Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCM 112 > FINALLY FINALS > Flashcards

FINALLY FINALS Flashcards

1
Q

Breast CA can occur anywhere in the breast but usually found in the:
a. lower outer quadrant
b. lower inner quadrant
c. upper outer quadrant
d. upper inner quadrant

A

c. upper outer quadrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In general, breast lesions are:
a. nontender, fixed, and hard with irregular borders
b. tender and mobile
c. soft with regular borders
d. nontender and mobile

A

a. nontender, fixed, and hard with irregular borders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Prognosis of breast CA depends on what factor?
a. tumor size
b. spread to lymph nodes
c. consistency, structure, and nodularity
d. A and B

A

d. A and B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The major goal of breast surgery is to:
a. achieve cure
b. gain local control of the disease
c. conserve the breast
d. prevent metastasis

A

b. gain local control of the disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Removal of the breast and nipple-areola complex but not included the axillary lymph nodes
A. modified radical mastectomy
B. Total mastectomy
C. Radical mastectomy
D. lumpectomy

A

A. modified radical mastectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Major postoperative nursing diagnosis after breast surgery may not include:
A. disturbed body image
B. Acute pain
C. Peripheral neurovascular dysfunction
D. activity intolerance

A

C. Peripheral neurovascular dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Post mastectomy, the client reports a feeling that the breast or nipple is still present. The nurse will inform the client that:
A. “It is a normal part of healing and that these sensations are not indicative of a problem”
B. “It will be managed by analgesics”
C. “Some women find it helpful to talk to a survivor”
D. “You may consider breast reconstruction”

A

A. “It is a normal part of healing and that these sensations are not indicative of a problem”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

After axillary lymph node dissection, the client may:
A. Have blood pressure, injections and blood draws in affected extremity
B. Lift heavy objects
C. Cut cuticles, push them back together during manicure
D. Use cooking mitt for removing objects from the oven

A

D. Use cooking mitt for removing objects from the oven

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

May be associated with the development of prostate CA.
A. Androgens and estrogens
B. Low residue, high protein diet
C. Asians, Chinese and Africans have high risk
D. Age less than 50 years old

A

A. Androgens and estrogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The diagnosis of prostate CA is confirmed by:
A. Histologic examination of tissue removed surgically by TURP
B. DRE
C. PSA
D. Unmary changes

A

C. PSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

It is considered as the first line treatment for prostate CA
C. androgen deprivation therapy
A. Radical prostatectomy
D. Chemotherapy
B. Radiation Therapy

A

B. Radiation Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The most significant risk factor for colon cancer:
A. Older age
C. have a family history of colon CA
B. Smoking
D. polyposis

A

C. have a family history of colon CA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cancer of the colon is predominantly a:
A. Metastatic tumor
B. Arises from the epithelial lining of the intestine
C. Preventable form of CA
D. Non hereditary form of CA

A

B. Arises from the epithelial lining of the intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The most common presenting symptom of colon CA 18:
A. Change in bowel habits
B. presence of blood in the stool
C. anemia, anorexia
D. D. Weight loss and fatigue

A

A. Change in bowel habits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Extension of colon CA into the surrounding blood vessels can result in:
A. Intestinal obstruction
C. hemorrhage
B. intestinal perforation
D. anemia

A

C. hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Major dietary factor closely associated with colon CA:
A. Lack of fiber
C. smoking
B. High alcohol
D. excess dietary fat

A

D. excess dietary fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Major nursing diagnosis for patients with colorectal CA is:
A Pain
C. Altered Body Image
B. Activity Intolerance
D. Imbalance Nutrition

A

D. Imbalance Nutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Evaluation criteria if the Nursing Diagnosis is Risk for Infection:
A Commones a healthy diet
B. Client is afebrile
C no vomiting or diarrhea
D. feels less anxious

A

B. Client is afebrile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Most common cause of lung CA:
A Dictury habits
B. Inhaled carcinogen
C increasing age
D. radiation exposure

A

B. Inhaled carcinogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment for lung CA may not include
A. Radiation Therapy
C. surgery
B. Chemotherapy
D. hormonal therapy

A

D. hormonal therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Relieving breathing problems for lung CA patient may be accomplished by:
A. Deep breathing exercises
C. psychological support
8. Active exercises
D. turning exercises

