Diet

Question 12

The statement that best defines concepts to be included in a teaching plan for a patient with cancer is:

Accepted Answer

A)  Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. 
B)  Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. 
C)  Americans who have a diagnosis of cancer die within 1 year or less. 
D)  When a person is genetically predisposed to a type of cancer, nothing that can be done to prevent its occurrence. 
A)  Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. 
B)  Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. 
C)  Americans who have a diagnosis of cancer die within 1 year or less. 
D)  When a person is genetically predisposed to a type of cancer, nothing that can be done to prevent its occurrence.

Question 13

The nurse uses a diagram to show the progress of a normal cell being transformed to a malignant cell.The latent period before the period of rapid growth of tumors is the phase of:

Accepted Answer

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

Exam 25: The Patient With Cancer

The nurse explains that drugs such as cannabinoids,Benadryl,and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy to help:

The nurse assesses the patient taking doxorubicin (Adriamycin)very carefully when the patient complains of:

The nurse assesses beginning acceptance of the diagnosis of cancer when the patient:

The nurse cautions that the most common site of cancer in adult men is the:

The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:

While bathing a patient with cancer,the nurse assessed several large new bruises on the patient's upper arms and thighs.An understanding of the possible causes and the correct nurse's actions for these findings are that:

A patient is close to death with terminal liver cancer with widespread metastases and calls the nursing staff to his room every 5 minutes.The interventions that will be most supportive and in the best interest of the patient are to:

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

The nurse reminds a visitor to a patient who has an internal radiation implant to:

When the nurse sees that an intravenous (IV)vesicant cancer drug has extravasated,the nurse should:

The nurse cautions a group of middle-aged persons that conditions that promote the formation of malignant cells are:

The statement that best defines concepts to be included in a teaching plan for a patient with cancer is:

The nurse uses a diagram to show the progress of a normal cell being transformed to a malignant cell.The latent period before the period of rapid growth of tumors is the phase of:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

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