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Question 1

Hormone therapy is prescribed as the mode of treatment for a client with prostate cancer. The nurse understands that the goal of this form of treatment is to:
A. Increase testosterone levels
B. Increase prostaglandin levels
C. Limit the amount of circulating androgens
D. Increase the amount of circulating androgens

Answer 1

C.

Question 2

Cancer prevalence is defined as:
A.
The likelihood cancer will occur in a lifetime
B. The number of persons with cancer at a given point in time
C.
The number of new cancers in a year
D. All cancer cases more than 5 years old

Answer 2

B.

Question 3

A client with a family history of lung cancer asks the nurse what the single most important risk
factor is for cancer. Which of the following risk factors should the nurse discuss?
A. Family history
B.Lifestyle choices
C. Age
D.Menopause or hormonal events

Answer 3

C.

Question 4

Which of the following is an environmental factor that increases the risk of cancer?
A.Gender
B. Nutrition
C.Immunologic status
D.Age

Answer 4

B.

Question 5

A client at risk for lung cancer asks why he is scheduled for a computed tomography (CT) scan
as part of his initial workup. The nurse’s best response is which of the following?
A.”The CT scan is far superior to magnetic resonance imaging for evaluating lymph node
B. “The CT scan is non-invasive and readily available”
C. “The CT scan is useful for distinguishing small differences in tissue density and detecting nodal involvement.
D.”The CT scan distinguish a malignant from a non-malignant adenopathy”

Answer 5

C.

Question 6

A client is experiencing severe pain from advanced cancer disease. The client’s son is concerned about the drugs the client has taken and wonders which are the best. The nurse tells him that,overall, the drug of choice to treat advanced cancer pain is:
A. Methadone
B.Oxycodone
C. Morphine sulphate
D.Hydromorphone

Answer 6

C.

Question 7

Which of the following components of a thorough pain assessment is most significant?
A. Intensity
B. Cause
C. Aggravating factors
D. Location

Answer 7

A.

Question 8

Which of the following nursing interventions would be most helpful in making the respiratory effort
of a client with metastatic lung cancer more efficient?
A. Teaching the client diaphragmatic breathing techniques
B.
Administering cough suppressants as ordered
C.
Teaching and encouraging pursed-lip breathing
D.
Placing the client in a low Semi-fowlers position

Answer 8

C.

Question 9

When assessing the client with lung cancer who is dyspneic, the nurse observes which of the
following behaviors?
A. Euphoria
B.Anger
C.Anxiety
D. Laziness

Answer 9

C.

Question 10

Which of the following has been associated with fatigue from cancer chemotherapy?
A. Decreased quality of life
B. Increased risk of infection
C. Improved disease prognosis
D. Increased pain

Answer 10

A.

Question 11

11. When the nurse is teaching the client and family how to manage possible nausea and vomiting at
    home, which of the following should be discussed?
    A. Eating frequent, small meals throughout the day
    B. Eating three normal meals a day
    C.
    Eating only cold foods with no odor
    D. Limiting the amount of fluid intake

Answer 11

A.

Question 12

12/ A 58-year-old man is going to have chemotherapy for lung cancer. He asks the nurse how the
chemotherapeutic drug will work. The most accurate explanation the nurse can give is which of
the following?
A.
“Chemotherapy affects all rapidly dividing cells”
B.
“The molecular structure of the DNA is altered”
C.
“Cancer cells are susceptible to drug toxins”
D
“Chemotherapy encourages cancer cells to divide”

Answer 12

A.

Question 13

The nurse is assisting the physician with a thoracentesis for a client with suspected lung cancer.
If the client has a malignant effusion, the nurse would expect the fluid to be:
A. Milky white
B. Straw-colored
C. Turbid
D. Bloody

Answer 13

D.

Question 14

A pneumonectomy is a surgical procedure sometimes indicated for treatment of non-small cell
lung cancer. A pneumonectory involves removal of:
A; An entire lung field
B. A small, wedge-shaped lung surface
C.
One lobe of a lung
D
One or more segments of a lung lobe

Answer 14

A.

Question 15

An appropriate nursing intervention for clients with fatigue related to cancer treatment includes
teaching the client to:
A. Increase fluid intake
B. Minimize naps or periods of rest during day
C.Conserve energy by prioritizing activities
D. Limit dietary intake of high-fiber food

Answer 15

C.