A

A. Deep breathing exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When bone cancer starts in bone tissue, it is called:
A Primary bone cancer
B. Secondary bone cancer
C, metastatic bone cancer
D. all

A

A Primary bone cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In leukemia, the defect originates in the:
A. hematopoietic stem cell
B. myeloid stem cell
C. lymphoid stem cell
D. all

A

D. all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Results from an uncontrolled proliferation of immature cells derived from the lymphoid stem cell
A. Hematopoietic stem cell
C. lymphoid stem cell
B. myeloid sem cell
D. all

A

C. lymphoid stem cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Results from a defect in hematopoietic system that differentiate into myeloid cells
A. Hematopoietic stem cell
C. lymphoid stem cell
B, myeloid stem cell
D. all

A

B, myeloid stem cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

A diverse group of neoplasm arising from different cells of the central nervous system
A. Primary brain tumor
B. astrocytoma
C. Secondary brain tumor
D. meningioma

A

A. Primary brain tumor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Diagnostic exam that will determine the type of lymphoma
A. Lymph node hiopsy
B. Bone marrow biopsy
C. lymphangiogram
D. MRI

A

A. Lymph node biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Reveals evidence of carcinoma in the colon when patient is asymptomatic
4. Barium enema
B. colonoscopy
C. CEA
D. fecal occult blood test

A

B. colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Levels of PSA in patients with prostate cancer is:
A. Decreased
B. increased
C. normal
D. zero

A

B. increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

It will decrease the production of testosterone or androgen in order to stop or limit the growth of
A. Orchiectomy
B. cryosurgery
C. androgen deprivation therapy
D all

A

D all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

It can detect non palpable lesions in the breast and assist in diagnosing palpable masses.
a. SBE
b. DRE
c. MAMMOGRAM
d. ULTRASOUND

A

c. MAMMOGRAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Medications that stop the body from making estrogen after menopause.
a. tamoxifen
b. aromatase inhibitors
c. fulvestrant
d. all

A

b. aromatase inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Treatment of a client’s leukemia has resulted in an apparent state of remission. The nurse explains that
a. a complete cure has cured
b. the symptom has exaggerated
c. the symptoms have subsided
d. the illness will not comeback

A

c. the symptoms have subsided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What assessment finding would be seen in a client with leukemia
a. diarrhea, nausea, and restlessness
b. weakness, fever, and bleeding
c. dehydration and chills
d. tremors, lymphadenopathy

A

b. weakness, fever, and bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

The nurse finds a client crying who is undergoing chemotherapy for leukemia. The best response for nurse to make would be:
a. “all changes in you life have been difficult”
b. “when you’re done crying i will comeback”
c. fortunately there are effective treatments available”
d. “you’ll feel better when you’re done crying

A

c. fortunately there are effective treatments available”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Which nursing action is most important before starting chemotherapy?
a. weighing the client
b. taking vital signs
c. level if consciousness
d. checking cbc results

A

d. checking cbc results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

A client receiving chemotherapy suddenly complained of dyspnea and ches tightness. The first nursing action is to:
a. call the physician
b. start IV plain NSS
c. stop the infusion
d. check vital signs

A

c. stop the infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Which infection control is unnecessary when caring for a cancer client who underwent chemotherapy?
a. washing hands before and after nursing care
b. no visitors allowed
c. putting on gown, mask, and gloves
d. place in private room

A

b. no visitors allowed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

A client on chemotherapy has aWBC count of 1200mm3. Which of the ff nursing actions a nurse should take FIRST?
a. Check temperature q4h
b. Monitor urine output
c. Assess for bleeding gums
d. Obtain an order for blood cultures

A

a. Check temperature q4h

40
Q

A 55 yr olds woman with end stage metastatic cancer of the breast is admitted to the hospital. It is MOST important for the nurse to do:
a. suction patient frequently
b. turn pt every 2 hours
c. give pt frequent bath
d. massage the pt

A

b. turn pt every 2 hours

41
Q

A client had a radical mastectomy for CA in the right breast. After the client ventures to the unit, which of the following actions if
performed by the nurse would be most appropriate?
A. position the client on left side with right arms protected in a sling
B. position client on a right side with right arms elevated
C. position on semi-fowlers with right arm elevated
D. position the client in proper position with right arm elevated.

