NU 310 Exam 1 | Verified with 100% Correct
Answers
A nurse is teaching a client about skin cancer. Which of the following client
statements indicates a need for further teaching?
A. Eating a high fiber diet will reduce my risk for developing skin cancer
B. I should check my skin monthly for any changes
C. I should avoid the use of tanning booths
D. I should use sunscreen even on cloudy days - answer-; A
A nurse is caring for a client who was admitted to receive chemotherapy for
treatment of ovarian cancer. The client vomited after each previous dose of
chemotherapy. Which of the following actions should the nurse take to prevent
vomiting?
A. Speak to the provider about decreasing the chemotherapy dose
B. Withhold food and fluids prior to and during treatment
C. Provide the client with an emesis basin during treatment
D. Administer an antiemetic prior to chemotherapy - answer-; D
A nurse is planning the care for a client who has acute leukemia and received
aggressive chemotherapy treatment 10 days ago. Which of the following
,hematologic laboratory abnormalities should the nurse expect to see? Select all
that apply
A. Decreased platelet count
B. Increased hemoglobin count
C. Decreased WBC count
D. Increased platelet count
E. Decreased RBC count - answer-; A, C, E
A nurse is preparing to discuss discharge planning with a 48-year-old man who
smokes one pack of cigarettes per day and who has been admitted to the hospital
after being involved in a motor vehicle accident. What information should the
nurse include?
A. Cancer risk is dramatically decreased if the smoker does not inhale.
B. Smokeless tobacco is not associated with cancer risk.
C. Tobacco use causes more cancer than all other causes combined.
D. Light cigarettes can reduce an individual's cancer risk. - answer-; C
The nurse is preparing to administer chemotherapeutic agents to a client being
treated for ovarian cancer. What is the most important action for the nurse to
do?
A. Instruct the client to remain in bed.
B. Take the client's vital signs before administration.
C. Hang the medication in a light-protective container.
D. Use personal protective equipment. - answer-; D
,A client newly diagnosed with cancer says he does not understand how cancer
cells are identified. What information should the nurse give regarding cancer
cells?
A. "Cancer cells are immature and vary in size and shape by mutation."
B. "Cancer cells multiply at a much slower rate than normal cells."
C. "Cancer cells are very well organized and are like the tissue of origin."
D. "Cancer cells are oval in shape and are missing the nucleus." - answer-; A
Which comment by the client with lung cancer indicates a need for further
teaching?
A. "I will eat a diet with five servings of fruits and vegetables daily."
B. "I will quit smoking and use the patch to help me."
C. "The damage is done, why quit now?"
D. "I will retire from my job at the dry cleaning company." - answer-; C
You are caring for a patient who has a diagnosis of syndrome of inappropriate
antidiuretic hormone secretion (SIADH). Your patient's plan of care includes
assessment of specific gravity every 4 hours. The results of this test will allow the
nurse to assess what aspect of the patient's health?
A. Nutritional status
B. Potassium balance
C. Calcium balance
D. Fluid volume status - answer-; D
You are the surgical nurse caring for a 65-year-old female patient who is
postoperative day 1 following a thyroidectomy. During your shift assessment, the
patient complains of tingling in her lips and fingers. She tells you that she has an
, intermittent spasm in her wrist and hand and she exhibits increased muscle tone.
What electrolyte imbalance should you first suspect?
A. Hypophosphatemia
B. Hypocalcemia
C. Hypermagnesemia
D. Hyperkalemia - answer-; B
The nurse caring for a patient post colon resection is assessing the patient on the
second postoperative day. The nasogastric tube (NG) remains patent and
continues at low intermittent wall suction. The IV is patent and infusing at 125
mL/hr. The patient reports pain at the incision site rated at a 3 on a 0-to-10 rating
scale. During your initial shift assessment, the patient complains of cramps in her
legs and a tingling sensation in her feet. Your assessment indicates decreased
deep tendon reflexes (DTRs) and you suspect the patient has hypokalemia. What
other sign or symptom would you expect this patient to exhibit?
A. Diarrhea
B. Dilute urine
C. Increased muscle tone
D. Joint pain - answer-; B
The nurse is orienting a new nurse to the oncology unit. When reviewing the safe
administration of antineoplastic agents, what action should the nurse emphasize?
A. Adjust the dose to the patient's present symptoms.
B. Wash hands with an alcohol-based cleanser following administration.
C. Use gloves and a lab coat when preparing the medication.
D. Dispose of the antineoplastic wastes in the hazardous waste receptacle. -
answer-; D
Answers
A nurse is teaching a client about skin cancer. Which of the following client
statements indicates a need for further teaching?
