NRS 3025. Exam #1 Practice
Questions
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of
the following adverse effects should the nurse anticipate from the chemotherapy?
a. Gingival hyperplasia
b. Hirsutism
c. Pancytopenia
d. Weight gain - answerc
A nurse is planning care for a client who has cancer and has developed
thrombocytopenia following chemotherapy. Which of the following precautions should
the nurse offer to minimize the adverse effects of thrombocytopenia?
a. Monitor visitors for manifestations of infection.
b. Remind the client to use an electric razor.
c. Encourage frequent rest periods.
d. Instruct the client to rinse mouth with normal saline. - answerb
A nurse is caring for a client who has lung cancer that has metastasized. Which of the
following findings indicates the client is developing superior vena cava syndrome?
a. Irregular cardiac rhythm
b. Numbness in the hands
c. Muscle cramps
d. Facial edema - answerd
A nurse is caring for a client who has testicular cancer and is experiencing peripheral
neuropathy as an adverse effect of chemotherapy. Which of the following client
manifestations is an expected finding of peripheral neuropathy?
a. Thinning of the scalp hair
b. Tingling of the hands and feet
c. Reduced ability to concentrate
d. Sores in the mucous membranes - answerb
A nurse on an oncology unit is providing discharge teaching to an adolescent female
client who receieved a bone marrow transplant for leukemia. Which of the following
information should the nurse include in the teaching? (Select all that apply.)
a. "Take you temperature twice each day."
,b. "You may return to school if you feel strong enough."
c. "It is important to always wear shoes."
d. "Clean your toothbrush weekly with isopropyl alcohol."
e. "Avoid using tampons." - answera, c, e
A nurse is providing discharge teaching to a client who is postoperative following a right
mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt
drains. Which of the following information should the nurse include in the teaching?
a. "Empty the drainage tubes once per day."
b. "Showering is permitted before the drainage tubes are removed."
c. "The drainage tubes often are removed at the same time as the stitches."
d. "Do not begin exercising the arm until the provider removes the drainage tubes." -
answerc
A nurse is providing discharge teaching to a client following open radical prostatectomy.
The client is going home with an indwelling urinary catheter. Which of the following
statements by the client indicates an understanding of teaching?
a. "I will be able to take a tub bath in 1 week."
b. "I will change the catheter drainage bag once each week."
c. "I will use suppositories to prevent constipation."
d. "I will regain my bladder control once the catheter is removed." - answerb
A nurse is monitoring a client who has cancer and is receiving chemotherapy by
peripheral IV infusion. The client reports pain at the insertion site and the nurse notes
fluid leaking around the catheter. Which of the following actions should the nurse take
first?
a. Take a photograph of the peripheral IV site.
b. Obtain and record the client's vital signs.
c. Stop the infusion.
d. Identify all medications administered through the IV site for the past 24 hr. - answerc
A nurse in an oncology clinic is assessing who has early stage Hodgkin's lymphoma.
Which of the following findings should the nurse expect?
a. Bone and joint pain
b. Enlarged lymph nodes
c. Intermittent hematuria
d. Productive cough - answerb
A nurse is caring for a client who has breast cancer and is receiving a combination of
chemotherapy medications. The client expresses confusion about the therapy. Which of
the following explanations should the nurse provide?
,a. "The risk of renal toxicity is lessened when a combination of chemotherapy
medications are used."
b. "The chemotherapy medications act at different stages of cell division so more tumor
cells are destroyed."
c. "The use of more chemotherapy medications will shorten the time you have to be in
treatment."
d. "The combination of chemotherapy medications will eliminate the potential for bone
marrow." - answerb
A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan
of care?
a. Empty the collection pouch when it is 2/3 full.
b. Expect urine outflow into pouch to begin 1 to 2 days following surgery.
c. Change the collection pouch in the early morning.
d. Place an aspirin in the collection pouch to control odor. - answerc
A nurse is providing preoperative teaching for a client who has colorectal cancer and is
to undergo placement of a colostomy with a perineal wound. Which of the following
statements by the client indicates an understanding of the teaching?
a. "It will be a relief to not have any further rectal pain."