A

C. position on semi-fowlers with right arm elevated

42
Q

A 57 yr old man admitted with metastatic CA has been receiving chemotherapy for 3 mos. His labvalues: RBC - 3.8M mm3,
WBC-2,000mm3, HGB-9.3g/dl, platelets-50,000/mm3. Which of the following nursing diagnoses is more appropriate for this pt.
a. decrease cardiac output
b. ineffective thermoregulation
c. risk for injury
d. ineffective airway clearance

A

c. risk for injury

43
Q

A female client with a diagnosis of cancer of the cervix has a radon seed implanted. Which data would it be important for the nurse to
assess every few hours?
A. presence of nausea and vomiting
C. ability of the client to change position
B. hydration status
D. dislodging of radiation source

A

D. dislodging of radiation source

44
Q

In which position should the nurse place the arm of a client after radical mastectomy of the right breast?
A. any position of comfort
B. close to the chest
C. elevated above the heart
D. hyperextended to the side

A

C. elevated above the heart

45
Q

Postoperative exercises performed by the client during the first 24 hours after a radical mastectomy of the left breast would include:
A. Brushing her own hair with her left arm
B. squeezing a rubber ball in her left hand
C. pulling herself up in bed with a trapeze
D. using her left hand to blow her nose

A

B. squeezing a rubber ball in her left hand

46
Q

The client asks if she will be able to have visitors while receiving internal radiation therapy for cervical cancer. The best response is that:
A. the threat to others is too great to allow visiting
B. visiting is permitted on a limited basis only, usually 30 minutes per day
C. there is no threat to the visitors, and therefore no restrictions
D. only her hushand may visit briefly every 24 hours

A

B. visiting is permitted on a limited basis only, usually 30 minutes per day

47
Q

What common systemic side effect of chemotherapy will the nurse observe in a client receiving it?
A. ascites
B. dysphagia
C. polycythemia
D. leukopenia

A

D. leukopenia

48
Q

A desired long term goal of arm exercises after a mastectomy would include being able to:
A. squeeze a tennis ball with the affected hand
B. brush the hair with the nonaffected arm
C. cut meat on plate at meals
D. raise both arms above head

A

D. raise both arms above head

49
Q

After a mastectomy the client verbalizes concern about being unattractive to her husband. The best response to her concern would be:
A. “Don’t worry. After reconstruction you’ll look like new”
B. “Your feeling is normal after this kind of surgery
C. “T know he’ll love you just the same as he did before the surgery”
D. “Why do you feel so unattractive?”

A

B. “Your feeling is normal after this kind of surgery

50
Q

The best intervention for a client who is having trouble accepting a mastectomy for removal of a malignant mass would be to:
A. Ask the MID to talk to her about all the benefits of surgery
B. have a member from a mastectomy support group visit her
C. tell her husband to tell her he still loves her as much us he did before the Surgery
D. suggest that a psychiatric consultation be scheduled

A

B. have a member from a mastectomy support group visit her

51
Q

A client receiving radiation therapy shows that he understands the nurse’s teaching when he states:
A. T’I wash the area with soap and water”
B. “‘I apply lotion to the affected area”
C. ”I’ll massage the area vigorously”
D. “I’ll wear loose clothing over the area”

A

D. “I’ll wear loose clothing over the area”

52
Q

The client returns from the post anesthesia recovery room after a radical mastectomy of the right breast. An IV is running into the
antecubital space of the left arm. Which technique is appropriate for drawing blood samples needed for hemoglobin and hematocrit testing?
A. apply a tourniquet to the right arm and draw the sample
B. do a fingerstick on the client’s left hand
C. do a fingerstick on the client’s right hand
D. call the MD to do an arterial stick

A

B. do a fingerstick on the client’s left hand

53
Q

Which of the following clients is at highest risk for colon cancer?
A. The client who smokes
B. The client who eats a vegetable diet
C. The client who eats low fiber diet
D. The client who has a family history of lung cancer

A

C. The client who eats low fiber diet

54
Q

A nurse is conducting a cancer risk screening program. Which of the following clients is at greatest risk for skin cancer?
A. 45 year old physician
B. 15 year old high school student
C. 30 year old butcher
D. 60 year old mountain biker

