CLO 1-5

Question 1

An older patient with end-stage emphysema refuses physical therapy, continues to
smoke, and realizes that death will probably result from emphysema. Which principle
should guide this patient’s rehabilitation?

-The duration of rehabilitation depends on the psychological acceptance of the older adult’s condition.
-Loss and its meaning vary with every person.
-Convalescence is a gradual process that can take a long time.
-Values are examined, and limitations are put into perspective over time.

Answer 1

Values are examined, and limitations are put into perspective over time.

Question 2

An 83 year old female client is scheduled for a thoracentesis to obtain a sample of
plural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. Why
should the nurse provide pertinent information ab appropriate explanations of the
diagnostic procedure to her?

-To ensure adequate rest periods
-To manage her decreased energy levels
- To aide caregivers of the client
- To manage respiratory distress

Answer 2

To manage her decreased energy levels

Question 3

A nurse caring for a client who has been diagnosed with an URI with a red, sore
throat, and has been febrile for 4 days. Which nursing assessment should be
stressed?

-Joint pain
-Mentation
-Lung fields
-Voiding

Answer 3

Voiding

Question 4

When interpreting the results of a Mantoux test, the nurse explains to the client that
a reaction occurs when the intradermal injection site shows:

-Redness and firmness/induration.
- bruising.
- tissue sloughing.
- drainage.

Answer 4

Redness and firmness/induration.

Question 5

What normal change due to aging does the nurse expect in the heart of an older
client?

-Thinning and flaccidity of the cardiac valves
- Decreased connective tissue in the SA and AV nodes and bundle branches
- Decreased left ventricular ejection time
- Widening of the aorta

Answer 5

Widening of the aorta

Question 6

A client with a suspected DVT is scheduled for a diagnostic test to confirm its
location. What is the preferred test or procedure for diagnosing thrombi in deep
veins?

-Venography
-Impedance plethysmography
- Doppler ultrasound
- Pericardectomy

Answer 6

Impedance plethysmography

Question 7

The nurse observes that a client who had an arterial blood gas performed 30 minutes ago is still oozing blood from the puncture site. Pressure was held to the site for 5
minutes after the puncture and another 5 minutes when the site was still oozing.
What factor does the nurse know will participate in the ability for the blood to clot?

-Erythrocytes
-Platelets
-Leukocytes
-Albumin

Answer 7

Platelets

Question 8

A client with sickle cell disease is treated for a thrombotic event. Which organs or
body systems does the nurse recognize as being at greatest risk for thrombosis in a
client with sickle cell disease? Select all that apply.

-Central nervous system
-Spleen
-Lungs
-Liver
-Cardiac system

Answer 8

-Central nervous system
-Spleen
-Lungs

Question 9

The nurse is caring for a group of clients. Which client does the nurse suspect is
most likely to have mononucleosis?

-28-year-old female with lower abdominal discomfort and vaginal discharge
-46-year-old male who is complaining of chest pain and weakness
-19-year-old college student with cervical node enlargement and fever
-A 30-year-old male client with a cough, chest discomfort, and fever

Answer 9

19-year-old college student with cervical node enlargement and fever

Question 10

A client is being treated for glaucoma. What is the rationale for the nurse’s
instruction to maintain regular bowel habits?

-Problems with constipation may compound problems with lens clarity.
-Straining at stool increases intraocular pressure.
-The client’s medications may cause constriction of all blood vessels, contributing
to hemorrhoids.
-The client’s medications may lead to diarrhea.

Answer 10

Straining at stool increases intraocular pressure.

Question 11

Of the following which symptoms may indicate a diagnosis of otosclerosis? Select all
that apply.

-‘I now notice a ringing in my ears especially when I lay down to sleep at night.”
-“I can hear best when you put the tuning fork behind my ear.”
-“I can hear better when someone speaks in low tones.”
-“I woke up on Monday and had ear pain with a marked decrease in hearing.”
-“It seems that I increasingly could not hear my kids talk to me.”

Answer 11

-‘I now notice a ringing in my ears especially when I lay down to sleep at night.”
-“I can hear best when you put the tuning fork behind my ear.”
-“It seems that I increasingly could not hear my kids talk to me.”

Question 12

A nurse admits a woman reporting severe right upper quadrant pain after eating
dinner. What client risk factors lead the nurse to suspect gallbladder disease? Select
all that apply.

