Question 1

The nurse reassures the patient that the surgical remedy for cancer is very successful if: (Select all that apply.)

Accepted Answer

A)  Cancer is detected early. 
B)  The tumors are fast growing. 
C)  Cancer cells have invaded only a non-vital structure. 
D)  Lymph glands have not been involved. 
E)  Cancer cells are confined to only two areas. 
A)  Cancer is detected early. 
B)  The tumors are fast growing. 
C)  Cancer cells have invaded only a non-vital structure. 
D)  Lymph glands have not been involved. 
E)  Cancer cells are confined to only two areas. A,D

Question 2

The complaint the nurse should consider as a warning sign for cancer would be:

Accepted Answer

A)  Intense pain in an area such as a hip or groin after carrying several gallons of paint up a ladder and painting the garage. 
B)  Persistent indigestion associated with difficulty swallowing. 
C)  Diarrhea that lasts 2 days after an all-day picnic at the beach. 
D)  A painful lump under the umbilicus that recedes when pushed, but comes out again with a sneeze or hard cough. 
A)  Intense pain in an area such as a hip or groin after carrying several gallons of paint up a ladder and painting the garage. 
B)  Persistent indigestion associated with difficulty swallowing. 
C)  Diarrhea that lasts 2 days after an all-day picnic at the beach. 
D)  A painful lump under the umbilicus that recedes when pushed, but comes out again with a sneeze or hard cough. B

Question 3

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 D

Question 4

The best menu choice for a patient with nausea who is undergoing radiation treatments every other day is:

Accepted Answer

A)  Bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, one apple, and 8 ounces of orange juice. 
B)  Broiled chicken with rice, 1-ounce slice of plain American cheese; one-quarter cup of spinach; one-half ripe banana; and 8 ounces of grape juice. 
C)  Spanish rice, one-half cup of mixed green salad, one-half cup of canned peaches, and 8 ounces of Coke. 
D)  Spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, and 8 ounces of whole milk. 
A)  Bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, one apple, and 8 ounces of orange juice. 
B)  Broiled chicken with rice, 1-ounce slice of plain American cheese; one-quarter cup of spinach; one-half ripe banana; and 8 ounces of grape juice. 
C)  Spanish rice, one-half cup of mixed green salad, one-half cup of canned peaches, and 8 ounces of Coke. 
D)  Spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, and 8 ounces of whole milk.

Question 5

The nurse evaluates the precolonoscopy instruction as effective when the patient says:

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."

Question 6

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.The comment that demonstrates her understanding of the treatments and prognosis is:

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 7

The nurse explains that adjuvant therapy is given to patients with cancer who are free of signs of the disease to: (Select all that apply.)

Accepted Answer

A)  Ensure eradication of undetected cells. 
B)  Stabilize normal cells. 
C)  Diminish recurrence of breast cancer. 
D)  Reduce the extent of the tumor before surgery or radiation. 
E)  Change the pH of the system to inhibit cell growth. 
A)  Ensure eradication of undetected cells. 
B)  Stabilize normal cells. 
C)  Diminish recurrence of breast cancer. 
D)  Reduce the extent of the tumor before surgery or radiation. 
E)  Change the pH of the system to inhibit cell growth.

Question 8

List the tumors in order based on the following tissue of origin:
TISSUE: 
1.FAT 
2.FIBROUS 
3.SMOOTH MUSCLE 
4.GLANDS 
5.BONE

Accepted Answer

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

Question 9

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 10

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 M2 (0-1: presence of metastasis).He has a as needed (PRN)order of 4 mg morphine,intramuscularly (IM)every 3 to 4 hours.He requests another pain shot approximately   hours after the last one.An appropriate nursing action would be to:

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 11

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 12

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 13

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 14

The nurse explains that the most common cytologic test,usually performed in outpatient settings,that suggests the probability of a need for further testing for cancer cells is a:

Accepted Answer

A)  Chest x-ray 
B)  Koch test 
C)  Papanicolaou (Pap) test 
D)  Tine test 
A)  Chest x-ray 
B)  Koch test 
C)  Papanicolaou (Pap) test 
D)  Tine test

Question 15

The home health nurse is compiling a patient profile on a 23-year-old obese woman who smokes one-half pack of cigarettes a day and indulges in 1 beer a week.She works as a cook in a long-term care facility.She has two children and eats a diet high in fats.She exercises 30 minutes a day.Both parents are dead of heart disease.The number of risks for cancer in this profile that the nurse should assess are:

Accepted Answer

A)  2 
B)  3 
C)  5 
D)  6 
A)  2 
B)  3 
C)  5 
D)  6

Question 16

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

Accepted Answer

A)  The primary tumor has shrunk, although some lymph nodes remain involved. Teach the patient that this is good news. 
B)  The primary tumor has now responded to a combination of chemotherapy and radiation. The patient should now receive much less analgesic medication. 
C)  The primary tumor is quite large and has extended to lymph glands and distant areas. Gentle touch and therapeutic listening will be especially helpful. 
D)  After the series of radiation treatments, the distant metastases are still present. Prepare the patient to accept only the cure of the primary tumor. 
A)  The primary tumor has shrunk, although some lymph nodes remain involved. Teach the patient that this is good news. 
B)  The primary tumor has now responded to a combination of chemotherapy and radiation. The patient should now receive much less analgesic medication. 
C)  The primary tumor is quite large and has extended to lymph glands and distant areas. Gentle touch and therapeutic listening will be especially helpful. 
D)  After the series of radiation treatments, the distant metastases are still present. Prepare the patient to accept only the cure of the primary tumor.

Question 17

Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.

Accepted Answer

100
One GR

Question 18

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 19

When a diagnosis of breast cancer is first made at stage T1 N0 M0,the nursing diagnosis that would be appropriate is:

Accepted Answer

A)  "Risk for disturbed body image, related to threats of anticipated changes." 
B)  "Risk of anxiety, related to outcome of treatments." 
C)  "Risk for infection, related to decreased white blood cell count." 
D)  "Risk for ineffective coping, related to husband's expectations regarding anticipated treatments." 
A)  "Risk for disturbed body image, related to threats of anticipated changes." 
B)  "Risk of anxiety, related to outcome of treatments." 
C)  "Risk for infection, related to decreased white blood cell count." 
D)  "Risk for ineffective coping, related to husband's expectations regarding anticipated treatments."

Question 20

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

Exam 25: The Patient with Cancer

The nurse reassures the patient that the surgical remedy for cancer is very successful if: (Select all that apply.)

The complaint the nurse should consider as a warning sign for cancer would be:

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

The best menu choice for a patient with nausea who is undergoing radiation treatments every other day is:

The nurse evaluates the precolonoscopy instruction as effective when the patient says:

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.The comment that demonstrates her understanding of the treatments and prognosis is:

The nurse explains that adjuvant therapy is given to patients with cancer who are free of signs of the disease to: (Select all that apply.)

List the tumors in order based on the following tissue of origin: TISSUE: 1.FAT 2.FIBROUS 3.SMOOTH MUSCLE 4.GLANDS 5.BONE

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

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

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

The nurse explains that the most common cytologic test,usually performed in outpatient settings,that suggests the probability of a need for further testing for cancer cells is a:

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.

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:

When a diagnosis of breast cancer is first made at stage T1 N0 M0,the nursing diagnosis that would be appropriate is:

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

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