WITH 100 QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS | NUR 211 EXAM
A client has Hodgkin's lymphoma, Ann Arbor stage Ib. For what manifestations
should the nurse assess the client? (Select all that apply.)
a. Headaches
b. Night sweats
c. Persistent fever
d. Urinary frequency
e. Weight loss - ANSWER-ANS:B,C,E
In this stage, the disease is located in a single lymph node region or a single non-
lymph node site. The client displays night sweats, persistent fever, and weight loss.
Headache and urinary problems are not related.
,A client has received a bone marrow transplant and is waiting for engraftment.
What actions by the nurse are most appropriate? (Select all that apply.)
a. Not allowing any visitors until engraftment
b. Limiting the protein in the client's diet
c. Placing the client in protective precautions
d. Teaching visitors appropriate hand hygiene
e. Telling visitors not to bring live flowers or plants - ANSWER-ANS:C,D,E
The client waiting for engraftment after bone marrow transplant has no white cells
to protect him or her against infection. The client is on protective precautions and
visitors are taught hand hygiene. No fresh flowers or plants are allowed due to the
standing water in the vase or container that may harbor organisms. Limiting
protein is not a healthy option and will not promote engraftment.
A student nurse asks the nursing instructor what "apoptosis" means. What response
by the instructor is best?
a. Growth by cells enlarging
b. Having the normal number of chromosomes
c. Inhibition of cell growth
d. Programmed cell death - ANSWER-ANS:D
Apoptosis is programmed cell death. With this characteristic, organs and tissues
function with cells that are at their peak of performance. Growth by cells enlarging
is hyperplasia. Having the normal number of chromosomes is euploidy. Inhibition
of cell growth is contact inhibition.
The nursing instructor explains the difference between normal cells and benign
tumor cells. What information does the instructor provide about these cells?
a. Benign tumors grow through invasion of other tissue.
b. Benign tumors have lost their cellular regulation from contact inhibition.
c. Growing in the wrong place or time is typical of benign tumors.
,d. The loss of characteristics of the parent cells is called anaplasia. - ANSWER-
ANS:C
Benign tumors are basically normal cells growing in the wrong place or at the
wrong time. Benign cells grow through hyperplasia, not invasion. Benign tumor
cells retain contact inhibition. Anaplasia is a characteristic of cancer cells.
Which statement about carcinogenesis is accurate?
a. An initiated cell will always become clinical cancer.
b. Cancer becomes a health problem once it is 1 cm in size.
c. Normal hormones and proteins do not promote cancer growth.
d. Tumor cells need to develop their own blood supply. - ANSWER-ANS:D
Tumors need to develop their own blood supply through a process called
angiogenesis. An initiated cell needs a promoter to continue its malignant path.
Normal hormones and proteins in the body can act as promoters. A 1-cm tumor is a
detectable size, but other events have to occur for it to become a health problem.
The nurse caring for oncology clients knows that which form of metastasis is the
most common?
a. Bloodborne
b. Direct invasion
c. Lymphatic spread
d. Via bone marrow - ANSWER-ANS:A
Bloodborne metastasis is the most common way for cancer to metastasize. Direct
invasion and lymphatic spread are other methods. Bone marrow is not a medium in
which cancer spreads, although cancer can occur in the bone marrow.
A nurse is assessing a client with glioblastoma. What assessment is most
important?
a. Abdominal palpation
, b. Abdominal percussion
c. Lung auscultation
d. Neurologic examination - ANSWER-ANS:D
A glioblastoma arises in the brain. The most important assessment for this client is
the neurologic examination.
A nurse has taught a client about dietary changes that can reduce the chances of
developing cancer. What statement by the client indicates the nurse needs to
provide additional teaching?
a. "Foods high in vitamin A and vitamin C are important."
b. "I'll have to cut down on the amount of bacon I eat."
c. "I'm so glad I don't have to give up my juicy steaks."
d. "Vegetables, fruit, and high-fiber grains are important." - ANSWER-ANS:C
To decrease the risk of developing cancer, one should cut down on the
consumption of red meats and animal fat. The other statements are correct.
A client is in the oncology clinic for a first visit since being diagnosed with cancer.
The nurse reads in the client's chart that the cancer classification is TISN0M0.
What does the nurse conclude about this client's cancer?
a. The primary site of the cancer cannot be determined.
b. Regional lymph nodes could not be assessed.
c. There are multiple lymph nodes involved already.
d. There are no distant metastases noted in the report. - ANSWER-ANS:D
TIS stands for carcinoma in situ; N0 stands for no regional lymph node metastasis;
and M0 stands for no distant metastasis.
A client asks the nurse if eating only preservative- and dye-free foods will decrease
cancer risk. What response by the nurse is best?