-Obese
-History of diabetes mellitus
-Smoking
-Older than 40 years old
-Multiparous

Answer 12

-Obese
-History of diabetes mellitus
-Older than 40 years old
-Multiparous

Question 13

Which of the following would be most important to determine when assessing a
client being admitted for suspected toxic shock syndrome (TSS)?

-Use of superabsorbent tampons
-Existence of menorrhagia
-Psychological trauma
-Use of oral contraceptives

Answer 13

Use of superabsorbent tampons

Question 14

The nurse knows that the safest treatment for erectile dysfunction in a client with
coronary artery disease (CAD) includes which of the following medications?

-Sildenafil (Viagra)
-Apomorphine (Uprima)
-Vardenafil (Levitra)
-Tadalafil (Cialis)

Answer 14

-Apomorphine (Uprima)

Question 15

The nurse is evaluating the independent care of a client recovering from a
stapedectomy. Which action made by the client indicates a need for further
teaching?

-The client turns head slowly when family approaches.
-The client uses clean technique to clean the wound.
-Taking antibiotics on a convenient schedule
-Ensure assistance upon ambulation.

Answer 15

-The client uses clean technique to clean the wound.

Question 16

The nursing student is reviewing erythrocytes for an upcoming test. Which of the
following would the nurse correctly identify as influencing erythrocyte count? (Select
all that apply)

-Gender
-Exercise
-Altitude
-Body weight
-Age

Answer 16

-Gender
-Exercise
-Altitude
-Age

Question 17

The nurse is obtaining a history on a client stating the inability to read the
newspaper and even seeing detail when looking at an image. Which assessment test
would add additional data for a diagnosis?

-Assess color vision.
-Assess peripheral vision.
-Assess if the pupils are equal and reactive to light.
-Assess vision on the Snellen chart.

Answer 17

-Assess peripheral vision.

Question 18

The nurse is preparing the procedure room for a client who will undergo an
intravenous pyelogram. Which items) should the nurse include?

-Padded tongue blades
-Antihypertensive agents
-Dressings and tape
-Suction equipment

Answer 18

-Suction equipment

Question 19

When caring for the client with a new tattoo, which nursing diagnosis is of highest
priority?

-Risk for Infection
-Impaired Skin Integrity
-Pain
-Altered Tissue Perfusion

Answer 19

-Risk for infection

Question 20

The nurse is caring for a client who has just returned to the postsurgical unit
following renal surgery. When assessing the client’s output from surgical drains, the
nurse should assess what parameters? Select all that apply.

-Visible characteristics of the output
-pH of the output
-Color of the output
-Odor of the output
-Quantity of output

Answer 20

-Visible characteristics of the output
-Color of the output
-Quantity of output

Question 21

The nurse is assessing the client who states a decline in muscle strength. Which is
the primary source essential to allow muscle contraction?

-Actin and myosin
-Myofibrils
-Sarcomeres
-Acetylcholine

Answer 21

-Myofibrils

Question 22

A 26-year-old woman is thankful to be alive after rear-ending a truck with her car.
However, she experienced a sternal fracture from the force of her car’s airbag and
has been breathing shallowly to avoid exacerbating her pain. The nurse should
consequently prioritize assessments related to:

-Pulmonary effusion
-Pleurisy
-Atelectasis
-Respiratory acidosis

Answer 22

-Atelectasis

Question 23

The nurse in the walk-in clinic obtains a history of an upper respiratory infection with
a red, sore throat. The client has been febrile for 3 days. Which nursing assessment
should be stressed?

-Voiding
-Lung fields
-Joint pain
-Mentation

Answer 23

-Voiding

Question 24

A nurse is preparing a client for magnetic resonance imaging (MRI) to confirm or rule
out a spinal cord lesion. During the MRI scan, which action would pose a threat to
the client?

-The client lies still.
-The client asks questions.
-The client hears thumping sounds.
-The client wears a watch.

Answer 24

The client wears a watch.

Question 25

The nurse notes nonpitting edema in the right arm of a 42-year-old woman with a
history of phlebitis. What would the nurse most accurately document about this
finding?

-Nonpitting primary edema of the right arm
-Primary edema of the right arm
-Secondary edema of the right arm
-3+ edema of the right arm

Answer 25

-Nonpitting primary edema of the right arm

Question 26

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?

-Age of menarche
-Cultural history
-Nutritional history
-Exercise and fitness routine

Answer 26

-Age of menarche

Question 27

In performing diagnostics to ascertain the location of a DVT, many tests and
procedures are available to radiologists and surgeons. Which is the preferred test or
procedure for diagnosing thrombi in deep veins?