b. "I will need to sit on a rubber donut when I am out of bed in the chair."
c. "I can only have liquids for 2 days before the surgery."
d. "The colostomy will start working about 7 days after surgery." - answerc
A hospice nurse is providing education about palliative care to the partner of a client
who has end-stage liver cancer. Which of the following statements by the partner
indicates an understanding of the teaching?
a. "I will do my best to try to get him to eat something."
b. "I will lay him flat if his breathing becomes shallow."
c. "I will use an electric blanket to keep him warm."
d. "I will continue to talk to him even when he's sleeping." - answerd
A nurse is providing teaching to a client who has cancer and is receiving external
radiation therapy. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will need to protect the area from sunlight."
b. "I'm going to apply a heating pad to the area after each treatment."
c. "I'll massage the area once per day."
d. "I'll wash the markings off after each therapy treatment. - answera
, A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing skin cancer?
a. Age over 60
b. Genetic predisposition
c. Light-skinned race
d. Overexposure to sun light - answerd
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of
the following manifestations should the nurse expect?
a. Weight gain
b. Oliguria
c. Vaginal bleeding
d. Back pain - answerc
A nurse is collecting a health history from a female client who is undergoing screening
for breast cancer. Which of the following factors should the nurse identify for placing the
client at the greatest risk for developing breast cancer?
a. Obesity
b. Oral contraceptive use
c. Alcohol use
d. Over 50 years of age - answerd
A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing bladder cancer?
a. The client is a hairdresser.
b. The client uses tobacco.
c. The client is over 60 years of age.
d. The client has frequent urinary tract infections (UTIs) - answerb
A nurse is admitting a client who has multiple myeloma and a white blood cell count of
2,200 mm3. Which of the following foods should the nurse prohibit the family members
from bringing to the client?
a. Fried chicken from a fast food restaurant
b. A case of canned nutritional supplements
c. A factory-sealed box of chocolates
d. A fresh fruit basket - answerd
A nurse is providing postoperative discharge teaching to a client following a
panhysterectomy for uterine cancer. Which of the following should the nurse include in
the teaching?
Questions
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of
the following adverse effects should the nurse anticipate from the chemotherapy?
a. Gingival hyperplasia
b. Hirsutism
c. Pancytopenia
d. Weight gain - answerc
A nurse is planning care for a client who has cancer and has developed
thrombocytopenia following chemotherapy. Which of the following precautions should
the nurse offer to minimize the adverse effects of thrombocytopenia?
a. Monitor visitors for manifestations of infection.
b. Remind the client to use an electric razor.
c. Encourage frequent rest periods.
d. Instruct the client to rinse mouth with normal saline. - answerb
A nurse is caring for a client who has lung cancer that has metastasized. Which of the
following findings indicates the client is developing superior vena cava syndrome?
a. Irregular cardiac rhythm
b. Numbness in the hands
c. Muscle cramps
d. Facial edema - answerd
A nurse is caring for a client who has testicular cancer and is experiencing peripheral
neuropathy as an adverse effect of chemotherapy. Which of the following client
manifestations is an expected finding of peripheral neuropathy?
a. Thinning of the scalp hair
b. Tingling of the hands and feet
c. Reduced ability to concentrate
d. Sores in the mucous membranes - answerb
A nurse on an oncology unit is providing discharge teaching to an adolescent female
client who receieved a bone marrow transplant for leukemia. Which of the following
information should the nurse include in the teaching? (Select all that apply.)
a. "Take you temperature twice each day."
,b. "You may return to school if you feel strong enough."
c. "It is important to always wear shoes."
d. "Clean your toothbrush weekly with isopropyl alcohol."
e. "Avoid using tampons." - answera, c, e
A nurse is providing discharge teaching to a client who is postoperative following a right
mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt
drains. Which of the following information should the nurse include in the teaching?
a. "Empty the drainage tubes once per day."
b. "Showering is permitted before the drainage tubes are removed."
c. "The drainage tubes often are removed at the same time as the stitches."
d. "Do not begin exercising the arm until the provider removes the drainage tubes." -
answerc
A nurse is providing discharge teaching to a client following open radical prostatectomy.