Question 16

A client is newly diagnosed with lung cancer and is beginning a treatment plan. Which of the
following nursing interventions will be most effective in helping the client cope?
A. Assume decision making for the client
B. Encourage strict compliance with all treatment regimens
C.Inform the client of all possible adverse treatment effects
D.Identify available resources

Answer 16

D.

Question 17

The most effective resource for support for clients with cancer who are grieving is:
A. Health care professionals
B.Family
C.Clergy
D.Community support group

Answer 17

B.

Question 18

Client who are newly diagnosed with cancer have many fears and concerns. Which of the following issues is of primary concern?
A.Ability to perform in usual roles
B. Cost of treatments
C. Prognosis
D. Pain

Answer 18

C.

Question 19

The nurse caring for a client who is receiving external beam radiation therapy for treatment of
lung cancer should anticipate that the client will have which of the following?
A. Diarrhea
B. Improved energy level
C. Dysphagia
D. Normal white blood cell count

Answer 19

C

Question 20

The nurse is caring for a client with cancer who has intractable dyspnea. The nurse is aware that
the physician may order which of the following types of drugs to relieve the dyspnea?
A. Mucolytic agents
B. Antidepressants
C. Opioids
D. Diuretics

Answer 20

C.

Question 21

The nurse is aware that the most common issue associated with sleep disturbance in the
hospitalized client with cancer is:
A. Social
B. Nutritional
C. Cultural
D.Psychological

Answer 21

D.

Question 22

A 62-year-old man with a history of Chronic Obstructive Pulmonary Disease (COPD) and
metastatic carcinoma of the lung has not responded to radiation therapy and is being admitted to
the hospice program. Initial client assessment will most likely reveal that the client has;
A. Ascites
B. Pleural friction rub
C. Dyspnea
D. Peripheral edema

Answer 22

C.

Question 23

When assessing the client with lung cancer who is dyspneic, the nurse observes which of the following behaviors?
A.Euphoria
B.Anger
C.Anxiety
D.Laziness

Answer 23

C.

Question 24

This refers to inflammation of oral tissues often associated with some chemotherapeutic agents:
A.Stomatitis
B.Thrombocytopenia
Hyperplasia
D. None of the above

Answer 24

A.

Question 25

25. A diagnostic test to detect cancer that uses narrow-beam x-ray to scan successive layers of
    tissue for a cross-sectional view.
    A. PET fusion
    B. CT scan
    C. MRI
    D. Tumor marker identification

Answer 25

B.

Question 26

Which of the following activities indicates that the client with cancer is adapting well to body
image changes?
A.The client names his brother as the person to call if he is experiencing suicidal ideation
B.The client discusses changes in body structure and function
C. The client discusses the date of his return to work
D.The client serves as a volunteer in a client-to-client visitation program

Answer 26

B.

Question 27

Situation: Ms. Norma, 46-year-old, is admitted in the nursing unit with an initial diagnosis of hyperthyroidism, ruling out thyroid cancer.

The nurse is assessing the client suspected with thyroid cancer. What findings should the nurse
expect?
A.Weight gain, constipation, lethargy, exophthalmos
B.Weight loss, nervousness, tachycardia, enlarged lymph node
C.Exophthalmos, diarrhea, cold intolerance
D.Diaphoresis, fever, decreased sweating

Answer 27

B.

Question 28

Hyperthyroidism is caused by increased levels of thyroxine in blood plasma. A client with this
endocrine dysfunction would experience:
A Heat intolerance and systolic hypertension
B. Weight gain and heat intolerance
C. Diastolic hypertension and widened pulse pressure
D. Anorexia and hyper excitability

Answer 28

A.

Question 29

Nurse Myrna should expect a client with hypothyroidism to report which health concerns?
A. Increased appetite and weight loss
B. Puffiness of the face and hands
C. Nervousness and tremors
D.Thyroid gland swelling

Answer 29

B.

Question 30

Which of the following hormones is secreted by the paralthyroid gland?

1. Thyroxin
2. Thyrocalcitonin
3. TSH
4. T3

A. 1.3 and 4
B. 3 only
C. 1,2 & 3 only
D. all of the above

Answer 30

D.