A. Eating a high fiber diet will reduce my risk for developing skin cancer
B. I should check my skin monthly for any changes
C. I should avoid the use of tanning booths
D. I should use sunscreen even on cloudy days - answer-; A
A nurse is caring for a client who was admitted to receive chemotherapy for
treatment of ovarian cancer. The client vomited after each previous dose of
chemotherapy. Which of the following actions should the nurse take to prevent
vomiting?
A. Speak to the provider about decreasing the chemotherapy dose
B. Withhold food and fluids prior to and during treatment
C. Provide the client with an emesis basin during treatment
D. Administer an antiemetic prior to chemotherapy - answer-; D
A nurse is planning the care for a client who has acute leukemia and received
aggressive chemotherapy treatment 10 days ago. Which of the following
,hematologic laboratory abnormalities should the nurse expect to see? Select all
that apply
A. Decreased platelet count
B. Increased hemoglobin count
C. Decreased WBC count
D. Increased platelet count
E. Decreased RBC count - answer-; A, C, E
A nurse is preparing to discuss discharge planning with a 48-year-old man who
smokes one pack of cigarettes per day and who has been admitted to the hospital
after being involved in a motor vehicle accident. What information should the
nurse include?
A. Cancer risk is dramatically decreased if the smoker does not inhale.
B. Smokeless tobacco is not associated with cancer risk.
C. Tobacco use causes more cancer than all other causes combined.
D. Light cigarettes can reduce an individual's cancer risk. - answer-; C
The nurse is preparing to administer chemotherapeutic agents to a client being
treated for ovarian cancer. What is the most important action for the nurse to
do?
A. Instruct the client to remain in bed.
B. Take the client's vital signs before administration.
C. Hang the medication in a light-protective container.
D. Use personal protective equipment. - answer-; D
,A client newly diagnosed with cancer says he does not understand how cancer
cells are identified. What information should the nurse give regarding cancer
cells?
A. "Cancer cells are immature and vary in size and shape by mutation."
B. "Cancer cells multiply at a much slower rate than normal cells."
C. "Cancer cells are very well organized and are like the tissue of origin."
D. "Cancer cells are oval in shape and are missing the nucleus." - answer-; A
Which comment by the client with lung cancer indicates a need for further
teaching?
A. "I will eat a diet with five servings of fruits and vegetables daily."
B. "I will quit smoking and use the patch to help me."
C. "The damage is done, why quit now?"
D. "I will retire from my job at the dry cleaning company." - answer-; C
You are caring for a patient who has a diagnosis of syndrome of inappropriate
antidiuretic hormone secretion (SIADH). Your patient's plan of care includes
assessment of specific gravity every 4 hours. The results of this test will allow the
nurse to assess what aspect of the patient's health?
A. Nutritional status
B. Potassium balance
C. Calcium balance
D. Fluid volume status - answer-; D
You are the surgical nurse caring for a 65-year-old female patient who is
postoperative day 1 following a thyroidectomy. During your shift assessment, the
patient complains of tingling in her lips and fingers. She tells you that she has an
, intermittent spasm in her wrist and hand and she exhibits increased muscle tone.
What electrolyte imbalance should you first suspect?
A. Hypophosphatemia
B. Hypocalcemia
C. Hypermagnesemia
D. Hyperkalemia - answer-; B
The nurse caring for a patient post colon resection is assessing the patient on the
second postoperative day. The nasogastric tube (NG) remains patent and
continues at low intermittent wall suction. The IV is patent and infusing at 125
mL/hr. The patient reports pain at the incision site rated at a 3 on a 0-to-10 rating
scale. During your initial shift assessment, the patient complains of cramps in her
legs and a tingling sensation in her feet. Your assessment indicates decreased
deep tendon reflexes (DTRs) and you suspect the patient has hypokalemia. What
other sign or symptom would you expect this patient to exhibit?
A. Diarrhea
B. Dilute urine
C. Increased muscle tone
D. Joint pain - answer-; B
The nurse is orienting a new nurse to the oncology unit. When reviewing the safe
administration of antineoplastic agents, what action should the nurse emphasize?
A. Adjust the dose to the patient's present symptoms.
B. Wash hands with an alcohol-based cleanser following administration.
C. Use gloves and a lab coat when preparing the medication.
D. Dispose of the antineoplastic wastes in the hazardous waste receptacle. -
answer-; D