-VQ scan
-Impedance plethysmography
-Doppler ultrasound
-Venography

Answer 27

Impedance plethysmography

Question 28

A sputum study has been ordered for a client who has developed coarse chest
crackles and a fever. At what time should the nurse best collect the sample?

-At bedtime
-Immediately after a meal
-After a period of exercise
-First thing in the morning

Answer 28

-First thing in the morning

Question 29

When caring for a client with hepatitis B, the nurse should monitor closely for the
development of which finding associated with a decrease in hepatic function?

-Fatigue during ambulation
-Irritability and drowsiness
-Pruritus of the arms and legs
-Jaundice

Answer 29

-Irritability and drowsiness

Question 30

The nurse is providing shift report related to a client newly received back to the unit
from the post anesthesia care unit (PACU). The nurse is stating that the client had
breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and
pectoralis major and minor muscles removed. The oncoming nurse documents which
procedure completed?

-A total mastectomy
-A segmental mastectomy
-A modified radical mastectomy
-A radical mastectomy

Answer 30

-A modified radical mastectomy

Question 31

An older patient recovering from a myocardial infarction is taking the loss of
independence and self-care ability well. Which statement addresses this assessment?

-The patient is demonstrating the concept that loss and its meaning vary with individuals.
-The patient has probably withdrawn and is depressed.
-The patient must be in the denial phase of grieving a loss.
-The patient is probably just thankful to be alive.

Answer 31

-The patient is demonstrating the concept that loss and its meaning vary with individuals.

Question 32

A client has undergone the creation of an Indiana pouch for the treatment of bladder
cancer. The nurse identified the nursing diagnosis of “disturbed body image.” How
can the nurse best address the effects of this urinary diversion on the client’s body
image?

-Provide the client with detailed written materials about the diversion at the time
of discharge.
-Encourage the client to speak openly and frankly about the diversion.
-Emphasize that the diversion is an integral part of successful cancer treatment.
-Allow the client to initiate the process of providing care for the diversion.

Answer 32

-Encourage the client to speak openly and frankly about the diversion.

Question 33

A client presents to the ED reporting a sudden onset of incapacitating vertigo, with
nausea and vomiting and tinnitus. The client mentions to the nurse that she suddenly
cannot hear very well. What would the nurse suspect the client’s diagnosis will be?

-Ossiculitis
-Ototoxicity
-Ménière disease
-Labyrinthitis

Answer 33

Labyrinthitis

Question 34

Which nursing intervention should be incorporated into the plan of care to manage
the delayed clotting process in a client with leukemia?

-Apply prolonged pressure to needle sites or other sources of external bleeding.
-Monitor temperature at least once per shift.
-Implement neutropenic precautions.
-Eliminate direct contact with others who are infectious.

Answer 34

-Apply prolonged pressure to needle sites or other sources of external bleeding.

Question 35

In a client with benign prostatic hyperplasia (BPH), which assessment finding
provides the best indication of urinary retention?

-Dribbling
-Urgency
-Hesitancy
-Frequency

Answer 35

Frequency

Question 36

A client who came to the clinic after finding a mass in her breast is scheduled for a
diagnostic breast biopsy. During the nurse’s admission assessment, the nurse
observes that the client is distracted and tense. What is the nurse’s best action?

-Assess the client’s stress management skills.
-Document a nursing diagnosis of ineffective coping.
-Describe the support groups that exist in the community.
-Acknowledge the fear the client is likely experiencing.

Answer 36

-Acknowledge the fear the client is likely experiencing.

Question 37

A nursing instructor is giving a lecture on the reproductive system, and describes the
process of the ovum being released from the ovary and then traveling into the end of
a fallopian tube. If the production of progesterone by the corpus luteum begins to
decrease until it changes from a yellow to a white spot on the ovary, it is most likely
that the ovum;

-was not expelled from the ovary.
-didn’t reach the fallopian tube.
-was not fertilized.
-was fertilized.

Answer 37

-was not fertilized.

Question 38

A client has a history of seizures and presents with severe fatigue, frequent
headaches, and a sore, beefy-red tongue. What could be causing the client’s current
condition? Select all that apply.

-intestinal disorders
-Alcoholism
-lack of vitamin B
-lack of meat consumption

Answer 38

-intestinal disorders
-Alcoholism

Question 39

A client on the medical unit has told the nurse that he is experiencing significant
dyspnea, despite that he has not recently performed any physical activity. What
assessment question should the nurse ask the client while preparing to perform a
physical assessment?

