Hondros Nur 212 exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
What should be done when there is an obstruction in a chest tube and why? - CORRECT ANSWER -Milk the tube,
never strip due to pressure changes
When is it normal to find bleeding in a chest tube? - CORRECT ANSWER -Only with a hemothorax
Is tidaling normal with a chest tube? - CORRECT ANSWER -Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube? - CORRECT ANSWER -That the tube is
ready to be taken out
Is constant bubbling with a chest tube good or bad? - CORRECT ANSWER -Bad
Is crepidous supposed to be at the chest tube site? - CORRECT ANSWER -No, but usually resolves back into the
body
What is crepidous? - CORRECT ANSWER -Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues? - CORRECT ANSWER -From the patient to the machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube? - CORRECT
ANSWER -Make sure the chest tube connections are secure
What are the steps to a self breast exam? - CORRECT ANSWER -Step 1: Lie down and place left arm behind head
(lying down spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast. Use overlapping dime-
sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel each layers. (A firm ridge on the
curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side from the underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema? - CORRECT ANSWER -Exercise, healthy diet (health maintenance)
Treatment for lymphedema? - CORRECT ANSWER -Healthy diet, exercise, compression stockings, good skin/nail
care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions? - CORRECT ANSWER -Avoid fresh fruits/veggies, no fresh flowers, good
hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia? - CORRECT ANSWER -Most patients are asymptomatic, but s\s
include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and s\s of hemmorhaging.
Adverse affects of chemo/radiation? - CORRECT ANSWER -Nausea, vomiting, anorexia, diarrhea, skin
breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Fatigue management for chemo? - CORRECT ANSWER -Encourage moderate exercise as tolerated, encourage
rest when fatigued but to continue to maintain lifestyle patterns as much as possible while pacing activities to energy
level, and reassure that fatigue is a common side affect
Stages of cancer? - CORRECT ANSWER -1-Initiation
2-Promotion-Can be reversed with lifestyle changes.
3-Latent
4-Progression
, Initiation stage - CORRECT ANSWER -Injury to DNA, genetic changes.
Promotion stage - CORRECT ANSWER -Proliferation, reversible (lifestyle changes can reduce risk)
Latent stage - CORRECT ANSWER -Tumor present, no evidence of cancer
Progression stage - CORRECT ANSWER -Tumor has own blood supply, increased growth rate, invading
surrounding cells, metastases
Are all side effects of chemo instant? - CORRECT ANSWER -No, can be latent for a few days to a week
Proper PPE for nurse administering chemo? - CORRECT ANSWER -Gloves, gown, and mask
Proper skin care for a patient on radiation therapy? - CORRECT ANSWER -Aloe or lotion without perfume, metal,
alcohol, or additives. No heating pads or ice packs. Frequent skin assessments.
S\S of adverse affects of IV chemo? - CORRECT ANSWER -Painful, red, swollen, or blistered IV site.
Primary prevention for cancer? - CORRECT ANSWER -Lifestyle changes, healthy diet, exercise, smoking
cessation.
Secondary prevention for cancer? - CORRECT ANSWER -Screenings (breast/testicle self exam, Pap smear, PSA)
What is an important nursing intervention for a patient with a mastectomy - CORRECT ANSWER -No BP or
injections on the side with mastectomy, and elevate arm to help with flow of lymph due to the risk of lymphedema
Characteristics of benign tumors? - CORRECT ANSWER -slow steady growth, remains localized, contained
within a capsule, crowds normal tissue, rarely fatal, rarely reoccurs after removal, movable when palpated
A patient is receiving chemo, which lab result would mean the patient should be put on neutropenic precautions? -
CORRECT ANSWER -WBC
The nurse is teaching a nursing student about the stages of cancer development. Which statement by the student indicates
a need for further teaching?
1.The promotion stage includes strategies for preventing cancer.
2.Progression indicates that abnormal cells are being produced at the same rate as normal cells without stopping.
3.The event that begins the initiation stage is when the DNA in a cell is damaged or altered - CORRECT
ANSWER -Progression indicates that abnormal cells are being produced at the same rate as normal cells without
stopping.
A patient is being treated with chemotherapy for breast cancer. The patient's meal tray was just delivered. What foods
would the nurse remove from the tray?
1.Roast beef with gravy
2.Salad with ranch dressing
3.Steamed vegetables
4.Chocolate cake - CORRECT ANSWER -Salad with ranch dressing
A patient is being treated with chemotherapy for breast cancer. What lab test would the nurse evaluate to determine if
there is concern for spontaneous bleeding?
1.White blood cell count
2.Hemoglobin
3.Basophil count
4.Platelet count - CORRECT ANSWER -Platelet count
Which genetic marker indicates that a patient may be at an increased risk of breast and/or ovarian cancer? - CORRECT
ANSWER -BRCA1/BRCA2
Anatomical site classifications of cancer - CORRECT ANSWER -Carcinoma-skin, glands, mucous membranes.
