NSG 170 Cellular Regulation Prep. U || Top Grade Assured.
A client has been taking daily nonsteroidal anti-inflammatory agents for several months to treat
osteoarthritis. The nurse should assess the client for signs or symptoms of what disorder?
a) esophageal cancer
b) Barrett's esophagus
c) dysphagia
d) peptic ulcer disease correct answers d) peptic ulcer disease
The nurse is working with a 40-year-old pregnant female about to undergo amniocentesis. The
nurse provides appropriate education by stating that amniocentesis is performed for a prenatal
diagnosis of which condition?
a) Cystic fibrosis
b) Diabetes
c) Thalassemia
d) Cleft palate correct answers a) Cystic fibrosis
A client is admitted to the emergency department with reports right lower quadrant pain. Blood
specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to
the health care provider immediately?
a) Hematocrit 42%
b) White blood cell (WBC) count 22.8/mm3
c) Serum potassium 4.2 mEq/L
d) Serum sodium 135 mEq/L correct answers b) White blood cell (WBC) count 22.8/mm3
The parents receive results from an anatomy ultrasound performed at 20 weeks' gestation
(above). Based on these findings, they are referred for further genetic testing, which finds
trisomy 13. The parents ask what causes this condition. How does the nurse best reply?
a) "An error in cell division results in an abnormal number of chromosomes in trisomy 13."
,b) "Paternal genetic carrier status is associated with the development of trisomy 13."
c) "Fetal sex influences the occurrence of trisomy 13, which arises predominantly in males."
d) "Viral infections during the second trimester can mutate the chromosomes and cause trisomy
13." correct answers a) "An error in cell division results in an abnormal number of chromosomes
in trisomy 13."
A client with a seizure disorder has been prescribed carbamazepine. When researching this
medication, the nurse learns that it is a sodium channel blocker. The nurse should identify what
effect on cellular physiology?
a) Fewer sodium ions will be able to penetrate the cell wall
b) Sodium ions will be bound with carbamazepine in the cytoplasm
c) The Golgi apparatus will be blocked from synthesizing sodium ions
d) Sodium ions will fuse with the phospholipid bilayer correct answers a) Fewer sodium ions
will be able to penetrate the cell wall
A client with a diagnosis of breast cancer has been scheduled for a unilateral mastectomy during
an axillary lymph node dissection. Which categorizations of surgical procedures are represented
in this client's case? Select all that apply.
a) diagnostic
b) constructive
c) reconstructive
d) palliative
e) curative correct answers a) diagnostic
e) curative
A nurse is teaching a client about the chemotherapeutic agent that has been prescribed. When
asked about potential hair loss, which answer should the nurse prioritize?
a) Forewarn about hair loss as permanent
b) Explain it is not life-threatening
c) Suggest the use of a wig or cap
, d) Explain that hair has no true function correct answers c) Suggest the use of a wig or cap
A medical client's CA 19-9 levels have become available and they are significantly elevated.
How should the nurse best interpret this diagnostic finding?
a) The client may have cancer, but other GI disease must be ruled out.
b) The client most likely has early-stage colorectal cancer.
c) The client has a genetic predisposition to gastric cancer.
d) The client has cancer, but the site is unknown. correct answers a) The client may have cancer,
but other GI disease must be ruled out.
The nurse is performing preoperative teaching with a client who has been diagnosed with cancer
of the larynx. After completing client teaching, what would be most important for the nurse to
do?
a) Give the client their cell phone number.
b) Refer the client to a social worker or psychologist.
c) Provide the client with audiovisual materials about the surgery.
d) Reassure the client and family that everything will be alright. correct answers c) Provide the
client with audiovisual materials about the surgery.
A nurse is caring for a client with a diagnosis of cancer that has metastasized to the bone. Which
laboratory value would the nurse expect to be elevated in this client?
a) Bilirubin
b) Potassium
c) Alkaline phosphatase
d) Creatinine correct answers c) Alkaline phosphatase
When describing the various effects of antineoplastic agents, the nurse explains that
antineoplastic drugs primarily affect human cells that are rapidly multiplying, going through the
cell cycle quickly. The nurse would identify which cells as an example?
a) Skin
A client has been taking daily nonsteroidal anti-inflammatory agents for several months to treat
osteoarthritis. The nurse should assess the client for signs or symptoms of what disorder?
a) esophageal cancer
b) Barrett's esophagus
c) dysphagia
d) peptic ulcer disease correct answers d) peptic ulcer disease
The nurse is working with a 40-year-old pregnant female about to undergo amniocentesis. The
nurse provides appropriate education by stating that amniocentesis is performed for a prenatal
diagnosis of which condition?
a) Cystic fibrosis
b) Diabetes
c) Thalassemia
d) Cleft palate correct answers a) Cystic fibrosis
A client is admitted to the emergency department with reports right lower quadrant pain. Blood
specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to
the health care provider immediately?
a) Hematocrit 42%
b) White blood cell (WBC) count 22.8/mm3
c) Serum potassium 4.2 mEq/L
d) Serum sodium 135 mEq/L correct answers b) White blood cell (WBC) count 22.8/mm3
The parents receive results from an anatomy ultrasound performed at 20 weeks' gestation
(above). Based on these findings, they are referred for further genetic testing, which finds
trisomy 13. The parents ask what causes this condition. How does the nurse best reply?
a) "An error in cell division results in an abnormal number of chromosomes in trisomy 13."
,b) "Paternal genetic carrier status is associated with the development of trisomy 13."
c) "Fetal sex influences the occurrence of trisomy 13, which arises predominantly in males."
d) "Viral infections during the second trimester can mutate the chromosomes and cause trisomy
13." correct answers a) "An error in cell division results in an abnormal number of chromosomes
in trisomy 13."
A client with a seizure disorder has been prescribed carbamazepine. When researching this
medication, the nurse learns that it is a sodium channel blocker. The nurse should identify what
effect on cellular physiology?
a) Fewer sodium ions will be able to penetrate the cell wall
b) Sodium ions will be bound with carbamazepine in the cytoplasm
c) The Golgi apparatus will be blocked from synthesizing sodium ions
d) Sodium ions will fuse with the phospholipid bilayer correct answers a) Fewer sodium ions
will be able to penetrate the cell wall
A client with a diagnosis of breast cancer has been scheduled for a unilateral mastectomy during
an axillary lymph node dissection. Which categorizations of surgical procedures are represented
in this client's case? Select all that apply.
a) diagnostic
b) constructive
c) reconstructive
d) palliative
e) curative correct answers a) diagnostic
e) curative
A nurse is teaching a client about the chemotherapeutic agent that has been prescribed. When
asked about potential hair loss, which answer should the nurse prioritize?
a) Forewarn about hair loss as permanent
b) Explain it is not life-threatening
c) Suggest the use of a wig or cap
, d) Explain that hair has no true function correct answers c) Suggest the use of a wig or cap
A medical client's CA 19-9 levels have become available and they are significantly elevated.
How should the nurse best interpret this diagnostic finding?
a) The client may have cancer, but other GI disease must be ruled out.
b) The client most likely has early-stage colorectal cancer.
c) The client has a genetic predisposition to gastric cancer.
d) The client has cancer, but the site is unknown. correct answers a) The client may have cancer,
but other GI disease must be ruled out.
The nurse is performing preoperative teaching with a client who has been diagnosed with cancer
of the larynx. After completing client teaching, what would be most important for the nurse to
do?
a) Give the client their cell phone number.
b) Refer the client to a social worker or psychologist.
c) Provide the client with audiovisual materials about the surgery.
d) Reassure the client and family that everything will be alright. correct answers c) Provide the
client with audiovisual materials about the surgery.
A nurse is caring for a client with a diagnosis of cancer that has metastasized to the bone. Which
laboratory value would the nurse expect to be elevated in this client?
a) Bilirubin
b) Potassium
c) Alkaline phosphatase
d) Creatinine correct answers c) Alkaline phosphatase
When describing the various effects of antineoplastic agents, the nurse explains that
antineoplastic drugs primarily affect human cells that are rapidly multiplying, going through the
cell cycle quickly. The nurse would identify which cells as an example?
a) Skin