Question 1

The nurse is caring for a client with leukemia who is experiencing neutropenia as a result of chemotherapy.Which action should the nurse include in the plan of care for this client?

Accepted Answer

A)  Replace hand hygiene with gloves.
B)  Restrict visitors with communicable illnesses.
C)  Restrict fluid intake.
D)  Insert an indwelling urinary catheter to prevent skin breakdown.E) C) and D)
F) All of the above

Question 2

The nurse is planning care to address ineffective airway clearance for a client with lung cancer.Which interventions should the nurse include in the client's plan of care? Select all that apply.

Accepted Answer

A)  Suction the airway as needed.
B)  Help the client turn,cough,and deep breathe as needed.
C)  Provide chest percussion as ordered.
D)  Educate the client about smoking cessation.
E)  Administer pneumococcal vaccine.F) A) and B)
G) B) and C)

Question 3

An older adult client with renal failure is diagnosed with anemia.Based on this data,which cause of anemia will the nurse plan for when providing care?

Accepted Answer

A)  Loss of the kidney hormone erythropoietin
B)  A loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels
C)  The renal dialysis used to treat the chronic renal failure
D)  Loss of blood through the urine because the failing kidney does not function properlyE) B) and C)
F) A) and D)

Question 4

The nurse is assessing several children with polyps in the colon and rectum.Which child is at highest risk of developing colorectal cancer in adulthood?

Accepted Answer

A)  A 4-year-old with isolated juvenile polyps
B)  A 6-month-old with diffuse juvenile polyposis of infancy
C)  A 12-year-old with juvenile polyposis coli
D)  A 7-year-old with adenomatous polypsE) A) and B)
F) C) and D)

Question 5

A nursing instructor is teaching a group of student nurses about the risk factors for prostate cancer.Which statement will the nursing instructor include?

Accepted Answer

A)  "African American men are at lowest risk for prostate cancer."
B)  "Asian American and Native American men have the highest risk for developing prostate cancer."
C)  "Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer."
D)  "A diet low in dairy increases a man's risk for developing prostate cancer."E) B) and C)
F) B) and D)

Question 6

A client prescribed tamoxifen (Nolvadex) for breast cancer treatment asks the nurse how the medication works.What is the best response by the nurse?

Accepted Answer

A)  "Tamoxifen works by inhibiting the cellular mitosis of breast cancer."
B)  "Tamoxifen works by blocking estrogen receptors on breast tissue."
C)  "Tamoxifen works by binding to the DNA of breast cancer cells."
D)  "Tamoxifen works by inhibiting the metabolism of breast cancer cells."E) B) and C)
F) None of the above

Question 7

The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer.Which outcomes indicate that care has been successful? Select all that apply.

Accepted Answer

A)  Client reports pain level as an 8 on a rating scale of 0 to 10.
B)  Client has an hourly urine output of 45 mL.
C)  Client performs morning care with assistance.
D)  Client states family members will care for the ostomy at home.
E)  Client tolerates full liquid diet and is requesting solid food.F) A) and C)
G) A) and B)

Question 8

A nurse working in the pediatric intensive care unit (PICU) is caring for a child with leukemia.What is the most common type of leukemia in children?

Accepted Answer

A)  Chronic lymphocytic leukemia
B)  Acute lymphocytic (lymphoblastic) leukemia
C)  Acute myeloid (myeloblastic) leukemia
D)  Chronic myeloid (myelogenous) leukemia.E) B) and C)
F) None of the above

Question 9

A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor.What would be appropriate goals for the nursing diagnosis of ineffective airway clearance? Select all that apply.

Accepted Answer

A)  Minimize accumulation of fluid.
B)  Participation in care by the client
C)  Maintain a patent airway.
D)  Maintain current weight.
E)  Express feelings and concerns.F) C) and D)
G) A) and B)

Question 10

Which type of lung cancer typically spreads by local invasion?

Accepted Answer

A)  Small-cell carcinoma
B)  Adenocarcinoma
C)  Squamous cell carcinoma
D)  Large-cell carcinomaE) B) and C)
F) None of the above

Question 11

What independent nursing intervention is important for the nurse to implement for clients who have alterations in cellular regulation?

Accepted Answer

A)  Administer pain and other medications
B)  Help the client identify support systems
C)  Design a diet that provides proper nutrition
D)  Suggest contacting the nurse's spiritual leaderE) A) and D)
F) B) and D)

Question 12

The nurse is caring for a client who was admitted to a medical-surgical unit in sickle cell crisis.Which medication should the nurse expect to administer to this client?

Accepted Answer

A)  Acetaminophen (Tylenol) 
B)  Ibuprofen (Advil) 
C)  Meperidine (Demerol) 
D)  HydroxyureaE) A) and D)
F) None of the above

Question 13

The nurse is caring for an adolescent client with a strong family history of breast cancer.What should the nurse instruct the client regarding cancer prevention? Select all that apply.

Accepted Answer

A)  Encourage the client to learn more about the disease.
B)  Talk to family members who have the disease.
C)  Perform monthly breast self-examination.
D)  Teach the side effects of cancer treatment.
E)  Discuss cancer fears with the healthcare provider.F) A) and E)
G) None of the above

Question 14

A woman has a family history of breast cancer,and genetic testing has revealed a mutation in BRCA2.If this woman develops breast cancer,what is the most likely mechanism for why the cancer developed?