A

D. 60 year old mountain biker

55
Q

Which of the following is not considered as a physical cause of cancer?
A. Ultraviolet radiation from the sun
B. X-rays used to treat a tumor
C. Ionizinging radiation from radon
D. Benzene, asbestos, aniline dyes

A

D. Benzene, asbestos, aniline dyes

56
Q

Which of the following recommendations is appropriate when providing education about general measures to avoid excessive sun
exposure?
A. Apply sunscreen only after going into the water
B. Avoid peak exposure hours from 9am to 1pm
C. Wear loosely woven clothing for added ventilation
D. Apply sunscreen with a sun protective factor before sun exposure

A

D. Apply sunscreen with a sun protective factor before sun exposure

57
Q

Nurse is teaching smoking consumption programs to healthy adult smokers in participating in what type of prevention activity?
A. Primary
B. Secondary
C. tertiary
D. nonspecific

A

A. Primary

58
Q

A 58 year olds male comes to the clinic with complaints of hoarseness. What information will b helpful in determining his risk for
lung cancer?
A. Medicition use and alcohol consumption
B. Exposure to sun and family history
C. Exposure to dust and high fat diet
D. Smoking and alcohol consumption

A

D. Smoking and alcohol consumption

59
Q

Which of the following is an environmental factor that increuses the risk of cancer?
D. family history
A. Gender
B. nutrition
C. age

A

B. nutrition

60
Q

Lifestyle influences that are considered risk factors for colorectal cancer include:
A. A diet low in vitamin C
B. A high dietary intake of artificial sweetener
C. A high fat, low fiber diet
D. Multiple sex partner

A

C. A high fat, low fiber diet

61
Q

Before initiating chemotherapy, what is the most important information the nurse should obtain?
A. History of allergy
C. Dietary intake of the client
B. Sleeping pattern of the patient
D. vital signs

A

A. History of allergy

62
Q

The nurse is teaching a client receiving chemotherapy and the effects of leukopenia. What should the nurse teach as the most reliable
early indicator of infection?
A. Fever
B. chills
C. tachycardia
D. dyspnea

A

A. Fever

63
Q

The client ask the nurse how chemotherapeutic drugs 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”

A

A. “Chemotherapy affects all rapidly dividing cells”

64
Q

A cancer client receiving chemotherapy has the potential to cause pulmonary toxicity. Which of the following symptoms indicates a
toxic response to the chemotherapy?
A. Decreasé in appetite
B. drowsiness
C. spasms of the diaphragm
D. cough and shortness of breath

A

D. cough and shortness of breath

65
Q

A cancer patient is losing most of her hair at a result of chemotherapy. Which of the following statements best explains
chemotherapy-induced alopecia?
A. “The new growth of hair will be gray”
B. “The hair loss is temporary”
C. “New hair grows same texture and color”
D. The client should avoid use of wigs as possible

A

B. “The hair loss is temporary”

66
Q

Which of the following signs and symptoms is associated with anemia?
A. cold intolerance
B. bradycardia
C. Decreased salivation
D. nausea

A

A. cold intolerance

67
Q

An appropriate nursing intervention for a client with fatigue related to cancer treatment includes teaching the client to:
A. Increase fluid intake
B. conserve energy
C. limit food intake

A

B. conserve energy

68
Q

A client states “It will be so hard to wait for the results of this biopsy. I don’t know what I will do if the results are positive” What is
the most appropriate response by the nurse?
A. “It is not good for you to worry”
B. “Most biopsies end up being negative, so don’t worry about it”
C. “You sound concerned about the results of this test”
D. “You are in good hands, even if it is positive, your doctor is the best”

A

C. “You sound concerned about the results of this test”

69
Q

A nurse is caring for a client with a diagnosis of uterine cancer who is receiving chemotherapy. The Nurse reviews the client’s
laboratory results and determines that the client is experiencing an adverse effect of the medication if which of the following is noted?
A. WBC count: 5,000/ul.
B. BUN 15 mg/dl
C. Platelet count: 200,000/ul
D. Alkaline phosphatase: 25 units/al

A

D. Alkaline phosphatase: 25 units/al

70
Q

A nurse is receiving the laboratory results of a patient with breast cancer and bone metastasis and nodes that the calcium level is 15mg/dl. Which of the following nursing actions is most appropriate?
A. notify the physician
B. document the findings
C. increase calcium in diet
D. file the report in the client’s record