-“When was the last time you ate or drank anything?”
-“On a scale from 1 to 10, how bad would you rate your shortness of breath?”
-“Do you think that some medication might help you catch your breath?”
-“Are you feeling any nausea along with your shortness of breath?”

Answer 39

-“On a scale from 1 to 10, how bad would you rate your shortness of breath?”

Question 40

A client admitted with nephrotic syndrome is being cared for on the medical unit.
When writing this client’s care plan, based on the major clinical manifestation of
nephrotic syndrome, what nursing diagnosis should the nurse include?

-Risk for injury related to altered thought processes
-Excess fluid volume related to generalized edema
-Hyperthermia related to the inflammatory process
-Constipation related to immobility

Answer 40

-Excess fluid volume related to generalized edema

Question 41

A major role for nursing in the management of glaucoma is health education. Which
of the following is the most important teaching point that the nurse should advise
the patient of?

-Adhere to the medication regimen.
-Participate in the decision-making process.
-Keep a record of eye pressure measurements.
-Keep all follow-up appointments.

Answer 41

-Adhere to the medication regimen.

Question 42

The nurse is caring for clients on a medical urinary unit. Which client, scheduled for a
urinary procedure, will be prescribed antibiotics following the procedure?

-The client scheduled for a cystoscopy
-The client scheduled for a cystometrography
-The client scheduled for a retrograde pyelography
-The client scheduled for a voiding cystourethrography

Answer 42

-The client scheduled for a cystometrography

Question 43

Which nursing intervention should be incorporated into the plan of care to manage
the delayed clotting process in a patient with leukemia?

-Apply prolonged pressure to needle sites or other sources of external bleeding.
-Monitor temperature at least once per shift.
-Eliminate direct contact with others who are infectious.
-Implement neutropenic precautions.

Answer 43

-Apply prolonged pressure to needle sites or other sources of external bleeding.

Question 44

While auscultating a client’s heart sounds, the nurse hears an extra heart sound
immediately after the second heart sound (S2). An audible S3 would be considered
an expected finding in what client?

-A client who takes a beta-adrenergic blocker
-A 20 year old client
-An older adult
-A client who has undergone valve replacement

Answer 44

-A 20 year old client

Question 45

A client who has been diagnosed with an early glottis cancer would likely undergo
which type of surgery?

-laser microsurgery
-total laryngectomy
-partial laryngectomy
-vocal cord stripping

Answer 45

-laser microsurgery

Question 46

A client has just been diagnosed with psoriasis and frequently has lesions around his
right eye. What should the nurse teach the client about topical corticosteroid use on
these lesions?

-Cataract development is possible.
-The client may develop glaucoma.
-The ointment is likely to cause weeping.
-Corticosteroid use is contraindicated on these lesions.

Answer 46

-Cataract development is possible.

Question 47

A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse
understands that this drug is an effective treatment for which reason? Select all that
apply.

-Reduces bladder spasticity
-Increases contraction of the detrusor muscle
-Decreases involuntary bladder contractions
-Increases bladder neck resistance

Answer 47

-Decreases involuntary bladder contractions
-Increases bladder neck resistance

Question 48

A nurse is caring for a client who has been diagnosed with an autosomal dominant
hematologic disorder. Which disease does the nurse suspect?

-Thalassemia
-Hemochromatosis
-Factor V Leiden
-Sickle cell disease

Answer 48

-Factor V Leiden

Question 49

Which action by the nurse is most appropriate when the client demonstrates
subcutaneous emphysema along the suture line or chest dressing 2 hours after chest
surgery?

-Record the observation
-Report the finding to the physician immediately
-Measure the patient’s pulse oximetry
-Apply a compression dressing to the area

Answer 49

-Apply a compression dressing to the area

Question 50

The home health nurse is monitoring anticoagulant therapy by assessing prothrombin time (PT) laboratory values. Which action taken by the nurse is the correct response anticipated for a PT level of 21 seconds?

-No change in dosage.
-Decrease the amount of Coumadin to obtain therapeutic blood level.
-Hold Coumadin therapy until further blood levels are drawn.
-Increase the amount of Coumadin to obtain therapeutic blood level.

Answer 50

-No change in dosage.

Question 51

Which of the following ventilation-perfusion mismatch would correlate with acute
respiratory distress syndrome (ARDS)?