Accepted Answer

A)  The cells' ability to accurately translate the RNA was impaired.
B)  The cells underwent mitosis rather than meiosis.
C)  The cells' ability to suppress tumor growth was impaired.
D)  The cells were stimulated to undergo rapid cell division.E) A) and B)
F) A) and C)

Question 15

A client has colorectal cancer at stage I,T2.What has the tumor invaded?

Accepted Answer

A)  The submucosa of the bowel
B)  The muscularis propria of the bowel
C)  The perirectal tissues
D)  The lymph nodesE) All of the above
F) A) and C)

Question 16

The nurse is providing discharge instructions to a client being treated for cancer.For which symptoms should the client be instructed to call for help at home? Select all that apply.

Accepted Answer

A)  Difficulty breathing
B)  Significant increase in vomiting
C)  Desire to end life
D)  Improved sense of well-being
E)  New onset of bleedingF) A) and C)
G) A) and D)

Question 17

The nurse is preparing an educational program on risk factors for the development of prostate cancer.Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

Accepted Answer

A)  The client's age
B)  A family history
C)  A history of a vasectomy
D)  A diet high in fatE) A) and B)
F) A) and C)

Question 18

A 73-year-old man was just diagnosed with stage II prostate cancer.The client's wife hears the word "cancer" and immediately begins crying.She says,"How long does he have to live?" Which response by the nurse is appropriate?

Accepted Answer

A)  "Don't worry about how long he will live.Just live every day to the fullest and enjoy the time you have left together."
B)  "If we treat the cancer aggressively with surgery and radiation,he should live several more years."
C)  "Prostate cancer is usually aggressive in older men,so he may only have a short time to live."
D)  "Older men who are diagnosed with prostate cancer usually die from causes other than the cancer."E) B) and D)
F) A) and C)

Question 19

The nurse is caring for a 72-year-old client who was just diagnosed with early stage lung cancer.What is an important independent nursing intervention that can improve the client's prognosis?

Accepted Answer

A)  Provide client teaching related to a nutritional diet
B)  Refer the client to a smoking cessation therapy group
C)  Advocate for an immediate initiation of treatment
D)  Encourage the client to form a strong support groupE) C) and D)
F) B) and C)

Question 20

A client who presents with complaints of easily bruising,bleeding gums,and petechiae may be suffering from what complication of leukemia?

Accepted Answer

A)  Thrombocytopenia
B)  Anemia
C)  Hepatomegaly
D)  NeutropeniaE) A) and B)
F) B) and D)

Exam 2: Cellular Regulation

A client has colorectal cancer at stage I,T2.What has the tumor invaded?

Correct AnswerverifiedShow Answer

The nurse is caring for an adolescent client with a strong family history of breast cancer.What should the nurse instruct the client regarding cancer prevention? Select all that apply.

Correct AnswerverifiedShow Answer

An older adult client with renal failure is diagnosed with anemia.Based on this data,which cause of anemia will the nurse plan for when providing care?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with leukemia who is experiencing neutropenia as a result of chemotherapy.Which action should the nurse include in the plan of care for this client?

Correct AnswerverifiedShow Answer

A client who presents with complaints of easily bruising,bleeding gums,and petechiae may be suffering from what complication of leukemia?

Correct AnswerverifiedShow Answer

A nursing instructor is teaching a group of student nurses about the risk factors for prostate cancer.Which statement will the nursing instructor include?

Correct AnswerverifiedShow Answer

The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer.Which outcomes indicate that care has been successful? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is caring for a client who was admitted to a medical-surgical unit in sickle cell crisis.Which medication should the nurse expect to administer to this client?

Correct AnswerverifiedShow Answer

The nurse is caring for a 72-year-old client who was just diagnosed with early stage lung cancer.What is an important independent nursing intervention that can improve the client's prognosis?

Correct AnswerverifiedShow Answer

The nurse is planning care to address ineffective airway clearance for a client with lung cancer.Which interventions should the nurse include in the client's plan of care? Select all that apply.

Correct AnswerverifiedShow Answer

A woman has a family history of breast cancer,and genetic testing has revealed a mutation in BRCA2.If this woman develops breast cancer,what is the most likely mechanism for why the cancer developed?

Correct AnswerverifiedShow Answer

The nurse is preparing an educational program on risk factors for the development of prostate cancer.Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

Correct AnswerverifiedShow Answer

A nurse working in the pediatric intensive care unit (PICU) is caring for a child with leukemia.What is the most common type of leukemia in children?

Correct AnswerverifiedShow Answer

The nurse is assessing several children with polyps in the colon and rectum.Which child is at highest risk of developing colorectal cancer in adulthood?

Correct AnswerverifiedShow Answer

Which type of lung cancer typically spreads by local invasion?

Correct AnswerverifiedShow Answer

The nurse is providing discharge instructions to a client being treated for cancer.For which symptoms should the client be instructed to call for help at home? Select all that apply.

Correct AnswerverifiedShow Answer

A 73-year-old man was just diagnosed with stage II prostate cancer.The client's wife hears the word "cancer" and immediately begins crying.She says,"How long does he have to live?" Which response by the nurse is appropriate?

Correct AnswerverifiedShow Answer

What independent nursing intervention is important for the nurse to implement for clients who have alterations in cellular regulation?

Correct AnswerverifiedShow Answer

A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor.What would be appropriate goals for the nursing diagnosis of ineffective airway clearance? Select all that apply.

Correct AnswerverifiedShow Answer

A client prescribed tamoxifen (Nolvadex) for breast cancer treatment asks the nurse how the medication works.What is the best response by the nurse?

Correct AnswerverifiedShow Answer

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