The client is going home with an indwelling urinary catheter. Which of the following
statements by the client indicates an understanding of teaching?
a. "I will be able to take a tub bath in 1 week."
b. "I will change the catheter drainage bag once each week."
c. "I will use suppositories to prevent constipation."
d. "I will regain my bladder control once the catheter is removed." - answerb
A nurse is monitoring a client who has cancer and is receiving chemotherapy by
peripheral IV infusion. The client reports pain at the insertion site and the nurse notes
fluid leaking around the catheter. Which of the following actions should the nurse take
first?
a. Take a photograph of the peripheral IV site.
b. Obtain and record the client's vital signs.
c. Stop the infusion.
d. Identify all medications administered through the IV site for the past 24 hr. - answerc
A nurse in an oncology clinic is assessing who has early stage Hodgkin's lymphoma.
Which of the following findings should the nurse expect?
a. Bone and joint pain
b. Enlarged lymph nodes
c. Intermittent hematuria
d. Productive cough - answerb
A nurse is caring for a client who has breast cancer and is receiving a combination of
chemotherapy medications. The client expresses confusion about the therapy. Which of
the following explanations should the nurse provide?
,a. "The risk of renal toxicity is lessened when a combination of chemotherapy
medications are used."
b. "The chemotherapy medications act at different stages of cell division so more tumor
cells are destroyed."
c. "The use of more chemotherapy medications will shorten the time you have to be in
treatment."
d. "The combination of chemotherapy medications will eliminate the potential for bone
marrow." - answerb
A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan
of care?
a. Empty the collection pouch when it is 2/3 full.
b. Expect urine outflow into pouch to begin 1 to 2 days following surgery.
c. Change the collection pouch in the early morning.
d. Place an aspirin in the collection pouch to control odor. - answerc
A nurse is providing preoperative teaching for a client who has colorectal cancer and is
to undergo placement of a colostomy with a perineal wound. Which of the following
statements by the client indicates an understanding of the teaching?
a. "It will be a relief to not have any further rectal pain."
b. "I will need to sit on a rubber donut when I am out of bed in the chair."
c. "I can only have liquids for 2 days before the surgery."
d. "The colostomy will start working about 7 days after surgery." - answerc
A hospice nurse is providing education about palliative care to the partner of a client
who has end-stage liver cancer. Which of the following statements by the partner
indicates an understanding of the teaching?
a. "I will do my best to try to get him to eat something."
b. "I will lay him flat if his breathing becomes shallow."
c. "I will use an electric blanket to keep him warm."
d. "I will continue to talk to him even when he's sleeping." - answerd
A nurse is providing teaching to a client who has cancer and is receiving external
radiation therapy. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will need to protect the area from sunlight."
b. "I'm going to apply a heating pad to the area after each treatment."
c. "I'll massage the area once per day."
d. "I'll wash the markings off after each therapy treatment. - answera
, A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing skin cancer?
a. Age over 60
b. Genetic predisposition
c. Light-skinned race
d. Overexposure to sun light - answerd
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of
the following manifestations should the nurse expect?
a. Weight gain
b. Oliguria
c. Vaginal bleeding
d. Back pain - answerc
A nurse is collecting a health history from a female client who is undergoing screening
for breast cancer. Which of the following factors should the nurse identify for placing the
client at the greatest risk for developing breast cancer?
a. Obesity
b. Oral contraceptive use
c. Alcohol use
d. Over 50 years of age - answerd
A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing bladder cancer?
a. The client is a hairdresser.
b. The client uses tobacco.
c. The client is over 60 years of age.
d. The client has frequent urinary tract infections (UTIs) - answerb
A nurse is admitting a client who has multiple myeloma and a white blood cell count of
2,200 mm3. Which of the following foods should the nurse prohibit the family members
from bringing to the client?
a. Fried chicken from a fast food restaurant
b. A case of canned nutritional supplements
c. A factory-sealed box of chocolates
d. A fresh fruit basket - answerd
A nurse is providing postoperative discharge teaching to a client following a
panhysterectomy for uterine cancer. Which of the following should the nurse include in
the teaching?
