quiz 1 Flashcards

1
Q
A 3-year-old female was diagnosed with Wilms tumour. Where is this tumour located?
Select one:
a. In the kidney 
b. In the brain
c. In bone marrow
d. In the liver
A

a. In the kidney

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2
Q
A 30-year-old female is diagnosed with cancer. Testing reveals that the cancer cells have spread to local lymph nodes. A nurse realizes that this cancer would be documented as stage:
Select one:
a. 3. 
b. 1.
c. 2.
d. 4.
A

3

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3
Q
A 45-year-old female was recently diagnosed with cervical cancer. Which of the following is the most likely cause of her cancer?
Select one:
a. Hepatitis B virus
b. Rubella virus
c. Herpes virus
d. Human papillomavirus (HPV)
A

hpv

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4
Q
A 50-year-old female confirms chronic alcohol intake. This practice places the patient at risk for cancer in which organs? (Select all that apply.)
Select one or more:
a. Larynx 
b. Esophagus 
c. Lung
d. Liver 
e. Brain
f. Breast
A

a. Larynx
b. Esophagus
d. Liver
f. Breast

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5
Q
A child is diagnosed with cystic fibrosis. History reveals that the child's parents are siblings. Cystic fibrosis was most likely the result of:
Select one:
a. consanguinity. 
b. genomic imprinting.
c. obligate carriers.
d. X-inactivation.
A

consanguinity

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6
Q

A nurse is giving an example of inflammation as an etiology for cancer development. What is the best example the nurse should give?
Select one:
a. Ulcerative colitis and colon cancer
b. Hypercholesterolemia and leukemia
c. Pneumonia and lung cancer
d. Prostatic hypertrophy and prostate cancer

A

ulcerative colitis and colon cancer

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7
Q
A nurse recalls that physical activity was shown to definitely reduce the risk of which of the following types of cancer?
Select one:
a. Colon 
b. Prostate
c. Bone
d. Lung
A

colon

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8
Q

A patient asks when adjuvant chemotherapy is used. How should the nurse respond?
Select one:
a. Adjuvant chemotherapy is a primary treatment.
b. Adjuvant chemotherapy is administered in cancer with little risk of metastasis.
c. Adjuvant chemotherapy is used after surgical removal of a tumour.
d. Adjuvant chemotherapy is used before radiation therapy.

A

c. Adjuvant chemotherapy is used after surgical removal of a tumour.

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9
Q

A patient has had a first course of antineoplastic therapy and is experiencing gastrointestinal adverse effects, including anorexia and nausea. Which is an appropriate goal for the patient dealing with these adverse effects?
Select one:
a. To return to the normal eating pattern within 1 month
b. To eat three balanced meals a day within 4 days
c. To maintain normal weight by consuming healthy snacks as tolerated
d. To maintain a diet of six frequent feedings with a nutritional supplement as a snack for 2 weeks

A

d. To maintain a diet of six frequent feedings with a nutritional supplement as a snack for 2 weeks

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10
Q

A patient is receiving the antineoplastic drug methotrexate (Metoject). What important instructions should the nurse give the patient in regard to this drug? (Select all that apply.) Express your answer in small letters followed by a comma and a space (e.g., a, b, c, d).
Select one or more:
a. Discontinue contraceptive measures as soon as chemotherapy is completed.
b. Do not expect hair loss from this drug.
c. Avoid eating raw seafood.
d. Prepare for hair loss by deciding whether to use a wig, a hairpiece, or a hat.
e. Avoid exposure to the sun.
f. Avoid foods that are hot or that are rough in texture.
g. Report black, tarry stools.
h. Perform oral care with mouthwash

A

d. Prepare for hair loss by deciding whether to use a wig, a hairpiece, or a hat.
e. Avoid exposure to the sun.
f. Avoid foods that are hot or that are rough in texture.
g. Report black, tarry stools.

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11
Q
A patient, age 9, is admitted to a pediatric unit with Duchenne muscular dystrophy. When planning care, the nurse recalls that the patient inherited this condition through a trait that is:
Select one:
a. X-influenced.
b. X-linked recessive. 
c. X-limited.
d. X-linked dominant.
A

b. X-linked recessive

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12
Q
During the infusion of albumin, the nurse should monitor the patient for the development of which event?
Select one:
a. Hypernatremia
b. Transfusion reaction
c. Fluid volume excess 
d. Fluid volume deficit
A

c. Fluid volume excess

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13
Q
The nurse is assessing a client with increased extracellular fluid (ECF) osmolality. Which of the following assessment areas is the priority assessment for the nurse to obtain?
Select one:
a. Skin turgor
b. Heart sounds
c. Mental status 
d. Capillary refill
A

c. Mental status

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14
Q

The nurse is caring for a client admitted with hyponatremia. Which of the following actions should the nurse anticipate implementing?
Select one:
a. Infuse a solution of 5% dextrose in 0.45% saline.
b. Restrict client’s oral free water intake.
c. Administer vasopressin (antidiuretic hormone, [ADH]).
d. Avoid use of electrolyte-containing drinks.

A

b. Restrict client’s oral free water intake.

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15
Q
What condition are children diagnosed with Down syndrome at higher risk for developing?
Select one:
a. Nephroblastoma
b. Retinoblastoma
c. Rhabdomyosarcoma
d. Leukemia
A

d. Leukemia

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16
Q
What determines water movement between the ICF and ECF compartments?
Select one:
a. Antidiuretic hormone
b. Buffer systems
c. Osmotic forces 
d. Plasma oncotic pressure
A

c. Osmotic forces

17
Q
What gene abnormality causes cystic fibrosis?
Select one:
a. Autosomal recessive 
b. X-linked recessive
c. X-linked dominant
d. Autosomal dominant
A

a. Autosomal recessive

18
Q
What type of fluid compartment is blood plasma considered to be?
Select one:
a. Intravascular fluid 
b. Interstitial fluid
c. Intracellular fluid (ICF)
d. Extracellular fluid (ECF)
A

a. Intravascular fluid

19
Q

When conducting a health history assessment, the nurse would want to know what most important information about the patient’s elimination status? (Select all that apply.)
Select one or more:
a. Discomfort or pain with elimination
b. List of medications taken by patient
c. Patient’s preferences for toileting
d. Changes in color, consistency, or odor of stool or urine
e. Time of day patient defecates
f. Recent changes in elimination patterns

A

a. Discomfort or pain with elimination
b. List of medications taken by patient
d. Changes in color, consistency, or odor of stool or urine
f. Recent changes in elimination patterns

20
Q

Which is a true statement about the administration of potassium?
Select one:
a. The intravenous rate should not exceed 30 mmol/hr.
b. When given intravenously, potassium must always be given in diluted form.
c. The concentration of potassium in intravenous solutions should not exceed 60 mmol/L.
d. Oral forms should be given on an empty stomach to maximize absorption.

A

b. When given intravenously, potassium must always be given in diluted form.