A

A. notify the physician

71
Q

A client states “It will be so hard to wait for the results of this biopsy. I don’t know what 1 will do if the results are positive” What is
the most appropriate response by the nurse?
a “It is not good for you to worry”
b. “Most biopsies end up being negative, so don’t worry about it”
C. “You sound concerned about the results of this test”
d. “You are in good hands, even if it is positive, your doctor is the

A

C. “You sound concerned about the results of this test”

72
Q

During chemotherapy, which nursing intervention is most likely to decrease pain of stomatitis?
A. discontinue chemotherapy
B. provide a solution of hydrogen peroxide and water for use as a mouth rinse
C. monitoring the client’s platelet and leukocyte count
D. checking regularly for signs and symptoms of stomatitis

A

B. provide a solution of hydrogen peroxide and water for use as a mouth rinse

73
Q

A client is experiencing diarrhea as a side effect of chemotherapy. Which nursing diagnosis should receive the highest priority?
A. impaired skin integrity
B. fluid and electrolyte deficit
C. activity intolerance
D. body image disturbance

A

B. fluid and electrolyte deficit

74
Q

The nurse is assessing a client with radiation implant and observes that the implant has been dislodged. The nurse cannot immediately locate the implant. The first nursing action is to:
A. notify the radiation safety team
B. Call the physician and bar all visitors from the room
C. Search for the implant in the bed covers and place it in a lead container
D. Pick up the source with a foot long applicator

A

A. notify the radiation safety team

75
Q

Which nursing diagnosis should receive highest priority in a client who is receiving the chemotherapeutic agent?
A. activity intolerance
B. risk of infection
C. altered oral mucous membrane
D. altered nutrition: less than the body

A

B. risk of infection

76
Q

A client has been receiving chemotherapy for the treatment of breast cancer. She is now to start chemotherapy. The nurse would assess
for a therapeutic response to this drug by monitoring which laboratory test result?
A. Platelets
B. WBC count
C. Potassium
D. BUN

A

B. WBC count

77
Q

A female client is to be discharged following a simple mastectomy of the right breast for cancer.
Discharge teachings will include:
A. referral to areach for recovery group
B. returning to her physician for monthly breast exams
C. how to perform a breast self exam monthly
D. follow up visits with a physical therapist

A

C. how to perform a breast self exam monthly

78
Q

A client has possible malignancy of the colon and surgery is scheduled. The rationale for administering neomycin preop is to:
A. Decrease and retard the growth of normal bacteria in the intestines
B. Treat cancer of the colon
C. Eliminate the need for preop enemas
D. prevent infection postop

A

D. prevent infection postop

79
Q

Alkylating drugs are used as chemotherapeutic agents in Cancer therapy. The nurse understands that these drugs stop cancer growth by
A. A interrupting the production of necessary cellular metabolites
B. creating hormonal imbalance
C. damaging DNA in the cell nucleus
D. destroying messenger RNA

A

C. damaging DNA in the cell nucleus

80
Q

A nurse answers the call bell of a client who has an internal cervical radiation implant that fell out. The Whse immediately uses the
long-handled forceps to pick up the implant and places it into the lead container.
Which action would the nurse take next?
A. contact the radiation safety officer
B. call a security officer
C. call for a transport personnel to deliver it to the radiation department
D. ask another nurse to assist in reinserting the implant

A

A. contact the radiation safety officer

81
Q

A female client who has undergone placement of a sealed radiation implant asks the nurse whether she can take a walk with her husband to the client’s lounge. The nurse makes which appropriate response to the client?
A. Yes, it is fine to take a walk
B. Yes, as long as there are no other client in the lounge
C. It is a far walk. You might be tired
D. Because of the treatment, you need to remain in your room

A

D. Because of the treatment, you need to remain in your room

82
Q

A client has made an appointment to have an annual PAP smear done. The nurse who schedules the appointment tells the client that
A. the test is uncomfortable but local anesthesia will be injected
B. if menstruating, douche first before the smear
C. vaginal hygiene spray for 2 consecutive days before the test
D. avoid sexual intercourse 2 days before the test

A

D. avoid sexual intercourse 2 days before the test

83
Q

A cheat with lung cancer is admitted to the hospital. On assessment, the nurse asks the client which question that specifically relates to
the disorder?
A. Do you have bowel changes?
B. Do you have respiratory infection for the past few weeks?
C. Have you noticed an increase in appetite?
D. Do you have feelings of anxiety?