Questions and CORRECT Answers
What should be done when there is an obstruction in a chest tube and why? - CORRECT ANSWER -Milk the tube,
never strip due to pressure changes
When is it normal to find bleeding in a chest tube? - CORRECT ANSWER -Only with a hemothorax
Is tidaling normal with a chest tube? - CORRECT ANSWER -Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube? - CORRECT ANSWER -That the tube is
ready to be taken out
Is constant bubbling with a chest tube good or bad? - CORRECT ANSWER -Bad
Is crepidous supposed to be at the chest tube site? - CORRECT ANSWER -No, but usually resolves back into the
body
What is crepidous? - CORRECT ANSWER -Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues? - CORRECT ANSWER -From the patient to the machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube? - CORRECT
ANSWER -Make sure the chest tube connections are secure
What are the steps to a self breast exam? - CORRECT ANSWER -Step 1: Lie down and place left arm behind head
(lying down spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast. Use overlapping dime-
sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel each layers. (A firm ridge on the
curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side from the underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema? - CORRECT ANSWER -Exercise, healthy diet (health maintenance)
Treatment for lymphedema? - CORRECT ANSWER -Healthy diet, exercise, compression stockings, good skin/nail
care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions? - CORRECT ANSWER -Avoid fresh fruits/veggies, no fresh flowers, good
hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia? - CORRECT ANSWER -Most patients are asymptomatic, but s\s
include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and s\s of hemmorhaging.
Adverse affects of chemo/radiation? - CORRECT ANSWER -Nausea, vomiting, anorexia, diarrhea, skin
breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Fatigue management for chemo? - CORRECT ANSWER -Encourage moderate exercise as tolerated, encourage
rest when fatigued but to continue to maintain lifestyle patterns as much as possible while pacing activities to energy
level, and reassure that fatigue is a common side affect
Stages of cancer? - CORRECT ANSWER -1-Initiation
2-Promotion-Can be reversed with lifestyle changes.
3-Latent
4-Progression
, Initiation stage - CORRECT ANSWER -Injury to DNA, genetic changes.
Promotion stage - CORRECT ANSWER -Proliferation, reversible (lifestyle changes can reduce risk)
Latent stage - CORRECT ANSWER -Tumor present, no evidence of cancer
Progression stage - CORRECT ANSWER -Tumor has own blood supply, increased growth rate, invading
surrounding cells, metastases
Are all side effects of chemo instant? - CORRECT ANSWER -No, can be latent for a few days to a week
Proper PPE for nurse administering chemo? - CORRECT ANSWER -Gloves, gown, and mask
Proper skin care for a patient on radiation therapy? - CORRECT ANSWER -Aloe or lotion without perfume, metal,
alcohol, or additives. No heating pads or ice packs. Frequent skin assessments.
S\S of adverse affects of IV chemo? - CORRECT ANSWER -Painful, red, swollen, or blistered IV site.
Primary prevention for cancer? - CORRECT ANSWER -Lifestyle changes, healthy diet, exercise, smoking
cessation.
Secondary prevention for cancer? - CORRECT ANSWER -Screenings (breast/testicle self exam, Pap smear, PSA)
What is an important nursing intervention for a patient with a mastectomy - CORRECT ANSWER -No BP or
injections on the side with mastectomy, and elevate arm to help with flow of lymph due to the risk of lymphedema
Characteristics of benign tumors? - CORRECT ANSWER -slow steady growth, remains localized, contained
within a capsule, crowds normal tissue, rarely fatal, rarely reoccurs after removal, movable when palpated
A patient is receiving chemo, which lab result would mean the patient should be put on neutropenic precautions? -
CORRECT ANSWER -WBC
The nurse is teaching a nursing student about the stages of cancer development. Which statement by the student indicates
a need for further teaching?
1.The promotion stage includes strategies for preventing cancer.
2.Progression indicates that abnormal cells are being produced at the same rate as normal cells without stopping.
3.The event that begins the initiation stage is when the DNA in a cell is damaged or altered - CORRECT
ANSWER -Progression indicates that abnormal cells are being produced at the same rate as normal cells without
stopping.
A patient is being treated with chemotherapy for breast cancer. The patient's meal tray was just delivered. What foods
would the nurse remove from the tray?
1.Roast beef with gravy
2.Salad with ranch dressing
3.Steamed vegetables
4.Chocolate cake - CORRECT ANSWER -Salad with ranch dressing
A patient is being treated with chemotherapy for breast cancer. What lab test would the nurse evaluate to determine if
there is concern for spontaneous bleeding?
1.White blood cell count
2.Hemoglobin
3.Basophil count
4.Platelet count - CORRECT ANSWER -Platelet count
Which genetic marker indicates that a patient may be at an increased risk of breast and/or ovarian cancer? - CORRECT
ANSWER -BRCA1/BRCA2
Anatomical site classifications of cancer - CORRECT ANSWER -Carcinoma-skin, glands, mucous membranes.