-Normal
-Dead space
-Silent unit
-Shunt

Answer 51

-Silent unit

Question 52

A client is suspected of developing an allergy to an environmental substance and has
been given a patch test. During the test, the client develops fine blisters, papules,
and severe itching. The nurse knows that this is indicative of what strength reaction?

-Severely positive
-Weak positive
-Moderately positive
-Strong positive

Answer 52

-Moderately positive

Question 53

A client is newly diagnosed with benign paroxysmal positional vertigo. Which is the
priority nursing intervention?

-Attempt the Epley/canalith repositioning procedure.
-Teach balance exercises.
-Administer meclizine for 1 to 2 weeks.
-Encourage bed rest.

Answer 53

-Encourage bed rest.

Question 54

A client has recently been diagnosed with Hodgkin’s disease. Which treatment
possibility is least likely for this client?

-localized radiation
-blood transfusions
-chemotherapy
-surgery

Answer 54

-surgery

Question 55

A client is scheduled to have an x-ray examination of his shoulder in which the
synovial fluid will be aspirated and sent to the laboratory for analysis. This will be
followed by administration of a contrast medium and x-rays. The nurse understands
that the client will be undergoing which of the following?

-Arthrocentesis
-Bone densitometry
-Arthrogram
-Arthroscopy

Answer 55

Arthrogram

Question 56

A client has been diagnosed with serous otitis media for the third time in the past
year. How should the nurse best interpret this client’s health status?

-The client would benefit from a temporary mobility restriction to facilitate healing.
-For some clients, these recurrent infections constitute an age-related physiologic change.
-The client needs to be assessed for nasopharyngeal cancer.
-Blood cultures should be drawn to rule out a systemic infection.

Answer 56

-The client needs to be assessed for nasopharyngeal cancer.

Question 57

The surgeon has ordered belladonna and opium (B and O) suppositories for the
management of a postoperative prostatectomy client who is receiving continuous
bladder irrigation. Which of the following symptoms would indicate to the nurse the
need for administration of this drug? Select all that apply.

-Increased blood in the catheter tubing
-Signs of urinary retention
-Increased bladder pressure and pain
-Increased speed of infusion rate
-Slowed or stopped infusion rate
-Increased force of urinary stream

Answer 57

Increased bladder pressure and pain??

Question 58

A nurse cares for a client suspected of having iron deficient anemia. Which
diagnostic test will the nurse expect the health care provider to order in order to
definitively diagnose the condition?

-Serum ferritin
-Bone marrow aspiration
-Blood smear
-Complete blood count

Answer 58

-Bone marrow aspiration

Question 59

Which technique would be most beneficial for ambulation of a client who is visually
impaired?

-Speak before touching the client.
-Provide the client with a see-eye guide dog.
-Provide a detailed description of the room and walkway.
-Allow client to follow your lead.

Answer 59

-Allow client to follow your lead.

Question 60

Which statement about a breast exam is correct?

-The ACS recommends that all women 20 years and older perform monthly BSE.
-Clinical breast examination should be performed only by a physician once every
3 years for women 40 years of age and older.
-The ACS recommends that a clinical breast examination be performed annually by a physician instead of having a mammogram in women younger than age 40 years.
-BSE plays a very small role in detecting breast cancer.

Answer 60

The ACS recommends that all women 20 years and older perform monthly BSE.

Question 61

The nurse is caring for a female with progressive hair loss. When instructing the
client on typical considerations to promote hair growth, which would be restricted in
the client’s care?

-Use of finasteride (Propecia)
-Use of a wide-toothed comb
-Conditioner added to the client’s hair
-Attaching a hair extension

Answer 61

-Use of finasteride (Propecia)

Question 62

The nurse is creating an education plan for an older patient’s rehabilitation. What
should the nurse include as the focus of this plan?

-Resolution of actual problems and prevention of potential problems
-Health measures to obtain and retain function
-Influence and power to bring about necessary changes
-Strategies to solve and cope effectively with problems

Answer 62

-Health measures to obtain and retain function

Question 63

A nurse educator is lecturing a group of students on caring for patients with a
hematopoietic disorder. The nurse begins the lecture by providing a definition of
hematopoiesis. This term is best defined as the normal:

-All of the above.
-formation and development of blood cells.
-maturation of specific types of white blood cells.
-formation of blood cells in the spleen, liver, and lymph nodes.

Answer 63

-formation and development of blood cells.

Question 64

A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5
days, and painful urination. The diagnosis of prostatitis is confirmed. What teaching
should the nurse include? Select all that apply.

-Regularly drain the gland.
-Avoid prolonged sitting.
-Complete the prescribed antibiotic treatment.
-Avoid caffeine products.
-Apply heat to the prostate area.

Answer 64

-Regularly drain the gland.
-Avoid prolonged sitting.
-Complete the prescribed antibiotic treatment.
-Avoid caffeine products.

Question 65

An 83-year-old female client is scheduled for a thoracentesis to obtain a sample of
pleural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. Why
should the nurse provide pertinent information and appropriate explanations of the
diagnostic procedure to her?

-To manage her decreased energy levels
-To manage respiratory distress
-To ensure adequate rest periods
-To aid the caregivers of the client

Answer 65

To manage her decreased energy levels

Question 66

Which statement by a client indicates to the nurse that the client understands the
role of chemoreceptors in regulating blood pressure?

-“Chemoreceptors in my brain sense when my pulse rate is too low.”
-“Chemoreceptors in my brain sense when my pulse rate is too high.”
-“Chemoreceptors in my neck sense when my blood pressure is too high.”
-“Chemoreceptors in my neck sense when my blood pressure is too low.”

Answer 66

Chemoreceptors in my neck sense when my blood pressure is too low.”

Question 67

During an interview, a middle-aged male patient states, “My hair is starting to turn
gray.” The nurse demonstrates understanding of this change by responding with
which statement?

-“It’s really nothing to worry about at this point in time.”
-As you get older, your hair begins to lose its pizment.”
-“There is probably an underlying genetic problem causing it.”
-“You probably had too much exposure to the sun when you were younger.”

Answer 67

As you get older, your hair begins to lose its pizment.”

Question 68

An instructor is describing the process of bone development. Which of the following
would the instructor describe as being responsible for the process of ossification?

-Osteoblasts
-Cancellous bone
-Osteoclasts
-Cortical bone

Answer 68

Osteoblasts

Question 69

A client is admitted to the ICU with acute pancreatitis. The client’s family asks what
causes acute pancreatitis. The critical care nurse knows that a majority of clients
with acute pancreatitis have what?

-Undiagnosed chronic pancreatitis
-Type 1 diabetes
-An impaired immune system
-An amylase deficiency

Answer 69

-Undiagnosed chronic pancreatitis

Question 70

A client is scheduled for a creatinine clearance test. The nurse should explain that
this test is done to assess the kidneys’ ability to remove a substance from the plasma
in:

-1 minute.
-24 hours.
-30 minutes.
-1 hour.

Answer 70

-1 minute

Question 71

A client is postoperative day 3 following the creation of an ileal conduit for the
treatment of invasive bladder cancer. The client is quickly learning to self-manage
the urinary diversion but expresses concern about the presence of mucus in the
urine. What is the nurse’s most appropriate response?

-Obtain a urine sample and check it for pH.
-Reassure the client that this is an expected phenomenon.
-Obtain a sterile urine sample and send it for culture.
-Report this finding promptly to the primary provider.

Answer 71

Reassure the client that this is an expected phenomenon.

Question 72

A 30-year-old client has come to the clinic for her yearly examination. The client asks
the nurse about ovarian cancer. What should the nurse state when describing risk
factors for ovarian cancer?

-“Most cases of ovarian cancer are attributed to tobacco use.”
-“The majority of women who get ovarian cancer have a family history of the disease!
-“‘Use of oral contraceptives increases the risk of ovarian cancer.”
-“Most cases of ovarian cancer are considered to be random, with no obvious causation.”

Answer 72

Most cases of ovarian cancer are considered to be random, with no obvious causation.”

Question 73

For a cancerous tumor, a client must undergo modified radical mastectomy, which
includes axillary node removal and immediate reconstruction. The nurse explains to
the client that the axillary nodes will be removed to:

-facilitate postoperative recovery.
-prevent metastasis.
-facilitate breast reconstruction.
-provide prognostic information.

Answer 73

provide prognostic information.

Question 74

A client is scheduled for a CT scan of the abdomen with contrast. The client has a
baseline creatinine level of 2.3 mg/dL (203 umol/L). In preparing this client for the
procedure, the nurse anticipates what orders?

-Hemodialysis immediately prior to the CT scan
-Monitor the client’s electrolyte values every hour before the procedure.
-Obtain a creatinine clearance by collecting a 24-hour urine specimen.
-Preprocedure hydration and administration of acetylcysteine

Answer 74

Preprocedure hydration and administration of acetylcysteine