A

B. Do you have respiratory infection for the past few weeks?

84
Q

A woman scheduled for an annual mammogram says to the nurse, Is there a risk of exposure to radiation? The nurse makes the most appropriate response to alleviate the client’s concern?
A. There is no exposure to radiation
B. The machine does not use radiation
C. A furoscopie method is used
D. d. This test uses the smallest dose possible

A

D. This test uses the smallest dose possible

85
Q

The nurse provides preprocedural instructions to a client who is scheduled for an excision of a skin lesion and biopsy in 1 week. Which of the ff indicates a need for further instructions?
A. Avoid taking aspirin
B. Fat a light meal before the procedure
C. Consent is not required
D. I will take antibiotics

A

C. Consent is not required

86
Q

A client with CA is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse
effect. Therefore, the nurse should prepare the client to expect:
A. hair loss
B. stomatitis
C. fatigue
D. vomiting

A

C. fatigue

87
Q

The nurse is teaching a group of women to perform breast self exam. The nurse should explain that the purpose of the examination is
to discover:
A. cancerous lumps
B. areas of thickness or fullness
C. changes from previous examination
D. fibrocystic masses

A

C. changes from previous examination

88
Q

A client in the final stages of terminal cancer tells the nurse “I wish I could just be allowed to die. I’m tired of fighting this illness. I have lived a good life. I only continue my chemotherapy and Radiation Tx because my family wants me to”. What is the nurse’s best
reply?
A. “Would you like to talk to a psychologist about your thoughts and feelings?
B. Would you like to talk to your minister about the significance of death?
C. “Would you like to talk with your family and your physician about this matter?
D. I know you are tired of fighting this illness but death will come in due time

A

C. “Would you like to talk with your family and your physician about this matter?

89
Q

The nurse is teaching a client who suspects that one has a lump in her breast the nurse instructs the client that a
diagnosis of breast CA is continued by
a. breast self examination
b. mammography
c. find needle aspiration
d. Chest x-ray

A

b. mammography

90
Q

For a client with newly diagnosed CA, the nurse formulate a nursing diagnosis of ANXIETY related to threat of death secondary to CA diagnosis. Which expected outcome would be appropriate for this client
a. Client verbalizes feelings of anxiety
b. Client doesn’t guess a prognosis
c. Client uses any effective method to reduce tension
d. Client stops seeking information

A

c. Client uses any effective method to reduce tension

91
Q

The nurse is interviewing a client about past medical history which pre-existing condition may lead the nurse to
expected the client has colorectal CA?
a. duodenal ulcers
b. Hemorrhoids
c. Weight gain
d. polyps

A

d. polyps

92
Q

When the nurse is counseling a client about preventive measures for cancer one of the most important behaviors to
emphasize is to:
a. Decrease fat intake
b. Avoid exposure to sun
c. Avoid smoking
d. Obtain adequate rest and avoid stress

A

c. Avoid smoking

93
Q

A client has just received a report from her physician that describes a tumor that was recently biopsied. If the result she receives is listed as “To, No, Mo”, the client will know that she has:
a. No evidence of a primary tumor, lymph node involvement and metastasis
b. No primary tumor but evidence of a degree of distant metastasis
c. A primary and regional notes involved
d. Carcinoma in situ

A

a. No evidence of a primary tumor, lymph node involvement and metastasis

94
Q

A client has just completed a course in radiation therapy in is experiencing radiodermatitis. The most effective
method of treating the skin is to:
a. Wash the area with soap and warm water
b. Apply a cream or lotion to the area
c. Leave the skin alone until it is clear
d. avoid applying creams or lotions to the area

A

d. avoid applying creams or lotions to the area

95
Q

A 52 year old client has had lobectomy for cancer of the lower lobe of the lung. He is 18 hours post op. The nurse understands that for his client the most appropriate position immediately post op is:
a. flat bedrest
b. turned to the unoperative side only
c. turned to the operative side only
d. semi-fowler’s position, turned to either side

A

d. semi-fowler’s position, turned to either side

NCM 112 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions