RNSG 1517: Protection and Regulation
Semester Exam Questions and Verified
Answers
Question 1
The nurse is performing a breast assessment. Which statement made by the client
indicates the risk of breast cancer? Select all that apply.
1."I had a late onset of menarche."
2."My first child was born when I was 32."
3."I noticed a slight discharge from a nipple."
4."I perform breast self-examinations frequently."
5."I consume two to four glasses of alcohol a day."
Correct Answer
2."My first child was born when I was 32."
3."I noticed a slight discharge from a nipple."
5."I consume two to four glasses of alcohol a day.
Clients who gave birth to a first child after the age of 30 are at a risk of breast
cancer.
Question 2
The public health nurse presents a program on breast self-examination. After a return
demonstration, the nurse concludes that she needs to review certain aspects of the
teaching program. Which behavior by one of the students supports this conclusion?
1.Palpating each breast while in the sitting position
2.Checking her breasts for any deviation from what is expected
3.Palpating each breast with the palmar surface of her extended fingers
4.Checking her breasts for symmetry while holding her arms above her head
Correct Answer
1.Palpating each breast while in the sitting position
Breast palpation should be performed in the supine position with a small rolled
towel under the shoulder of the palpated side; it may also be done standing in the
shower, but the sitting position is not recommended.
Page 1 of 62
,Question 3
The nurse is assessing four clients in the postoperative unit. Which client will be
monitored for fluid volume overload as nursing safety priority?
A.Client with lymph node dissection
B.Client with laparoscopic cholecystechtomy
C.Client with surgical intervention for hemorrhoids
D.Client with liver transplantation
Correct Answer
A.Client with lymph node dissection
The nursing safety priority for client A with lymph node dissection is monitoring for
manifestations of fluid overload.
Question 4
Range-of-motion exercises are prescribed for a child with juvenile idiopathic arthritis.
What criterion should the nurse use to evaluate the effectiveness of the exercises?
1.The pain is relieved.
2.The affected joints can flex and extend.
3.The pedal and radial pulses are diminished.
4.The subcutaneous nodules at the joints recede.
Correct Answer
2.The affected joints can flex and extend.
Question 5
A nurse is evaluating a client's understanding regarding postoperative concerns after
a mastectomy. Which unanticipated development near and around the incision noted
by the client should be reported to her primary healthcare provider?
1.Persistent itching
2.Decreased sensation
3.Swelling with erythema
4.Irregular-appearing skin
Correct Answer
3.Swelling with erythema
Swelling and erythema are signs of infection and should be reported to the primary
healthcare provider immediately.
Page 2 of 62
,Question 6
The nurse reviews the medical records of four male clients. Which client will the nurse
assess most closely for developing prostate cancer?
1.Black 55-year-old
2.White 45-year-old
3.Asian 55-year-old
4.Hispanic 45-year-old
Correct Answer
1.Black 55-year-old
Cancer of the prostate is rare before age 50 years but increases with age; black men
develop cancer of the prostate more often and at an earlier age than white men.
Black men develop prostate cancer more often than any other ethnic group. Asian
American men have a lower incidence than white men.
Question 7
A client with a tentative diagnosis of lung cancer is scheduled for a mediastinoscopy
with biopsy. Which is a priority nursing action?
1.Tell the client that chest tubes will be present after the procedure.
2.Explain that the procedure will allow visualization of lungs and chest cavity.
3.Inform the client that some pleural fluid will be removed during this procedure.
4.Advise the client to avoid eating or drinking anything for several hours before the
test.
Correct Answer
4.Advise the client to avoid eating or drinking anything for several hours before the
test.
To prevent aspiration during the procedure
Page 3 of 62
, Question 8
A client with systemic lupus erythematosus is taking prednisone. The nurse anticipates
that the steroid may cause hypokalemia. What food will the nurse encourage the
client to eat?
1.Broccoli
2.Oatmeal
3.Fried rice
4.Cooked carrots
Correct Answer
1.Broccoli
Question 9
A client is experiencing an exacerbation of systemic lupus erythematosus. To reduce
the frequency of exacerbations, what would be important for the nurse to include in
the client's teaching plan?
1.Basic principles of hygiene
2.Techniques to reduce stress
3.Measures to improve nutrition
4.Signs of an impending exacerbation
Correct Answer
2. Techniques to reduce stress
Systemic lupus erythematosus is an autoimmune disorder, and physical and
emotional stresses have been identified as contributing factors to the occurrence of
exacerbations.
Question 10
A client with colon cancer is receiving hospice care at home. What is the focus of
hospice care?
1.To ease the pain from illness
2.To provide curative treatment
3.To assist with activities of daily living
4.To adapt to the limitations due to illness
Correct Answer
1.To ease the pain from illness
Page 4 of 62
Semester Exam Questions and Verified
Answers
Question 1
The nurse is performing a breast assessment. Which statement made by the client
indicates the risk of breast cancer? Select all that apply.
1."I had a late onset of menarche."
2."My first child was born when I was 32."
3."I noticed a slight discharge from a nipple."
4."I perform breast self-examinations frequently."
5."I consume two to four glasses of alcohol a day."
Correct Answer
2."My first child was born when I was 32."
3."I noticed a slight discharge from a nipple."
5."I consume two to four glasses of alcohol a day.
Clients who gave birth to a first child after the age of 30 are at a risk of breast
cancer.
Question 2
The public health nurse presents a program on breast self-examination. After a return
demonstration, the nurse concludes that she needs to review certain aspects of the
teaching program. Which behavior by one of the students supports this conclusion?
1.Palpating each breast while in the sitting position
2.Checking her breasts for any deviation from what is expected
3.Palpating each breast with the palmar surface of her extended fingers
4.Checking her breasts for symmetry while holding her arms above her head
Correct Answer
1.Palpating each breast while in the sitting position
Breast palpation should be performed in the supine position with a small rolled
towel under the shoulder of the palpated side; it may also be done standing in the
shower, but the sitting position is not recommended.
Page 1 of 62
,Question 3
The nurse is assessing four clients in the postoperative unit. Which client will be
monitored for fluid volume overload as nursing safety priority?
A.Client with lymph node dissection
B.Client with laparoscopic cholecystechtomy
C.Client with surgical intervention for hemorrhoids
D.Client with liver transplantation
Correct Answer
A.Client with lymph node dissection
The nursing safety priority for client A with lymph node dissection is monitoring for
manifestations of fluid overload.
Question 4
Range-of-motion exercises are prescribed for a child with juvenile idiopathic arthritis.
What criterion should the nurse use to evaluate the effectiveness of the exercises?
1.The pain is relieved.
2.The affected joints can flex and extend.
3.The pedal and radial pulses are diminished.
4.The subcutaneous nodules at the joints recede.
Correct Answer
2.The affected joints can flex and extend.
Question 5
A nurse is evaluating a client's understanding regarding postoperative concerns after
a mastectomy. Which unanticipated development near and around the incision noted
by the client should be reported to her primary healthcare provider?
1.Persistent itching
2.Decreased sensation
3.Swelling with erythema
4.Irregular-appearing skin
Correct Answer
3.Swelling with erythema
Swelling and erythema are signs of infection and should be reported to the primary
healthcare provider immediately.
Page 2 of 62
,Question 6
The nurse reviews the medical records of four male clients. Which client will the nurse
assess most closely for developing prostate cancer?
1.Black 55-year-old
2.White 45-year-old
3.Asian 55-year-old
4.Hispanic 45-year-old
Correct Answer
1.Black 55-year-old
Cancer of the prostate is rare before age 50 years but increases with age; black men
develop cancer of the prostate more often and at an earlier age than white men.
Black men develop prostate cancer more often than any other ethnic group. Asian
American men have a lower incidence than white men.
Question 7
A client with a tentative diagnosis of lung cancer is scheduled for a mediastinoscopy
with biopsy. Which is a priority nursing action?
1.Tell the client that chest tubes will be present after the procedure.
2.Explain that the procedure will allow visualization of lungs and chest cavity.
3.Inform the client that some pleural fluid will be removed during this procedure.
4.Advise the client to avoid eating or drinking anything for several hours before the
test.
Correct Answer
4.Advise the client to avoid eating or drinking anything for several hours before the
test.
To prevent aspiration during the procedure
Page 3 of 62
, Question 8
A client with systemic lupus erythematosus is taking prednisone. The nurse anticipates
that the steroid may cause hypokalemia. What food will the nurse encourage the
client to eat?
1.Broccoli
2.Oatmeal
3.Fried rice
4.Cooked carrots
Correct Answer
1.Broccoli
Question 9
A client is experiencing an exacerbation of systemic lupus erythematosus. To reduce
the frequency of exacerbations, what would be important for the nurse to include in
the client's teaching plan?
1.Basic principles of hygiene
2.Techniques to reduce stress
3.Measures to improve nutrition
4.Signs of an impending exacerbation
Correct Answer
2. Techniques to reduce stress
Systemic lupus erythematosus is an autoimmune disorder, and physical and
emotional stresses have been identified as contributing factors to the occurrence of
exacerbations.
Question 10
A client with colon cancer is receiving hospice care at home. What is the focus of
hospice care?
1.To ease the pain from illness
2.To provide curative treatment
3.To assist with activities of daily living
4.To adapt to the limitations due to illness
Correct Answer
1.To ease the pain from illness
Page 4 of 62
